DDI_MKD_2011_MICS-RS_v01_M_WB Development Data Group 2013-11-13 NADA Version 01 (November 2013) Multiple Indicator Cluster Survey 2011 - Roma Settlements MICS-RS 2011 Мултииндикаторското кластерско истражува?е 2011 MKD_2011_MICS-RS_v01_M Institute of Public Health of the Republic of Macedonia United Nations Children’s Fund NADA United Nations Children’s Fund United Nations Population Fund Bertrand Desmoulins UNICEF Skopje Multiple Indicator Cluster Survey - Round 4 [hh/mics-4] The Multiple Indicator Cluster Survey, Round 4 (MICS4) is the forth round of MICS surveys, previously conducted around 1995 (MICS1), 2000 (MICS2), and 2005-2007 (MICS3). MICS was originally developed to support countries measure progress towards an internationally agreed set of goals that emerged from the 1990 World Summit for Children. The fourth round of Multiple Indicator Cluster Surveys (MICS4) is scheduled for 2009-2011 and survey results are expected to be available from 2010 onwards. MICS4 data allow countries to better monitor progress toward national goals and global commitments, including the Millennium Development Goals (MDGs) as the target year 2015 approaches. Information on more than 20 of the MDG indicators is being collected through MICS4, offering one of the largest single sources of data for MDG monitoring. MICS4 continues to address emerging issues and new areas of interest, with validated, standard methodologies in collecting relevant data. It also helps countries capture rapid changes in key indicators. - v01: Edited, anonymous datasets for public distribution. The Republic of Macedonia Multiple Indicator Cluster Survey (MICS) 2011 was conducted as part of the fourth global round of MICS surveys (MICS4). The survey was conducted in cooperation between UNICEF and the Institute of Public Health of the Republic of Macedonia with the data collection being carried out by private research company IPSOS Strategic Puls. Financial and technical support was provided by UNICEF, with additional financial support from the United Nations Population Fund (UNFPA). The Macedonia MICS 2011 was conducted using two separate samples. One sample developed specifically for the Roma population living in Roma settlements. The sample for the Roma settlements Macedonia MICS was designed to provide estimates for a large number of indicators on the situation of Roma children and women at the national level. The 2011 Macedonia Multiple Indicator Cluster Survey primary objectives are: - To provide up-to-date information for assessing the situation of children and women in Macedonia; - To furnish data needed for monitoring progress toward goals established in the Millennium Declaration and other internationally agreed upon goals, as a basis for future action; - To contribute to the improvement of data and monitoring systems in Macedonia and to strengthen technical expertise in the design, implementation, and analysis of such systems; - To generate data on the situation of children and women, including the identification of vulnerable groups and of disparities, to inform policies and interventions. Macedonia, FYR National - Individuals - Households The survey covered all de jure household members, all women aged between 15-49 years, all children under 5 living in the household, and all children aged 2-9 years. Sample survey data [ssd] The scope of the 2011 Macedonia Multiple Indicator Cluster Survey includes: - Household: household listing form, education, water and sanitation, household characteristics, child labour and child discipline; - Women: woman's background, child mortality, desire for last birth, maternal and newborn health, illness symptoms, contraception, unmet need, attitudes toward domestic violence, marriage/union, tobacco and alcohol use and life satisfaction; - Children: child's age, birth registration, early childhood development, breastfeeding, care of illness, immunization and anthropometry; - Child Disability administered to mothers or caretakers for all children aged 2-9 years; - Vaccinations at a health facility. IPSOS Strategic Puls The primary objective of the sample design for the Roma settlements in the Macedonia Multiple Indicator Cluster Survey was to produce statistically reliable estimates of most indicators, for the Roma population living in Roma settlements at the national level. A multi-stage, stratified cluster sampling approach was used for the selection of the survey sample. The target national sample size for the Roma settlements in the Macedonia MICS was 1079 households. For the calculation of the sample size, the key indicator used was the incidence of stunting among children aged 0-4 years. The resulting number of households from this exercise was 4,972 households which is the sample size needed to provide a sufficient number of children under 5 for drawing reliable conclusions. This sample size was reduced to 1,079 based on the original plan to stratify the listing in Roma sample PSUs by households with and without children under 5 for the second stage of selection. In this case a higher sampling rate would have been used for the households with children, similar to the sampling strategy for the national MICS. However, later it was decided that given the higher average number of children under 5 for the Roma households, the sampling procedure was simplified to select all households with equal probability in each Roma sample PSU at the second stage. The average number of households selected per cluster for the Macedonia Roma MICS was determined as 15 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. In total, 70 clusters were allocated to the regions with the number of clusters proportional to the population of the individual regions. The 2002 census frame was used for the selection of clusters. Census enumeration areas were defined as primary sampling units (PSUs), and were selected from each of the sampling strata by using systematic pps (probability proportional to size) sampling procedures, based on the estimated sizes of the enumeration areas from the 2002 Population Census. The first stage of sampling was thus completed by selecting the required number of enumeration areas at the regional level. Since the sampling frame (the 2002 Population Census) was not up-to-date, a new listing of households was conducted in all the sample numeration areas prior to the selection of households. For this purpose, listing teams were formed, who visited each enumeration area, and listed the occupied households. Listing activities were conducted by the same company that was responsible for the data collection. The same teams that were selected for the data collection process were used for listing. The listing took place in February 2012. All teams were given the descriptions and maps of the selected clusters. The teams visited all households in the sample clusters asking for the number of members, number of women aged 15-49 and for number of children under age 5. Lists of households with household members were prepared by the listing teams for each enumeration area. The number of selected households per enumeration area was different, depending on the total number inhabitants in the enumeration area. The sampling procedures are more fully described in "Macedonia Multiple Indicator Cluster Survey (MICS) 2011 - Final Report" pp.151-152. 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 in each household, which collected various information on household members including sex, age and relationship. The household questionnaire includes household listing form, education, water and sanitation, household characteristics, child labour and child discipline. In addition to a household questionnaire, questionnaires were administered in each household for women age 15-49, children under age five and children aged 2-9 years. For children, the questionnaire was administered to the mother or primary caretaker of the child. The women's questionnaire includes woman's background, child mortality, desire for last birth, maternal and newborn health, illness symptoms, contraception, unmet need, attitudes toward domestic violence, marriage/union, tobacco and alcohol use and life satisfaction. The children's questionnaire includes child's age, birth registration, early childhood development, breastfeeding, care of illness, immunization and anthropometry. The questionnaire form for child disability contained the ten question module for identifying children with an increased risk of disability. The questionnaire form for vaccinations at health facility was used to check the consistency in recording the immunizations between the documents kept in the health facilities and the immunization cards in the households. The questionnaires were based on the MICS4 model questionnaire. From the MICS4 model English version, the questionnaires were customized, translated into Macedonian and Albanian, back translated into English, and pre-tested in Skopje in March 2011. Based on the results of the pre-test, modifications were made to the wording and translation of the questionnaires. In addition to the administration of the questionnaires, fieldwork teams measured the weights and heights of children under 5 years of age. Details and findings of these measurements are provided in the respective sections of the report. Fieldwork training was conducted for 12 days in March/April 2011. Training included lectures on interviewing techniques and the contents of the questionnaires, and mock interviews between trainees to gain practice in asking questions. Towards the end of the training period, trainees spent two days practicing interviews in urban and rural areas near Struga city. 12 teams collected the data. Each team comprised of four interviewers, one editor, one measurer and a supervisor. Fieldwork began in April 2011 and concluded in July 2011. There is one supervisor for each of the 12 data collection teams in the field. The Macedonia Multiple Indicator Cluster Survey sample is not self-weighting. Essentially, by allocating equal numbers of households to each of the regions, different sampling fractions were used in each region since the size of the regions varied. For this reason, sample weights were calculated and these were used in the subsequent analyses of the survey data. The major component of the weight is the reciprocal of the sampling fraction employed in selecting the number of sample households in that particular sampling stratum and PSU. 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 inverse of the probabilities of selection for all sampling stages for the households in each enumeration area. These weights were then standardized (or normalized), one purpose of which was to make the weighted sum of the interviewed sample units equal the total sample size at the national level. Normalization was achieved by dividing the full sample weights (adjusted for nonresponse) by the average of these weights across all households at the national level. This was performed by multiplying the sample weights by a constant factor equal to the unweighted 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 normalization procedure was followed in obtaining standardized weights for the women’s and under-5’s questionnaires. Adjusted (normalized) weights varied between 0.24 and 4.39 in the 70 sample enumeration areas (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. The Sample Weights are more fully described in "Macedonia Multiple Indicator Cluster Survey (MICS) 2011 - Final Report" pp.152-153. Data were entered using the CSPro software. The data were entered on 12 microcomputers and carried out by 20 data entry operators and 10 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 Macedonia questionnaire were used throughout. Data processing began almost simultaneously with data collection in May 2011 and was completed in August 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 1079 households selected for the sample, 997 were found to be occupied. Of these, 953 were successfully interviewed for a household response rate of 96 percent. In the interviewed households, 1134 women (aged 15-49 years) were identified. Of these, 1091 were successfully interviewed, yielding a response rate of 96 percent within interviewed households. There were 483 children under age 5 listed in the household questionnaire. Questionnaires were completed for 476 of these children, which correspond to a response rate of 99 percent within interviewed households. Overall, response rates of 92 and 94 percentages are calculated for the interviews with women and children under age 5. The sample of respondents selected in the Macedonia Multiple Indicator Cluster Survey is only one of the samples that could have been selected from the same population, using the same design and size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. 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 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 an 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 unweighted counts of denominators for each indicator. Sampling errors are calculated for indicators of primary interest, for the national level, for urban and rural areas, and for the regions. Six of the selected indicators are based on household members, 10 are based on women and 18 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-5 questionnaires by socio-economic characteristics of households - Completeness of reporting - Completeness of information for anthropometric indicators - Heaping in anthropometric measurements - Observation of under-5’s birth certificates - Observation of vaccination cards - Presence of mother in the household and the person interviewed for the under-5 questionnaire - Selection of children age 2–14 years for the child discipline module - School attendance by single age The results of each of these data quality tables are shown in appendix D in document "Macedonia Multiple Indicator Cluster Survey (MICS) 2011 - Final Report" pp.180-187. Users of the data agree to keep confidential all data contained in these datasets and to make no attempt to identify, trace or contact any individual whose data is included in these datasets. Childinfo Use of the dataset must be acknowledged using a citation which would include: - the Identification of the Primary Investigator - the title of the survey (including country, acronym and year of implementation) - the survey reference number - the source and date of download. Example, Institute of Public Health of the Republic of Macedonia and United Nations Children’s Fund. Macedonia Multiple Indicator Cluster Survey (MICS) 2011 - Roma Settlements, Ref. MKD_2011_MICS-RS_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. hh Data collected at the household level (MICS Household questionnaire modules: Household information panel, Water and sanitation, Household characteristics and Child discipline.) 1079 113 hl Data collected at the household members' level (MICS Household members questionnaire modules: Household listing form, Education, and Child Labour.) 4359 51 wm Data collected at the women's level (MICS Women's questionnaire modules: Woman's information panel, Woman's background, Child mortality, Desire for last birth, Maternal and newborn health, Illness symptoms, Contraception, Unmet need, Attitudes toward domestic violence, Marriage/union, Tobacco and alcohol use, and Life satisfaction.) 1134 246 ch Data collected at the children's level (MICS Under Five Children's questionnaire modules: Under-five child information panel, Child's age, Early childhood development, Breastfeeding, Care of illness, Immunisation and Anthropometry.) 483 311 ch29 Data collected at the children's level (MICS Children aged between 2 and 9 questionnaire modules: Information panel for children between 2 and 9 and Child disability.) 745 39 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 1079 1 70 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 1079 1 19 Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and code number: Enter your own name and identification number provided to you at the time of training. 1079 4004 99999 Supervisor number Supervisor number Supervisor number Supervisor number Supervisor number Supervisor name and code number: Leave this space blank. The supervisor will later enter his/her name and number in the space provided. 1079 4052 25901 Day of interview Day of interview Day of interview Day of interview Day of interview Day / Month / Year of interview in BS: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 1079 1 31 Month of interview Month of interview Month of interview Month of interview Month of interview Day / Month / Year of interview in BS: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 1079 5 7 5 6 7 Year of interview Year of interview Year of interview Year of interview Year of interview Day / Month / Year of interview in BS: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 1079 2011 2011 2011 Area Area Area Area Area Area: Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area. 1079 1 1 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 1079 1 8 1 Vardar 2 East 3 Southwest 4 Southeast 5 Pelagonia 6 Polog 7 Northeast 8 Skopje Result of HH interview Result of HH interview Result of HH interview Result of HH interview Result of HH interview You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. 'Completed': If the Household Questionnaire is completed, circle '01'. 'No household member or no competent respondent at home at time of visit': If the dwelling is occupied, but no one is at home or if there is only a child at home or an adult member who is ill, deaf, or mentally incompetent and you have not been able to contact a more qualified member of the household after repeated visits, circle '02'. 'Entire household absent for extended period of time': If no one is at home and the neighbours say that no one will return for several days or weeks, circle '03'. 'Refused': If the household refuses to be interviewed, circle '04. 'Dwelling vacant / Address not a dwelling': If a dwelling assigned to you is unoccupied, that is, it is empty with no furniture and is not being lived in, this is what we call “vacant,” and you should circle '05'. Other times, you may find that a dwelling is not a residential unit. It is a shop, church, school, workshop, or some other type of facility that is not used as a living area. After making sure there are no residential units in back of or above the premises, circle '05' as the result for the visit. 'Dwelling destroyed': If the dwelling was burned down or was demolished in some other manner, circle '06'. 'Dwelling not found': If you are unable to find the dwelling even after asking people in the area whether they are familiar with the address or the name of the household head on listing forms, circle '07'. 'Other': If you have not been able to complete the Household Questionnaire for another reason, you should circle '96' and specify the reason in the space provided. Some examples of 'Other' codes might be: the household respondent is incapacitated; the questionnaire is partly completed. 1079 1 96 1 Completed 2 No household member or no competent respondent at home at ti 3 Entire household absent for extended time 4 Refused 5 Dwelling vacant / Address not a dwelling 6 Dwelling destroyed 7 Dwelling not found 96 Other Respondent to HH questionnaire Respondent to HH questionnaire Respondent to HH questionnaire Respondent to HH questionnaire Respondent to HH questionnaire You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Enter the name and line number (from the Household Listing, columns HL1 and HL2) of the respondent to the Household Questionnaire. 953 126 1 8 1 2 3 4 5 6 8 99 Missing Sysmiss Number of HH members Number of HH members Number of HH members Number of HH members Number of HH members You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Count the number of household members recorded in column HL1 of the Household Listing Form and enter the total here. Normally, this is the line number of the last member listed in the Household Listing Form. 953 126 1 14 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Sysmiss Number of women 15 - 49 years Number of women 15 - 49 years Number of women 15 - 49 years Number of women 15 - 49 years Number of women 15 - 49 years You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Enter the total number of women age 15-49; these are women eligible for interview with the Questionnaire for Individual Women. 953 126 6 1 2 3 4 6 Sysmiss Number of woman' questionnaires completed Number of woman' questionnaires completed Number of woman' questionnaires completed Number of woman' questionnaires completed Number of woman' questionnaires completed You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here. 953 126 5 1 2 3 4 5 Sysmiss Number of children under age 5 Number of children under age 5 Number of children under age 5 Number of children under age 5 Number of children under age 5 You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Enter the total number of children under five eligible for interview with the Questionnaire for Children Under Five. This should be calculated as the total number of children for whom a mother or caretaker line number is entered in column HL9. You will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children. 953 126 4 1 2 3 4 Sysmiss Number of under - 5 questionnaires completed Number of under - 5 questionnaires completed Number of under - 5 questionnaires completed Number of under - 5 questionnaires completed Number of under - 5 questionnaires completed You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here. 953 126 4 1 2 3 4 Sysmiss Number of children 2 - 9 Number of children 2 - 9 Number of children 2 - 9 Number of children 2 - 9 Number of children 2 - 9 953 126 5 1 2 3 4 5 Sysmiss Number of children 2 - 9 questionaires completed Number of children 2 - 9 questionaires completed Number of children 2 - 9 questionaires completed Number of children 2 - 9 questionaires completed Number of children 2 - 9 questionaires completed 953 126 5 1 2 3 4 5 Sysmiss Field editor Field editor Field editor Field editor Field editor Leave this space blank. The field editor of your team will later enter his/her name and number in the space provided when checking the completed household questionnaires. 1079 4189 25922 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Leave this space blank. The data entry clerk will enter his/her name and number in the space provided. 1079 19687 25541 Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Record the time of the day you start the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. Avoid rounding the minutes and write the exact minutes as you see on your watch. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). If the answer to the second question is yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. 953 126 8 99 99 Missing Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Record the time of the day you start the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. Avoid rounding the minutes and write the exact minutes as you see on your watch. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). If the answer to the second question is yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. 953 126 99 99 Missing End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour Record the time of the day you finish the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the interview, revise and enter starting (HH18) and ending times (HH19) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the household questionnaire regarding this. 953 126 9 99 99 Missing End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes Record the time of the day you finish the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the interview, revise and enter starting (HH18) and ending times (HH19) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the household questionnaire regarding this. 953 126 99 99 Missing Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water What is the main source of drinking water for members of your household? Circle the code for the most usual source. If several sources are mentioned, probe to determine the most usual source. Note that you can only circle one response code. If the source varies by season, record the source for the season of the interview. If the response is 'Piped into dwelling', 'Piped into compound, yard or plot', or 'Piped to neighbour' circle '11', '12', or '13' respectively, and skip to WS6. If the response is 'Bottled water' circle '91' and continue to the next question. Note that the next question is only asked if the response to this question is 'Bottled water'. For all other responses, skip to WS3. 953 126 11 96 11 Piped into dwelling 12 Piped into compound, yard or plot 13 Piped to neighbour 14 Public tap / standpipe 21 Tube well, Borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank / drum 81 Surface water (river, stream, dam, lake, pond, canal, irriga 91 Bottled water 96 Other 99 Missing Sysmiss Main source of water used for other purposes (if bottled water used for drinking) Main source of water used for other purposes (if bottled water used for drinking) Main source of water used for other purposes (if bottled water used for drinking) Main source of water used for other purposes (if bottled water used for drinking) Main source of water used for other purposes (if bottled water used for drinking) What is the main source of water used by your household for other purposes such as cooking and handwashing? This question should only be asked to households that use 'Bottled water' for drinking. Circle the code for the most usual source. If the source varies by season, record the source for the season of the interview. If the most usual source of non-drinking water is 'Piped into dwelling', 'Piped into compound, yard or plot', or 'Piped into neighbour', circle '11', '12', or 13 respectively, and skip to WS6. Otherwise circle appropriate code and continue to the next question. Note that you cannot replace “cooking and handwashing” with other uses of non-drinking water. 9 1070 11 11 11 Piped into dwelling 12 Piped into compound, yard or plot 13 Piped to neighbour 14 Public tap / standpipe 21 Tube well, Borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank / drum 81 Surface water (river, stream, dam, lake, pond, canal, irriga 96 Other 99 Missing Sysmiss Location of the water source Location of the water source Location of the water source Location of the water source Location of the water source Where is the water source for cooking and hand-washing located? This question should only be asked to households where the main source of water is not a piped system. Circle the code for the location of water source. If the location is in own dwelling or in own yard/plot then circle '1' or '2' and skip to WS6. Otherwise circle appropriate code and continue to the next question. 25 1054 1 3 1 In own dwelling 2 In own yard / plot 3 Elsewhere 9 Missing Sysmiss Time (in minutes) to get water and come back Time (in minutes) to get water and come back Time (in minutes) to get water and come back Time (in minutes) to get water and come back Time (in minutes) to get water and come back How long does it take to go there, stay in a queue, get water for cooking and hand-washing, and come back? This question is used to find out how convenient the location of the source of water is to the dwelling for households using a water source outside their dwelling. Record the time it takes to get water by whatever means of transportation the person generally uses, whether the person walks or rides a bicycle or motor vehicle. Fill in the estimated time (in minutes, converting from hours, if necessary) it takes by the usual mode of transport to get to the water source, wait to get water, and get back to the dwelling. Use zero(s) preceding the number if less than 100 minutes (for example, '060' or '005'). Then continue to the next question. If the respondent tells you that the water is delivered to their dwelling (a situation that could arise if the water comes from a tanker truck or a small cart with a tank), record '000'. If the respondent does not know how long it takes, circle '998' and continue to the next question. 7 1072 1 20 1 2 5 15 20 998 DK 999 Missing Sysmiss Person collecting water Person collecting water Person collecting water Person collecting water Person collecting water Who usually goes to this source to collect the water for cooking and hand-washing in your household? The purpose of this question is to find out the age and gender of the person who usually performs the task of hauling water. This will provide an understanding of whether water hauling responsibilities are given to members of a particular sex or age group. Probe: “Is this person under age 15? What sex?” Circle the code that corresponds with the response or '8' if the respondent does not know. Adult refers to anyone age 15 or over, regardless of whether he/she is a household member. Child refers to anyone under the age of 15, regardless of whether he/she is a household member. The purpose of the following two questions, WS6 and WS7, is to determine whether the household drinking water is treated within the household and, if so, what type of treatment is used. This question is intended to gather information on water treatment at the household level and not water treatment at the municipal or vendor level. 7 1072 1 1 1 Adult woman (age 15+ years) 2 Adult man (age 15+ years) 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing Sysmiss Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Do you do anything to the drinking water to make it safer to drink? Circle '1' if 'Yes', and continue to the next question. If 'No' or 'DK' (Doesn't know'), circle '2' or '8', respectively, and skip to WS8. 953 126 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Water treatment: Boil Water treatment: Boil Water treatment: Boil Water treatment: Boil Water treatment: Boil What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 24 ? A Water treatment: Add bleach/chlorine Water treatment: Add bleach/chlorine Water treatment: Add bleach/chlorine Water treatment: Add bleach/chlorine Water treatment: Add bleach/chlorine What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 4 ? B Water treatment: Strain it through a cloth Water treatment: Strain it through a cloth Water treatment: Strain it through a cloth Water treatment: Strain it through a cloth Water treatment: Strain it through a cloth What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 9 ? C Water treatment: Use water filter Water treatment: Use water filter Water treatment: Use water filter Water treatment: Use water filter Water treatment: Use water filter What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 6 ? D Water treatment: Solar disinfection Water treatment: Solar disinfection Water treatment: Solar disinfection Water treatment: Solar disinfection Water treatment: Solar disinfection What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 3 ? Water treatment: Let it stand and settle Water treatment: Let it stand and settle Water treatment: Let it stand and settle Water treatment: Let it stand and settle Water treatment: Let it stand and settle What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 3 ? Water treatment: Other Water treatment: Other Water treatment: Other Water treatment: Other Water treatment: Other What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 4 ? X Water treatment: DK Water treatment: DK Water treatment: DK Water treatment: DK Water treatment: DK What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 3 ? Type of toilet facility Type of toilet facility Type of toilet facility Type of toilet facility Type of toilet facility Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use. What kind of toilet facility do members of your household usually use? If necessary ask permission to observe the facility. The purpose of this question is to obtain a measure of the hygiene of the sanitary facility used by the household members. It may be necessary to observe the facility. If so, ask permission to do so. If the respondent answers or it is observed that the household members have no facilities or use the bush or field, enter '95' for 'No facilities or bush or field' and skip to the next module. If any of the flush or pour flush responses (11-15) are given, probe: “Where does it flush to?” Circle the code corresponding to the response given. Definitions of various types of toilet facilities are as follows: A flush toilet uses a cistern or holding tank for flushing water and has a water seal, which is a U-shaped pipe, below the seat or squatting pan that prevents the passage of flies and odours. A pour flush toilet uses a water seal, but unlike a flush toilet, a pour flush toilet uses water poured by hand for flushing (no cistern is used). '11' - A piped sewer system is a system of sewer pipes, also called sewerage, that is designed to collect human excreta (faeces and urine) and wastewater and remove them from the household environment. Sewerage systems consist of facilities for collection, pumping, treating and disposing of human excreta and wastewater. '12' - A septic tank is an excreta collection device and is a water-tight settling tank normally located underground, away from the house or toilet. '13' - A flush/pour flush to pit latrine refers to a system that flushes excreta to a hole in the ground and has a water seal. '14' - A flush/pour flush to somewhere else refers to excreta being deposited in or nearby the household environment (may have a water seal but deposited not into pit, septic tank or sewer); excreta may be flushed to the street, yard/plot, drainage way or other location. '15' - Flush to unknown place/Not sure/DK where should be coded in cases when the respondent knows that the toilet facility is a flush toilet, but does not know where it flushes to. '21' - A ventilated improved pit latrine or VIP is a type of pit latrine that is ventilated by a pipe extending above the latrine roof. The open end of the vent pipe is covered with gauze mesh or fly-proof netting and the inside of the superstructure is kept dark. '22' - A pit latrine with slab uses a hole in the ground for excreta collection and has a squatting slab, platform or seat (made of concrete, steel, or wood to allow standing with ease) that is firmly supported on all sides, easy to clean and raised above the surrounding ground level to prevent surface water from entering the pit. '23' - A pit latrine without slab/Open pit uses a hole in the ground for excreta collection and does not have a squatting slab, platform, or seat. An open pit is a rudimentary hole in the ground where excreta is collected. '31' - A composting toilet is a toilet into which excreta and carbon-rich material are added (vegetable wastes, straw, grass, sawdust, ash) and special conditions maintained to produce inoffensive compost. '41' - Bucket refers to the use of a bucket or other container for the retention of faeces (and sometimes urine and anal cleaning material), which is periodically removed for treatment or disposal. '51' - A hanging toilet/hanging latrine is a toilet built over the sea, a river, or other body of water into which excreta drops directly. '95' - No facilities/bush/field includes excreta wrapped and thrown with garbage, the 'cat' method of burying excreta in dirt, defecation in the bush or field or ditch, and defecation into surface water (drainage channel, beach, river, stream or sea). Survey Coordinators: Adapt these instructions, adding explanations of any additional categories. Be sure to retain the categories shown on the questionnaire. These will determine the number of households to count in the numerator of the water and sanitation indicators. Any other usual types of facilities that do not fit into these categories should also be listed here. The purpose of the following two questions is to determine whether the household shares their sanitation facility with other households. The shared status of a sanitation facility is important because shared facilities can be less hygienic than facilities used by only a single household. Unhygienic conditions (faeces on the floor, seat or wall and flies) may discourage use of the facility. 953 126 11 96 11 Flush to piped sewer system 12 Flush to septic tank 13 Flush to pit (latrine) 14 Flush to somewhere else 15 Flush to unknown place / Not sure / DK where 21 Ventilated Improved Pit latrine (VIP) 22 Pit latrine with slab 23 Pit latrine without slab / Open pit 31 Composting toilet 41 Bucket 51 Hanging toilet, Hanging latrine 95 No facility, Bush, Field 96 Other 99 Missing Sysmiss Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use. Do you share this faciilty with others who are not members of your household? Circle the code corresponding to the response given. If 'No', go to the next module. 950 129 1 9 1 Yes 2 No 9 Missing Sysmiss Toilet shared with other household or with general public Toilet shared with other household or with general public Toilet shared with other household or with general public Toilet shared with other household or with general public Toilet shared with other household or with general public Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use. Do you share this facility only with members of other households that you know, or is the facility open to the use of the general public? The intention of this question is to understand whether the shared facility is only shared with other households (such as a neighbouring household) or whether the facility is open to the public. If it is a public facility, then circle '2' and skip to the next module. If '1' is circled, continue with WS11. 41 1038 1 2 1 Other households only (not public) 2 Public facility 9 Missing Sysmiss Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use. How many households in total use this toilet facility, including your own household? The total number of households using this facility should include the household being interviewed. If less than ten households use this toilet facility, enter the number of households on the line provided. Circle '10' if ten or more households use this toilet facility. Note that '01' is not a valid response (since it means that this is the only household that uses the facility; if that is the case, you should go back to WS9 and correct the response there). Circle '98' for 'DK' ('Doesn't know'). 39 1040 2 99 2 3 4 5 10 Ten or more households 98 DK 99 Missing Sysmiss Religion of household head Religion of household head Religion of household head Religion of household head Religion of household head What is the religion the head of household practices? Circle the code corresponding to the answer given. Make sure to get the religion, ethnicity or mother tongue/native language of the household head. 953 126 1 7 1 Orthodox Christian 2 Catholic 3 Muslim 4 Protestant 6 Other religion 7 No religion 99 Missing Sysmiss Mother tongue of household head Mother tongue of household head Mother tongue of household head Mother tongue of household head Mother tongue of household head What is head household’s mother tongue? Circle the code corresponding to the answer given. Make sure to get the religion, ethnicity or mother tongue/native language of the household head. 953 126 1 7 1 Macedonian 2 Albanian 3 Roma 4 Turkish 5 Serbian 6 Vlach 7 Bosnian 15 Refuse 96 Other language 99 Missing Sysmiss Ethnic group of household head Ethnic group of household head Ethnic group of household head Ethnic group of household head Ethnic group of household head What ethnic group does the head of household belong to? Circle the code corresponding to the answer given. Make sure to get the religion, ethnicity or mother tongue/native language of the household head. 953 126 3 3 1 Macedonian 2 Albanian 3 Roma 4 Turkish 5 Serbian 6 Vlach 7 Bosnian 15 Refuse 96 Other ethnic group 99 Missing Sysmiss Number of rooms used for sleeping Number of rooms used for sleeping Number of rooms used for sleeping Number of rooms used for sleeping Number of rooms used for sleeping How many rooms in this household do you use for sleeping? This information provides a measure of how crowded the house is, and reflects the socio-economic condition of the household. A room in this case refers to a special area with a permanent partition that is used for sleeping. It is not necessarily the number of rooms in the household that are called 'bedrooms', but rather how many rooms get used for sleeping on a regular basis. Exclude rooms that are used only for sleeping by visitors to the household, but include those rooms that may not be regular 'bedrooms' but may be regularly used by one or more of the household members for sleeping. Enter the number of rooms in this household that are used for sleeping. 953 126 1 99 1 2 3 4 5 6 8 9 99 Missing Sysmiss Main material of floor Main material of floor Main material of floor Main material of floor Main material of floor Record observation. Circle the correct code for the material of the floor, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the floor at different parts of the household, record the main flooring material (the material that covers the largest amount of floor space). 953 126 11 96 11 Earth / sand 12 Dung 21 Wood planks 22 Palm / Bamboo 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 36 Laminate 96 Other 99 Missing Sysmiss Main material of roof Main material of roof Main material of roof Main material of roof Main material of roof Record observation. Circle the correct code for the material of the roof, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the roof, record the main roofing material (the material that covers the largest amount of roof space). 953 126 14 96 11 No roof 12 Thatch / Palm leaf 13 Sod 14 Stone slabs / leaf stone 21 Rustic mat 22 Palm / Bamboo 23 Wood planks 24 Cardboard 31 Metal 32 Wood 33 Calamine / Cement fibre 34 Ceramic tiles 35 Cement 36 Roofing shingles 37 Salonit / Asbestos 96 Other 99 Missing Sysmiss Main material of exterior wall Main material of exterior wall Main material of exterior wall Main material of exterior wall Main material of exterior wall Record observation. Circle the correct code for the material of the exterior walls, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the walls at different parts of the household, record the main wall material (the material that covers the largest amount of wall space). 953 126 13 96 11 No walls 12 Cane / Wood trunks 13 Soil 21 Hey and mud 22 Stone with mud 23 Uncovered adobe 24 Plywood 25 Cardboard 26 Recycled wood/boards,planks 31 Cement 32 Limestone / cement 33 Bricks 34 Cement blocks 35 Covered adobe 36 Wood planks / shingles 96 Other 99 Missing Sysmiss Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking What type of fuel does your household mostly utilise 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. 953 126 1 95 1 Electricity 2 Liquefied Petroleum Gas (LPG) 4 Biogas 6 Coal / Lignite 7 Charcoal 8 Wood 9 Straw / Shrubs / Grass 10 Animal dung 11 Agricultural crop residue 95 No food cooked in household 96 Other 99 Missing Sysmiss Cooking location Cooking location Cooking location Cooking location Cooking location Does cooking usually take place in the house, in a separate construction, or outdoors? If ‘In the house’, check: does it take place 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. 269 810 1 9 1 In a separate room used as kitchen 2 Elsewhere in the house 3 In a separate building 4 Outdoors 6 Other 9 Missing Sysmiss Electricity Electricity Electricity Electricity Electricity Is there in your household: [A] 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Radio Radio Radio Radio Radio Is there in your household: [B] 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss TV set - CRT TV set - CRT TV set - CRT TV set - CRT TV set - CRT Is there in your household: [C] Television – classical (CRT)? 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss TV set - PLASMA/LCD TV set - PLASMA/LCD TV set - PLASMA/LCD TV set - PLASMA/LCD TV set - PLASMA/LCD Is there in your household: [D] Plasma/ LCD TV? 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Is there in your household: [E] Landline 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Refrigerator Refrigerator Refrigerator Refrigerator Refrigerator Is there in your household: [F] 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. 953 126 1 9 1 Yes 2 No 9 Missing Sysmiss Washing machine Washing machine Washing machine Washing machine Washing machine Is there in your household: [G] 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Cooking stove Cooking stove Cooking stove Cooking stove Cooking stove Is there in your household: [H] Cooker? 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Boiler Boiler Boiler Boiler Boiler Is there in your household: [I] Water boiler? 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Airconditioner Airconditioner Airconditioner Airconditioner Airconditioner Is there in your household: [J] Air-conditioning? 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Dish washing machine Dish washing machine Dish washing machine Dish washing machine Dish washing machine Is there in your household: [K] Dish-washer? 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Microwave oven Microwave oven Microwave oven Microwave oven Microwave oven Is there in your household: [L] 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Laundry drying machine Laundry drying machine Laundry drying machine Laundry drying machine Laundry drying machine Is there in your household: [M] Dryer? 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Seating set Seating set Seating set Seating set Seating set Is there in your household: [N] Sitting set/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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Sleeping bed Sleeping bed Sleeping bed Sleeping bed Sleeping bed Is there in your household: [O] sleeping bed? 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Dining table Dining table Dining table Dining table Dining table Is there in your household: [P] Dining 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Watch Watch Watch Watch Watch Does any member of your household own: A watch? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Mobile telephone Mobile telephone Mobile telephone Mobile telephone Mobile telephone Does any member of your household own: A mobile telephone? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Bicycle Bicycle Bicycle Bicycle Bicycle Does any member of your household own: A bicycle? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Does any member of your household own: A motorcycle or a 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Does any member of your household own: A cart pulled by animals? 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Car or truck Car or truck Car or truck Car or truck Car or truck Does any member of your household own: A car or a 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Boat with motor Boat with motor Boat with motor Boat with motor Boat with motor Does any member of your household own: A motor boat? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 953 126 1 9 1 Yes 2 No 9 Missing Sysmiss COMPUTER/PC COMPUTER/PC COMPUTER/PC COMPUTER/PC COMPUTER/PC Does any member of your household own: Computer/PC 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Laptop Laptop Laptop Laptop Laptop Does any member of your household own: Laptop 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Caravan Caravan Caravan Caravan Caravan Does any member of your household own: Caravan 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. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Household owns the dwelling Household owns the dwelling Household owns the dwelling Household owns the dwelling Household owns the dwelling Are you or someone else living in this household an owner of 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. 953 126 1 6 1 Own 2 Rent 6 Other (not owned or rented) 9 Missing Sysmiss Any household member own land that can be used for agriculture Any household member own land that can be used for agriculture Any household member own land that can be used for agriculture Any household member own land that can be used for agriculture Any household member own land that can be used for agriculture Does any member of this household own any land that can be utilized for agricultural purposes? 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”. 953 126 1 9 1 Yes 2 No 9 Missing Sysmiss Hectares of agricultural land members of household owns Hectares of agricultural land members of household owns Hectares of agricultural land members of household owns Hectares of agricultural land members of household owns Hectares of agricultural land members of household owns How many hectares of agricultural land do the members of this household possess? If less than 1, record “00”. If 95 or more, record ‘95’. If don’t know, record ‘98’. 30 1049 98 Less than one hectare 1 2 3 5 7 95 More than 95 98 DK 99 Missing Sysmiss Household own any animals Household own any animals Household own any animals Household own any animals Household own any animals Does this household own any livestock herds, other animals, or poultry? Circle the code corresponding to the response given. If 'No', skip to HC15. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Cattle, milk cows, or bulls Cattle, milk cows, or bulls Cattle, milk cows, or bulls Cattle, milk cows, or bulls Cattle, milk cows, or bulls How many of the mentioned animals does this household have? [A] Cattle, milk cows or bulls? 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. 35 1044 3 2 3 95 95+ 98 DK 99 Missing Sysmiss Horses, donkeys, or mules Horses, donkeys, or mules Horses, donkeys, or mules Horses, donkeys, or mules Horses, donkeys, or mules How many of the mentioned animals does this household have? [B] Horses, donkeys or mules? Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 35 1044 3 1 2 3 95 95+ 98 DK 99 Missing Sysmiss Goats Goats Goats Goats Goats How many of the mentioned animals does this household have? [C] Goats? 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. 35 1044 5 2 3 4 5 95 95+ 98 DK 99 Missing Sysmiss Sheep Sheep Sheep Sheep Sheep How many of the mentioned animals does this household have? [D] Sheep? Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 35 1044 95 95 95+ 98 DK 99 Missing Sysmiss Chickens Chickens Chickens Chickens Chickens How many of the mentioned animals does this household have? [E] Chickens? 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. 35 1044 80 1 2 3 4 5 6 8 9 10 11 15 20 40 80 95 95+ 98 DK 99 Missing Sysmiss Pigs Pigs Pigs Pigs Pigs How many of the mentioned animals does this household have? [F] Pigs? 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. 35 1044 95 95+ 98 DK 99 Missing Sysmiss Any household member own bank account Any household member own bank account Any household member own bank account Any household member own bank account Any household member own bank account Does any member of this household own a bank account? Ask if any member in the household has an account with a bank, credit association or other similar organization in which they can deposit and withdraw funds. Circle the code corresponding to the response given. 953 126 1 2 1 Yes 2 No 9 Missing Sysmiss Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Total number of children age 2–14 years Count the number of children and record the total number of children aged 2-14 years in the box provided. If there is only one child aged 2-14 years in the household, then skip Table 2 and go to CD8; write down '1' and continue with CD9 to administer the questions on child discipline to the mother or the primary caretaker of this child. If there is more than one eligible child on the list, go on to fill in Table 2. 564 515 1 6 1 2 3 4 5 6 Sysmiss Rank number of the selected child Rank number of the selected child Rank number of the selected child Rank number of the selected child Rank number of the selected child Record the rank number of selected child from Table 1 (CD1). This is the rank number of the child selected for the child discipline questions. 564 515 1 6 1 2 3 4 5 6 Sysmiss Child line number Child line number Child line number Child line number Child line number Write the name and line number of the child selected for the module from CD3 and CD2, based on the rank number in CD8. Now go back to Table 1 and find this rank number (CD8) in the list in column CD1. Record the line number and name of this selected child from Table 1 in CD9 on the next page. 564 515 2 11 2 3 4 5 6 7 8 9 10 11 97 Inconsistent Sysmiss Flag for correct child line number Flag for correct child line number Flag for correct child line number Flag for correct child line number Flag for correct child line number 564 515 1 2 1 Correct child selected 2 Incorrect child selected Sysmiss Took away privileges Took away privileges Took away privileges Took away privileges Took away privileges Took privileges, or have forbidden something (name) wanted to do or grounded him/her not to leave the 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. 564 515 1 9 1 Yes 2 No 9 Missing Sysmiss Explained why behaviour was wrong Explained why behaviour was wrong Explained why behaviour was wrong Explained why behaviour was wrong Explained why behaviour was wrong Explained why (name)’s behavior was incorrect. When a child does something wrong, some parents/caretakers try to teach the child not to repeat the behaviour by explaining why they consider the behaviour to be wrong. For example, a young child playing with matches may be told not to do so, because he or she could accidentally start a fire. 564 515 1 9 1 Yes 2 No 9 Missing Sysmiss Shook child Shook child Shook child Shook child Shook child Shook him/her with hands. 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. 564 515 1 9 1 Yes 2 No 9 Missing Sysmiss Shouted, yelled or screamed at child Shouted, yelled or screamed at child Shouted, yelled or screamed at child Shouted, yelled or screamed at child Shouted, yelled or screamed at child Shouted, or yelled at him/her. Parents/caretakers may raise their voice when a child does something they consider wrong. 564 515 1 9 1 Yes 2 No 9 Missing Sysmiss Gave child something else to do Gave child something else to do Gave child something else to do Gave child something else to do Gave child something else to do Gave him/her something else to do. This question is designed to capture another non-violent discipline technique, diverting the child's attention from the incorrect behaviour. A parent/caretaker may try to distract the child from doing the unsuitable behaviour by giving the child something else to do in its place. If the respondent does not understand, you may add a probe: “This means distracting the child or helping the child pay attention to something else.” 564 515 1 9 1 Yes 2 No 9 Missing Sysmiss Spanked, hit or slapped child on bottom with bare hand Spanked, hit or slapped child on bottom with bare hand Spanked, hit or slapped child on bottom with bare hand Spanked, hit or slapped child on bottom with bare hand Spanked, hit or slapped child on bottom with bare hand Spanked, or slapped him/her on the bottom. Spanking a child on the bottom with a bare hand is a form of physical punishment used by some parents/caretakers. 564 515 1 9 1 Yes 2 No 9 Missing Sysmiss Hit child on the bottom or elsewhere with belt, brush, stick, etc. Hit child on the bottom or elsewhere with belt, brush, stick, etc. Hit child on the bottom or elsewhere with belt, brush, stick, etc. Hit child on the bottom or elsewhere with belt, brush, stick, etc. Hit child on the bottom or elsewhere with belt, brush, stick, etc. Hit him/her on the bottom or somewhere else on the body with something like a belt, a hairbrush, a stick or another 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. 564 515 1 9 1 Yes 2 No 9 Missing Sysmiss Called child dumb, lazy or another name Called child dumb, lazy or another name Called child dumb, lazy or another name Called child dumb, lazy or another name Called child dumb, lazy or another name Called him/her stupid, lazy, or with similar adjectives. Some parents/caretakers use verbal abuse to teach a child not to engage in a bad behaviour. 564 515 1 9 1 Yes 2 No 9 Missing Sysmiss Hit or slapped child on the face, head or ears Hit or slapped child on the face, head or ears Hit or slapped child on the face, head or ears Hit or slapped child on the face, head or ears Hit or slapped child on the face, head or ears Hit or slapped him/her in 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. 564 515 1 9 1 Yes 2 No 9 Missing Sysmiss Hit or slapped child on the hand, arm or leg Hit or slapped child on the hand, arm or leg Hit or slapped child on the hand, arm or leg Hit or slapped child on the hand, arm or leg Hit or slapped child on the hand, arm or leg Hit or slapped him/her on his/her 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). 564 515 1 9 1 Yes 2 No 9 Missing Sysmiss Beat child up as hard as one could Beat child up as hard as one could Beat child up as hard as one could Beat child up as hard as one could Beat child up as hard as one could Beat him/her up, that is hit him/her over and over as hard as one could. Circle the code corresponding to the response given. 564 515 1 9 1 Yes 2 No 9 Missing Sysmiss Child needs to be physically punished to be brought up properly Child needs to be physically punished to be brought up properly Child needs to be physically punished to be brought up properly Child needs to be physically punished to be brought up properly Child needs to be physically punished to be brought up properly Do you believe that for the purpose of properly bringing up, rising, or educating a child, one needs to physically punish the child? 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'. 564 515 1 9 1 Yes 2 No 8 Don't know / No opinion 9 Missing Sysmiss Sex of household head Sex of household head Sex of household head Sex of household head Sex of household head 953 126 1 2 1 Male 2 Female 9 Missing Sysmiss Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight 1079 4.301 Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head 1079 3 4 1 Macedonian 2 Albanian 3 Roma 4 Other 9 Missing/DK Education of household head Education of household head Education of household head Education of household head Education of household head 953 126 3 None 1 Primary 2 Secondary 3 High 9 Missing/DK Sysmiss Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 1079 -3.68 2.592 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 1079 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 953 126 1 2 1 Poorest 60% 2 Richest 40% Sysmiss Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit 1079 1 70 Strata Strata Strata Strata Strata 1079 1 8 1 2 3 5 6 7 8 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 4359 1 70 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 4359 1 19 Line number Line number Line number Line number Line number This is the number used to identify each person listed. You must obtain a complete list of all persons who usually live in the household, but you do not need to fill in or do anything in this column since the numbers are already provided. This is a very important number since, once household members are assigned these line numbers after the Household Listing Form is completed, all members are identified with these line numbers throughout the questionnaires administered in this household. Probe for additional household members. Probe especially for any infants or small children not listed, and others who may not be members of the family (such as servants, friends) but who usually live in the household. Insert names of additional members in the household list and complete form accordingly. 4359 1 14 Relationship to the head Relationship to the head Relationship to the head Relationship to the head Relationship to the head What is the relationship of (name) to the head of the household? You should begin by saying: First, please tell me the name of each person who usually lives here, starting with the head of the household. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask: Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Enter the code corresponding to how the person listed is related to the head of the household. Use the codes at the bottom of the Household Listing Form. Be particularly careful in doing this if the respondent is not the head of the household. Make sure that you record the relationship of each person to the household head, not the relationship to the respondent. For example, if the respondent is the wife of the head of the household and she says that Sola is her brother, then Sola should be coded as '09' ('Brother-in-law / Sister-in-law'), not as '08' ('Brother / Sister'), because Sola is a brother-in-law of the head of the household. Be very careful in obtaining this information correctly, since respondents tend to provide the relationship of the person to themselves, rather than to the head of the household. If the head of the household is married to a woman who has a child from a previous marriage, that child's relationship to the head of the household should be coded as '13' ('Adopted/foster/stepchild'). If a household member is not related to the head of household, such as a friend who lives with the household, enter '14' ('Not related'). Enter '98' if the respondent doesn't know the relationship of a household member to the head of household. 4359 1 97 1 Head 2 Wife / Husband 3 Son / Daughter 4 Son-In-Law / Daughter-In-Law 5 Grandchild 6 Parent 7 Parent-In-Law 8 Brother / Sister 9 Brother-In-Law / Sister-In-Law 10 Uncle / Aunt 11 Niece / Nephew 12 Other relative 13 Adopted / Foster / Stepchild 14 Not related 97 Inconsistent 98 Don't know 99 Missing Sex Sex Sex Sex Sex Is (name) male or female? You should begin by saying: First, please tell me the name of each person who usually lives here, starting with the head of the household. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask: Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Circle '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. When the respondent is listing everyone in the household, he/she may indicate the sex of the person at the same time, by saying “My sister Mary,” for instance. In this case, you do not need to ask the sex of the household member again, since it is already obvious that the person is a female. However, when a name is mentioned that can be used for both males and females, never use your judgement. Even in cases when you think that the name would most likely be a male's (or a female's) name, have the respondent confirm the sex. This column should never be left blank. Once you have a complete list of names, relationship codes and sex, move across this page to ask and record answers to questions about individual persons starting from HL5. Start with the household head on line 01. When you have finished asking all questions HL5 to HL14 for the person on line 01, continue to the person listed on line 02, etc. 4359 1 2 1 Male 2 Female 9 Missing Month of birth Month of birth Month of birth Month of birth Month of birth What is (name)'s birth date? 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'. 4359 1 98 98 DK 99 Missing Year of birth Year of birth Year of birth Year of birth Year of birth What is (name)'s birth date? 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'. 4359 1921 9998 9998 DK 9999 Missing Age Age Age Age Age How old is (name)? Enter each person's age in completed years, that is, his/her age at his/her last birthday. Completed age is also defined as 'the number of completed years since birth'. With this definition, since a 6-month-old baby has not completed a full year, his/her age will be entered as '00'. Note that you will be obtaining more accurate estimates of children's ages later. This column should never be left blank. Even after you have probed and asked all the necessary information from the respondent and you still have difficulty obtaining the ages of elderly members of the household, you may enter the code '98', meaning 'Doesn't know/over age 50'. For household members younger than 50, completed ages must be entered. However, you should still indicate, with a note, what age range the person in question might be, so that your editor or supervisor can have an idea of the eligibility of the person to administer the individual questionnaires. If the age of the member of the household is 95 or higher enter the code '95' for all such cases. 4359 95 95 95+ 98 DK 99 Missing Line number of woman age 15 - 49 Line number of woman age 15 - 49 Line number of woman age 15 - 49 Line number of woman age 15 - 49 Line number of woman age 15 - 49 Eligibility for individual modules: Questions HL7, HL7A and HL9 concern eligibility information. Circle the line number in this column if the household member is a woman 15-49 years of age (this includes those age 15 and age 49). You will not ask this question to the respondent. 4359 14 Not eligible Line number of mother/caretaker for children age 5 - 14 Line number of mother/caretaker for children age 5 - 14 Line number of mother/caretaker for children age 5 - 14 Line number of mother/caretaker for children age 5 - 14 Line number of mother/caretaker for children age 5 - 14 Who is this child’s mother or primary guardian? 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. 4359 8 Not eligible Line number of mother/caretaker for children under age 5 Line number of mother/caretaker for children under age 5 Line number of mother/caretaker for children under age 5 Line number of mother/caretaker for children under age 5 Line number of mother/caretaker for children under age 5 Eligibility for individual modules: Questions HL7, HL7A and HL9 concern eligibility information. Who is this child’s mother or primary guardian? 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. 4359 8 Not eligible Line number of mother/caretaker of children age 2-9 Line number of mother/caretaker of children age 2-9 Line number of mother/caretaker of children age 2-9 Line number of mother/caretaker of children age 2-9 Line number of mother/caretaker of children age 2-9 Copy child’s mother or primary guardian raw number for each child between 2 and nine. Use the previous 2 columns – HL8 and HL9. don’t ask again 4359 8 Not eligible Is natural mother alive Is natural mother alive Is natural mother alive Is natural mother alive Is natural mother alive Is (name)’s birth 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. 1548 2811 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Natural mother's line number in HH Natural mother's line number in HH Natural mother's line number in HH Natural mother's line number in HH Natural mother's line number in HH Does (name)’s birth 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'. 1526 2833 8 1 2 3 4 5 6 7 8 97 Inconsistent 99 Missing Sysmiss Is natural father alive Is natural father alive Is natural father alive Is natural father alive Is natural father alive Is (name)’s natural father alive? For children age 0-17 years ask HL11-HL14: For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank. Fill in these questions in exactly the same way as HL11 and HL12. This time, make sure to record the survival status and the line number of the natural (biological) fathers. If the father of the household member is not alive or his survival status is not known by the respondent in HL13, move to the next person on the list. 1548 2811 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Natural father's line number in HH Natural father's line number in HH Natural father's line number in HH Natural father's line number in HH Natural father's line number in HH Does (name)’s natural father live in this household? For children age 0-17 years ask HL11-HL14: For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank. Fill in these questions in exactly the same way as HL11 and HL12. This time, make sure to record the survival status and the line number of the natural (biological) fathers. If the father of the household member is not alive or his survival status is not known by the respondent in HL13, move to the next person on the list. 1492 2867 7 1 2 3 4 5 6 7 97 Inconsistent 99 Missing Sysmiss Line number Line number Line number Line number Line number For household members age 5 and above, ask ED1-ED8: This is the number assigned to each person on the Household Listing Form. You do not need to fill in or do anything in this column since the numbers are already provided. 4359 1 14 Ever attended school or pre-school Ever attended school or pre-school Ever attended school or pre-school Ever attended school or pre-school Ever attended school or pre-school Has (name) ever attended school or pre-school education? 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. 3876 483 1 9 1 Yes 2 No 9 Missing Sysmiss Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended What is the highest level of education (name) attended? 3203 1156 3 Preschool 1 Primary 2 Secondary 3 Higher 8 DK 9 Missing Sysmiss Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level What is the highest grade (name) completed at this level (ED4A)? 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). 3177 1182 99 1 2 3 4 5 6 7 8 97 Inconsistent 98 DK 99 Missing Sysmiss Attended school during current school year (2010-2011) Attended school during current school year (2010-2011) Attended school during current school year (2010-2011) Attended school during current school year (2010-2011) Attended school during current school year (2010-2011) During the school year (2010-2011), has (name) attended 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. 1327 3032 1 9 1 Yes 2 No 9 Missing Sysmiss Level of education attended current school year Level of education attended current school year Level of education attended current school year Level of education attended current school year Level of education attended current school year During this/that school year, which level and grade does/did (name) attend? Level: 784 3575 3 Preschool 1 Primary 2 Secondary 3 Higher 8 DK 9 Missing Sysmiss Grade of education attended current school year Grade of education attended current school year Grade of education attended current school year Grade of education attended current school year Grade of education attended current school year During this/that school year, which level and grade does/did (name) attend? Grade/year: For household members age 5 and above, ask ED1-ED8: Circle the code for the level of school, and enter the household member's current grade. If it applies, circle '8' for 'DK' ('Doesn't know'). Enter the highest grade number completed using '01', '02', etc. If a child is in preschool or kindergarten, and grades are not used, leave grade blank, and skip to ED7. If the interview is conducted during the time between two school years, the question should refer to the school year that has ended, and you should use 'that' and 'was' in the question. If the interview is conducted during the school year, the question should refer to the current school year. Note that these questions should capture children who may have been attending at the beginning of the school year, but have dropped out since then. If necessary, past tense could be used to make sure that you obtain information on the level and grade of children who may have dropped out from school during the course of the school year. 761 3598 1 8 1 2 3 4 5 6 7 8 97 Inconsistent 98 DK 99 Missing Sysmiss Attended school previous school year (2009-2010) Attended school previous school year (2009-2010) Attended school previous school year (2009-2010) Attended school previous school year (2009-2010) Attended school previous school year (2009-2010) During the previous school year, (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. 1327 3032 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Level of education attended previous school year Level of education attended previous school year Level of education attended previous school year Level of education attended previous school year Level of education attended previous school year During that previous school year, which level and grade did (name) attend? Level: 751 3608 3 Preschool 1 Primary 2 Secondary 3 Higher 8 DK 9 Missing Sysmiss Grade of education attended previous school year Grade of education attended previous school year Grade of education attended previous school year Grade of education attended previous school year Grade of education attended previous school year During that previous school year, which level and grade did (name) attend? Grade/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. 721 3638 1 8 1 2 3 4 5 6 7 8 97 Inconsistent 98 DK 99 Missing Sysmiss Line number Line number Line number Line number Line number This is the number assigned to each person on the Household Listing Form. You do not need to fill in or do anything in this column since the numbers are already provided. 4359 1 14 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member During the last week, did (name) do any kind of work for a person who is not a member of this household? 'Pay' refers to any compensation for work, including cash or goods or services provided to the child or his family. 'The past week' refers to the 7 days preceding the interview day (not counting the interview day). Note that the person indicated - someone who is not a member of this household - may be a relative or a family member who lives in a different household. If the answer is 'Yes', ask if the work was done for pay in cash or kind. Circle '1' if work was done for pay in cash or kind. Circle '2' if work was not done for any form of pay. If '1' or '2' is circled, continue to the next question. If no work was done by that child in the past week, circle '3' and skip to CL5. 1065 3294 1 9 1 Yes, for pay 2 Yes, unpaid 3 No 9 Missing Sysmiss Hours worked in past week for someone who is not a HH member Hours worked in past week for someone who is not a HH member Hours worked in past week for someone who is not a HH member Hours worked in past week for someone who is not a HH member Hours worked in past week for someone who is not a HH member Since last (day of the week), how many hours did he/she work for the person who is not a member of this household? Record the estimated number of hours the child spent doing work in the past 7 days and continue with CL5. If less than 1 hour, record 00. Make sure the respondent understands what you mean by “since last (day of the week)” - specify the name of today's weekday, as you did in the Education Module. If the child works more than one such job, include the total hours spent doing such work in all jobs. 97 4262 99 Less than one hour 1 2 3 4 5 6 7 8 9 10 18 20 30 35 36 56 63 98 DK 99 Missing Sysmiss Worked in past week to fetch water or collect firewood for household use Worked in past week to fetch water or collect firewood for household use Worked in past week to fetch water or collect firewood for household use Worked in past week to fetch water or collect firewood for household use Worked in past week to fetch water or collect firewood for household use During the last week, did (name) bring any water or collect firewood for the household’s use? As in CL3, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). CL5 is intended to capture typical work children usually get involved with. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to CL7. 1065 3294 1 9 1 Yes 2 No 9 Missing Sysmiss Hours to fetch water or collect firewood Hours to fetch water or collect firewood Hours to fetch water or collect firewood Hours to fetch water or collect firewood Hours to fetch water or collect firewood Since last (day of the week), how many working hours did he/she spend to bring water or collect firewood for the household? Insert the estimated number of hours worked. 79 4280 20 Less than one hour 1 2 3 4 5 6 7 8 9 10 14 15 20 98 DK 99 Missing Sysmiss Other paid or unpaid family work in past week Other paid or unpaid family work in past week Other paid or unpaid family work in past week Other paid or unpaid family work in past week Other paid or unpaid family work in past week During the last week, did (name) perform any paid or unpaid work on a family farm or in a family business or by selling goods in the street? Include also the work from a business run by the child, alone or with one or more partners. This question is intended to capture whether the child has done any paid or unpaid work for the family. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to CL9. 1065 3294 1 9 1 Yes 2 No 9 Missing Sysmiss Hours worked on other family work Hours worked on other family work Hours worked on other family work Hours worked on other family work Hours worked on other family work Since last (day of the week), working hours did he/she spend for his/her family or himself/herself? As in CL4 and CL6, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). Insert the estimated number of hours worked. 16 4343 2 49 Less than one hour 2 3 4 5 10 14 20 35 49 98 DK 99 Missing Sysmiss Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week During the last week, did (name) help with household chores such as shopping, cleaning, washing the clothes, cooking; or taking care for the children, older or sick people? This question intends to capture whether the child has done any paid or unpaid work for the family. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to next child. If there are no more children left in this module, skip to next module. 1065 3294 1 9 1 Yes 2 No 9 Missing Sysmiss Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Since last (day of the week), how many working hours did he/she spend on these chores? As in CL3, CL6 and CL8, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). Insert the estimated number of hours worked. 429 3930 70 Less than one hour 98 DK 99 Missing Day of interview Day of interview Day of interview Day of interview Day of interview Day/month/year of interview: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 4359 1 31 Month of interview Month of interview Month of interview Month of interview Month of interview Day/month/year of interview: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 4359 5 7 5 6 7 Year of interview Year of interview Year of interview Year of interview Year of interview Day/month/year of interview: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 4359 2011 2011 2011 Area Area Area Area Area Area: Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area. 4359 1 1 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 4359 1 8 1 Vardar 2 East 3 Southwest 4 Southeast 5 Pelagonia 6 Polog 7 Northeast 8 Skopje Mother's line number Mother's line number Mother's line number Mother's line number Mother's line number 1548 2811 8 Not in household 1 2 3 4 5 6 7 8 Sysmiss Father's line number Father's line number Father's line number Father's line number Father's line number 1548 2811 7 Not in household 1 2 3 4 5 6 7 Sysmiss Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight 4359 0.241 4.301 Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head 4359 3 3 1 Macedonian 2 Albanian 3 Roma 4 Other 9 Missing/DK Mother's education Mother's education Mother's education Mother's education Mother's education 1509 2850 3 None 1 Primary 2 Secondary 3 High 9 Missing/DK Sysmiss Father's education Father's education Father's education Father's education Father's education 1394 2965 3 None 1 Primary 2 Secondary 3 High 9 Missing/DK Sysmiss Education of household head Education of household head Education of household head Education of household head Education of household head 4359 3 None 1 Primary 2 Secondary 3 High 9 Missing/DK Age at beginning of school year Age at beginning of school year Age at beginning of school year Age at beginning of school year Age at beginning of school year 4359 98 95 Child born after begining of school year 98 DK/Missing Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 4359 -3.68 2.592 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 4359 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 4359 1 2 1 Poorest 60% 2 Richest 40% Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 1134 1 70 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 1134 1 19 Line number Line number Line number Line number Line number 1134 1 14 Cluster number Cluster number Cluster number Cluster number Cluster number WM1-WM6 should be filled in before you start the interview. Enter the cluster number from the Household Questionnaire, question HH1. 1134 1 70 Household number Household number Household number Household number Household number WM1-WM6 should be filled in before you start the interview. Enter the household number from the Household Questionnaire, question HH2. 1134 1 19 Woman's line number Woman's line number Woman's line number Woman's line number Woman's line number WM1-WM6 should be filled in before you start the interview. Enter the woman's line number from the Household Questionnaire, column HL1 of the Household Listing. 1134 1 14 Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer’s name and number: WM1-WM6 should be filled in before you start the interview. Enter your own name and identifying number. You will be provided with these identification numbers at the time of training. 1134 4004 25927 Day of interview Day of interview Day of interview Day of interview Day of interview WM1-WM6 should be filled in before you start the interview. Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman. 1134 1 31 Month of interview Month of interview Month of interview Month of interview Month of interview WM1-WM6 should be filled in before you start the interview. Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman. 1134 5 7 5 6 7 Year of interview Year of interview Year of interview Year of interview Year of interview WM1-WM6 should be filled in before you start the interview. Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman. 1134 2011 2011 2011 Result of woman's interview Result of woman's interview Result of woman's interview Result of woman's interview Result of woman's interview Complete this question once you have concluded the interview with the woman. Circle the code corresponding to the result of the interview. If the questionnaire is completed, circle '01' for 'Completed'. If you have not been able to contact the woman after repeated visits, circle '02' for 'Not at home'. If the woman refuses to be interviewed, circle '03' for 'Refused'. If you were able to only partly complete the questionnaire, circle '04' for 'Partly completed'. If the woman is incapacitated (mentally or physically incapacitated), circle '05'. If you have not been able to complete this interview for another reason, you should circle '96' for 'Other' and specify the reason in the space provided. 1134 1 96 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 96 Other Field editor Field editor Field editor Field editor Field editor Field edited by: Leave this space blank. The field editor will later enter his/her name and number in the space provided when checking the completed questionnaires. 1134 4189 25922 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Leave this space blank. The data clerk will enter his/her name and number in the space provided. 1134 3 25541 Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Record the time of the day you start the interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 1091 43 9 99 99 Missing Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Record the time of the day you start the interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 1091 43 99 99 Missing End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour Record the time of the day you finish the woman's interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the individual interview, revise and enter starting (WM10) and ending times (WM11) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the individual questionnaire regarding this. 1091 43 9 99 99 Missing End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes Record the time of the day you finish the woman's interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the individual interview, revise and enter starting (WM10) and ending times (WM11) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the individual questionnaire regarding this. 1091 43 99 99 Missing Month of birth of woman Month of birth of woman Month of birth of woman Month of birth of woman Month of birth of woman In what month and year were you born? If the respondent knows her date of birth, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', etc. If the month or day contains only one digit, use a leading zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know her month of birth, circle '98' for 'DK month' and ask her for the year of her birth. If she knows the year, write it in the spaces for 'Year'. Try under all circumstances to obtain at least the year of birth. If the respondent is unable to provide this information, ask whether she has any documentation such as an identification card, horoscope, or a birth or baptismal certificate that might give her date of birth. If such documentation is available, ask the woman if the information on the document(s) is correct. Only when it is absolutely impossible to even estimate the year of birth should you circle '9998' for 'DK year'. 1091 43 1 98 97 Inconsistent 98 DK 99 Missing Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman In what month and year were you born? If the respondent knows her date of birth, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', etc. If the month or day contains only one digit, use a leading zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know her month of birth, circle '98' for 'DK month' and ask her for the year of her birth. If she knows the year, write it in the spaces for 'Year'. Try under all circumstances to obtain at least the year of birth. If the respondent is unable to provide this information, ask whether she has any documentation such as an identification card, horoscope, or a birth or baptismal certificate that might give her date of birth. If such documentation is available, ask the woman if the information on the document(s) is correct. Only when it is absolutely impossible to even estimate the year of birth should you circle '9998' for 'DK year'. 1091 43 1961 9998 9997 Inconsistent 9998 DK 9999 Missing Age of woman Age of woman Age of woman Age of woman Age of woman How old are you? Enter her age in completed years, that is, her age at her last birthday. If she knows her age, write it in the space provided. Probe: “How old were you at your last birthday?” Compare and correct WB1 and/or WB2 if inconsistent. If she does not know the answer to either of these two questions, probe for clues that might indicate her age. Ask how old she was when she was first married or first gave birth. Try to find out how long ago she got married or had her first child. (You may be able to find out the age of her oldest child if the child is still living. You may be able to relate her age to someone else in the household whose age is known. You may be able to determine her age based on how old she was when an important event occurred, and the number of years that have elapsed since.) You MUST fill in this information. Do not leave this blank. Compare and correct WB1 and WB2 if inconsistent. Finally, before moving on to the next question, verify that the respondent is indeed eligible. If the woman is younger than 15 or older than 49, you have to terminate the interview. Do this tactfully by asking two or three more questions and then thank the respondent for her cooperation; write 'INELIGIBLE' on the cover page of the questionnaire, and correct the age and eligibility information for this woman on the cover page and in Columns HL6 and HL7 of the Household Questionnaire. 1091 43 15 49 Ever attended school Ever attended school Ever attended school Ever attended school Ever attended school Have you ever attended school or preschool? Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions. Circle the code corresponding to the response given. If 'No', skip to WB7. Otherwise, continue on to the next question. The term 'school' includes primary, secondary and post-secondary schooling, as well as any other intermediate levels of schooling in the formal school system. It also includes technical or vocational training beyond the primary-school level, such as long-term courses in mechanics or secretarial work. Schools that carry out non-standard curriculum (non-formal education) are not included here. A non-standard curriculum includes religious schools, such as Koranic schools, that do not teach a full, standard school curriculum. If a school teaches religious courses but also includes the standard curriculum - such as many Catholic schools - it would be coded as a standard (formal) school. 1091 43 1 2 1 Yes 2 No Sysmiss Highest level of school you attended Highest level of school you attended Highest level of school you attended Highest level of school you attended Highest level of school you attended What is the highest level of education that you have 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'. 906 228 3 Preschool 1 Primary 2 Secondary 3 Higher 9 Missing Sysmiss Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level What is the highest grade/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. 905 229 8 1 2 3 4 5 6 7 8 97 Inconsistent 98 DK 99 Missing Sysmiss Can read part of the sentence Can read part of the sentence Can read part of the sentence Can read part of the sentence Can read part of the sentence Now I would like you to read this sentence to me. Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions. To ascertain whether women are literate or not, you will be showing women you interview cards with pre-printed sentences on them, and asking women to read them. Note that this question will be asked only to women who have not attended school, or did not attend school beyond the primary level. We assume that women who have attended secondary school or higher are literate. However, it is also known that some women who have attended or even completed primary school may be functionally illiterate. Therefore, we need to ask this question to such women. Based on your knowledge of the respondent, choose the card with the language in which the respondent is likely to be able to read if she is literate. Show the first sentence on the card to the respondent. Give the respondent enough time to read the sentence; do not rush her. If the respondent cannot read the whole sentence, probe: “Can you read part of the sentence to me?” Record whether the respondent was not able to read the sentence at all, was able to read only parts of the sentence, or was able to read the whole sentence. If the respondent asks for the sentences in another language and you were provided a card with sentences in that language, show the respondent the appropriate card. If there is no card with sentences in the language required, circle '4', and specify the language. If the respondent is blind or visually impaired, circle '5'. It is important to avoid the problem of having other respondents in the household overhear the sentence being read. Subsequent respondents in the household might be able to repeat the sentence when they are interviewed, even if they are unable to read. If there is a second eligible woman in the household, show her the second sentence on the card. Show the third respondent the third sentence on the card, and the fourth respondent the fourth sentence. If there are more than five respondents, start again with the first sentence on the card. 894 240 1 9 1 Cannot read at all 2 Able to read only parts of sentence 3 Able to read whole sentence 4 No sentence in required language 5 Blind / mute, visually / speech impaired 9 Missing Sysmiss Number of live births Number of live births Number of live births Number of live births Number of live births Now I want to ask you about the births you have had during your lifetime. How many live born children have you had in your entire life? What I mean is have you given birth to a child who ever breathed or cried or shown any signs of life – even if that child had lived for only few minutes or hours? Probe to determine whether respondent is referring to live born children. By live born children, i mean a child who ever breathed or cried or showed other signs of life – even if he or she lived only a few minutes or hours. If “None”, circle ‘00’. 1134 None 97 Inconsistent 99 Missing Day of last birth Day of last birth Day of last birth Day of last birth Day of last birth When did you gave your last birth (even if the child has died)? Month and year must be recorded. 1134 97 Inconsistent 98 DK 99 Missing Month of last birth Month of last birth Month of last birth Month of last birth Month of last birth When did you gave your last birth (even if the child has died)? Month and year must be recorded. 1134 97 Inconsistent 99 Missing Year of last birth Year of last birth Year of last birth Year of last birth Year of last birth When did you gave your last birth (even if the child has died)? Month and year must be recorded. 1134 9997 Inconsistent 9999 Missing Ever given birth Ever given birth Ever given birth Ever given birth Ever given birth Now I‘d like to ask you about all the births you have given in your lifetime. Have you ever given any birth? 1091 43 1 2 1 Yes 2 No Sysmiss Day of first birth Day of first birth Day of first birth Day of first birth Day of first birth What is the date of your first birth? What I mean is the very first time you gave birth, even if the child is not alive anymore, or even if his/her father is not your current partner. Move to CM4 only if the year of her first birth is given, if not, continue with CM3. 824 310 1 99 97 Inconsistent 98 DK 99 Missing Month of first birth Month of first birth Month of first birth Month of first birth Month of first birth What is the date of your first birth? What I mean is the very first time you gave birth, even if the child is not alive anymore, or even if his/her father is not your current partner. Move to CM4 only if the year of her first birth is given, if not, continue with CM3. 824 310 1 99 97 Inconsistent 98 DK 99 Missing Year of first birth Year of first birth Year of first birth Year of first birth Year of first birth What is the date of your first birth? What I mean is the very first time you gave birth, even if the child is not alive anymore, or even if his/her father is not your current partner. Move to CM4 only if the year of her first birth is given, if not, continue with CM3. 824 310 1975 9998 9997 Inconsistent 9998 DK 9999 Missing Years since first birth Years since first birth Years since first birth Years since first birth Years since first birth How many years ago did you you first give birth to a child? 19 1115 5 97 5 10 11 15 20 22 23 24 25 28 29 30 31 33 97 Inconsistent 99 Missing Sysmiss Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Are any sons or daughters you have given birth to living with you now? 824 310 1 2 1 Yes 2 No Sysmiss Sons living with you Sons living with you Sons living with you Sons living with you Sons living with you How many sons are living with you? If none, record '00'. 790 344 6 1 2 3 4 5 6 Sysmiss Daughters living with you Daughters living with you Daughters living with you Daughters living with you Daughters living with you How many daughters are living with you? If none, record '00'. 790 344 6 1 2 3 4 5 6 Sysmiss Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Are there any sons or daughters you have given birth to who are alive but are not living with you? 824 310 1 2 1 Yes 2 No Sysmiss Sons living elsewhere Sons living elsewhere Sons living elsewhere Sons living elsewhere Sons living elsewhere How many sons are alive but are not living with you? If none, record ‘00’. 225 909 4 1 2 3 4 Sysmiss Daughters living elsewhere Daughters living elsewhere Daughters living elsewhere Daughters living elsewhere Daughters living elsewhere How many daughters are alive but are not living with you? If none, record ‘00’. 225 909 3 1 2 3 Sysmiss Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Have you ever given birth to a boy or a girl that was born alive but died later? If the answer is “No” probe: What I mean is given birth to a child who breathed, or cried, or showed any other signs of life, even if it had lived for only a few minutes or hours? 1091 43 1 2 1 Yes 2 No Sysmiss Boys dead Boys dead Boys dead Boys dead Boys dead How many boys have died? If none, record ‘00’. 65 1069 3 1 2 3 Sysmiss Girls dead Girls dead Girls dead Girls dead Girls dead How many girls have died? If none, record ‘00’. 65 1069 3 1 2 3 Sysmiss Children ever born Children ever born Children ever born Children ever born Children ever born Sum all the answers in CM5, CM7, and CM9 and write down the total number of live born children. 1091 43 10 1 2 3 4 5 6 7 8 9 10 Sysmiss Day of last birth Day of last birth Day of last birth Day of last birth Day of last birth Out of all these (total number in CM10) live born children you have had, tell me when did you deliver the last one (even if that child has died)? Month and year must be recorded. 824 310 1 99 97 Inconsistent 98 DK 99 Missing Month of last birth Month of last birth Month of last birth Month of last birth Month of last birth Out of all these (total number in CM10) live born children you have had, tell me when did you deliver the last one (even if that child has died)? Month and year must be recorded. 824 310 1 99 97 Inconsistent 99 Missing Year of last birth Year of last birth Year of last birth Year of last birth Year of last birth Out of all these (total number in CM10) live born children you have had, tell me when did you deliver the last one (even if that child has died)? Month and year must be recorded. 824 310 1980 9999 9997 Inconsistent 9999 Missing Ever had miscarried pregnancies Ever had miscarried pregnancies Ever had miscarried pregnancies Ever had miscarried pregnancies Ever had miscarried pregnancies Sometimes women have pregnancies that might not end with a live birth. Have you ever had any pregnancy that was miscarried, ended in a stillbirth, or that was aborted? 1091 43 1 2 1 Yes 2 No Sysmiss Number of miscarriages Number of miscarriages Number of miscarriages Number of miscarriages Number of miscarriages How many miscarriages have you had during your lifetime? By miscarriage, i mean an early and involuntary end of pregnancy within the first 5th month of pregnancy. 357 777 6 None 1 2 3 4 6 97 Inconsistent 99 Missing Sysmiss Number of still births Number of still births Number of still births Number of still births Number of still births How many of your pregnancies have ended with a stillbirth? By stillbirth, I mean a birth that took place after the 5th month of pregnancy, but the child did not show any signs of life. 357 777 3 None 1 2 3 97 Inconsistent 99 Missing Sysmiss Number of abortions Number of abortions Number of abortions Number of abortions Number of abortions And how many abortions have you had during your lifetime? By abortion, i mean a pregnancy that was voluntarily terminated within the first 5 months of pregnancy. 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. Month and year must be recorded. 357 777 10 None 1 2 3 4 5 6 7 8 9 10 97 Inconsistent 99 Missing Sysmiss Month of last abortion Month of last abortion Month of last abortion Month of last abortion Month of last abortion When did your (last) abortion took place? Month and year must be recorded. 256 878 1 99 97 Inconsistent 98 DK 99 Missing Year of last abortion Year of last abortion Year of last abortion Year of last abortion Year of last abortion When did your (last) abortion took place? Month and year must be recorded. 256 878 1980 9999 9997 Inconsistent 9999 Missing Unit of pregnancy duration Unit of pregnancy duration Unit of pregnancy duration Unit of pregnancy duration Unit of pregnancy duration How many months (weeks) were you pregnant when your pregnancy was aborted? If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months 49 1085 1 2 1 week 2 month 9 missing Sysmiss Number of units of pregnancy duration Number of units of pregnancy duration Number of units of pregnancy duration Number of units of pregnancy duration Number of units of pregnancy duration How many months (weeks) were you pregnant when your pregnancy was aborted? If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months 49 1085 1 99 1 2 3 4 5 6 8 10 11 97 Inconsistent 98 DK 99 Missing Sysmiss Month of previous to last abortion Month of previous to last abortion Month of previous to last abortion Month of previous to last abortion Month of previous to last abortion What month and year your (last) abortion took place? 49 1085 4 88 4 5 6 10 11 88 No other abortions 97 Inconsistent 98 DK 99 Missing Sysmiss Year of previous to last abortion Year of previous to last abortion Year of previous to last abortion Year of previous to last abortion Year of previous to last abortion What month and year your (last) abortion took place? 6 1128 2006 2010 2006 2009 2010 9997 Inconsistent 9999 Missing Sysmiss Unit of pregnancy duration Unit of pregnancy duration Unit of pregnancy duration Unit of pregnancy duration Unit of pregnancy duration How many months (weeks) were you pregnant when your pregnancy was aborted? If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months 6 1128 1 2 1 week 2 month 9 missing Sysmiss Number of units of pregnancy duration Number of units of pregnancy duration Number of units of pregnancy duration Number of units of pregnancy duration Number of units of pregnancy duration How many months (weeks) were you pregnant when your pregnancy was aborted? If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months 6 1128 1 10 1 2 3 6 10 97 Inconsistent 98 DK 99 Missing Sysmiss Month of second last before the last abortion Month of second last before the last abortion Month of second last before the last abortion Month of second last before the last abortion Month of second last before the last abortion What month and year your (last) abortion took place? 6 1128 88 88 88 No other abortions 97 Inconsistent 98 DK 99 Missing Sysmiss Year of second last before the last abortion Year of second last before the last abortion Year of second last before the last abortion Year of second last before the last abortion Year of second last before the last abortion What month and year your (last) abortion took place? 1134 9997 Inconsistent 9999 Missing Unit of pregnancy duration Unit of pregnancy duration Unit of pregnancy duration Unit of pregnancy duration Unit of pregnancy duration How many months (weeks) were you pregnant when your pregnancy was aborted? If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months 1134 1 week 2 month 9 missing Number of units of pregnancy duration Number of units of pregnancy duration Number of units of pregnancy duration Number of units of pregnancy duration Number of units of pregnancy duration How many months (weeks) were you pregnant when your pregnancy was aborted? If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months 1134 97 Inconsistent 98 DK 99 Missing Month of third last before the last abortion Month of third last before the last abortion Month of third last before the last abortion Month of third last before the last abortion Month of third last before the last abortion What month and year your (last) abortion took place? 1134 88 No other abortions 97 Inconsistent 98 DK 99 Missing Year of third last before the last abortion Year of third last before the last abortion Year of third last before the last abortion Year of third last before the last abortion Year of third last before the last abortion What month and year your (last) abortion took place? 1134 9997 Inconsistent 9999 Missing Unit of pregnancy duration Unit of pregnancy duration Unit of pregnancy duration Unit of pregnancy duration Unit of pregnancy duration How many months (weeks) were you pregnant when your pregnancy was aborted? If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months 1134 1 week 2 month 9 missing Number of units of pregnancy duration Number of units of pregnancy duration Number of units of pregnancy duration Number of units of pregnancy duration Number of units of pregnancy duration How many months (weeks) were you pregnant when your pregnancy was aborted? If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months 1134 97 Inconsistent 98 DK 99 Missing Last birth in last two years Last birth in last two years Last birth in last two years Last birth in last two years Last birth in last two years If the respondent's last birth occurred in the last 2 years, check the relevant box and enter the name of the child on the line provided. Then continue with DESIRE FOR LAST BIRTH, MATERNAL AND NEWBORN HEALTH, and then POST-NATAL HEALTH CHECKS Modules. If the respondent's last birth did not occur in the last 2 years, check the relevant box and go to the ILLNESS SYMPTOMS Module. 1091 N Y Wanted last child then Wanted last child then Wanted last child then Wanted last child then Wanted last child then When you became pregnant with (name), did you want to get pregnant at that period? 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. 174 960 1 2 1 Yes 2 No 9 Missing Sysmiss Wanted child later or did not want more children Wanted child later or did not want more children Wanted child later or did not want more children Wanted child later or did not want more children Wanted child later or did not want more children Did you want to become pregnant sometime later, or you did not want to have 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. 35 1099 1 2 1 Later 2 No more 9 Missing Sysmiss Desired waiting time (units) Desired waiting time (units) Desired waiting time (units) Desired waiting time (units) Desired waiting time (units) How much longer did you want to wait? This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated. If the response is given in months, circle '1' and record the number of months. If the response is given in years, circle '2' and record the number of years. 15 1119 1 2 1 Months 2 Years 9 Special Sysmiss Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) How much longer did you want to wait? This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated. If the response is given in months, circle '1' and record the number of months. If the response is given in years, circle '2' and record the number of years. 15 1119 1 5 1 2 3 4 5 98 DK 99 Missing Sysmiss Received antenatal care Received antenatal care Received antenatal care Received antenatal care Received antenatal care Did you see anyone for care during your pregnancy with (name of child)? 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. 174 960 1 2 1 Yes 2 No 9 Missing Sysmiss Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 164 A Antenatal care: Midwife Antenatal care: Midwife Antenatal care: Midwife Antenatal care: Midwife Antenatal care: Midwife Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 5 C Antenatal care: Obstetrical nurse Antenatal care: Obstetrical nurse Antenatal care: Obstetrical nurse Antenatal care: Obstetrical nurse Antenatal care: Obstetrical nurse Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 8 D Antenatal care: Nurse Antenatal care: Nurse Antenatal care: Nurse Antenatal care: Nurse Antenatal care: Nurse Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 34 E Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. Times received antenatal care Times received antenatal care Times received antenatal care Times received antenatal care Times received antenatal care How many times did you receive 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. 164 970 1 30 1 2 3 4 5 6 7 8 9 10 11 13 15 16 18 30 98 DK 99 Missing Sysmiss Blood pressure Blood pressure Blood pressure Blood pressure Blood pressure As part of your care during this pregnancy, were any of the following done at least once: [A] 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. 164 970 1 2 1 Yes 2 No 9 Missing Sysmiss Urine sample Urine sample Urine sample Urine sample Urine sample As part of your care during this pregnancy, were any of the following done at least once: [B] 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. 164 970 1 2 1 Yes 2 No 9 Missing Sysmiss Blood sample Blood sample Blood sample Blood sample Blood sample As part of your care during this pregnancy, were any of the following done at least once: [C] 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. 164 970 1 2 1 Yes 2 No 9 Missing Sysmiss Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Who assisted you with the delivery of (name of child)? 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'. 159 A Assistance at delivery: Nurse Assistance at delivery: Nurse Assistance at delivery: Nurse Assistance at delivery: Nurse Assistance at delivery: Nurse Who assisted you with the delivery of (name of child)? 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'. 109 B Assistance at delivery: Obsetrical nurse Assistance at delivery: Obsetrical nurse Assistance at delivery: Obsetrical nurse Assistance at delivery: Obsetrical nurse Assistance at delivery: Obsetrical nurse Who assisted you with the delivery of (name of child)? 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'. 62 C Assistance at delivery: Midwife Assistance at delivery: Midwife Assistance at delivery: Midwife Assistance at delivery: Midwife Assistance at delivery: Midwife Who assisted you with the delivery of (name of child)? 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'. 20 D Assistance at delivery: Nurse Assistance at delivery: Nurse Assistance at delivery: Nurse Assistance at delivery: Nurse Assistance at delivery: Nurse Who assisted you with the delivery of (name of child)? 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 E Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Who assisted you with the delivery of (name of child)? 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'. Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Who assisted you with the delivery of (name of child)? 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'. Assistance at delivery: Relative / Friend Assistance at delivery: Relative / Friend Assistance at delivery: Relative / Friend Assistance at delivery: Relative / Friend Assistance at delivery: Relative / Friend Who assisted you with the delivery of (name of child)? 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 H Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Who assisted you with the delivery of (name of child)? 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'. 1 X Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Who assisted you with the delivery of (name of child)? 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'. 1 Y Place of delivery Place of delivery Place of delivery Place of delivery Place of delivery Where did you give birth to (name of child)? 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. 174 960 11 99 11 Respondent's home 12 Other home 21 Clinic hospital 22 General hospital 23 Government health post 24 Clinical center Skopje 25 Gynecology Hospital Cair 26 Other public 31 Private hospital 32 Private clinic 33 Private maternity home 36 Other private medical 96 Other 99 Missing Sysmiss Delivery by caesarean section Delivery by caesarean section Delivery by caesarean section Delivery by caesarean section Delivery by caesarean section Was (name) delivered by caesarean section? That is, did they cut your belly open to take the baby out? A caesarean section is a delivery of a baby through an incision in the woman's abdomen and womb, rather than through the birth canal. Such a delivery is necessary for some women due to pregnancy complications. Find out whether the baby was delivered by an operation and not through the birth canal. 172 962 1 2 1 Yes 2 No 9 Missing Sysmiss Size of child at birth Size of child at birth Size of child at birth Size of child at birth Size of child at birth When (name) was born, was he/she a very large, larger than average, average, smaller than average, or very small baby? 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. 174 960 1 9 1 Very large 2 Larger than average 3 Average 4 Smaller than average 5 Very small 8 DK 9 Missing Sysmiss Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Was (name) weighed at birth? Circle the code corresponding to the response given. If the baby was not weighed at birth or the mother doesn't know, skip to MN23. 174 960 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall How much did (name) weigh? Ask the woman to show you her (or the child's) health card, if available. Record the birthweight in kilograms. If the weight is 'From card' or is recorded on another written document (such as a vaccination card, antenatal card or birth certificate), circle '1' and record the weight in the corresponding space. If the birthweight is reported by the mother, but no card or document is available, circle '2' for 'From recall' and record the weight in the corresponding space. Fill in the weight only once. Use zeros to fill in all digits if necessary. For example, if the woman tells you that the baby was 3.5 kilograms at birth; enter the information as '3.500'. Always record the birthweight from the card when possible. If there is no card, and the mother cannot remember the exact weight, record her best estimate. Only circle '99998' for 'DK' if she absolutely cannot remember even the approximate weight. 170 964 1 9 1 Card 2 Recall 9 Missing Sysmiss Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) How much did (name) weigh? Ask the woman to show you her (or the child's) health card, if available. Record the birthweight in kilograms. If the weight is 'From card' or is recorded on another written document (such as a vaccination card, antenatal card or birth certificate), circle '1' and record the weight in the corresponding space. If the birthweight is reported by the mother, but no card or document is available, circle '2' for 'From recall' and record the weight in the corresponding space. Fill in the weight only once. Use zeros to fill in all digits if necessary. For example, if the woman tells you that the baby was 3.5 kilograms at birth; enter the information as '3.500'. Always record the birthweight from the card when possible. If there is no card, and the mother cannot remember the exact weight, record her best estimate. Only circle '99998' for 'DK' if she absolutely cannot remember even the approximate weight. 170 964 1.4 9.998 9.998 DK 9.999 Missing Menstrual period returned since the birth of child Menstrual period returned since the birth of child Menstrual period returned since the birth of child Menstrual period returned since the birth of child Menstrual period returned since the birth of child Has your menstrual period returned since the birth of (name)? After a woman has given birth, there is a length of time when she will not have her monthly menstrual periods. This question asks about whether her period has resumed following the last birth. Circle the code corresponding to the response given. 174 960 1 9 1 Yes 2 No 9 Missing Sysmiss Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Did you ever breastfeed (name)? Breastfeeding is important for a child's health and it prevents pregnancy during the period when the mother is breastfeeding. For this question, it does not matter how long the respondent breastfed the child, only whether or not she ever gave the child the breast, even if the baby died very young. Circle the code corresponding to the response given. If the response is 'No' (she never breastfed the child), go to next module. 174 960 1 2 1 Yes 2 No 9 Missing Sysmiss Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) How long after birth did you first put (name) on your breast for feeding? 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'. 164 970 2 Immediately 1 Hours 2 Days 9 Special Sysmiss Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) How long after birth did you first put (name) on your breast for feeding? 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'. 164 970 20 1 2 3 4 5 6 7 8 10 17 20 98 DK 99 Missing Sysmiss Within first 3 days after delivery, child given anything to drink other than breast milk Within first 3 days after delivery, child given anything to drink other than breast milk Within first 3 days after delivery, child given anything to drink other than breast milk Within first 3 days after delivery, child given anything to drink other than breast milk Within first 3 days after delivery, child given anything to drink other than breast milk In the first three days after delivery, was (name) given anything to drink other than breast milk? If the child was given anything to drink other than breast milk, then circle code '1' for 'Yes' and otherwise '2' for 'No' and go to next module. 164 970 1 2 1 Yes 2 No 9 Missing Sysmiss Child given to drink - Milk (other than breast milk) Child given to drink - Milk (other than breast milk) Child given to drink - Milk (other than breast milk) Child given to drink - Milk (other than breast milk) Child given to drink - Milk (other than breast milk) What else was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 4 A Child given to drink - Plain water Child given to drink - Plain water Child given to drink - Plain water Child given to drink - Plain water Child given to drink - Plain water What else 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 B Child given to drink - Sugar or glucose water Child given to drink - Sugar or glucose water Child given to drink - Sugar or glucose water Child given to drink - Sugar or glucose water Child given to drink - Sugar or glucose water What else was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 1 C Child given to drink - Gripe water Child given to drink - Gripe water Child given to drink - Gripe water Child given to drink - Gripe water Child given to drink - Gripe water What else 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'. Child given to drink - Sugar - salt - water solution Child given to drink - Sugar - salt - water solution Child given to drink - Sugar - salt - water solution Child given to drink - Sugar - salt - water solution Child given to drink - Sugar - salt - water solution What else 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'. Child given to drink - Fruit juice Child given to drink - Fruit juice Child given to drink - Fruit juice Child given to drink - Fruit juice Child given to drink - Fruit juice What else 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'. Child given to drink - Infant formula Child given to drink - Infant formula Child given to drink - Infant formula Child given to drink - Infant formula Child given to drink - Infant formula What else 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'. 20 G Child given to drink - Tea / Infusions Child given to drink - Tea / Infusions Child given to drink - Tea / Infusions Child given to drink - Tea / Infusions Child given to drink - Tea / Infusions What else 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 H Child given to drink - Honey Child given to drink - Honey Child given to drink - Honey Child given to drink - Honey Child given to drink - Honey What else 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'. Child given to drink - Other Child given to drink - Other Child given to drink - Other Child given to drink - Other Child given to drink - Other What else 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 X Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 63 ? A Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 56 ? B Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 314 ? C Symptoms: Child has fast breathing Symptoms: Child has fast breathing Symptoms: Child has fast breathing Symptoms: Child has fast breathing Symptoms: Child has fast breathing Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 44 ? D Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 62 ? E Symptoms: Child has blood in stools Symptoms: Child has blood in stools Symptoms: Child has blood in stools Symptoms: Child has blood in stools Symptoms: Child has blood in stools Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 13 ? F Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 18 ? G Symptoms: Child has a rash Symptoms: Child has a rash Symptoms: Child has a rash Symptoms: Child has a rash Symptoms: Child has a rash Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 57 ? H Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 194 ? X Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 70 ? Y Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 10 ? Z Heard of: Woman sterilization Heard of: Woman sterilization Heard of: Woman sterilization Heard of: Woman sterilization Heard of: Woman sterilization Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [A]Sterilization of Female? Probe: Women can have an operation in order to avoid having more children. 1091 43 1 2 1 Yes 2 No 9 Missing Sysmiss Heard of: Man sterilization Heard of: Man sterilization Heard of: Man sterilization Heard of: Man sterilization Heard of: Man sterilization Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [B]Sterilization of Male? Probe: Men can have an operation in order to avoid having more children. 1091 43 1 9 1 Yes 2 No 9 Missing Sysmiss Heard of: IUD Heard of: IUD Heard of: IUD Heard of: IUD Heard of: IUD Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [C]Coil? Probe: Women can have a coil placed inside them by a doctor or a nurse. 1091 43 1 2 1 Yes 2 No 9 Missing Sysmiss Heard of: Injectables Heard of: Injectables Heard of: Injectables Heard of: Injectables Heard of: Injectables Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [D] Injections? Probe: Women can use injections from a health provider, which have effects on their hormones and stop them from getting pregnant for one or more months. 1091 43 1 2 1 Yes 2 No 9 Missing Sysmiss Heard of: Implants Heard of: Implants Heard of: Implants Heard of: Implants Heard of: Implants Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [E] Implants? Probe: Women can have one or more small rods implanted in their upper arm (by a doctor or a nurse) and thus prevent pregnancy for one or more years. 1091 43 1 2 1 Yes 2 No 9 Missing Sysmiss Heard of: Pill Heard of: Pill Heard of: Pill Heard of: Pill Heard of: Pill Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [F] Pills? Probe: Women can take pills on every day basis to avoid getting pregnant. 1091 43 1 2 1 Yes 2 No 9 Missing Sysmiss Heard of: Male condom Heard of: Male condom Heard of: Male condom Heard of: Male condom Heard of: Male condom Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [G] Male Condom? Probe: Men can put a rubber cover on their penis before the sexual intercourse. 1091 43 1 2 1 Yes 2 No 9 Missing Sysmiss Heard of: Female condom Heard of: Female condom Heard of: Female condom Heard of: Female condom Heard of: Female condom Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [H] Female Condom? Probe: Women can put a cover in their vagina before the sexual intercourse. 1091 43 1 9 1 Yes 2 No 9 Missing Sysmiss Heard of: Diaphragm Heard of: Diaphragm Heard of: Diaphragm Heard of: Diaphragm Heard of: Diaphragm Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [I] Diaphragm? Probe: Women can insert a soft rubber cup in their vagina to block the sperm from entering their uterus or tubes 1091 43 1 2 1 Yes 2 No 9 Missing Sysmiss Heard of: Foam / Jelly Heard of: Foam / Jelly Heard of: Foam / Jelly Heard of: Foam / Jelly Heard of: Foam / Jelly Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [J] Foam, Jelly? Probe: Women may use spermicidal products (like for ex. foam, jelly, cream) that can kill or prevent the sperm from moving and reaching the egg. 1091 43 1 2 1 Yes 2 No 9 Missing Sysmiss Heard of:LAM Heard of:LAM Heard of:LAM Heard of:LAM Heard of:LAM Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [K] Lactational Amenorrhea Method (LAM)? 1091 43 1 9 1 Yes 2 No 9 Missing Sysmiss Heard of: Periodic abstinence Heard of: Periodic abstinence Heard of: Periodic abstinence Heard of: Periodic abstinence Heard of: Periodic abstinence Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [L] Rhythm Method? Probe: Every month when the woman is sexually active, she can avoid pregnancy by not having a sexual intercourse on the fertile days in the month, i.e. days she is most likely to get pregnant. 1091 43 1 9 1 Yes 2 No 9 Missing Sysmiss Heard of: Withdrawal Heard of: Withdrawal Heard of: Withdrawal Heard of: Withdrawal Heard of: Withdrawal Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [M] Withdrawal? Probe: Men can be cautious and pull out before reaching climax. 1091 43 1 9 1 Yes 2 No 9 Missing Sysmiss Heard of: Urgent contraception Heard of: Urgent contraception Heard of: Urgent contraception Heard of: Urgent contraception Heard of: Urgent contraception Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [N] Urgent Contraception? Probe: As an emergency measure, within a period of 3 days, after having unprotected sexual intercourse, women can take special pills to prevent getting pregnant. 1091 43 1 9 1 Yes 2 No 9 Missing Sysmiss Heard of: Other Heard of: Other Heard of: Other Heard of: Other Heard of: Other Couples use different ways or methods in order to postpone or avoid pregnancy. Have you heard of: [X] Have you heard of any other ways or methods that men or women can utilise in order to avoid pregnancy? 1091 43 1 9 1 Yes 2 No 9 Missing Sysmiss Currently pregnant Currently pregnant Currently pregnant Currently pregnant Currently pregnant Now, I would like to talk to you about another topic – planning the family. Are you pregnant at the moment? 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'. 1091 43 1 8 1 Yes, currently pregnant 2 No 8 Unsure or DK 9 Missing Sysmiss Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy At the moment, are you doing anything or using any method to postpone or avoid pregnancy? 1032 102 1 2 1 Yes 2 No 9 Missing Sysmiss Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 17 ? A Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 3 ? B Current method: IUD Current method: IUD Current method: IUD Current method: IUD Current method: IUD What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 9 ? C Current method: Injectables Current method: Injectables Current method: Injectables Current method: Injectables Current method: Injectables What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 1 ? Current method: Implants Current method: Implants Current method: Implants Current method: Implants Current method: Implants What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 1 ? Current method: Pill Current method: Pill Current method: Pill Current method: Pill Current method: Pill What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 8 ? F Current method: Male condom Current method: Male condom Current method: Male condom Current method: Male condom Current method: Male condom What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 29 ? G Current method: Female condom Current method: Female condom Current method: Female condom Current method: Female condom Current method: Female condom What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 1 ? Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 1 ? Current method: Foam / Jelly Current method: Foam / Jelly Current method: Foam / Jelly Current method: Foam / Jelly Current method: Foam / Jelly What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 1 ? Current method: Lactational amenorrhoea method Current method: Lactational amenorrhoea method Current method: Lactational amenorrhoea method Current method: Lactational amenorrhoea method Current method: Lactational amenorrhoea method What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 2 ? K Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 7 ? L Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 238 ? M Current method: Other Current method: Other Current method: Other Current method: Other Current method: Other What are you doing to postpone or avoid pregnancy? Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 1 ? Wanted to get pregnant at the time Wanted to get pregnant at the time Wanted to get pregnant at the time Wanted to get pregnant at the time Wanted to get pregnant at the time Now I’d like to talk to you about your current pregnancy. When you got pregnant, did you want to get pregnant? Circle the code corresponding to the answer given. Skip to UN4 if 'Yes'. Otherwise, continue to the next question. 59 1075 1 2 1 Yes 2 No 9 Missing Sysmiss Wanted baby later or did not want more children Wanted baby later or did not want more children Wanted baby later or did not want more children Wanted baby later or did not want more children Wanted baby later or did not want more children Did you want to have a baby sometime later or you did not want to have any (more) children? Circle the code corresponding to the answer given. 11 1123 1 2 1 Later 2 No more 9 Missing Sysmiss Would like to have another child (currently pregnant) Would like to have another child (currently pregnant) Would like to have another child (currently pregnant) Would like to have another child (currently pregnant) Would like to have another child (currently pregnant) Now I’d like to ask a few questions about the future. After the child you are expecting right now, would you like to have another child, or you would rather not 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. 59 1075 1 9 1 Have another child 2 No more / None 8 Undecided / Don't know 9 Missing Sysmiss Would like to have another child (not currently pregnant) Would like to have another child (not currently pregnant) Would like to have another child (not currently pregnant) Would like to have another child (not currently pregnant) Would like to have another child (not currently pregnant) Now I would like to ask you about the future. Would you like to have (another) child, or you would rather not 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. 1016 118 1 9 1 Have (a/another) child 2 No more / None 3 Says she cannot get pregnant 8 Undecided / Don't know 9 Missing Sysmiss Desired waiting time (unit) Desired waiting time (unit) Desired waiting time (unit) Desired waiting time (unit) Desired waiting time (unit) For how long would you like to wait before you give birth to (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. 381 753 1 9 1 Months 2 Years 9 Special Sysmiss Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) For how long would you like to wait before you give birth to (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. 381 753 1 98 1 2 3 4 5 6 7 8 9 10 20 93 Soon / Now 94 Says she cannot get pregnant 95 After marriage 96 Other 98 Don't know 99 Missing Sysmiss Able to get pregnant Able to get pregnant Able to get pregnant Able to get pregnant Able to get pregnant Do you think that you are physically able to get pregnant at the moment? 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'. 725 409 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Reason: Infrequent sex / No sex Reason: Infrequent sex / No sex Reason: Infrequent sex / No sex Reason: Infrequent sex / No sex Reason: Infrequent sex / No sex Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 54 A Reason: Menopausal Reason: Menopausal Reason: Menopausal Reason: Menopausal Reason: Menopausal Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 42 B Reason: Never menstruated Reason: Never menstruated Reason: Never menstruated Reason: Never menstruated Reason: Never menstruated Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 2 C Reason: Hysterectomy Reason: Hysterectomy Reason: Hysterectomy Reason: Hysterectomy Reason: Hysterectomy Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 16 D Reason: Trying to get pregnant for 2 years without result Reason: Trying to get pregnant for 2 years without result Reason: Trying to get pregnant for 2 years without result Reason: Trying to get pregnant for 2 years without result Reason: Trying to get pregnant for 2 years without result Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 3 E Reason: Postpartum amenorrheic Reason: Postpartum amenorrheic Reason: Postpartum amenorrheic Reason: Postpartum amenorrheic Reason: Postpartum amenorrheic Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 1 F Reason: Breastfeeding Reason: Breastfeeding Reason: Breastfeeding Reason: Breastfeeding Reason: Breastfeeding Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 1 G Reason: Too old Reason: Too old Reason: Too old Reason: Too old Reason: Too old Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 37 H Reason: Fatalistic Reason: Fatalistic Reason: Fatalistic Reason: Fatalistic Reason: Fatalistic Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 6 I Reason: Other Reason: Other Reason: Other Reason: Other Reason: Other Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 37 X Reason: Don't know Reason: Don't know Reason: Don't know Reason: Don't know Reason: Don't know Why do you think you are not physically able to get pregnant? If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses. 1 Z Start of last menstrual period (unit) Start of last menstrual period (unit) Start of last menstrual period (unit) Start of last menstrual period (unit) Start of last menstrual period (unit) When did your last menstrual cycle 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'. 1089 45 1 9 1 Days ago 2 Weeks ago 3 Months ago 4 Years ago 9 Special Sysmiss Start of last menstrual period (number) Start of last menstrual period (number) Start of last menstrual period (number) Start of last menstrual period (number) Start of last menstrual period (number) When did your last menstrual cycle 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'. 1089 45 1 99 94 In menopause/had hysterectomy 95 Before last birth 96 Never menstruated 99 Missing If she goes out with out telling husband: wife beating justified If she goes out with out telling husband: wife beating justified If she goes out with out telling husband: wife beating justified If she goes out with out telling husband: wife beating justified If she goes out with out telling husband: wife beating justified Sometimes a husband can be annoyed or irritated by things that his wife does. In your opinion, is a husband justified to hit or beat his wife in the following situations: [A] 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. 1091 43 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss If she neglects the children: wife beating justified If she neglects the children: wife beating justified If she neglects the children: wife beating justified If she neglects the children: wife beating justified If she neglects the children: wife beating justified Sometimes a husband can be annoyed or irritated by things that his wife does. In your opinion, is a husband justified to hit or beat his wife in the following situations: [B] If she neglects the children? 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. 1091 43 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss If she argues with husband: wife beating justified If she argues with husband: wife beating justified If she argues with husband: wife beating justified If she argues with husband: wife beating justified If she argues with husband: wife beating justified Sometimes a husband can be annoyed or irritated by things that his wife does. In your opinion, is a husband justified to hit or beat his wife in the following situations: [C] If she argues with him? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 1091 43 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss If she refuses sex with husband: wife beating justified If she refuses sex with husband: wife beating justified If she refuses sex with husband: wife beating justified If she refuses sex with husband: wife beating justified If she refuses sex with husband: wife beating justified Sometimes a husband can be annoyed or irritated by things that his wife does. In your opinion, is a husband justified to hit or beat his wife in the following situations: [D] 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. 1091 43 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss If she burns the food: wife beating justified If she burns the food: wife beating justified If she burns the food: wife beating justified If she burns the food: wife beating justified If she burns the food: wife beating justified Sometimes a husband can be annoyed or irritated by things that his wife does. In your opinion, is a husband justified to hit or beat his wife in the following situations: [E] 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. 1091 43 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Currently married or living with a man Currently married or living with a man Currently married or living with a man Currently married or living with a man Currently married or living with a man Are you currently married or living together with a man as if married? The options here are currently married, living with a man, or not in union (the woman is neither married nor living with a man). Circle the code corresponding to the respondent's status at the time of the interview. If the woman is currently neither married or in a union, skip to MA5. 1091 43 1 3 1 Yes, currently married 2 Yes, living with a man 3 No, not in union Sysmiss Age of husband/partner Age of husband/partner Age of husband/partner Age of husband/partner Age of husband/partner How old is your husband/partner? Probe: How old was your husband/partner on his last birthday? If she knows the age of her current partner on his last birthday, enter his age in the space provided. If she does not know his age, circle '98'. 801 333 16 98 98 DK 99 Missing Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Have you ever been married or lived together with a man as if married? For women who are not currently married or living with a man, ask whether they have ever been married or lived with a man. Remember that 'married' refers to both formal and informal unions. Circle the code corresponding to the response given. Notice that there are two different response categories for a 'Yes' response: 'Yes, formerly married' and 'Yes, formerly lived with a man'. Be sure to make the distinction between the two categories. If the respondent just answers 'Yes', probe by asking, “Were you formerly married or did you live with a man?” If she was formerly married and also reports living with a man, circle the code for 'Yes, formerly married'. If she was never married and never lived with a man circle '3' for 'No' and go to the next module. Otherwise, continue on to MA6. 290 844 1 3 1 Yes, formerly married 2 Yes, formerly lived with a man 3 No 9 Missing Sysmiss Marital status Marital status Marital status Marital status Marital status What is your marital status now: are you widowed, divorced or separated? Circle the code corresponding to the response given. For a woman who is not currently married and not currently living with someone but who was formerly in a union, record her current marital status at the time of the interview. Since she was in a union at one time, but is not on the day you are interviewing her, she will be either widowed, divorced or separated. You should use 'widowed' (a) for women who were married and their husband died, and (b) for women who were in an informal union and their partner died. 'Divorced' should be used for women who were formally married and whose marriage formally ended. 'Separated' should be used (a) for women who were married, but are no longer continuing the marriage with their husband, and (b) for women who were in an informal union and are no longer continuing the union with their partner. 83 1051 1 3 1 Widowed 2 Divorced 3 Separated 9 Missing Sysmiss Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Have you been married or lived with a man only once or more than once? As with MA1, we are interested in formal marriages as well as informal arrangements. If a woman was married or lived with a man and then was widowed, divorced, or separated from her husband or partner and is now either married to or living with someone else, record 'More than once'. If a woman is not currently married or in an informal union but was previously married or living with someone else two or more times, record 'More than once' by circling '2'. If she has married or lived with someone else only once, circle '1.' Note that the question refers to periods of marriage or informal unions, and not to numbers of husbands or partners. If a woman was married to a man and divorced him, and then married the same person again, she should be considered as having married 'More than once'. The same applies to informal unions with the same person. 884 250 1 9 1 Only once 2 More than once 9 Missing Sysmiss Month of first union Month of first union Month of first union Month of first union Month of first union In what month and year did you first marry or start living with a man as if married? If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc. If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'. 884 250 1 99 97 Inconsistent 98 DK 99 Missing Year of first union Year of first union Year of first union Year of first union Year of first union In what month and year did you first marry or start living with a man as if married? If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc. If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'. 884 250 1974 9999 9997 Inconsistent 9998 DK 9999 Missing Age at first union Age at first union Age at first union Age at first union Age at first union How old were you when you started living with your first husband/partner? As with other age questions, if she does not know, probe. For instance, ask how old she was when her first child was born and then ask how long before or after giving birth she began living with her first husband or partner. Do not leave this question blank. 97 1037 12 99 12 13 14 15 16 17 18 19 20 21 22 23 97 Inconsistent 99 Missing Sysmiss Ever tried smoking Ever tried smoking Ever tried smoking Ever tried smoking Ever tried smoking Have you ever tried smoking, at least one or two puffs? 1091 43 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Age first smoked Age first smoked Age first smoked Age first smoked Age first smoked At what age did you first smoke a whole cigarette? 597 537 99 Never smoked 99 Missing Smoke today Smoke today Smoke today Smoke today Smoke today Do you smoke cigarettes today? 581 553 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss How many cigarettes in last 24 hours How many cigarettes in last 24 hours How many cigarettes in last 24 hours How many cigarettes in last 24 hours How many cigarettes in last 24 hours During the last 24 hours, how many cigarettes have you smoked? 455 679 99 99 Missing Days smoked during last month Days smoked during last month Days smoked during last month Days smoked during last month Days smoked during last month During the last month, for how many days have you smoked cigarettes? If less than 10 days, record the number of days. If 10 days or more but less than a month, circle ‘10’. If “everyday” or “almost every day”, circle ‘30’. 455 679 3 30 3 4 5 10 10+ 30 Every day 99 Missing Sysmiss Ever smoked tobacco products other than cigarretes Ever smoked tobacco products other than cigarretes Ever smoked tobacco products other than cigarretes Ever smoked tobacco products other than cigarretes Ever smoked tobacco products other than cigarretes Have you ever tried to smoke tobacco products, except cigarettes, like for example, cigars, water pipe, cigarillo or dry tobacco? 1091 43 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Have you smoked other tobacco products during last month Have you smoked other tobacco products during last month Have you smoked other tobacco products during last month Have you smoked other tobacco products during last month Have you smoked other tobacco products during last month During the last month, have you consumed any type of smoking tobacco products, excluding cigarettes? 12 1122 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Have smoked last month - Cigars Have smoked last month - Cigars Have smoked last month - Cigars Have smoked last month - Cigars Have smoked last month - Cigars What type of smoked tobacco product did you use or smoke during the last month? Circle all mentioned responses. Have smoked last month - Water pipe Have smoked last month - Water pipe Have smoked last month - Water pipe Have smoked last month - Water pipe Have smoked last month - Water pipe What type of smoked tobacco product did you use or smoke during the last month? Circle all mentioned responses. Have smoked last month - Cigarillos Have smoked last month - Cigarillos Have smoked last month - Cigarillos Have smoked last month - Cigarillos Have smoked last month - Cigarillos What type of smoked tobacco product did you use or smoke during the last month? Circle all mentioned responses. Have smoked last month - Tobacco Have smoked last month - Tobacco Have smoked last month - Tobacco Have smoked last month - Tobacco Have smoked last month - Tobacco What type of smoked tobacco product did you use or smoke during the last month? Circle all mentioned responses. 1 D Have smoked last month - Other Have smoked last month - Other Have smoked last month - Other Have smoked last month - Other Have smoked last month - Other What type of smoked tobacco product did you use or smoke during the last month? Circle all mentioned responses. Days smoked other tobacco products during last month Days smoked other tobacco products during last month Days smoked other tobacco products during last month Days smoked other tobacco products during last month Days smoked other tobacco products during last month During the last one month, on how many days did you use smoked tobacco products, excluding cigarettes? If less than 10 days, record the number of days. If 10 days or more but less than a month, circle ‘10’. If “every day” or “almost every day”, circle ‘30’. 1 1133 1 1 1 10 10+ 30 Every day 99 Missing Sysmiss Ever used tobacco products not for smoking Ever used tobacco products not for smoking Ever used tobacco products not for smoking Ever used tobacco products not for smoking Ever used tobacco products not for smoking Have you ever tried any type of product made from tobacco, like for example tobacco chewing gum, burmut, or tobacco for soaking? 1091 43 2 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Have you used nonsmoking tobacco products during last month Have you used nonsmoking tobacco products during last month Have you used nonsmoking tobacco products during last month Have you used nonsmoking tobacco products during last month Have you used nonsmoking tobacco products during last month During the last month, have you consumed any type of products from non-smoking tobacco? 1134 1 Yes 2 No 8 DK 9 Missing Have used last month - Chewing tobacco Have used last month - Chewing tobacco Have used last month - Chewing tobacco Have used last month - Chewing tobacco Have used last month - Chewing tobacco What type of smokeless tobacco product did you use during the last month? Circle all mentioned. Have used last month - Snuff Have used last month - Snuff Have used last month - Snuff Have used last month - Snuff Have used last month - Snuff What type of smokeless tobacco product did you use during the last month? Circle all mentioned. Have used last month - Dip Have used last month - Dip Have used last month - Dip Have used last month - Dip Have used last month - Dip What type of smokeless tobacco product did you use during the last month? Circle all mentioned. Have used last month - Other Have used last month - Other Have used last month - Other Have used last month - Other Have used last month - Other What type of smokeless tobacco product did you use during the last month? Circle all mentioned. Days used nonsmoking tobacco products during last month Days used nonsmoking tobacco products during last month Days used nonsmoking tobacco products during last month Days used nonsmoking tobacco products during last month Days used nonsmoking tobacco products during last month During the last one month, on how many days did you use smokeless tobacco products? If less than 10 days, record the number of days. If 10 days or more but less than a month, circle ‘10’. If “every day” or “almost every day”, circle ‘30’. 1134 10 10+ 30 Every day 99 Missing Have you used alcohol Have you used alcohol Have you used alcohol Have you used alcohol Have you used alcohol Now a few questions about alcohol consumption. Have you ever tried consuming alcohol? 1091 43 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Age first drank alcohol Age first drank alcohol Age first drank alcohol Age first drank alcohol Age first drank alcohol One intake of alcohol refers to one can or bottle of beer, one glass of wine or a glass of Rakia, cognac, vodka, whiskey, or rum. At what age did you drink your first glass of alcohol, excluding any time you had a few sips? 448 686 99 Never tried alcohol 99 Missing Days drank at least one glass per day during last month Days drank at least one glass per day during last month Days drank at least one glass per day during last month Days drank at least one glass per day during last month Days drank at least one glass per day during last month During the last month, how many days have you had at least one glass of alcohol? If respondent did not drink, circle ‘00’. If less than 10 days, record the number of days. If 10 days or more but less than a month, circle ‘10’. If “every day” or “almost every day”, circle ‘30’. 448 686 30 Never tried alcohol 1 2 3 4 5 6 10 10+ 30 Every day 99 Missing Sysmiss Glasses drank at these occasions Glasses drank at these occasions Glasses drank at these occasions Glasses drank at these occasions Glasses drank at these occasions During the last month, on days you had alcohol, how many glasses have you mostly had? 112 1022 1 8 1 2 3 4 5 6 8 99 Missing Sysmiss How happy are you How happy are you How happy are you How happy are you How happy are you Now, I would like to ask you a few simple questions about 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 by the respondent. With this question, we will first try to learn whether the respondent is happy at the time of interview, before we go and talk about levels of satisfaction in various domains. 374 760 1 9 1 Very happy 2 Somewhat happy 3 Neither happy nor unhappy 4 Somewhat unhappy 5 Very unhappy 9 Missing Sysmiss How satisfied are you with your family life How satisfied are you with your family life How satisfied are you with your family life How satisfied are you with your family life How satisfied are you with your family life Now I’d like to ask a few simple questions about the level of your satisfaction from various fields. For any of the questions, we have five possible answers: please let me know, for each question, are you very or somewhat satisfied, neither satisfied nor unsatisfied, or somewhat or very unsatisfied? Once again, you can take a look at these images that might help you with your answer. How satisfied are you from your family life? Show side 2 of response card and explain what each symbol represents. Circle the response code shown by the respondent, for questions LS3 to LS13. If the respondent says that she does not have a family, circle “0”. Otherwise, circle the code corresponding to the response given or to the smiling face pointed at by the respondent. We have to leave it to the respondent's perception as to what she refers to as “family life”. Note that the question is not about “family”, but rather about “family life”. In other words, we are not asking the respondent to think about family members individually. At hearing this question, some respondents will think of their immediate family, or members of family that she is living together with. Depending on the living arrangements or relationship patterns between immediate and extended family members, some respondents will automatically think of the extended family. Do not try to explain what is meant by the “family”, unless the respondent asks you to. If that happens, tell the respondent that we are interested in their family experiences, immediate or extended family, whichever they spend more time with. 374 760 1 9 No family 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Sysmiss How satisfied are you with your friendship How satisfied are you with your friendship How satisfied are you with your friendship How satisfied are you with your friendship How satisfied are you with your friendship How satisfied are you with your friendships? Show side 2 of response card and explain what each symbol represents. Circle the response code shown by the respondent, for questions LS3 to LS13. If the respondent says that she does not have any friends, circle “0”. Otherwise, circle the code corresponding to the response given or to the smiling face pointed at by the respondent. 374 760 1 9 No friends 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Sysmiss Have you attended school this year Have you attended school this year Have you attended school this year Have you attended school this year Have you attended school this year During the current (2010-2011) school year, have you attended school at all? Show side 2 of response card and explain what each symbol represents. Circle the response code shown by the respondent, for questions LS3 to LS13. With this question, we would like to establish whether the respondent has attended school at any time during the current school year. 374 760 1 9 1 Yes 2 No 9 Missing Sysmiss How satisfied are you with your school How satisfied are you with your school How satisfied are you with your school How satisfied are you with your school How satisfied are you with your school How satisfied are /were you from the school you have attended? Circle the code corresponding to the response given or to the smiling face pointed at by the respondent. 89 1045 1 5 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Sysmiss How satisfied are you with your current job How satisfied are you with your current job How satisfied are you with your current job How satisfied are you with your current job How satisfied are you with your current job How satisfied are you from your current job? Note that you will be leaving the definition of “job” to the perception of the respondent. When answering this question, she might be referring to a full-time job, irregular or seasonal work, family business, paid work or unpaid work, and the like. It is important that you ask the question as it is and ask the respondent to answer. You are not expected to define what a “job” is. If the respondent says that she does not have a job, circle “0” and continue with the next question. Do not probe to find out how she feels about not having a job, unless she tells you herself. For example, if she says that she does not have a job and she is very unsatisfied, circle “5” and continue with the next question. 374 760 9 No job 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Sysmiss How satisfied are you with your health How satisfied are you with your health How satisfied are you with your health How satisfied are you with your health How satisfied are you with your health How satisfied are you with your health? Circle the code corresponding to the response given or to the smiling face pointed at by the respondent. 374 760 1 9 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Sysmiss How satified are you with where you live How satified are you with where you live How satified are you with where you live How satified are you with where you live How satified are you with where you live How satisfied are you with your place of living? If necessary, explain that the questions refer to their life environment, including their neighbourhood and dwelling. Circle the code corresponding to the response given or to the smiling face pointed at by the respondent. “Where you live” might be understood in different ways by different respondents. The intention here is to get the respondent's satisfaction from the neighbourhood she is living in, her neighbours and the characteristics of the dwelling (if they like it or if they wish they lived in a different house etc.). We are not interested in the level of satisfaction of the respondent with the city or country they are living in. 374 760 1 9 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Sysmiss How satisfied are you with a way people behave to you How satisfied are you with a way people behave to you How satisfied are you with a way people behave to you How satisfied are you with a way people behave to you How satisfied are you with a way people behave to you How satisfied are you from the treatment you receive by the people around you? Circle the code corresponding to the response given or to the smiling face pointed out by the respondent. 374 760 1 9 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Sysmiss How satisfied are you with appearance How satisfied are you with appearance How satisfied are you with appearance How satisfied are you with appearance How satisfied are you with appearance How satisfied are you from your looks? Circle the code corresponding to the response given or to the smiling face pointed out by the respondent. 374 760 1 9 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Sysmiss How satisfied are you with your life, overall How satisfied are you with your life, overall How satisfied are you with your life, overall How satisfied are you with your life, overall How satisfied are you with your life, overall How satisfied are you from your own life, in general? Circle the code corresponding to the response given or to the smiling face pointed at by the respondent. The question is intended to elicit the evaluation of positivity of a respondent's life as a whole, without making reference to a specific domain. This is the overall level of satisfaction of the respondent, considering all aspects of her life. 374 760 1 9 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Sysmiss How satisfied are you with your current income How satisfied are you with your current income How satisfied are you with your current income How satisfied are you with your current income How satisfied are you with your current income How satisfied are you from your current income? Circle the code corresponding to the response given or to the smiling face pointed at by the respondent. This question is asked after the general question on life satisfaction (LS12) deliberately, so as to avoid having the respondent to condition her other responses to her level of satisfaction in other non-income domains. If the respondent says that she does not have any income, circle “0” and continue with the next question. Do not probe to find out how she feels about not having any income, unless she tells you herself. For example, if she says that she does not have any income and she is very unsatisfied with this situation, circle “5” and continue with the next question. 374 760 9 No income 1 Very satisfied 2 Somewhat satisfied 3 Neither satisfied nor unsatisfied 4 Somewhat unsatisfied 5 Very unsatisfied 9 Missing Sysmiss Is your life improved compared to previous year Is your life improved compared to previous year Is your life improved compared to previous year Is your life improved compared to previous year Is your life improved compared to previous year Compared to the same period last year, would you say that, in general, your life has improved or become worse? Make sure that the respondent understands the reference to the last one year of her life, and that we are referring to the overall improvement or worsening. 374 760 1 9 1 Better 2 More or less the same 3 Worse 9 Missing Sysmiss Do you expect better life in one year from now Do you expect better life in one year from now Do you expect better life in one year from now Do you expect better life in one year from now Do you expect better life in one year from now And in a year time from now, do you expect that your life, in general, will be improved or will get worse? Note that this question is about the respondent's expectations about her life course during the next one year, and that the sentence here is designed as a continuation of the previous question, by beginning with “And…”. This question is also about overall improvement or worsening. 374 760 1 9 1 Better 2 More or less the same 3 Worse 9 Missing Sysmiss Area Area Area Area Area Type of settlement: Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area. 1134 1 1 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 1134 1 8 1 Vardar 2 East 3 Southwest 4 Southeast 5 Pelagonia 6 Polog 7 Northeast 8 Skopje Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) 1134 1337 1339 1337 1338 1339 Date of birth of woman (CMC) Date of birth of woman (CMC) Date of birth of woman (CMC) Date of birth of woman (CMC) Date of birth of woman (CMC) 1091 43 739 1159 Age Age Age Age Age 1091 43 1 7 1 15-19 2 20-24 3 25-29 4 30-34 5 35-39 6 40-44 7 45-49 Sysmiss Date of marriage (CMC) Date of marriage (CMC) Date of marriage (CMC) Date of marriage (CMC) Date of marriage (CMC) 884 250 856 1344 Age at first marriage/union Age at first marriage/union Age at first marriage/union Age at first marriage/union Age at first marriage/union 884 250 4 42 Date of birth of first child (CMC) Date of birth of first child (CMC) Date of birth of first child (CMC) Date of birth of first child (CMC) Date of birth of first child (CMC) 824 310 912 1338 Date of birth of last child (CMC) Date of birth of last child (CMC) Date of birth of last child (CMC) Date of birth of last child (CMC) Date of birth of last child (CMC) 685 449 963 1338 Marital/Union status Marital/Union status Marital/Union status Marital/Union status Marital/Union status 1091 43 1 3 1 Currently married/in union 2 Formerly married/in union 3 Never married/in union Sysmiss Children ever born Children ever born Children ever born Children ever born Children ever born 1091 43 10 1 2 3 4 5 6 7 8 9 10 Sysmiss Children surviving Children surviving Children surviving Children surviving Children surviving 1091 43 10 1 2 3 4 5 6 7 8 10 Sysmiss Children dead Children dead Children dead Children dead Children dead 1091 43 4 1 2 3 4 Sysmiss Women's sample weight Women's sample weight Women's sample weight Women's sample weight Women's sample weight 1134 4.407 Education Education Education Education Education 1091 43 3 None 1 Primary 2 Secondary 3 High 9 Missing/DK Sysmiss Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head 1134 3 3 1 Macedonian 2 Albanian 3 Roma 4 Other 9 Missing/DK Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 1134 -3.68 2.525 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 1134 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 1091 43 1 2 1 Poorest 60% 2 Richest 40% Sysmiss Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 483 1 70 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 483 1 19 Line number Line number Line number Line number Line number 483 2 12 Cluster number Cluster number Cluster number Cluster number Cluster number UF1-UF8 should be filled in before you start the interview. Enter the cluster number from the Household Questionnaire, question HH1. 483 1 70 Household number Household number Household number Household number Household number UF1-UF8 should be filled in before you start the interview. Enter the household number from the Household Questionnaire, question HH2. 483 1 19 Child's line number Child's line number Child's line number Child's line number Child's line number UF1-UF8 should be filled in before you start the interview. Enter the child's line number from the Household Questionnaire, column HL1 of the Household Listing. 483 2 12 2 3 4 5 6 7 8 9 10 11 12 Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number UF1-UF8 should be filled in before you start the interview. Enter the mother's/primary caretaker's line number from the Household Questionnaire, column HL1 of the Household Listing. 483 1 8 1 2 3 4 5 6 7 8 Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number UF1-UF8 should be filled in before you start the interview. Enter your own name and identifying number. You will be provided with these identification numbers during training. 483 4004 25927 Day of interview Day of interview Day of interview Day of interview Day of interview UF1-UF8 should be filled in before you start the interview. Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child. 483 1 31 Month of interview Month of interview Month of interview Month of interview Month of interview UF1-UF8 should be filled in before you start the interview. Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child. 483 5 7 5 6 7 Year of interview Year of interview Year of interview Year of interview Year of interview UF1-UF8 should be filled in before you start the interview. Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child. 483 2011 2011 2011 Result of interview for children under 5 Result of interview for children under 5 Result of interview for children under 5 Result of interview for children under 5 Result of interview for children under 5 Complete this question once you have concluded the interview. Remember that the code refers to the mother or primary caretaker of the under-five child. Circle the code corresponding to the results of the interview. If the questionnaire is completed, circle '01' for 'Completed'. If you have not been able to contact the mother/primary caretaker after repeated visits, circle '02' for 'Not at home'. If the mother/primary caretaker refuses to be interviewed, circle '03' for 'Refused'. If you were able to only partly complete the questionnaire, circle '04' for 'Partly completed'. If the mother/primary caretaker is incapacitated, circle '05'. If you have not been able to complete this questionnaire for another reason, you should circle '96' for 'Other' and specify the reason in the space provided. 483 1 5 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 96 Other Field editor Field editor Field editor Field editor Field editor Field edited by: Leave this space blank. The field editor will later enter his/her name and number in the space provided when checking the completed questionnaires. 483 4189 25922 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Leave this space blank. The data clerk will enter his/her name and number in the space provided. 483 19687 25541 Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Record the time of the day you start the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 476 7 9 99 99 Missing Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Record the time of the day you start the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 476 7 99 99 Missing End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour Record the time of the day you finish the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the questionnaire for children under five, revise and enter starting (UF12) and ending times (UF13) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the questionnaire regarding this. 476 7 10 99 99 Missing End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes Record the time of the day you finish the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the questionnaire for children under five, revise and enter starting (UF12) and ending times (UF13) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the questionnaire regarding this. 476 7 99 99 Missing Day of birth of child Day of birth of child Day of birth of child Day of birth of child Day of birth of child Now I would like to ask you some questions about the health of (name). In what 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. 476 7 1 98 97 Inconsistent 98 DK 99 Missing Month of birth of child Month of birth of child Month of birth of child Month of birth of child Month of birth of child Now I would like to ask you some questions about the health 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. 476 7 1 12 97 Inconsistent 98 DK 99 Missing Year of birth of child Year of birth of child Year of birth of child Year of birth of child Year of birth of child Now I would like to ask you some questions about the health of (name). In what 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. 476 7 2006 2011 2006 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Age of child Age of child Age of child Age of child Age of child How old is (name)? After having obtained the child's date of birth, ask the child's age in completed years, and record in the space provided. Remember, ages must refer to the last birthday. Probe if necessary by asking “How old was (name) at his/her last birthday?” If the mother/primary caretaker does not know the current age of the child, try asking “How many years ago was (name) born?” You may help the respondent by relating the child's age to that of other children or to some important event or to the season of birth, by asking, for example, “How many wet seasons ago was (name) born?” Record age in completed years. Record '0' if the child is less than 1 year old. Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age. 476 7 4 1 2 3 4 Sysmiss Birth certificate Birth certificate Birth certificate Birth certificate Birth certificate Does (name) have a birth certificate? This question aims to provide an estimate of the extent of birth registration in your country. Respondents must be assured that the information about individual families will never be given to authorities, and that they cannot be identified in any way. If the answer is yes, ask “May I see it?” and circle the appropriate corresponding code, noting whether or not the certificate was seen. If the child has a birth certificate and it was seen, circle '1' and go to next module. If the child has a birth certificate but the mother/primary caretaker is unable to show you the certificate, circle '2' and go to next module. If the child does not have a birth certificate '3' or the respondent does not know '8' continue to the next question. 476 7 1 3 1 Yes, seen 2 Yes, not seen 3 No 8 DK 9 Missing Sysmiss Birth registered Birth registered Birth registered Birth registered Birth registered Has (name)’s birth been registered with the registry department? 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. 14 469 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Know how to register birth Know how to register birth Know how to register birth Know how to register birth Know how to register birth Do you know how to report/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. 9 474 1 2 1 Yes 2 No 9 Missing Sysmiss Number of children's books or picture books for child Number of children's books or picture books for child Number of children's books or picture books for child Number of children's books or picture books for child Number of children's books or picture books for child How many children’s books or picture books do you have for (name)? This question asks specifically about children's books or picture books for the child. This excludes schoolbooks (appropriate for or belonging to older children), as well as other books for adults that are present in the household. Record the number of books in the space provided. There is no need to make an actual count of books yourself. Rely on the respondent's answer, and avoid asking to see and count the books yourself, since this is likely to require extra time. If the respondent is unsure about the number of children's books or picture books and is not able to provide an answer the first time you ask the question, ask her/him if there are more than 10 such books. If yes, circle '10'. If she/he says that there are less than 10 such books, probe further to get an exact number. If there are no such books in the household, record '00'. 476 7 10 1 2 3 4 5 6 9 10 Ten or more books 99 Missing Sysmiss Homemade toys Homemade toys Homemade toys Homemade toys Homemade toys I am interested to learn about the things that (name) plays with when he/she is at home. Does he/she play with: [A] homemade toys (like dolls, cars, or other toys made at home)? If the respondent says “YES” to the categories above, then probe to learn specifically what the child plays with to ascertain the given response 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. 476 7 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Toys from shops Toys from shops Toys from shops Toys from shops Toys from shops I am interested to learn about the things that (name) plays with when he/she is at home. Does he/she play with: [B] toys from a shop or manufactured toys? If the respondent says "YES" to the categories above, then probe to learn specifically what the child plays with to ascertain the given response 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. 476 7 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Household objects or outside objects Household objects or outside objects Household objects or outside objects Household objects or outside objects Household objects or outside objects I am interested to learn about the things that (name) plays with when he/she is at home. Does he/she play with: [C] household objects (like bowls or pots) or objects found outside (like sticks, rocks, shells or leaves)? If the respondent says "YES" to the categories above, then probe to learn specifically what the child plays with to ascertain the given response 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. 476 7 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss In past week, days left alone for more than 1 hour In past week, days left alone for more than 1 hour In past week, days left alone for more than 1 hour In past week, days left alone for more than 1 hour In past week, days left alone for more than 1 hour Sometimes adults that take care of children have to leave the house to go shopping, wash clothes, or for other reasons and then they have to leave young children alone. On how many days during the past week was (name): [A] left alone at home 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. 476 7 9 None 1 2 4 8 DK 9 Missing Sysmiss In past week, days left with other child for more than 1 hour In past week, days left with other child for more than 1 hour In past week, days left with other child for more than 1 hour In past week, days left with other child for more than 1 hour In past week, days left with other child for more than 1 hour Sometimes adults that take care of children have to leave the house to go shopping, wash clothes, or for other reasons and then they have to leave young children alone. On how many days during the past week was (name): [B] left in the care of another child (that is, someone under 10) 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. 476 7 9 None 1 2 3 5 7 8 DK 9 Missing Sysmiss Attends early childhood education programme Attends early childhood education programme Attends early childhood education programme Attends early childhood education programme Attends early childhood education programme Does (name) attend any organized learning or early childhood education programme, like a private or government facility, including kindergarten or community child care center? 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'. 188 295 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Within last 7 days, hours attended education Within last 7 days, hours attended education Within last 7 days, hours attended education Within last 7 days, hours attended education Within last 7 days, hours attended education Within the last seven days, about how many hours did (name) attend such learning programmes, i.e. attended kindergarten or community child care center? 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. 9 474 40 3 4 10 35 40 99 Missing Sysmiss Books-Mother Books-Mother Books-Mother Books-Mother Books-Mother In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [A] Read books to or looked at picture books with (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 49 ? A Books-Father Books-Father Books-Father Books-Father Books-Father In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [A] Read books to or looked at picture books with (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 21 ? B Books-Other Books-Other Books-Other Books-Other Books-Other In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [A] Read books to or looked at picture books with (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 26 ? X Books-No one Books-No one Books-No one Books-No one Books-No one In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [A] Read books to or looked at picture books with (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 115 ? Y Tell stories-Mother Tell stories-Mother Tell stories-Mother Tell stories-Mother Tell stories-Mother In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [B] Told stories to (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 65 ? A Tell stories-Father Tell stories-Father Tell stories-Father Tell stories-Father Tell stories-Father In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [B] Told stories to (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 34 ? B Tell stories-Other Tell stories-Other Tell stories-Other Tell stories-Other Tell stories-Other In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [B] Told stories to (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 49 ? X Tell stories-No one Tell stories-No one Tell stories-No one Tell stories-No one Tell stories-No one In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [B] Told stories to (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 72 ? Y Sang songs-Mother Sang songs-Mother Sang songs-Mother Sang songs-Mother Sang songs-Mother In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [C] Sang songs to (name) or with (name), including lullabies? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 74 ? A Sang songs-Father Sang songs-Father Sang songs-Father Sang songs-Father Sang songs-Father In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [C] Sang songs to (name) or with (name), including lullabies? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 30 ? B Sang songs-Other Sang songs-Other Sang songs-Other Sang songs-Other Sang songs-Other In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [C] Sang songs to (name) or with (name), including lullabies? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 48 ? X Sang songs-No one Sang songs-No one Sang songs-No one Sang songs-No one Sang songs-No one In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [C] Sang songs to (name) or with (name), including lullabies? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 70 ? Y Took outside-Mother Took outside-Mother Took outside-Mother Took outside-Mother Took outside-Mother In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [D] Took (name) outside the home, compound, yard for a walk? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 112 ? A Took outside-Father Took outside-Father Took outside-Father Took outside-Father Took outside-Father In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [D] Took (name) outside the home, compound, yard for a walk? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 68 ? B Took outside-Other Took outside-Other Took outside-Other Took outside-Other Took outside-Other In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [D] Took (name) outside the home, compound, yard for a walk? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 62 ? X Took outside-No one Took outside-No one Took outside-No one Took outside-No one Took outside-No one In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [D] Took (name) outside the home, compound, yard for a walk? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 30 ? Y Played with-Mother Played with-Mother Played with-Mother Played with-Mother Played with-Mother In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [E] Played with (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 95 ? A Played with-Father Played with-Father Played with-Father Played with-Father Played with-Father In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [E] Played with (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 62 ? B Played with-Other Played with-Other Played with-Other Played with-Other Played with-Other In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [E] Played with (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 81 ? X Played with-No one Played with-No one Played with-No one Played with-No one Played with-No one In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [E] Played with (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 39 ? Y Named/counted-Mother Named/counted-Mother Named/counted-Mother Named/counted-Mother Named/counted-Mother In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [F] Named, counted, or drew things to or with (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 65 ? A Named/counted-Father Named/counted-Father Named/counted-Father Named/counted-Father Named/counted-Father In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [F] Named, counted, or drew things to or with (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 39 ? B Named/counted-Other Named/counted-Other Named/counted-Other Named/counted-Other Named/counted-Other In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [F] Named, counted, or drew things to or with (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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. 36 ? X Named/counted-No one Named/counted-No one Named/counted-No one Named/counted-No one Named/counted-No one In the past 3 days, did you or any of your adult household members aged 15 or more engage in any of the following activities with (name): [F] Named, counted, or drew things to or with (name)? Circle all that apply and remind the respondent that you are talking about the last 3 days. 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 ? Y Child identifies at least ten letters of the alphabet Child identifies at least ten letters of the alphabet Child identifies at least ten letters of the alphabet Child identifies at least ten letters of the alphabet Child identifies at least ten letters of the alphabet Now I would like to ask you some questions about the health and the development of your child. Children do not all develop and learn at the same rate. For example, some start walking 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. 188 295 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child reads at least four simple, popular words Child reads at least four simple, popular words Child reads at least four simple, popular words Child reads at least four simple, popular words Child reads at least four simple, popular words Can (name) read at least four simple and 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. 188 295 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child knows name and recognizes symbol of all numbers from 1-10 Child knows name and recognizes symbol of all numbers from 1-10 Child knows name and recognizes symbol of all numbers from 1-10 Child knows name and recognizes symbol of all numbers from 1-10 Child knows name and recognizes symbol of all numbers from 1-10 Does (name) know the name and recognize the symbols for 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. 188 295 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child able to pick up small object with 2 fingers Child able to pick up small object with 2 fingers Child able to pick up small object with 2 fingers Child able to pick up small object with 2 fingers Child able to pick up small object with 2 fingers Can (name) pick up small objects with two fingers, like for example 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. 188 295 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child sometimes too sick to play Child sometimes too sick to play Child sometimes too sick to play Child sometimes too sick to play Child sometimes too sick to play Is (name) sometimes too sick to play? Circle the code corresponding to the response. A 'Yes' answer means that the child often gets sick and cannot play or do many physical activities, while a 'No' answer is in cases when the child is consistently ready to be active and play and only appears tired when it is appropriate for him/her to be so (e.g., in the evening; at the usual nap time). 188 295 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child follows simple directions Child follows simple directions Child follows simple directions Child follows simple directions Child follows simple directions Can (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. 188 295 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child able to do something independently Child able to do something independently Child able to do something independently Child able to do something independently Child able to do something independently When given something to do, is (name) able to do it independently? Circle the code corresponding to the response. A 'Yes' answer means that the child is able to occupy herself/himself independently for an appropriate length of time, without constant asking for assistance or giving up quickly (e.g., colouring, building structures, etc.) while a 'No' answer means that the child cannot occupy herself/himself independently, asks for help or assistance, or gives up the work/play easily if not provided with help. 188 295 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child gets along well with other children Child gets along well with other children Child gets along well with other children Child gets along well with other children Child gets along well with other children Does (name) get along well with other children? Circle the code corresponding to the response. A 'Yes' answer means that the child does well playing and interacting with other children while a 'No' answer means that the child is uncomfortable around other children, prefers to be alone, or gets into conflicts. 188 295 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child kicks, bites or hits other children or adults Child kicks, bites or hits other children or adults Child kicks, bites or hits other children or adults Child kicks, bites or hits other children or adults Child kicks, bites or hits other children or adults Does (name) kick, bite, or hit other children or adults? Circle the code corresponding to the response. A 'Yes' answer means that the parent has noticed that the child can physically hurt (kick, bite, hit) other children while a 'No' answer means that the child does not do it. Do not concern yourself with what may be the reason of such behaviour (e.g., if parent tries to explain the reasons, or excuse the child). 188 295 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child gets distracted easily Child gets distracted easily Child gets distracted easily Child gets distracted easily Child gets distracted easily Does (name) get 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. 188 295 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ever been breastfed Child ever been breastfed Child ever been breastfed Child ever been breastfed Child ever been breastfed Has (name) ever been breastfed? This question asks if the child has ever been breastfed. It includes any breastfeeding experience of the child - not necessarily by the mother/primary caretaker. Circle the code corresponding to the response. Continue to the next question if the child was ever breastfed ('1'). If the child was never breastfed, circle 'No' and skip to BF3. Skip to BF3 in the case of a 'DK' response as well. 476 7 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Child still being breastfed Child still being breastfed Child still being breastfed Child still being breastfed Child still being breastfed Is he/she still being breastfed? 'Being breastfed' is defined as putting the child to the breast at least once a day. Circle the code corresponding to the response. The questions BF3-BF18 asks about what the child was fed in the preceding 24 hours. The purpose of these questions is to determine what liquids or foods the child was given. Make sure that the respondent understands the question, particularly what is meant by 'yesterday, during the day or night'. Circle the code corresponding to the response. If the mother/primary caretaker does not know the answer, repeat the question using other local words for the fluid or food. If the answer is still not known, circle '8' for 'DK'. Note that for infant formula, milk, yogurt, and solid/semi-solid mushy food, the number of times the child had the food is also asked. 455 28 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank plain water yesterday Child drank plain water yesterday Child drank plain water yesterday Child drank plain water yesterday Child drank plain water yesterday Could you tell me please about the liquids that (name) may have had yesterday during the day or the night. I am interested in whether (name) had the mentioned liquid 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. 476 7 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank infant formula yesterday Child drank infant formula yesterday Child drank infant formula yesterday Child drank infant formula yesterday Child drank infant formula yesterday Did (name) drink infant formula/substitution for mother’s milk/ artificial milk yesterday, during the day or night? Circle the code corresponding to the response. If the answer is 'No' or 'DK,' skip to BF6. 476 7 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child drank infant formula Times child drank infant formula Times child drank infant formula Times child drank infant formula Times child drank infant formula How many times did (name) drink infant formula? Record the number of times the child had infant formula. 34 449 1 8 1 2 3 4 5 6 8 99 Missing Sysmiss Child drank milk yesterday Child drank milk yesterday Child drank milk yesterday Child drank milk yesterday Child drank milk yesterday Did (name) drink tetra pack milk, 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. 476 7 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child drank milk Times child drank milk Times child drank milk Times child drank milk Times child drank milk How many times did (name) drink tetra pack, powdered or fresh animal milk? Record the number of times the child had tinned, powdered or fresh animal milk. 203 280 1 10 1 2 3 4 5 6 7 10 99 Missing Sysmiss Child drank juice or juice drinks yesterday Child drank juice or juice drinks yesterday Child drank juice or juice drinks yesterday Child drank juice or juice drinks yesterday Child drank juice or juice drinks yesterday Did (name) drink juice yesterday, during the day or night? Circle the code corresponding to the response. 476 7 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank soup yesterday Child drank soup yesterday Child drank soup yesterday Child drank soup yesterday Child drank soup yesterday Did (name) drink clear soup yesterday, during the day or night? Circle the code corresponding to the response. 476 7 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank or ate vitamin or mineral supplements yesterday Child drank or ate vitamin or mineral supplements yesterday Child drank or ate vitamin or mineral supplements yesterday Child drank or ate vitamin or mineral supplements yesterday Child drank or ate vitamin or mineral supplements yesterday Did (name) drink or eat vitamin or mineral supplements or any medicines yesterday, during the day or night? Circle the code corresponding to the response. 476 7 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank ORS yesterday Child drank ORS yesterday Child drank ORS yesterday Child drank ORS yesterday Child drank ORS yesterday Did (name) drink oral rehydration solutions 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. 476 7 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank any other liquid yesterday Child drank any other liquid yesterday Child drank any other liquid yesterday Child drank any other liquid yesterday Child drank any other liquid yesterday Did (name) drink any other liquids yesterday, during the day or night? Circle the code corresponding to the response. 476 7 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank or ate yogurt yesterday Child drank or ate yogurt yesterday Child drank or ate yogurt yesterday Child drank or ate yogurt yesterday Child drank or ate yogurt yesterday Did (name) drink or eat yogurt (sour milk) yesterday, during the day or night? Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF15. 476 7 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Times drank or ate yogurt Times drank or ate yogurt Times drank or ate yogurt Times drank or ate yogurt Times drank or ate yogurt How many times did (name) drink or eat yogurt (sour milk) yesterday, during the day or night? Record the number of times the child had yogurt. 252 231 1 8 1 2 3 4 5 8 99 Missing Sysmiss Child ate thin porridge yesterday Child ate thin porridge yesterday Child ate thin porridge yesterday Child ate thin porridge yesterday Child ate thin porridge yesterday Did (name) eat any porridge yesterday, during the day or night? Circle the code corresponding to the response. 476 7 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ate solid or semi-solid food yesterday Child ate solid or semi-solid food yesterday Child ate solid or semi-solid food yesterday Child ate solid or semi-solid food yesterday Child ate solid or semi-solid food yesterday Did (name) eat solid or semi-solid (soft, mushy) food yesterday, during the day or night? Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF18. 476 7 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child ate solid or semi-solid food Times child ate solid or semi-solid food Times child ate solid or semi-solid food Times child ate solid or semi-solid food Times child ate solid or semi-solid food How many times did (name) eat solid or semi-solid (soft, mushy) food yesterday, during the day or night? Record the number of times the child had solid or semi-solid food. 411 72 1 10 1 2 3 4 5 6 7 10 99 Missing Sysmiss Child drank anything else from the bottle with a nipple yesterday Child drank anything else from the bottle with a nipple yesterday Child drank anything else from the bottle with a nipple yesterday Child drank anything else from the bottle with a nipple yesterday Child drank anything else from the bottle with a nipple yesterday Yesterday, during the day or night, did (name) drink anything from a bottle with a nipple? Circle the code corresponding to the response. 476 7 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks In the last two weeks, has (name) had diarrhoea (the squirts)? 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. 476 7 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness I would like to know how much liquid (name) was given to drink during the diarrhoea (including breastmilk). During the time (name) had diarrhoea, was he/she given less than usual liquid to drink, about the same amount, or more than usual? If dehydrated, a child may take more fluids than usual. We want to know if the pattern of fluid consumption changed during diarrhoea. The focus in this question is on how much fluid was actually consumed by the child. Ask the question just as it is worded here. Read out the entire question and circle the appropriate code for the caretaker's response. Get the respondent's best judgement of the relative amount of total fluids actually consumed by the child. All fluids are included, not just special ones given during diarrhoea. For example, water, tea, fruit juice, breastmilk and formula are included as well as special fluids such as ORS. If the child was given less drink than usual during the diarrhoea, probe: “Was he/she given much less than usual to drink, or somewhat less?” Try to find out what actually happened, not what the respondent thinks ought to have happened. An answer such as, “A child with diarrhoea (or 'a child who is ill') needs more fluids” is not satisfactory. You would need to ask, “But how much did your child actually drink during this diarrhoea?” It may be difficult to estimate the relative amount of breastmilk taken by the child. The respondent may make an estimate based on whether the child nursed longer or more frequently. 63 420 1 9 1 Much less 2 Somewhat less 3 About the same 4 More 5 Nothing to drink 8 DK 9 Missing Sysmiss Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness During the time (name) had diarrhoea, was he/she given less than usual to eat, about the same amount, more than usual, or nothing to eat? During an episode of diarrhoea or other illness, a child may change the amount usually eaten. The focus in this question is on how much food was actually consumed by the child. Ask the question just as it is worded here. Read out the entire question and circle the code corresponding to the caretaker's response. Get the caretaker's best judgement of the relative amount of total food actually consumed by the child. Try to find out what actually happened, not what the caretaker thinks ought to have happened. An answer such as, “A child with diarrhoea (or 'a child who is ill') needs more food” is not satisfactory. You would need to ask, “But how much did your child actually eat during this diarrhoea?” If the caretaker replies that the child took only fluids (that is, the child did not 'eat'), circle '5' for 'Stopped food'. If the child was given less than usual to eat during the diarrhoea, probe: “Was he/she given much less than usual to eat, or somewhat less?”. Then circle the appropriate code. If the mother/primary caretaker offered more food than usual, but the child ate much less, the answer is 'much less'; circle '1'. Make sure that the respondent understands that this includes breastmilk, if the child is still being breastfed. If the child is very young and the caretaker replies that he/she takes only fluids or breastmilk (that is, has not started 'eating' yet), there is no need to probe, since 'drinking' and 'eating' count as the same for this child. Circle the answer for this question (eating) that comes closest to the answer you circle for CA4 (drinking). 63 420 1 8 1 Much less 2 Somewhat less 3 About the same 4 More 5 Stopped food 6 Never gave food 8 DK 9 Missing Sysmiss Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) During the episode of diarrhoea, was (name) given to drink any of the following: [A] A fluid prepared from rehidratation powder? 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. 63 420 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea During the episode of diarrhoea, was (name) given to drink any of the following: [B] A pre-packaged fluid for rehidratation? 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. 63 420 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Homemade fluid Homemade fluid Homemade fluid Homemade fluid Homemade fluid During the episode of diarrhoea, was (name) given to drink any of the following: [C] Homemade rehidratation fluid? We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea. Ask each question separately: "Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?" and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item. 63 420 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Anything else given to treat the diarrhoea Anything else given to treat the diarrhoea Anything else given to treat the diarrhoea Anything else given to treat the diarrhoea Anything else given to treat the diarrhoea Was anything (else) given to treat/cure 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. 63 420 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Other treatment (pill or syrup): Antibiotic Other treatment (pill or syrup): Antibiotic Other treatment (pill or syrup): Antibiotic Other treatment (pill or syrup): Antibiotic Other treatment (pill or syrup): Antibiotic What (else) was given to treat the 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 A Other treatment (pill or syrup): Antimotility Other treatment (pill or syrup): Antimotility Other treatment (pill or syrup): Antimotility Other treatment (pill or syrup): Antimotility Other treatment (pill or syrup): Antimotility What (else) was given to treat the 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 B Other treatment (pill or syrup): Zinc Other treatment (pill or syrup): Zinc Other treatment (pill or syrup): Zinc Other treatment (pill or syrup): Zinc Other treatment (pill or syrup): Zinc What (else) was given to treat the 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. Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc) Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc) Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc) Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc) Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc) What (else) was given to treat the 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 G Other treatment (pill or syrup): Unknown Other treatment (pill or syrup): Unknown Other treatment (pill or syrup): Unknown Other treatment (pill or syrup): Unknown Other treatment (pill or syrup): Unknown What (else) was given to treat the 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. 3 H Other treatment (injection): Antibiotic Other treatment (injection): Antibiotic Other treatment (injection): Antibiotic Other treatment (injection): Antibiotic Other treatment (injection): Antibiotic What (else) was given to treat the 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 L Other treatment (injection): Non-antibiotic Other treatment (injection): Non-antibiotic Other treatment (injection): Non-antibiotic Other treatment (injection): Non-antibiotic Other treatment (injection): Non-antibiotic What (else) was given to treat the 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. Other treatment (injection): Unknown Other treatment (injection): Unknown Other treatment (injection): Unknown Other treatment (injection): Unknown Other treatment (injection): Unknown What (else) was given to treat the 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 N Other treatment: Intravenous Other treatment: Intravenous Other treatment: Intravenous Other treatment: Intravenous Other treatment: Intravenous What (else) was given to treat the 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 O Other treatment: Home remedy/Herbal medicine Other treatment: Home remedy/Herbal medicine Other treatment: Home remedy/Herbal medicine Other treatment: Home remedy/Herbal medicine Other treatment: Home remedy/Herbal medicine What (else) was given to treat the 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 Q Other treatment: Other Other treatment: Other Other treatment: Other Other treatment: Other Other treatment: Other What (else) was given to treat the 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. 6 X Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks At any time in the last two weeks, has (name) had an illness with a cough? Illness with a cough means a cold or other acute respiratory illness with a cough. Circle the code corresponding to the response given. If the respondent says “He coughs all the time,” or “She's been coughing for months,” do not count this as an 'illness with a cough' since it is a chronic problem. If the answer is 'No' or 'DK', circle the appropriate code and go to CA14. If the symptoms started before but continued into the 2-week period, this counts as 'Yes'. 476 7 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough When (name) had an illness with a cough, did he/she breathe faster than usual with short, fast breaths or had any 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. 130 353 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Was the fast or difficult breathing due to a problem in the chest or a blocked or runny nose? This question aims to find out if the problem needs assessment by a health professional, which does not include a simple cold. Circle the code corresponding to the caretaker's response. If the symptoms were from a 'Blocked or runny nose only', skip to CA14. If the symptoms were due to 'Other' reasons, write the respondent's description in the line provided, circle '6' and skip to CA14. Otherwise, continue to the next question. 59 424 1 6 1 Problem in chest 2 Blocked or runny nose 3 Both 6 Other 8 DK 9 Missing Sysmiss Sought advice or treatment for illness Sought advice or treatment for illness Sought advice or treatment for illness Sought advice or treatment for illness Sought advice or treatment for illness Did you seek any advice or treatment for the illness from anywhere/anybody? '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. 25 458 1 2 1 Yes 2 No 8 DK 9 Missing Sysmiss Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital Where/whom did you seek advice or treatment from? 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 ? A Place sought care: (public sector) Government health center Place sought care: (public sector) Government health center Place sought care: (public sector) Government health center Place sought care: (public sector) Government health center Place sought care: (public sector) Government health center Where/whom did you seek advice or treatment from? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 5 ? B Place sought care: (public sector) Government health post Place sought care: (public sector) Government health post Place sought care: (public sector) Government health post Place sought care: (public sector) Government health post Place sought care: (public sector) Government health post Where/whom did you seek advice or treatment from? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 4 ? C Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Where/whom did you seek advice or treatment from? 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 ? Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic Where/whom did you seek advice or treatment from? 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 ? Place sought care: Other public Place sought care: Other public Place sought care: Other public Place sought care: Other public Place sought care: Other public Where/whom did you seek advice or treatment from? 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 ? Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic Where/whom did you seek advice or treatment from? 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 ? Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician Where/whom did you seek advice or treatment from? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 8 ? J Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy Where/whom did you seek advice or treatment from? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 2 ? K Place sought care: Mobile clinic Place sought care: Mobile clinic Place sought care: Mobile clinic Place sought care: Mobile clinic Place sought care: Mobile clinic Where/whom did you seek advice or treatment from? 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 ? Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical Where/whom did you seek advice or treatment from? 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 ? Place sought care: Relative / Friend Place sought care: Relative / Friend Place sought care: Relative / Friend Place sought care: Relative / Friend Place sought care: Relative / Friend Where/whom did you seek advice or treatment from? 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 ? Place sought care: Shop Place sought care: Shop Place sought care: Shop Place sought care: Shop Place sought care: Shop Where/whom did you seek advice or treatment from? 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 ? Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Where/whom did you seek advice or treatment from? 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 ? Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other Where/whom did you seek advice or treatment from? 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 ? Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Was (name) given any medicine to treat this illness? Circle the appropriate code. If the answer is 'Yes', continue to the next question. Otherwise, go to CA14. 25 458 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Medicine: Antibiotic pill / syrup Medicine: Antibiotic pill / syrup Medicine: Antibiotic pill / syrup Medicine: Antibiotic pill / syrup Medicine: Antibiotic pill / syrup What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 18 A Medicine: Antibiotic injection Medicine: Antibiotic injection Medicine: Antibiotic injection Medicine: Antibiotic injection Medicine: Antibiotic injection What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 5 B Medicine: Paracetamol / Panadol / Acetaminophen Medicine: Paracetamol / Panadol / Acetaminophen Medicine: Paracetamol / Panadol / Acetaminophen Medicine: Paracetamol / Panadol / Acetaminophen Medicine: Paracetamol / Panadol / Acetaminophen What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 5 P Medicine: Aspirin Medicine: Aspirin Medicine: Aspirin Medicine: Aspirin Medicine: Aspirin What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. Medicine: Ibupropfen Medicine: Ibupropfen Medicine: Ibupropfen Medicine: Ibupropfen Medicine: Ibupropfen What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. Medicine: Other Medicine: Other Medicine: Other Medicine: Other Medicine: Other What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 6 X Medicine: DK Medicine: DK Medicine: DK Medicine: DK Medicine: DK What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools The last time (name) defecated, how did you remove 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. 288 195 1 99 1 Child used toilet / latrine 2 Put / Rinsed into toilet or latrine 3 Put / Rinsed into drain or ditch 4 Thrown into garbage (solid waste) 5 Buried 6 Left in the open 96 Other 98 DK 99 Missing Sysmiss Vaccination card for child Vaccination card for child Vaccination card for child Vaccination card for child Vaccination card for child Do you have a card 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. 476 7 1 3 1 Yes, seen 2 Yes, not seen 3 No 9 Missing Sysmiss Ever had vaccination card Ever had vaccination card Ever had vaccination card Ever had vaccination card Ever had vaccination card Did you ever have a vaccination card for (name)? Circle the code corresponding to the answer given and skip to IM6. 17 466 1 9 1 Yes 2 No 9 Missing Sysmiss Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 66 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 380 103 1 12 97 Inconsistent 99 Missing Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 380 103 2006 2011 2006 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of Polio at birth immunization Day of Polio at birth immunization Day of Polio at birth immunization Day of Polio at birth immunization Day of Polio at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 66 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of Polio at birth immunization Month of Polio at birth immunization Month of Polio at birth immunization Month of Polio at birth immunization Month of Polio at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 395 88 1 12 97 Inconsistent 99 Missing Year of Polio at birth immunization Year of Polio at birth immunization Year of Polio at birth immunization Year of Polio at birth immunization Year of Polio at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 395 88 2006 2011 2006 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of Polio1 immunization Day of Polio1 immunization Day of Polio1 immunization Day of Polio1 immunization Day of Polio1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 44 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of Polio1 immunization Month of Polio1 immunization Month of Polio1 immunization Month of Polio1 immunization Month of Polio1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 377 106 1 97 97 Inconsistent 99 Missing Year of Polio1 immunization Year of Polio1 immunization Year of Polio1 immunization Year of Polio1 immunization Year of Polio1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 377 106 2006 2011 2006 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of Polio2 immunization Day of Polio2 immunization Day of Polio2 immunization Day of Polio2 immunization Day of Polio2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 44 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of Polio2 immunization Month of Polio2 immunization Month of Polio2 immunization Month of Polio2 immunization Month of Polio2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 347 136 1 12 97 Inconsistent 99 Missing Year of Polio2 immunization Year of Polio2 immunization Year of Polio2 immunization Year of Polio2 immunization Year of Polio2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 347 136 2006 2011 2006 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of Polio3 immunization Day of Polio3 immunization Day of Polio3 immunization Day of Polio3 immunization Day of Polio3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 31 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of Polio3 immunization Month of Polio3 immunization Month of Polio3 immunization Month of Polio3 immunization Month of Polio3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 238 245 1 12 97 Inconsistent 99 Missing Year of Polio3 immunization Year of Polio3 immunization Year of Polio3 immunization Year of Polio3 immunization Year of Polio3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 238 245 2007 2011 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 66 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 398 85 1 12 97 Inconsistent 99 Missing Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 398 85 2006 2011 2006 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 44 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 379 104 1 97 97 Inconsistent 99 Missing Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 379 104 2006 9997 2006 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 99 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 351 132 1 99 97 Inconsistent 99 Missing Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 351 132 2006 9999 2006 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of DPT4 immunization Day of DPT4 immunization Day of DPT4 immunization Day of DPT4 immunization Day of DPT4 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 31 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of DPT4 immunization Month of DPT4 immunization Month of DPT4 immunization Month of DPT4 immunization Month of DPT4 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 256 227 1 12 97 Inconsistent 99 Missing Year of DPT4 immunization Year of DPT4 immunization Year of DPT4 immunization Year of DPT4 immunization Year of DPT4 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 256 227 2007 2011 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of DPT5 immunization Day of DPT5 immunization Day of DPT5 immunization Day of DPT5 immunization Day of DPT5 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 30 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of DPT5 immunization Month of DPT5 immunization Month of DPT5 immunization Month of DPT5 immunization Month of DPT5 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 78 405 1 12 97 Inconsistent 99 Missing Year of DPT5 immunization Year of DPT5 immunization Year of DPT5 immunization Year of DPT5 immunization Year of DPT5 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 78 405 2008 2011 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of HepB at birth immunization Day of HepB at birth immunization Day of HepB at birth immunization Day of HepB at birth immunization Day of HepB at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 66 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of HepB at birth immunization Month of HepB at birth immunization Month of HepB at birth immunization Month of HepB at birth immunization Month of HepB at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 397 86 1 97 97 Inconsistent 99 Missing Year of HepB at birth immunization Year of HepB at birth immunization Year of HepB at birth immunization Year of HepB at birth immunization Year of HepB at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 397 86 2006 2011 2006 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of HepB1 immunization Day of HepB1 immunization Day of HepB1 immunization Day of HepB1 immunization Day of HepB1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 44 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of HepB1 immunization Month of HepB1 immunization Month of HepB1 immunization Month of HepB1 immunization Month of HepB1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 381 102 1 99 97 Inconsistent 99 Missing Year of HepB1 immunization Year of HepB1 immunization Year of HepB1 immunization Year of HepB1 immunization Year of HepB1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 381 102 2006 2011 2006 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of HepB2 immunization Day of HepB2 immunization Day of HepB2 immunization Day of HepB2 immunization Day of HepB2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 44 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of HepB2 immunization Month of HepB2 immunization Month of HepB2 immunization Month of HepB2 immunization Month of HepB2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 345 138 1 12 97 Inconsistent 99 Missing Year of HepB2 immunization Year of HepB2 immunization Year of HepB2 immunization Year of HepB2 immunization Year of HepB2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 345 138 2006 2011 2006 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 31 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 337 146 1 12 97 Inconsistent 99 Missing Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 337 146 2007 2011 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of HIB1 immunization Day of HIB1 immunization Day of HIB1 immunization Day of HIB1 immunization Day of HIB1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 44 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of HIB1 immunization Month of HIB1 immunization Month of HIB1 immunization Month of HIB1 immunization Month of HIB1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 261 222 1 97 97 Inconsistent 99 Missing Year of HIB1 immunization Year of HIB1 immunization Year of HIB1 immunization Year of HIB1 immunization Year of HIB1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 261 222 2007 2011 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of HIB2 immunization Day of HIB2 immunization Day of HIB2 immunization Day of HIB2 immunization Day of HIB2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 44 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of HIB2 immunization Month of HIB2 immunization Month of HIB2 immunization Month of HIB2 immunization Month of HIB2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 244 239 1 12 97 Inconsistent 99 Missing Year of HIB2 immunization Year of HIB2 immunization Year of HIB2 immunization Year of HIB2 immunization Year of HIB2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 244 239 2007 2011 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of HIB3 immunization Day of HIB3 immunization Day of HIB3 immunization Day of HIB3 immunization Day of HIB3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 44 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of HIB3 immunization Month of HIB3 immunization Month of HIB3 immunization Month of HIB3 immunization Month of HIB3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 218 265 1 12 97 Inconsistent 99 Missing Year of HIB3 immunization Year of HIB3 immunization Year of HIB3 immunization Year of HIB3 immunization Year of HIB3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 218 265 2007 2011 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Day of HIB4 immunization Day of HIB4 immunization Day of HIB4 immunization Day of HIB4 immunization Day of HIB4 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 426 57 44 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of HIB4 immunization Month of HIB4 immunization Month of HIB4 immunization Month of HIB4 immunization Month of HIB4 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 92 391 1 12 97 Inconsistent 99 Missing Year of HIB4 immunization Year of HIB4 immunization Year of HIB4 immunization Year of HIB4 immunization Year of HIB4 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 92 391 2009 2011 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations In addition to what is recorded on this card, did (name) receive any other vaccinations – including vaccinations received in campaigns, during epidemic 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. 423 60 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a campaigns or immunization days? 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. 50 433 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Has (name) ever received a BCG vaccination against tuberculosis – i.e. an injection in the arm or shoulder that usually causes a blemish on the skin? Circle the code corresponding to the response. 36 447 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Has (name) ever received any “vaccine given as drops in the mouth or by spoon” 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. 36 447 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination How many times was the polio vaccine received? Fill in the number in the space provided. 29 454 1 9 1 2 3 4 9 Missing Sysmiss Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Has (name) ever received a DTP vaccination – i.e.an injection in the thigh or upper arm – to prevent him/her from getting diphtheria, tetanus, whooping cough, or? 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 DTP vaccination is sometimes given at the same time as Polio 36 447 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination How many times was a DTP vaccine received? Fill in the number in the space provided. 22 461 1 4 1 2 3 4 9 Missing Sysmiss Child ever given Hepatitis B vaccination Child ever given Hepatitis B vaccination Child ever given Hepatitis B vaccination Child ever given Hepatitis B vaccination Child ever given Hepatitis B vaccination Has (name) ever been given a Hepatitis B vaccination – i.e.an injection in the thigh or upper arm – to prevent him/her from getting Hepatitis B, i.e. … 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 vaccines 36 447 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Hepatitis B first given within 24 h after birth or later Hepatitis B first given within 24 h after birth or later Hepatitis B first given within 24 h after birth or later Hepatitis B first given within 24 h after birth or later Hepatitis B first given within 24 h after birth or later Was the first Hepatitis B vaccine received within 24 hours after birth, or later? Ask for a birth card in which this information should be recorded 24 459 1 2 1 Within 24 hours 2 Later 9 Missing Sysmiss Times child given Hepatitis B vaccination Times child given Hepatitis B vaccination Times child given Hepatitis B vaccination Times child given Hepatitis B vaccination Times child given Hepatitis B vaccination How many times was a hepatitis B vaccine received? Fill in the number in the space provided. 24 459 1 9 1 2 3 9 Missing Sysmiss Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Has (name) ever received a Measles injection or an MRP injection – i.e.a shot in the arm at the age of 12 months or older - to prevent him/her from getting measles/rubeola? 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'. 36 447 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ever given HIB vaccination Child ever given HIB vaccination Child ever given HIB vaccination Child ever given HIB vaccination Child ever given HIB vaccination Has (name) ever received the hemophilus influence B (meningitis/lung inflammation) vaccination – that is, a shot in the arm or thigh - to prevent him/her from getting hemophilus influence B? 36 447 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child given HIB vaccination Times child given HIB vaccination Times child given HIB vaccination Times child given HIB vaccination Times child given HIB vaccination How many times has he/she got a hemophilus influenca vaccine? 9 474 2 9 2 3 4 9 Missing Sysmiss Child participated in campaign in April Child participated in campaign in April Child participated in campaign in April Child participated in campaign in April Child participated in campaign in April Could you tell me please if (name) has been vaccinated in any of the following campaigns, national immunization days and/or vitamin A or child health days: [A] Immunization week – April 473 10 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child participated in campaign Jan - Jun 2009 Child participated in campaign Jan - Jun 2009 Child participated in campaign Jan - Jun 2009 Child participated in campaign Jan - Jun 2009 Child participated in campaign Jan - Jun 2009 Could you tell me please if (name) has been vaccinated in any of the following campaigns, national immunization days and/or vitamin A or child health days: [B] Parotitis (MrP) – Jan-Jun 2009 473 10 2 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child participated in campaign Sept 2010 Child participated in campaign Sept 2010 Child participated in campaign Sept 2010 Child participated in campaign Sept 2010 Child participated in campaign Sept 2010 Could you tell me please if (name) has been vaccinated in any of the following campaigns, national immunization days and/or vitamin A or child health days: [C] Measles – Since Sept 2010 473 10 1 8 1 Yes 2 No 8 DK 9 Missing Sysmiss Measurer's identification code Measurer's identification code Measurer's identification code Measurer's identification code Measurer's identification code Measurer’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. 476 7 14668 99999 Result of height/length and weight measurement Result of height/length and weight measurement Result of height/length and weight measurement Result of height/length and weight measurement Result of height/length and weight measurement Result of height / length and weight measurement Circle the appropriate code corresponding to the result of the measurement. If the reason is 'Other', write a description in the line provided and circle '6'. 476 7 1 6 1 Either or both measured 2 Child not present 3 Child or caretaker refused 6 Other 7 Inconsistent 9 Missing Sysmiss Child's weight (kilograms) Child's weight (kilograms) Child's weight (kilograms) Child's weight (kilograms) Child's weight (kilograms) The child should be weighed according to the instructions given during training. Record exactly as is shown on the scale, in kilograms with one decimal point. Place the kilograms to the left of the decimal point and grams to the right of the decimal point. Use a leading zero if the number of kilograms is one digit. If the weight is not measured circle '99.9'. 471 12 3.2 99.9 99.9 Missing Child measured lying or standing Child measured lying or standing Child measured lying or standing Child measured lying or standing Child measured lying or standing Check the age of the child in AG2. If the child is under 2 years old, check the appropriate box, circle '1' and then measure and record recumbent length (that is, lying down), to the nearest tenth of a centimetre. If the child is age two or older, check the corresponding box, circle '2', and then measure and record standing height. Write a zero first if the number of centimetres is two digits. 471 12 1 9 1 Lying down 2 Standing up 9 Missing Sysmiss Child's length or height (centimetres) Child's length or height (centimetres) Child's length or height (centimetres) Child's length or height (centimetres) Child's length or height (centimetres) Check the age of the child in AG2. If the child is under 2 years old, check the appropriate box, circle '1' and then measure and record recumbent length (that is, lying down), to the nearest tenth of a centimetre. If the child is age two or older, check the corresponding box, circle '2', and then measure and record standing height. Write a zero first if the number of centimetres is two digits. 471 12 47 999.9 999.9 Missing Height for age percentile NCHS Height for age percentile NCHS Height for age percentile NCHS Height for age percentile NCHS Height for age percentile NCHS Recoded variable 476 7 99.9 Height for age z-score NCHS Height for age z-score NCHS Height for age z-score NCHS Height for age z-score NCHS Height for age z-score NCHS Recoded variable 476 7 -9.98 9.99 Height for age percent of reference median NCHS Height for age percent of reference median NCHS Height for age percent of reference median NCHS Height for age percent of reference median NCHS Height for age percent of reference median NCHS Recoded variable 476 7 58.5 999.9 Weight for age percentile NCHS Weight for age percentile NCHS Weight for age percentile NCHS Weight for age percentile NCHS Weight for age percentile NCHS Recoded variable 476 7 99.9 Weight for age z-score NCHS Weight for age z-score NCHS Weight for age z-score NCHS Weight for age z-score NCHS Weight for age z-score NCHS Recoded variable 476 7 -3.98 9.99 Weight for age percent of reference median NCHS Weight for age percent of reference median NCHS Weight for age percent of reference median NCHS Weight for age percent of reference median NCHS Weight for age percent of reference median NCHS Recoded variable 476 7 48.6 999.9 Weight for height percentile NCHS Weight for height percentile NCHS Weight for height percentile NCHS Weight for height percentile NCHS Weight for height percentile NCHS Recoded variable 476 7 99.9 Weight for height z-score NCHS Weight for height z-score NCHS Weight for height z-score NCHS Weight for height z-score NCHS Weight for height z-score NCHS Recoded variable 476 7 -7.12 9.99 Weight for height percent of reference median NCHS Weight for height percent of reference median NCHS Weight for height percent of reference median NCHS Weight for height percent of reference median NCHS Weight for height percent of reference median NCHS Recoded variable 476 7 37.4 999.9 Flag for anthropometric indicators Flag for anthropometric indicators Flag for anthropometric indicators Flag for anthropometric indicators Flag for anthropometric indicators 476 7 7 No flag 1 Height for age 2 Weight for height 3 Weight for height, Height for age 4 Weight for age 5 Weight for age, Height for age 6 Weight for age, Weight for height 7 Weight for age, Weight for height, Height for age Sysmiss Body Mass Index WHO Body Mass Index WHO Body Mass Index WHO Body Mass Index WHO Body Mass Index WHO 476 7 6.53 99.99 99.97 Measurement out of range 99.99 Not measured Body Mass Index z-score WHO Body Mass Index z-score WHO Body Mass Index z-score WHO Body Mass Index z-score WHO Body Mass Index z-score WHO 476 7 -4.95 99.99 99.97 Measurement out of range 99.98 Z-score out of range 99.99 Not measured Height for age z-score WHO Height for age z-score WHO Height for age z-score WHO Height for age z-score WHO Height for age z-score WHO Recoded variable 476 7 -4.11 99.99 99.97 Measurement out of range 99.98 Z-score out of range 99.99 Not measured Weight for age z-score WHO Weight for age z-score WHO Weight for age z-score WHO Weight for age z-score WHO Weight for age z-score WHO Recoded variable 476 7 -5.74 99.99 99.97 Measurement out of range 99.98 Z-score out of range 99.99 Not measured Weight for height z-score WHO Weight for height z-score WHO Weight for height z-score WHO Weight for height z-score WHO Weight for height z-score WHO Recoded variable 476 7 -4.99 99.99 99.97 Measurement out of range 99.98 Z-score out of range 99.99 Not measured Height for age flag WHO Height for age flag WHO Height for age flag WHO Height for age flag WHO Height for age flag WHO Recoded variable 476 7 1 No error 1 Error flag Sysmiss Weight for age flag WHO Weight for age flag WHO Weight for age flag WHO Weight for age flag WHO Weight for age flag WHO Recoded variable 476 7 1 No error 1 Error flag Sysmiss Weight for height flag WHO Weight for height flag WHO Weight for height flag WHO Weight for height flag WHO Weight for height flag WHO Recoded variable 476 7 1 No error 1 Error flag Sysmiss BMI flag WHO BMI flag WHO BMI flag WHO BMI flag WHO BMI flag WHO 476 7 1 No error 1 Error flag Sysmiss Weight for height - Age flag WHO Weight for height - Age flag WHO Weight for height - Age flag WHO Weight for height - Age flag WHO Weight for height - Age flag WHO Recoded variable 476 7 Age given - all measurements calculated 1 No age - only weight for height calculated Sysmiss Area Area Area Area Area Type of settlement: Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area. 483 1 1 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. 483 1 8 1 Vardar 2 East 3 Southwest 4 Southeast 5 Pelagonia 6 Polog 7 Northeast 8 Skopje Sex Sex Sex Sex Sex Is (name) male or female? Circle '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. When the respondent is listing everyone in the household, he/she may indicate the sex of the person at the same time, by saying “My sister Mary,” for instance. In this case, you do not need to ask the sex of the household member again, since it is already obvious that the person is a female. However, when a name is mentioned that can be used for both males and females, never use your judgement. Even in cases when you think that the name would most likely be a male's (or a female's) name, have the respondent confirm the sex. This column should never be left blank. 483 1 2 1 Male 2 Female 9 Missing Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended What is the highest level of education (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. 380 103 3 Preschool 1 Primary 2 Secondary 3 Higher 8 DK 9 Missing Sysmiss Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level What is the highest grade (name) completed at this level (ED4a)? 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). 379 104 1 8 1 2 3 4 5 6 7 8 97 Inconsistent 98 DK 99 Missing Sysmiss Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) 483 1337 1339 1337 1338 1339 Date of birth of child (CMC) Date of birth of child (CMC) Date of birth of child (CMC) Date of birth of child (CMC) Date of birth of child (CMC) 476 7 1278 1338 Age (months) Age (months) Age (months) Age (months) Age (months) 476 7 59 Age Age Age Age Age 476 7 1 6 1 0-5 2 6-11 3 12-23 4 24-35 5 36-47 6 48-59 Sysmiss Age Age Age Age Age 476 7 1 5 1 0-11 2 12-23 3 24-35 4 36-47 5 48-59 Sysmiss Age in days Age in days Age in days Age in days Age in days 476 7 4 1825 Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number 466 17 1 8 1 2 3 4 5 6 7 8 Sysmiss Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number 466 17 4004 99999 Day of visit Day of visit Day of visit Day of visit Day of visit 466 17 10 23 10 11 12 15 16 17 18 19 22 23 Sysmiss Month of visit Month of visit Month of visit Month of visit Month of visit 466 17 8 8 8 Sysmiss Year of visit Year of visit Year of visit Year of visit Year of visit 466 17 2011 2011 2011 Sysmiss Day of birth Day of birth Day of birth Day of birth Day of birth 466 17 1 99 Month of birth Month of birth Month of birth Month of birth Month of birth 466 17 1 12 Year of birth Year of birth Year of birth Year of birth Year of birth 466 17 2006 2011 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Institution visit outcome Institution visit outcome Institution visit outcome Institution visit outcome Institution visit outcome Results from the visit to the health facility 466 17 1 96 1 Immunization records checked 2 Immunication records not checked 96 Other Sysmiss Day of IM card registration Day of IM card registration Day of IM card registration Day of IM card registration Day of IM card registration Record the day, month and the year of birth as stated on the vaccination record 438 45 99 99 99 Missing Sysmiss Month of IM card registration Month of IM card registration Month of IM card registration Month of IM card registration Month of IM card registration Record the day, month and the year of birth as stated on the vaccination record 438 45 99 99 99 Missing Sysmiss Year of IM card registration Year of IM card registration Year of IM card registration Year of IM card registration Year of IM card registration Record the day, month and the year of birth as stated on the vaccination record 438 45 9999 9999 9999 Missing Sysmiss Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 44 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 420 63 1 12 99 Missing Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 420 63 2006 2011 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 421 62 1 12 99 Missing Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 421 62 2006 2011 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 401 82 1 12 99 Missing Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 401 82 2006 2011 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 376 107 1 12 99 Missing Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 376 107 2006 2011 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of DPT4 immunization Day of DPT4 immunization Day of DPT4 immunization Day of DPT4 immunization Day of DPT4 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of DPT4 immunization Month of DPT4 immunization Month of DPT4 immunization Month of DPT4 immunization Month of DPT4 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 276 207 1 12 99 Missing Year of DPT4 immunization Year of DPT4 immunization Year of DPT4 immunization Year of DPT4 immunization Year of DPT4 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 276 207 2007 2011 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of DPT5 immunization Day of DPT5 immunization Day of DPT5 immunization Day of DPT5 immunization Day of DPT5 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 30 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of DPT5 immunization Month of DPT5 immunization Month of DPT5 immunization Month of DPT5 immunization Month of DPT5 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 91 392 1 12 99 Missing Year of DPT5 immunization Year of DPT5 immunization Year of DPT5 immunization Year of DPT5 immunization Year of DPT5 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 91 392 2009 2011 2009 2010 2011 9999 Missing Sysmiss Day of Polio 1immunization Day of Polio 1immunization Day of Polio 1immunization Day of Polio 1immunization Day of Polio 1immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Polio 1immunization Month of Polio 1immunization Month of Polio 1immunization Month of Polio 1immunization Month of Polio 1immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 420 63 1 12 99 Missing Year of Polio 1 immunization Year of Polio 1 immunization Year of Polio 1 immunization Year of Polio 1 immunization Year of Polio 1 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 420 63 2006 2011 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of Polio 2 immunization Day of Polio 2 immunization Day of Polio 2 immunization Day of Polio 2 immunization Day of Polio 2 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Polio 2 immunization Month of Polio 2 immunization Month of Polio 2 immunization Month of Polio 2 immunization Month of Polio 2 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 403 80 1 12 99 Missing Year of Polio 2 immunization Year of Polio 2 immunization Year of Polio 2 immunization Year of Polio 2 immunization Year of Polio 2 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 403 80 2006 2011 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of Polio 3 immunization Day of Polio 3 immunization Day of Polio 3 immunization Day of Polio 3 immunization Day of Polio 3 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Polio 3 immunization Month of Polio 3 immunization Month of Polio 3 immunization Month of Polio 3 immunization Month of Polio 3 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 373 110 1 12 99 Missing Year of Polio 3 immunization Year of Polio 3 immunization Year of Polio 3 immunization Year of Polio 3 immunization Year of Polio 3 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 373 110 2006 2011 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of Polio 4 immunization Day of Polio 4 immunization Day of Polio 4 immunization Day of Polio 4 immunization Day of Polio 4 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Polio 4 immunization Month of Polio 4 immunization Month of Polio 4 immunization Month of Polio 4 immunization Month of Polio 4 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 275 208 1 12 99 Missing Year of Polio 4 immunization Year of Polio 4 immunization Year of Polio 4 immunization Year of Polio 4 immunization Year of Polio 4 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 275 208 2007 2011 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month measles or MMR immunization Month measles or MMR immunization Month measles or MMR immunization Month measles or MMR immunization Month measles or MMR immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 381 102 1 12 99 Missing Year measles or MMR immunization Year measles or MMR immunization Year measles or MMR immunization Year measles or MMR immunization Year measles or MMR immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 381 102 2006 2011 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of HepB at birth immunization Day of HepB at birth immunization Day of HepB at birth immunization Day of HepB at birth immunization Day of HepB at birth immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB at birth immunization Month of HepB at birth immunization Month of HepB at birth immunization Month of HepB at birth immunization Month of HepB at birth immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 431 52 1 12 99 Missing Year of HepB at birth immunization Year of HepB at birth immunization Year of HepB at birth immunization Year of HepB at birth immunization Year of HepB at birth immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 431 52 2006 2011 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of HepB1 immunization Day of HepB1 immunization Day of HepB1 immunization Day of HepB1 immunization Day of HepB1 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB1 immunization Month of HepB1 immunization Month of HepB1 immunization Month of HepB1 immunization Month of HepB1 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 421 62 1 12 99 Missing Year of HepB1 immunization Year of HepB1 immunization Year of HepB1 immunization Year of HepB1 immunization Year of HepB1 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 421 62 2006 2011 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of HepB2 immunization Day of HepB2 immunization Day of HepB2 immunization Day of HepB2 immunization Day of HepB2 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB2 immunization Month of HepB2 immunization Month of HepB2 immunization Month of HepB2 immunization Month of HepB2 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 373 110 1 12 99 Missing Year of HepB2 immunization Year of HepB2 immunization Year of HepB2 immunization Year of HepB2 immunization Year of HepB2 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 373 110 2006 2011 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of HIB1 immunization Day of HIB1 immunization Day of HIB1 immunization Day of HIB1 immunization Day of HIB1 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HIB1 immunization Month of HIB1 immunization Month of HIB1 immunization Month of HIB1 immunization Month of HIB1 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 279 204 1 12 99 Missing Year of HIB1 immunization Year of HIB1 immunization Year of HIB1 immunization Year of HIB1 immunization Year of HIB1 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 279 204 2008 2011 2008 2009 2010 2011 9999 Missing Sysmiss Day of HIB2 immunization Day of HIB2 immunization Day of HIB2 immunization Day of HIB2 immunization Day of HIB2 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HIB2 immunization Month of HIB2 immunization Month of HIB2 immunization Month of HIB2 immunization Month of HIB2 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 255 228 1 12 99 Missing Year of HIB2 immunization Year of HIB2 immunization Year of HIB2 immunization Year of HIB2 immunization Year of HIB2 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 255 228 2008 2011 2008 2009 2010 2011 9999 Missing Sysmiss Day of HIB3 immunization Day of HIB3 immunization Day of HIB3 immunization Day of HIB3 immunization Day of HIB3 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HIB3 immunization Month of HIB3 immunization Month of HIB3 immunization Month of HIB3 immunization Month of HIB3 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 219 264 1 12 99 Missing Year of HIB3 immunization Year of HIB3 immunization Year of HIB3 immunization Year of HIB3 immunization Year of HIB3 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 219 264 2008 2011 2008 2009 2010 2011 9999 Missing Sysmiss Day of HIB4 immunization Day of HIB4 immunization Day of HIB4 immunization Day of HIB4 immunization Day of HIB4 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 438 45 31 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HIB4 immunization Month of HIB4 immunization Month of HIB4 immunization Month of HIB4 immunization Month of HIB4 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 129 354 1 12 99 Missing Year of HIB4 immunization Year of HIB4 immunization Year of HIB4 immunization Year of HIB4 immunization Year of HIB4 immunization (a) Copy dates for each vaccination from the card. (b) In the column 'Day', write '44' if the card shows that the vaccination was given but there is no date properly recorded. 129 354 2009 2011 2009 2010 2011 9999 Missing Sysmiss Children's sample weight Children's sample weight Children's sample weight Children's sample weight Children's sample weight 483 4.099 Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head 483 3 3 1 Macedonian 2 Albanian 3 Roma 4 Other 9 Missing/DK Mother's education Mother's education Mother's education Mother's education Mother's education 483 3 None 1 Primary 2 Secondary 3 High 9 Missing/DK Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 483 -3.68 2.244 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 483 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 476 7 1 2 1 Poorest 60% 2 Richest 40% Sysmiss Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 745 1 70 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 745 1 19 Line number Line number Line number Line number Line number 745 2 12 Cluster number Cluster number Cluster number Cluster number Cluster number 745 1 70 Household number Household number Household number Household number Household number 745 1 19 Child's line number Child's line number Child's line number Child's line number Child's line number 745 2 12 2 3 4 5 6 7 8 9 10 11 12 Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number 745 1 8 1 2 3 4 5 6 7 8 Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number 745 4004 25927 Day of interview Day of interview Day of interview Day of interview Day of interview 745 1 31 Month of interview Month of interview Month of interview Month of interview Month of interview 745 5 7 5 6 7 Year of interview Year of interview Year of interview Year of interview Year of interview 745 2011 2011 2011 Result of interview for children 2-9 Result of interview for children 2-9 Result of interview for children 2-9 Result of interview for children 2-9 Result of interview for children 2-9 745 1 3 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 96 Other Field editor Field editor Field editor Field editor Field editor 745 4189 25922 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk 745 19687 91221 Age Age Age Age Age Copy child’s name and age from HL2 and HL6, from Household List. 734 11 2 9 2 3 4 5 6 7 8 9 Sysmiss Delay in sitting, standing, walking Delay in sitting, standing, walking Delay in sitting, standing, walking Delay in sitting, standing, walking Delay in sitting, standing, walking Compared to other children, did (name) have any serious delay in sitting standing, or walking? 734 11 1 2 1 Yes 2 No 9 Missing Sysmiss Difficulty in seeing either daytime or nighttime Difficulty in seeing either daytime or nighttime Difficulty in seeing either daytime or nighttime Difficulty in seeing either daytime or nighttime Difficulty in seeing either daytime or nighttime Compared with other children, does (name) have difficulty seeing, either in the daytime or at night? 734 11 1 2 1 Yes 2 No 9 Missing Sysmiss Difficulty hearing Difficulty hearing Difficulty hearing Difficulty hearing Difficulty hearing Does it seem that (name) has any difficulty hearing? (uses hearing aid, hears with difficulty or completely deaf)? 734 11 1 2 1 Yes 2 No 9 Missing Sysmiss Difficulty understanding Difficulty understanding Difficulty understanding Difficulty understanding Difficulty understanding When you tell (name) to do something, does he/she seem to understand what you are saying? 734 11 1 2 1 Yes 2 No 9 Missing Sysmiss Dificulty/stiffness/weakness in moving arms and legs Dificulty/stiffness/weakness in moving arms and legs Dificulty/stiffness/weakness in moving arms and legs Dificulty/stiffness/weakness in moving arms and legs Dificulty/stiffness/weakness in moving arms and legs Does (name) have difficulty in walking or moving the arms or does he/she have weakness and/or stiffness in the arms or legs? 734 11 1 2 1 Yes 2 No 9 Missing Sysmiss Ever has epileptic shock Ever has epileptic shock Ever has epileptic shock Ever has epileptic shock Ever has epileptic shock Does (name) sometimes become rigid, or lose consciousness? 734 11 1 2 1 Yes 2 No 9 Missing Sysmiss Do things like other children at same age Do things like other children at same age Do things like other children at same age Do things like other children at same age Do things like other children at same age Does (name) learn to do things like other children his/her age? 734 11 1 9 1 Yes 2 No 9 Missing Sysmiss Can speak, speak in understandable way Can speak, speak in understandable way Can speak, speak in understandable way Can speak, speak in understandable way Can speak, speak in understandable way Does (name) speak at all (can he/she speak in understandable way; can he/she say any recognizable words)? 734 11 1 2 1 Yes 2 No 9 Missing Sysmiss Speak differently than normal Speak differently than normal Speak differently than normal Speak differently than normal Speak differently than normal Is (name)’s speech in any way different from normal (not clear enough to be understood by people other than the immediate family)? 628 117 1 9 1 Yes 2 No 9 Missing Sysmiss Can name at least one object Can name at least one object Can name at least one object Can name at least one object Can name at least one object Can (name) name at least one object (for example, an animal, a toy, a cup, a spoon)? 106 639 1 2 1 Yes 2 No 9 Missing Sysmiss Mentally backward, dull or slow Mentally backward, dull or slow Mentally backward, dull or slow Mentally backward, dull or slow Mentally backward, dull or slow Compared with other children of the same age, does (name) appear in any way mentally backward, dull or slow? 734 11 1 2 1 Yes 2 No 9 Missing Sysmiss Repeated visit Repeated visit Repeated visit Repeated visit Repeated visit 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). Such a visit may take place within the next months. May I proceed and note that you would be 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. 734 11 1 9 1 No problem 2 Depends on the moment 3 Refuse 9 Missing Sysmiss Area Area Area Area Area Type of settlement: Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area. 745 1 1 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. 745 1 8 1 Vardar 2 East 3 Southwest 4 Southeast 5 Pelagonia 6 Polog 7 Northeast 8 Skopje Sex Sex Sex Sex Sex Is (name) male or female? Circle '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. When the respondent is listing everyone in the household, he/she may indicate the sex of the person at the same time, by saying "My sister Mary," for instance. In this case, you do not need to ask the sex of the household member again, since it is already obvious that the person is a female. However, when a name is mentioned that can be used for both males and females, never use your judgement. Even in cases when you think that the name would most likely be a male's (or a female's) name, have the respondent confirm the sex. This column should never be left blank. 745 1 2 1 Male 2 Female 9 Missing Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended What is the highest level of education (name) attended? 577 168 3 Preschool 1 Primary 2 Secondary 3 Higher 8 DK 9 Missing Sysmiss Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level What is the highest grade (name) completed at this level (ED4a)? 576 169 1 8 1 2 3 4 5 6 7 8 97 Inconsistent 98 DK 99 Missing Sysmiss Age (months) Age (months) Age (months) Age (months) Age (months) 745 3 59 Children's 2 to 9 sample weight Children's 2 to 9 sample weight Children's 2 to 9 sample weight Children's 2 to 9 sample weight Children's 2 to 9 sample weight 745 4.191 Mother's education Mother's education Mother's education Mother's education Mother's education 745 3 None 1 Primary 2 Secondary 3 High 9 Missing/DK Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head 745 3 3 1 Macedonian 2 Albanian 3 Roma 4 Other 9 Missing/DK Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 745 -3.68 2.381 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 745 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 734 11 1 2 1 Poorest 60% 2 Richest 40% Sysmiss