DDI_WB_ALB_2000_MICS_v01_MWorld Bank, Development Economics Data Group2004-06-13NADAVersion 01 (April 2011)Multiple Indicator Cluster Survey 2000MICS 2000ALB_2000_MICS_v01_MInstitute of Statistics
Committee on Women and Family
Institute of Public Health
Faculty of Social Sciences
United Nations Children FundNADAUnited Nations Children FundUNICEFGeneral InquiriesMICS Programme ManagerPublicationsMultiple Indicator Cluster Survey - Round 2 [hh/mics-2]UNICEF assists countries in collecting and analyzing data in order to fill data gaps for monitoring the situation of children and women through its international household survey initiative the Multiple Indicator Cluster Surveys (MICS).
MICS surveys are typically carried out by government organizations, with the support and assistance of UNICEF and other partners. Technical assistance and training for the surveys is provided through a series of regional workshops where experts from developing countries are trained on various aspects of MICS (questionnaire content, sampling and survey implementation, data processing, data quality and data analysis, and report writing and dissemination).
Since the mid-1990s, the MICS has enabled many countries to produce statistically sound and internationally comparable estimates of a range of indicators in the areas of health, education, child protection and HIV/AIDS. MICS findings have been used extensively as a basis for policy decisions and programme interventions, and for the purpose of influencing public opinion on the situation of children and women around the world.
MICS1 (1995) - The MICS was originally developed in response to the World Summit for Children to measure progress towards an internationally agreed set of mid-decade goals. The first round of MICS was conducted around 1995 in more than 60 countries.
MICS2 (2000) - A second round of surveys was conducted in 2000 (around 65 surveys), and resulted in an increasing wealth of data to monitor the situation of children and women. For the first time it was possible to monitor trends in many indicators and set baselines for other indicators.
MICS3 (2005-2006) - The third round of MICS, which was carried out in over 50 countries in 2005-06, has been an important data source for monitoring the Millennium Development Goals with 21 MDG indicators collected through MICS3 (particularly indicators related to health, education and mortality). MICS3 was also a monitoring tool for other international goals including the World Fit for Children, the UNGASS targets on HIV/AIDS and the Abuja targets for malaria.
MICS4 (2009-2011) - In response to an increased demand for data all over the world, starting from MICS4, UNICEF will be prepared to provide assistance to countries at more frequent intervals - every three years instead of every five years. This will provide the opportunity for countries to capture rapid changes in key indicators, particularly the MDGs.The 2000 Albania Multiple Indicator Cluster Survey (MICS) is a nationally representative survey of households, women, and children. The main objectives of the survey are to provide for the first time information for assessing the situation of children and women in Albania at the end of the decade and to furnish data needed for monitoring progress toward goals established at the World Summit for Children and as a basis for future action.
The 2000 Albania Multiple Indicator Cluster Survey has as its primary objectives:
- To provide up-to-date information for assessing the situation of children and women in Albania at the end of the decade in order to develop effective policies and strategies over the next decade;
- To furnish data on the situation of children needed for the compilation of the initial and second CRC country reports;
- To measure Albania’s performance vis a vis the 1990 World Summit for Children goals.
- To provide analysis of the situation of children for inclusion in deliberations at the United Nations Special Session on children as a basis for future action.
- To contribute to the improvement of data and monitoring systems in Albania and to strengthen technical expertise in design, implementation, and analysis of such systems.AlbaniaNationalHouseholds, women age 15-49, and children under age 5.Sample survey data [ssd]The Albania Multiple Indicator Cluster Survey (MICS 2) covered the following topics:
HOUSEHOLD
- Household demographic characteristics
- Education
- Child labor
- Water and sanitation
- Salt iodization
WOMEN
- Child mortality
- Tetanus toxoid
- Maternal and newborn health
- Contraceptive use
- HIV/AIDS
CHILDREN UNDER AGE 5
- Birth registration and early learning
- Vitamin A
- Vitamin D
- Breastfeeding
- Care of Illness
- Respiratory illness
- Immunization
- AnthropometryThe field work began in June 2000 and concluded in the first week of July 2000.Sample Design
The sample for MICS Albania was designed to provide estimates of various indicators at the national level, for urban and rural areas. The sample was selected in two stages. At the first stage, 376 primary Sampling Units (PSU) were systematically selected from 1665 PSU. At the second stage, households were selected systematically within each PSU. The total sample had 5182 households. Because the sample was stratified by urban and rural areas, it is not self-weighting. For reporting national level results, sample weights are used.Face-to-face [f2f]The questionnaires for the Albania MICS were based on the MICS Model Questionnaire with some modifications and additions. A household questionnaire was administered in each household, which collected various information on household members including sex, age, literacy, marital status, and orphaned children status. The household questionnaire also included education, child labor, water and sanitation, and salt iodization modules. In addition to a household questionnaire, questionnaires were administered in each household for women age 15-49 and children under age five. For children, the questionnaire was administered to the mother or caretaker of the child. The questionnaire for women contained the following modules:
- Child mortality
- Tetanus toxoid
- Maternal and newborn health
- Contraceptive use
- HIV/AIDS.
The questionnaire for children under age five included modules on:
- Birth registration and early learning
- Vitamin A
- Vitamin D
- Breastfeeding
- Care of Illness
- Respiratory illness
- Immunization
- Anthropometry.
From the MICS model English version, the questionnaires were translated into the Albanian language. The questionnaires were pre-tested during May 2000. Based on the results of the pretest, modifications were made to the wording and translation of the questionnaires.The field staff , 36 regional supervisors and also enumerators of Tirana city were trained for four days in early May 2000. All regional teams (36 districts) , collected the data; each team was comprised of a number of interviewers, and a supervisor. A demonstration of how to use the UNICEF equipment and salt iodization test was done on the last day. The MICS Coordinator provided overall supervision. The field work began in June 2000 and concluded in the first week of July 2000. The field work was organized according to a set timetable. Strong communication was established among the enumerators, controllers, supervisors and the Coordinator during the survey. The team organized trips in various districts to provide information on how the enumerators and supervisors carried out their duties.SAMPLE SIZE CALCULATION
The current section describes how the sample size can be calculated when the survey situation fits neither that used for Table 4.9 nor for Table 4.10 in Chapter 4. The sample size calculation applies only to persons, since the most important indicators for end-decade assessment are person-based. Household sample size calculations would not only require a different formula, but also very different design effect, or deff values, of 10 or more.
The calculating formula, taking into account the parameters and assumptions discussed in Chapter 4, is given by
n = [4 (r) (1 - r) (f) (1.1)] / [(e2) (p) (nh)], where(1)
(taking the components in order)
n is the required sample size for the KEY (rarest) indicator,
4 is a factor to achieve the 95 percent level of confidence,
r is the predicted or anticipated prevalence (coverage rate) for the key indicator,
which is based upon the smallest target group (in terms of its proportion of the total population),
1.1 is the factor necessary to raise the sample size by 10 percent for nonresponse,
f is the deff,
e is the margin of error to be tolerated,
p is the proportion of the total population that the smallest group comprises, and
nh is the average household size.
A numerical example is provided to illustrate the calculation.
.EXAMPLE (MODERATE-TO-HIGH COVERAGE RATE):
Suppose the target group in your country that comprises the smallest percentage of the total population is one-year-old children (recall that we are purposely excluding the four-month age groups that form the base for the breastfeeding indicators) and this group comprises 3 percent of the population. Further suppose that their DPT coverage is anticipated to be the lowest of all the indicator coverages - 50 percent, for which we want our margin of error to be 5 percentage points. If your average household size is 6 persons and we assume the sample deff is moderate, or 1.75, then the values of your parameters will be as follows:
r = 0.5
p = .03
f = 1.75
e = .05
nh = 6
Substituting, you have
n={4 x 0.5 x (1-0.5) x 1.75 x 1.1} / {(.05)2 x .03 x 6}
= 4,278.
This is the number of households you would need to survey in order to estimate DPT coverage of about 50 percent with a margin of error of 5 percentage points. Those households would contain about 25,667 persons, of which about 770 would be one-year-old children.
Formula (1) can be rewritten in shortcut version for easy calculation whenever the values of p, f, e, and nh are fixed at .03, 1.75, .05, and 6, respectively, and when the 95 percent level of confidence and nonresponse adjustment (factors of 4 and 1.1, respectively) are not changed. In that case the shortcut version is given by
n =(17,111) r (1- r). (2)
It is recommended to use the formulas (long or shortcut) instead of Table 4.9 in Chapter 4 if your moderate-to-high prevalence rate is not close to 50 percent, which is the value that the table is based upon. You would have to use the long version (formula 1) if you want to change one or more of the p, e, f, or nh values.
You might also want to consider using the long version if your nonresponse is not expected to be as high as 10 percent, in which case you would substitute for the factor of 1.1 accordingly.
It is recommended that you use the formula instead of Table 4.9 if your least coverage indicator is quite high (for example, 75 percent), because the sample size will be considerably less. For an r value of 0.75, for example, n would be 3,208 (short formula).
Another example is provided for the case where your key indicator has low coverage.
.EXAMPLE (LOW COVERAGE RATE):
Suppose your polio coverage is expected to be about 25 percent. In this case you would want your margin of error to be 3 percentage points instead of 5 (so that the confidence interval for the coverage estimate is 22 to 28 percent, as opposed to 20 to 30 percent). The other parameter values are the same as in the first example. Substituting, you would have
n ={4 x 0.25 x (1-0.25) x 1.75 x 1.1} / {(.03)2 x .03 x 6}
= 8,912
You can readily see that with stricter tolerance for the margin of error, necessary for the low coverage indicator, the sample size is much larger. This is why it is important in selecting the key indicator upon which to base your sample size that both the smallest target group be identified, and, within that group, the indicator that has the lowest coverage.
The shortcut version for calculating sample sizes for different low coverage indicators is given by:
n =47,531 r (1- r), whenever (3)
p, e, f, and nh are fixed at .03, .03, 1.75, and 6, respectively.
The formulas should be used instead of Table 4.10 in Chapter 4 if your low coverage indicator has a value that departs significantly from 25 percent, since the latter is the value that Table 4.10 is based upon.
PROCEDURES FOR SAMPLING WITH PPS - OPTION 2
In this section we give an illustration of how to select the first-stage units using pps. The illustration also shows you how to combine systematic pps sampling with geographic arrangement of the sampling frame to achieve implicit stratification.
For the illustration we take Option 2 from Chapter 4, the standard segment design, and we select a national sample. Suppose (1) the standard segment size under Option 2 is to be 500 persons, or about 100 households; (2) census enumeration areas (EAs) are to be the sample frame; and (3) the number of PSUs to be selected is 300. The steps of the first-stage selection, which follow, should be done as a computer operation, although it is possible to do them manually.
Step 1:Sort the file of EAs by urban and rural.
Step 2:Within the urban category, further sort the file in geographic serpentine order according to the administrative subdivisions of your country (for example, province or state, district, commune, etc.).
Step 3:Repeat Step 2 for the rural category.
Step 4:In one column show the census population count of the EA.
Step 5:In the next column compute the number of standard segments, which is equal to the population count divided by 500, and rounded to the nearest integer. This is the measure of size for the EA.
Step 6:Cumulate the measures of size in the next column.
Step 7:Compute the sampling interval, I, by dividing the total cumulant by 300, to one decimal place. In this illustration suppose the total cumulant is 5,281. Then the sampling interval, I, would be equal to 5,281/300, or 17.6.
Step 8:Select a random start between 0 and 17.6. The way to do this, in practice, is to use a table of random numbers and select a three-digit number between 001 and 176 and insert the decimal afterward. Suppose you select 042; then your random start is 4.2. Then your first sample PSU would be the one for which the cumulant measure of size is the smallest value equal to or greater than 4.2.
Step 9: Add 4.2 to I, or 4.2 + 17.6 = 21.8; then your next sample PSU would be the one whose cumulant corresponds to the smallest value equal to or greater than 21.8.
Step 10: Add 21.8 to I, or 21.8 + 17.6 = 39.4; the next sample PSU is the one with cumulant corresponding to the smallest value equal to or greater than 39.4.
Step 11: Continue as above, through the urban EAs followed by the rural ones, until all 300 PSUs have been selected.
The two sample PSUs that are depicted in the illustration are those in EAs 003 of commune 01 and EA 002 of commune 03, both in district 01 and province 01. In the case of the first EA, its measure of size is 3, which would mean that three segments would have to be created, each of roughly 540 persons (1,630 divided by 3), and then one of the segments would be selected at random for listing and subsampling of households. In the second sample EA, two segments would be created, each containing about 590 persons, before selecting one of them at random.
The illustration demonstrates the many advantages of implicit stratification. First, it is very easy to achieve, merely requiring that the frame of enumeration areas be sorted geographically before then selecting the sample systematically with pps. Second, it automatically provides a sample of PSUs that is proportionately distributed by urban and rural and by province (or other geographic subdivisions). For example, if 10 percent of your population is located in province 12, then 10 percent of your sample will also be selected in that province. Third, it can be easily implemented on the computer.Of the 5182 households selected for the Albania MICS sample, 4970 were found to be occupied (Table 1). Of these, 4821 were successfully interviewed for a household response rate of 97 percent. The response rate was higher in urban areas (98 percent) than in rural areas (95.7 percent). In the interviewed households, 5496 eligible women aged 15-49 were identified. Of these, 5456 were successfully interviewed, yielding a response rate of 99.3 percent. In addition, 1453 children under age five were listed in the household questionnaire. Of these, questionnaires were completed for 1452 children for a response rate of 99.9 percent.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.United Nations Children's Fund (UNICEF)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 of the data files (for datasets obtained on-line)MICS2 has put greater efforts in not only properly documenting the results published in the MICS2 country reports, but also to maximize the use of micro data sets via documentation and dissemination. For those MICS2 countries that granted UNICEF direct access to the micro data sets and documentation, a rigorous process was completed to ensure internal and external consistency, basic standards of data quality, corresponding documentation and, standardization of variable and value labels across countries.
For each country four SPSS data files were produced, corresponding to the four main units of analysis: households, household members, women in reproductive age (15-49 years of age) and children under the age of five. An additional Word file contains basic characteristics of the data such as year of the survey, sample sizes, weights, dictionary of variables and labels, and any existing limitations of the data files.
Although the format for the data sets is SPSS, these are compressed using WINZIP to facilitate their transfer.
Access to these datasets is restricted. Information on how to obtain access can be found at http://www.childinfo.org/mailform.phpThe 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.Children Albania1452239HH Listing Albania2047285Household Albania518250Women Albania5456184PSU numberPSU numberPSU numberPSU numberPSU number518248211505184.374156.725114.203117.723Questionnaire numberQuestionnaire numberQuestionnaire numberQuestionnaire numberQuestionnaire number51824821130922050598565.579702238.825319446.757295984.136Househol numberHousehol numberHousehol numberHousehol numberHousehol number51824821139220559856.55870223.88231944.67629598.414additional household numberadditional household numberadditional household numberadditional household numberadditional household number5182482110.0001939.94e-050.01390.00997Cluster NumberCluster NumberCluster NumberCluster NumberCluster NumberEnter the Cluster number as instructed by your supervisor.518248211505184.374156.725114.203117.723Household NumberHousehold NumberHousehold NumberHousehold NumberHousehold NumberEnter the Household number as instructed by your supervisor.51824821139220559856.55870223.88231944.67629598.414Additonal household numberAdditonal household numberAdditonal household numberAdditonal household numberAdditonal household number5182482110.001160.000860.0340.0293Interview DateInterview DateInterview DateInterview DateInterview DateEnter the date of the interview: day/month/year. If the interview is not completed on the first day attempted, revise and enter date of final interview.5182482110620003006200012006984.56211583225.5637828007.4227580191.1Day of interviewDay of interviewDay of interviewDay of interviewDay of interviewEnter the date of the interview: day/month/year. If the interview is not completed on the first day attempted, revise and enter date of final interview.5182482113011.94511.5217.8287.58Month of interviewMonth of interviewMonth of interviewMonth of interviewMonth of interviewEnter the date of the interview: day/month/year. If the interview is not completed on the first day attempted, revise and enter date of final interview.51824821671January2February3March4April5May6June7July8August9September10October11November12DecemberYear of interviewYear of interviewYear of interviewYear of interviewYear of interviewEnter the date of the interview: day/month/year. If the interview is not completed on the first day attempted, revise and enter date of final interview.5182482120002000200020000.000253Interviewer numberInterviewer numberInterviewer numberInterviewer numberInterviewer numberEnter your own name or identifying number.5181482111473.6323.7352.9752.996Material of dwelling floorMaterial of dwelling floorMaterial of dwelling floorMaterial of dwelling floorMaterial of dwelling floorCircle the correct code for the material of the dwelling floor. 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, record the main flooring material.48214821361141wood_tile2planks_concrete3dirt/straw4other7missingnumber of rooms in dwellingnumber of rooms in dwellingnumber of rooms in dwellingnumber of rooms in dwellingnumber of rooms in dwelling4821482136111497Missingresult of HH interviewresult of HH interviewresult of HH interviewresult of HH interviewresult of HH interviewIf the household modules have been completed, circle 1 for completed. If unable to complete the household part of the questionnaire, circle the reason and note details in the space provided at the bottom of the panel.51824821151completed2refused3not at home4hh not found_destroyed5othertotal eligible womentotal eligible womentotal eligible womentotal eligible womentotal eligible womenFill this section in once you have completed the Household Listing Form on the next page. Count the number of women noted in Column 5 and put this number in Box 11. Count the number of children under five noted in Column 7 and put this number in Box 13. After all eligible women have been interviewed, and questionnaires for each child under age 5 have been completed, note the number of completed forms in the appropriate box. For those interviews not completed, note details in the space provided at the bottom of the panel.4821482136171.141.1450.8030.825women interviews completedwomen interviews completedwomen interviews completedwomen interviews completedwomen interviews completedFill this section in once you have completed the Household Listing Form on the next page. Count the number of women noted in Column 5 and put this number in Box 11. Count the number of children under five noted in Column 7 and put this number in Box 13. After all eligible women have been interviewed, and questionnaires for each child under age 5 have been completed, note the number of completed forms in the appropriate box. For those interviews not completed, note details in the space provided at the bottom of the panel.4821482136171.1321.1370.7980.821total children under 5total children under 5total children under 5total children under 5total children under 5Fill this section in once you have completed the Household Listing Form on the next page. Count the number of women noted in Column 5 and put this number in Box 11. Count the number of children under five noted in Column 7 and put this number in Box 13. After all eligible women have been interviewed, and questionnaires for each child under age 5 have been completed, note the number of completed forms in the appropriate box. For those interviews not completed, note details in the space provided at the bottom of the panel.4821482136160.3010.3080.5860.6child interview completedchild interview completedchild interview completedchild interview completedchild interview completedFill this section in once you have completed the Household Listing Form on the next page. Count the number of women noted in Column 5 and put this number in Box 11. Count the number of children under five noted in Column 7 and put this number in Box 13. After all eligible women have been interviewed, and questionnaires for each child under age 5 have been completed, note the number of completed forms in the appropriate box. For those interviews not completed, note details in the space provided at the bottom of the panel.4821482136160.3010.3080.5860.6data entry clerkdata entry clerkdata entry clerkdata entry clerkdata entry clerkThe clerk who enters the data for this household should fill in this cell at the time of data entry.
Use the space at the bottom of the panel to record the time for any call-backs. Note the number of attempts that were necessary to complete the interviews. Record the reasons for any incomplete or blank forms for this household (eligible women modules, under-five questionnaires, or any household modules that are not completed).
Record other information about the interviews that you think is pertinent48224821360101714.36614.261.7551.793other memberother memberother memberother memberother member48214821361122.8052.8951.31.36nb of household membersnb of household membersnb of household membersnb of household membersnb of household members482148213611194.2464.3481.7121.813code of geographical unitcode of geographical unitcode of geographical unitcode of geographical unitcode of geographical unit51824821100840452650.8812625.86883.45895.677code of registration areacode of registration areacode of registration areacode of registration areacode of registration area518248211999210.441276.662257.125272.807control code of geografical unitcontrol code of geografical unitcontrol code of geografical unitcontrol code of geografical unitcontrol code of geografical unit51824821100840452650.8812625.86883.45895.677control code of registration areacontrol code of registration areacontrol code of registration areacontrol code of registration areacontrol code of registration area518248211999210.441276.662257.125272.807household control numberhousehold control numberhousehold control numberhousehold control numberhousehold control number51824821139220559856.55870223.88231944.67629598.414additional household control numberadditional household control numberadditional household control numberadditional household control numberadditional household control number5182482110.001350.001310.03670.0362control cluster numbercontrol cluster numbercontrol cluster numbercontrol cluster numbercontrol cluster number518248211505184.374156.725114.203117.723line numberline numberline numberline numberline numberThis is the number used to identify each person listed. You must obtain a complete list of all persons who usually live in the household. A household is a person or group of persons who usually live and eat together.5182482111111.27e-07source of drinking watersource of drinking watersource of drinking watersource of drinking watersource of drinking waterWhat is the main source of drinking water for members of your household?The purpose of this question is to assess the safety of the household water used for drinking. If several sources are mentioned, probe to determine the most usual source. Circle the code for the most usual source. If the source varies by season, circle the code for the source at the season of interview.518248211881piped into dweling2piped into yard or plot3public tap4tubewell, borehole with pompe5protected dug well6protected spring7rainwater collection8bottled water9unprotected dug well10unprotected spring11pond, river or stream12tanker-truck, vendor13other88NA97missing99dk or no answertime to water and backtime to water and backtime to water and backtime to water and backtime to water and backHow long does it take to go there, get water, and come back?This question is used to find out how convenient the source of drinking water is to the dwelling. 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 preceding the number if less than 100 minutes, e.g. 060 or 090. If the water source is on the dwelling premises, or if water is delivered to the dwelling by a vendor, record "on premises" by circling 888. Circle 999 for the response "doesn't know".482148213611999888water on premises997missing999Don"t knowkind of toilet facilitykind of toilet facilitykind of toilet facilitykind of toilet facilitykind of toilet facilityWhat kind of toilet facility does your household use?The purpose of this question is to obtain a measure of the cleanliness of the sanitary facility used by the household members. If the respondent answers that the household members use the bush or field, circle 6 for "no facilities" and skip to Q. 5, drawing a line through the skipped question.
A flush toilet to sewage is one in which water carries the waste down pipes to a septic tank connected to the local sewers, whether the water is piped into the toilet or poured in by buckets. A pour flush latrine is one with a water seal such as an aqua privy, or any similar device that creates a seal to prevent fumes and bacteria escaping. A Ventilated Improved Pit latrine (VIP) is a pit latrine that has a route for fumes to escape (usually a pipe), other than the hole itself. A traditional pit latrine is not ventilated.48214821361171flush to sewage system2pour flush latrine3improved pit latrine4traditional5open pit6bucket7missing8no facilities, bush, filedfacility located within privatefacility located within privatefacility located within privatefacility located within privatefacility located within privateIs this facility located within your dwelling, or yard or compound?48214821361121yes, in dwelling2no, outside dwelling7missing9dkdisposal of children stoolsdisposal of children stoolsdisposal of children stoolsdisposal of children stoolsdisposal of children stoolsWhat happens with the stools of young children (0-3 years) when they do not use the latrine or toilet facility?Unsanitary disposal of the stools of young children is closely associated with disease. The purpose of this question is to find out how households dispose of these wastes. Circle the number corresponding to the response given. If there are no young children in the household, circle 8 for "not applicable".48214821361181children always use toilet2thrwn in the toilet3thrown outside outside the yard4buried in the yard5not disposed of, left on the ground6other7missing8not applicableline numberline numberline numberline numberline numberThis is the number used to identify each person listed. You must obtain a complete list of all persons who usually live in the household. A household is a person or group of persons who usually live and eat together.5182482111111.27e-07salt iodization test outcomesalt iodization test outcomesalt iodization test outcomesalt iodization test outcomesalt iodization test outcomeWe would like to check whether the salt used in your household is iodized. May I see a sample of the salt used to cook the main meal eaten by members of your household last night?This item is used to record the type of salt used to prepare the family's main meal the day before the questionnaire is administered, and the outcome of the test for salt iodization. Follow the instructions given in training to test the salt, and circle 1 (not iodized) if the test is negative (0 PPM - parts per million - or no colour). Circle 2 if the test shows less than 15 PPM iodine (weak colour). Circle 3 if the test is positive (15 PPM or more, strong colour). Circle 8 for "not applicable" if there is no salt in the home. Circle 9 if the salt was present, but not tested for any reason.
If there are women in the household eligible for interview, continue on. If there are no household members eligible for the Individual interviews (Women's Questionnaires and under-five Children's Questionaires), end the interview here and thank the respondent.51824821191not iodized o PPm2less than 15 PPM315 or more7missing8NA or no salt in home9salt not testedUrban/RuralUrban/RuralUrban/RuralUrban/RuralUrban/RuralCircle the code for area of residence - that is, 1 for urban or 2 for rural - as instructed by your supervisor.51824821121Urban2RuralregionregionregionregionregionCircle code for region.51824821131North2Central3South51822.3920.930.539Percent of households with no saltPercent of households with no saltPercent of households with no saltPercent of households with no saltPercent of households with no salt518248211006.96625.46Percent of households in which salt was testedPercent of households in which salt was testedPercent of households in which salt was testedPercent of households in which salt was testedPercent of households in which salt was tested5182482110091.12397.82228.44414.598Result of testResult of testResult of testResult of testResult of test47224715.991460105.009121< 15 PPM215+ PPMNumber of households interviewedNumber of households interviewedNumber of households interviewedNumber of households interviewedNumber of households interviewed51824821111TotalREGR factor score 1 for analysis 1REGR factor score 1 for analysis 1REGR factor score 1 for analysis 1REGR factor score 1 for analysis 1REGR factor score 1 for analysis 148214821361-0.8192.7513.78e-170.2611.067Wealth Index QuintilesWealth Index QuintilesWealth Index QuintilesWealth Index QuintilesWealth Index Quintiles48214821361151Poorest2Second3Middle4Fourth5RichestSexSexSexSexSex48214821361121male2female7missing8NAAgeAgeAgeAgeAge48214821361209951.33151.78314.07714.571highest level of school attendedhighest level of school attendedhighest level of school attendedhighest level of school attendedhighest level of school attended44194311.197763509.803191primary-12primary-23secondary4higher7missing9dkHousehold identificationHousehold identificationHousehold identificationHousehold identificationHousehold identification518248211900610505851170184972745.432157426771.974114060550.142117567120.16Cluster numberCluster numberCluster numberCluster numberCluster numberEnter the Cluster number as instructed by your supervisor.2047220962.3811505178.414150.805115.069118.67cluster numbercluster numbercluster numbercluster numbercluster numberEnter the Cluster number as instructed by your supervisor.2047220962.3811505178.414150.805115.069118.67Househol numberHousehol numberHousehol numberHousehol numberHousehol numberEnter the Household number as instructed by your supervisor.2047220962.381139220560107.16871621.89332406.69429291.003Questionnaire numberQuestionnaire numberQuestionnaire numberQuestionnaire numberQuestionnaire number2047220962.381130922050601071.681716218.926324066.939292910.032Additional household numberAdditional household numberAdditional household numberAdditional household numberAdditional household number2047220962.38110.0002440.0001140.01560.0107Line numberLine numberLine numberLine numberLine numberThis is the number used to identify each person listed. You must obtain a complete list of all persons who usually live in the household. A household is a person or group of persons who usually live and eat together.2047220962.3811192.9683.0521.771.829SexSexSexSexSexCircle 1 for males, 2 for females.2047220962.381121male2female7missing8NAAgeAgeAgeAgeAgeObtain each person's age in completed years, that is, his/her age at his/her last birthday. If you have difficulty obtaining the ages of very elderly members of the household, you may enter the code 99, meaning "doesn't know" or "over age 50". If a child has not yet reached his/her first birthday, write 00: for example, a child who is 9 months old is coded as 00. If necessary, a more accurate estimate of the child's age will be obtained later in the questionnaire. You must record an age for each child. Do not leave this item blank for any child.2047220962.3819931.20930.94520.52420.701Year of birthYear of birthYear of birthYear of birthYear of birth2047220962.381190120001968.7581969.02420.5120.688line number of eligible womenline number of eligible womenline number of eligible womenline number of eligible womenline number of eligible womenCircle the line number in this column if the household member is a woman between 15 and 49 years of age (this includes those aged 15 and 49).2047220962.381140.7770.781.4551.485line number of mother for child labor moduleline number of mother for child labor moduleline number of mother for child labor moduleline number of mother for child labor moduleline number of mother for child labor moduleIf the household member is a child between 5 and 14 years of age (this includes those aged 5 and 14) insert the line number of his or her mother or principal caretaker in this column.2047220962.381140.4490.4670.9851.007line number of mother for child health moduleline number of mother for child health moduleline number of mother for child health moduleline number of mother for child health moduleline number of mother for child health moduleIf the household member is a child under 5 years of age (this includes those just born and those age 4) insert the line number of his or her mother or principal caretaker in this column.2047220962.381130.1970.20.7980.808can read a newspaper or lettercan read a newspaper or lettercan read a newspaper or lettercan read a newspaper or lettercan read a newspaper or letterCan you read a letter or newspaper 1=easily, 2=with difficulty, or 3=not at all?: If the household member is age 15 or over ask: Can he/she read a letter or newspaper 1=easily, 2=with difficulty, or 3=not at all?
Circle the answer given, or 9 for "doesn't know". Another adult household member can provide this information if the person is not available.1498115216.59454915745.787191reads easily2reads with difficulty3not a all7missing9dkmarital statusmarital statusmarital statusmarital statusmarital statusFor household members over age 15, circle the code for the response. Throughout this questionnaire 'marriage' refers to both formal and informal unions, such as living together.1498115216.59454915745.787151married, in union2widowed3divorced4separated5never married7missingmother alivemother alivemother alivemother alivemother aliveFor all children less than 15 years old, we want to know if either of their own natural parents lives in the household. For all household members over age 15, these columns will be left blank. By 'natural' we mean the biological parent.
Record whether or not the child's natural mother is alive by circling 1 or 2 in Column 10. Make sure the respondent understands that you are asking about the woman who gave birth to that child. If the respondent does not know if the natural mother is still alive, circle 9 for "doesn't know". If the child's mother lives in the household, circle 1 in Column 11. Her line number should be recorded in Column 6 or 7. Check that this information is correctly entered.
Go on to Q. 12 and ask the same questions about the child's natural father.54915745.7871498115216.594121yes2no7missing9dkmother in HHmother in HHmother in HHmother in HHmother in HHFor all children less than 15 years old, we want to know if either of their own natural parents lives in the household. For all household members over age 15, these columns will be left blank. By 'natural' we mean the biological parent.
Record whether or not the child's natural mother is alive by circling 1 or 2 in Column 10. Make sure the respondent understands that you are asking about the woman who gave birth to that child. If the respondent does not know if the natural mother is still alive, circle 9 for "doesn't know". If the child's mother lives in the household, circle 1 in Column 11. Her line number should be recorded in Column 6 or 7. Check that this information is correctly entered.
Go on to Q. 12 and ask the same questions about the child's natural father.54725727.8761500015234.505121yes2no7missingfather alivefather alivefather alivefather alivefather aliveFor all children less than 15 years old, we want to know if either of their own natural parents lives in the household. For all household members over age 15, these columns will be left blank. By 'natural' we mean the biological parent.
Record whether or not the child's natural father is alive by circling 1 or 2 in Column 10. Make sure the respondent understands that you are asking about the woman who gave birth to that child. If the respondent does not know if the natural father is still alive, circle 9 for "doesn't know". If the child's mother lives in the household, circle 1 in Column 11. Her line number should be recorded in Column 6 or 7. Check that this information is correctly entered.54915745.7871498115216.594121yes2no7missing9dkfather in HHfather in HHfather in HHfather in HHfather in HHFor all children less than 15 years old, we want to know if either of their own natural parents lives in the household. For all household members over age 15, these columns will be left blank. By 'natural' we mean the biological parent.
Record whether or not the child's natural father is alive by circling 1 or 2 in Column 10. Make sure the respondent understands that you are asking about the woman who gave birth to that child. If the respondent does not know if the natural father is still alive, circle 9 for "doesn't know". If the child's mother lives in the household, circle 1 in Column 11. Her line number should be recorded in Column 6 or 7. Check that this information is correctly entered.54465687.3221502615275.06121yes2no7missingperson line numberperson line numberperson line numberperson line numberperson line numberThis is the number used to identify each person listed. You must obtain a complete list of all persons who usually live in the household. A household is a person or group of persons who usually live and eat together.2047220962.3811192.9683.0521.771.829ever attended schoolever attended schoolever attended schoolever attended schoolever attended schoolHas [name] ever attended school?Circle 1 if the answer is "yes". If the answer is "no" circle 2 and go on to the household member on the next line.1901919476.80114531485.581171yes2no7missinghighest level of school attendedhighest level of school attendedhighest level of school attendedhighest level of school attendedhighest level of school attendedWhat is the highest level of school [name] attended? What is the highest grade [name] completed at this level?If the person has been to school, record the highest level of school attended by circling the code for the response. Enter the highest grade completed at that level; if less than one grade, enter 00.1746317705.92530093256.456191primary-12primary-23secondary4higher7missing9dkhighest grade at levelhighest grade at levelhighest grade at levelhighest grade at levelhighest grade at levelWhat is the highest level of school [name] attended? What is the highest grade [name] completed at this level?If the person has been to school, record the highest level of school attended by circling the code for the response. Enter the highest grade completed at that level; if less than one grade, enter 00.1746317705.92530093256.4561994.9885.1743.3953.678currently attending schoolcurrently attending schoolcurrently attending schoolcurrently attending schoolcurrently attending schoolIs [name] currently attending school?Circle 1 if the answer is "yes" and skip to Q. 19; draw a line through the skipped question so your supervisor will know you did not need to ask it. If the answer is "no" circle 2. 'Currently' refers to the day of interview. If the interview takes place after school has been released for the day, record whether the child attended school on that day. If the interview takes place on a weekend or school holiday, record whether the child attended school on the most recent day that school was in session.44464709.6141602616252.768171yes2no7missingattended school during last yearattended school during last yearattended school during last yearattended school during last yearattended school during last yearDuring the current school year, did [name] attend school at any time?Ask this question if the child is not attending school at present. Circle the code for the response given. If the answer is "no", skip to Q. 21, drawing a line through the skipped questions.24012489.2581807118473.123171yes2no7missingdays attended school in last weekdays attended school in last weekdays attended school in last weekdays attended school in last weekdays attended school in last weekSince last [day of the week], how many days did [name] attend school?For children who are currently attending school, or attended at any time in the past year, record how many days they attended school during the last seven days. Insert the name of the day of interview in the space. For example, if the interview is taking place on a Tuesday, ask: Since last Tuesday, how many days did [name] attend school?21522319.5911832018642.7964.5534.5431.2341.245level of education attendedlevel of education attendedlevel of education attendedlevel of education attendedlevel of education attendedWhich level and grade is/was [name] attending?Circle the code number for the level of school attended, and enter the child's current grade, using 01, 02, etc. 'Non-standard curriculum' includes religious schools, such as Koranic schools, which do not teach a full standard school curriculum. 'Preschool' is listed for children who do not attend grade 1 at age 5, but do attend some form of organized learning or early childhood education programme, whether or not such a programme is considered a part of the school system. Circle 9 and enter 99 if the respondent does not know.21522319.5911832018642.79241preschool2primary-13primary-24secondary7missing9dkgrade of education attendedgrade of education attendedgrade of education attendedgrade of education attendedgrade of education attendedWhich level and grade is/was [name] attending?Circle the code number for the level of school attended, and enter the child's current grade, using 01, 02, etc. 'Non-standard curriculum' includes religious schools, such as Koranic schools, which do not teach a full standard school curriculum. 'Preschool' is listed for children who do not attend grade 1 at age 5, but do attend some form of organized learning or early childhood education programme, whether or not such a programme is considered a part of the school system. Circle 9 and enter 99 if the respondent does not know.21522319.5911832018642.7983.9123.8972.2622.24attended school last yearattended school last yearattended school last yearattended school last yearattended school last yearDid [name] attend school last year?If the child attended school at any time during the last school year, circle 1. If the answer is "no" or "doesn't know", circle the appropriate code and go on to the next household member.44464709.6141602616252.768191yes2no7missing9dklevel of education attended last yearlevel of education attended last yearlevel of education attended last yearlevel of education attended last yearlevel of education attended last yearWhich level and grade did [name] attend last year?If the child attended school last year, circle the code for the level of school attended; fill in the child's grade, or circle 9 and enter 99 for "doesn't know". Categories are the same as for Q. 20.
When you have completed the Education module for all household members, prepare the individual questionnaire forms for this household:
For each woman age 15-49 years, write her name and line number at the top of each page in her Women's Questionnaire:
For each child under age 5, write his/her name and line number and the line number of his/her mother or caretaker at the top of each page in that child's Children's Questionnaire.
You should now have a separate questionnaire for each eligible woman and child in the household, ready for use for when you later move on to their questionnaires.37983930.0131667417032.368171preschool2primary-13primary-24secondary7missing9dkgrade of education attended last yeargrade of education attended last yeargrade of education attended last yeargrade of education attended last yeargrade of education attended last yearWhich level and grade did [name] attend last year?If the child attended school last year, circle the code for the level of school attended; fill in the child's grade, or circle 9 and enter 99 for "doesn't know". Categories are the same as for Q. 20.37983930.0131667417032.368973.8343.8433.5143.89line numberline numberline numberline numberline numberThis is the number used to identify each person listed. You must obtain a complete list of all persons who usually live in the household. A household is a person or group of persons who usually live and eat together.40384260.2061643416702.175161.5211.5680.7340.771child s line numberchild s line numberchild s line numberchild s line numberchild s line numberInsert the line number of the eligible child, copying from the Household Listing, Column 6.40384260.2061643416702.1751164.4214.5541.4661.501worked in past weekworked in past weekworked in past weekworked in past weekworked in past weekThis module is to be administered to the caretaker of each child between 5 and 14. (This includes those age 5 and age 14.)During the past week, did [name] do any kind of work for someone who is not a member of this household?If the answer is "yes, did work", ask if the work was done for pay and circle 1 if the work was done for pay; circle 2 if the work was not done for pay. "Pay" refers to any compensation for the work, including cash or goods or services provided to the child or his family. If 1 or 2 is circled, go on to Q. 4. If the answer is "no, no work done", circle 3 and skip to Q. 5, drawing a line through the skipped question.40384260.2061643416702.175131yes, paid2yes, unpaid3no7missinghours worked in past weekhours worked in past weekhours worked in past weekhours worked in past weekhours worked in past weekSince last [day of the week], about how many hours did he/she do this work for someone who is not a member of this household?Insert the estimated number of hours the child spent doing work in the past seven days, and skip to Q. 6, drawing a line through the skipped question. Make sure the caretaker 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.139147.7982033320814.5831486.596.6567.4237.579worked in past yearworked in past yearworked in past yearworked in past yearworked in past yearAt any time during the past year, did [name] do any kind of work for someone who is not a member of this household?If the answer is "yes", ask if the work was done for pay; circle 1 if the work was done for pay, circle 2 if the work was not done for pay. "Pay" refers to any compensation for the work, including cash or goods or services provided to the child or his family. Go on to Q. 6.40384260.2061643416702.175131yes, paid2yes, unpaid3no7missinghelped with household chores in past weekhelped with household chores in past weekhelped with household chores in past weekhelped with household chores in past weekhelped with household chores in past weekDuring the past week, did [name] help with housekeeping chores such as cooking, shopping, cleaning, washing clothes, fetching water, or caring for children?Circle 1 if "yes", and go on to Q. 7. If "no", circle 2 and skip to Q. 8, drawing a line through the skipped question. 'The past week' refers to the seven days preceding the interview day.40384260.2061643416702.175121yes2no7missinghours spent on chores in past weekhours spent on chores in past weekhours spent on chores in past weekhours spent on chores in past weekhours spent on chores in past weekSince last [day of the week], about how many hours did he/she spend doing these chores?Insert the estimated number of hours the child spent doing household chores in the past seven days. Make sure the caretaker understands what you mean by 'since last [day of the week]' - specify the name of today's weekday, just as you did for Q. 4.21982388.1551827418574.2271488.5888.7165.9786.082did other family work in past weekdid other family work in past weekdid other family work in past weekdid other family work in past weekdid other family work in past weekDuring the past week, did [name] do any other family work (on the farm or in a business)?Circle 1 if "yes", and go on to Q. 9. If "no", circle 2 and go to next line for the next eligible child. 'Other family work' means any work done other than household chores/housekeeping to help with family income generation or subsistence production. This may include raising livestock belonging to the household, or working in a family business enterprise.40384260.2061643416702.175121yes2no7missinghours worked on other family workhours worked on other family workhours worked on other family workhours worked on other family workhours worked on other family workSince last [day of the week], about how many hours did he/she do this work?Make sure the caretaker understands what you mean by 'since last [day of the week]' - specify the name of today's weekday, just as you did for Q. 4. Insert the estimated number of hours worked.8961257.381195761970514812.02511.8348.7668.683Urban/RuralUrban/RuralUrban/RuralUrban/RuralUrban/RuralCircle the code for area of residence - that is, 1 for urban or 2 for rural - as instructed by your supervisor.2047220962.381121Urban2RuralregionregionregionregionregionCircle code for region.2047220962.381131North2Central3SouthHousehol numberHousehol numberHousehol numberHousehol numberHousehol numberEnter the Household number as instructed by your supervisor.2047220962.381139220560107.16871621.89332406.69429291.003Additonal household numberAdditonal household numberAdditonal household numberAdditonal household numberAdditonal household number2047220962.38110.001030.0006050.0320.0246Interview DateInterview DateInterview DateInterview DateInterview DateEnter the date of the interview: day/month/year. If the interview is not completed on the first day attempted, revise and enter date of final interview.2047220962.38110620003006200011898679.85511495918.1757776053.7967537355.319Day of interviewDay of interviewDay of interviewDay of interviewDay of interviewEnter the date of the interview: day/month/year. If the interview is not completed on the first day attempted, revise and enter date of final interview.2047220962.38113011.83711.4347.7767.538Month of interviewMonth of interviewMonth of interviewMonth of interviewMonth of interviewEnter the date of the interview: day/month/year. If the interview is not completed on the first day attempted, revise and enter date of final interview.2047220962.381671January2February3March4April5May6June7July8August9September10October11November12DecemberYear of interviewYear of interviewYear of interviewYear of interviewYear of interviewEnter the date of the interview: day/month/year. If the interview is not completed on the first day attempted, revise and enter date of final interview.2047220962.38120002000200020000.000437Interviewer numberInterviewer numberInterviewer numberInterviewer numberInterviewer numberEnter your own name or identifying number.2047220962.3811473.6533.7722.9462.986Material of dwelling floorMaterial of dwelling floorMaterial of dwelling floorMaterial of dwelling floorMaterial of dwelling floorCircle the correct code for the material of the dwelling floor. 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, record the main flooring material.2047220962.381141wood_tile2planks_concrete3dirt/straw4other7missingnumber of rooms in dwellingnumber of rooms in dwellingnumber of rooms in dwellingnumber of rooms in dwellingnumber of rooms in dwelling2047220962.38111497Missingresult of HH interviewresult of HH interviewresult of HH interviewresult of HH interviewresult of HH interviewIf the household modules have been completed, circle 1 for completed. If unable to complete the household part of the questionnaire, circle the reason and note details in the space provided at the bottom of the panel.2047220962.381111completed2refused3not at home4hh not found_destroyed5othertotal eligible womentotal eligible womentotal eligible womentotal eligible womentotal eligible womenFill this section in once you have completed the Household Listing Form on the next page. Count the number of women noted in Column 5 and put this number in Box 11. Count the number of children under five noted in Column 7 and put this number in Box 13. After all eligible women have been interviewed, and questionnaires for each child under age 5 have been completed, note the number of completed forms in the appropriate box. For those interviews not completed, note details in the space provided at the bottom of the panel.2047220962.38171.331.3540.850.875women interviews completedwomen interviews completedwomen interviews completedwomen interviews completedwomen interviews completedFill this section in once you have completed the Household Listing Form on the next page. Count the number of women noted in Column 5 and put this number in Box 11. Count the number of children under five noted in Column 7 and put this number in Box 13. After all eligible women have been interviewed, and questionnaires for each child under age 5 have been completed, note the number of completed forms in the appropriate box. For those interviews not completed, note details in the space provided at the bottom of the panel.2047220962.38171.321.3430.8460.872total children under 5total children under 5total children under 5total children under 5total children under 5Fill this section in once you have completed the Household Listing Form on the next page. Count the number of women noted in Column 5 and put this number in Box 11. Count the number of children under five noted in Column 7 and put this number in Box 13. After all eligible women have been interviewed, and questionnaires for each child under age 5 have been completed, note the number of completed forms in the appropriate box. For those interviews not completed, note details in the space provided at the bottom of the panel.2047220962.38160.380.3920.6760.69child interview completedchild interview completedchild interview completedchild interview completedchild interview completedFill this section in once you have completed the Household Listing Form on the next page. Count the number of women noted in Column 5 and put this number in Box 11. Count the number of children under five noted in Column 7 and put this number in Box 13. After all eligible women have been interviewed, and questionnaires for each child under age 5 have been completed, note the number of completed forms in the appropriate box. For those interviews not completed, note details in the space provided at the bottom of the panel.2047220962.38160.380.3920.6760.69data entry clerkdata entry clerkdata entry clerkdata entry clerkdata entry clerkThe clerk who enters the data for this household should fill in this cell at the time of data entry.2047220962.381101714.3214.2121.7621.789other memberother memberother memberother memberother member2047220962.381123.2263.3581.4361.475nb of household membersnb of household membersnb of household membersnb of household membersnb of household members2047220962.3811194.9365.1041.8861.943code of geographical unitcode of geographical unitcode of geographical unitcode of geographical unitcode of geographical unit2047220962.381100840452625.8592619.169880.996893.256code of registration areacode of registration areacode of registration areacode of registration areacode of registration area2047220962.3811999207.993281.648252.852269.597control code of geografical unitcontrol code of geografical unitcontrol code of geografical unitcontrol code of geografical unitcontrol code of geografical unit2047220962.381100840452625.8592619.169880.996893.256control code of registration areacontrol code of registration areacontrol code of registration areacontrol code of registration areacontrol code of registration area2047220962.3811999207.993281.648252.852269.597household control numberhousehold control numberhousehold control numberhousehold control numberhousehold control number2047220962.381139220560107.16871621.89332406.69429291.003additional household control numberadditional household control numberadditional household control numberadditional household control numberadditional household control number2047220962.38110.001320.001110.03630.0333control cluster numbercontrol cluster numbercontrol cluster numbercontrol cluster numbercontrol cluster number2047220962.3811505178.414150.805115.069118.67line numberline numberline numberline numberline number2047220962.38111112.18e-07source of drinking watersource of drinking watersource of drinking watersource of drinking watersource of drinking waterWhat is the main source of drinking water for members of your household?The purpose of this question is to assess the safety of the household water used for drinking. If several sources are mentioned, probe to determine the most usual source. Circle the code for the most usual source. If the source varies by season, circle the code for the source at the season of interview.2047220962.3811piped into dweling2piped into yard or plot3public tap4tubewell, borehole with pompe5protected dug well6protected spring7rainwater collection8bottled water9unprotected dug well10unprotected spring11pond, river or stream12tanker-truck, vendor13other88NA97missing99dk or no answertime to water and backtime to water and backtime to water and backtime to water and backtime to water and backHow long does it take to go there, get water, and come back?This question is used to find out how convenient the source of drinking water is to the dwelling. 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 preceding the number if less than 100 minutes, e.g. 060 or 090. If the water source is on the dwelling premises, or if water is delivered to the dwelling by a vendor, record "on premises" by circling 888. Circle 999 for the response "doesn't know".2047220962.3811999888water on premises997missing999Don"t knowkind of toilet facilitykind of toilet facilitykind of toilet facilitykind of toilet facilitykind of toilet facilityWhat kind of toilet facility does your household use?The purpose of this question is to obtain a measure of the cleanliness of the sanitary facility used by the household members. If the respondent answers that the household members use the bush or field, circle 6 for "no facilities" and skip to Q. 5, drawing a line through the skipped question.
A flush toilet to sewage is one in which water carries the waste down pipes to a septic tank connected to the local sewers, whether the water is piped into the toilet or poured in by buckets. A pour flush latrine is one with a water seal such as an aqua privy, or any similar device that creates a seal to prevent fumes and bacteria escaping. A Ventilated Improved Pit latrine (VIP) is a pit latrine that has a route for fumes to escape (usually a pipe), other than the hole itself. A traditional pit latrine is not ventilated.2047220962.381171flush to sewage system2pour flush latrine3improved pit latrine4traditional5open pit6bucket7missing8no facilities, bush, filedfacility located within privatefacility located within privatefacility located within privatefacility located within privatefacility located within privateIs this facility located within your dwelling, or yard or compound?2047220962.381121yes, in dwelling2no, outside dwelling7missing9dkdisposal of children stoolsdisposal of children stoolsdisposal of children stoolsdisposal of children stoolsdisposal of children stoolsWhat happens with the stools of young children (0-3 years) when they do not use the latrine or toilet facility?Unsanitary disposal of the stools of young children is closely associated with disease. The purpose of this question is to find out how households dispose of these wastes. Circle the number corresponding to the response given. If there are no young children in the household, circle 8 for "not applicable".2047220962.381181children always use toilet2thrwn in the toilet3thrown outside outside the yard4buried in the yard5not disposed of, left on the ground6other7missing8not applicableline numberline numberline numberline numberline number2047220962.38111112.18e-07salt iodization test outcomesalt iodization test outcomesalt iodization test outcomesalt iodization test outcomesalt iodization test outcomeWe would like to check whether the salt used in your household is iodized. May I see a sample of the salt used to cook the main meal eaten by members of your household last night?If there are women in the household eligible for interview, continue on. If there are no household members eligible for the Individual interviews (Women's Questionnaires and under-five Children's Questionaires), end the interview here and thank the respondentThis item is used to record the type of salt used to prepare the family's main meal the day before the questionnaire is administered, and the outcome of the test for salt iodization. Follow the instructions given in training to test the salt, and circle 1 (not iodized) if the test is negative (0 PPM - parts per million - or no colour). Circle 2 if the test shows less than 15 PPM iodine (weak colour). Circle 3 if the test is positive (15 PPM or more, strong colour). Circle 8 for "not applicable" if there is no salt in the home. Circle 9 if the salt was present, but not tested for any reason.2047220962.381191not iodized o PPm2less than 15 PPM315 or more7missing8NA or no salt in home9salt not tested204720.3172.3921.0240.503AgeAgeAgeAgeAge2047220962.381997070+99Missing/dkUje i pijshemUje i pijshemUje i pijshemUje i pijshemUje i pijshem2047220962.381182.0142.3731.5981.742Uje i pijshemUje i pijshemUje i pijshemUje i pijshemUje i pijshem2047220962.381181piped into dweling2piped into yard or plot3public tap4tubewell, borehole with pompe5protected dug well6protected spring7unprotected dug well8Otherhl4 >= 7 and hl4 <= 14 (FILTER)hl4 >= 7 and hl4 <= 14 (FILTER)hl4 >= 7 and hl4 <= 14 (FILTER)hl4 >= 7 and hl4 <= 14 (FILTER)hl4 >= 7 and hl4 <= 14 (FILTER)2047220962.3811Not Selected1SelectedMother's education levelMother's education levelMother's education levelMother's education levelMother's education level40384260.2061643416702.175171None2Primary3Secondary +7Missing/DKREGR factor score 1 for analysis 1REGR factor score 1 for analysis 1REGR factor score 1 for analysis 1REGR factor score 1 for analysis 1REGR factor score 1 for analysis 12047220962.381-0.8192.7510.0530.3171.0161.07Wealth Index QuintilesWealth Index QuintilesWealth Index QuintilesWealth Index QuintilesWealth Index Quintiles2047220962.381151Poorest2Second3Middle4Fourth5RichestWealth ScoreWealth ScoreWealth ScoreWealth ScoreWealth Score2047220962.381-3.270.877-0.0553-0.3351.0641.121Wealth Index QuintilesWealth Index QuintilesWealth Index QuintilesWealth Index QuintilesWealth Index Quintiles2047220962.3811Poorest2Second3Third4Fourth5RichestHousehold identificationHousehold identificationHousehold identificationHousehold identificationHousehold identification2047220962.3811900610505851170179015540.223151521467.239114921326.11118519067.131Household members identificationHousehold members identificationHousehold members identificationHousehold members identificationHousehold members identification2047220962.3811900610015058511700417901554025.26715152146726.98911492132610.86511851906713.014Cluster numberCluster numberCluster numberCluster numberCluster numberThe modules for women of reproductive age are the Women's Information Panel, Child Mortality, Tetanus Toxoid, Maternal and Newborn Health, Contraceptive Use, and a module about HIV and AIDS knowledge. Only a skilled female interviewer should administer these modules. The interviewer should make every attempt to carry out the woman's interview in privacy. Ask all other household members or anyone else who is present (including male members of the survey team) to leave in a courteous manner. If she is a mother, ask the respondent to collect all the birth certificates and health/immunization cards she has for herself and her children before you begin the interview. You will need these when you go on to interview her about herself and her children under age five.
After you complete the household interview, you should have a form for each individual Women's Questionnaire to be filled in. Make sure you fill in the identifying information (Cluster, Household and Individual line number) at the top of every page so that no pages will be lost.545654561505181.142153.506113.172117.897cluster numbercluster numbercluster numbercluster numbercluster number545654561505181.142153.506113.172117.897Household numberHousehold numberHousehold numberHousehold numberHousehold number54565456139220558419.4370251.41732717.66230054.217Woman numberWoman numberWoman numberWoman numberWoman numberEnter the woman's Individual line number from the Household Listing, Column 5, if you have not already done so.545654561142.8882.9531.3241.376545654561142.8882.9531.3241.376Questionnaire numberQuestionnaire numberQuestionnaire numberQuestionnaire numberQuestionnaire number54565456130922050584194.302702514.167327176.624300542.168additional household numberadditional household numberadditional household numberadditional household numberadditional household number5456545610.0001838.68e-050.01350.00932seq line numberseq line numberseq line numberseq line numberseq line numberEnter the woman's Individual line number from the Household Listing, Column 5, if you have not already done so.54565456171.3491.3650.6560.674Month of birthMonth of birthMonth of birthMonth of birthMonth of birthIn what month and year were you born?If she knows her date of birth, write it in the space provided and go on to next module. If she does not know her date of birth, circle the 9s for "doesn't know" and ask her age.Enter the woman's date of birth or age. This is an important question, because many of the survey results will be calculated by age of the woman. You must obtain the month and year for her date of birth, or her age in completed years, that is, her age at her last birthday.545654561125.5015.453.1123.081Year of birthYear of birthYear of birthYear of birthYear of birthIn what month and year were you born?If she knows her date of birth, write it in the space provided and go on to next module. If she does not know her date of birth, circle the 9s for "doesn't know" and ask her age.Enter the woman's date of birth or age. This is an important question, because many of the survey results will be calculated by age of the woman. You must obtain the month and year for her date of birth, or her age in completed years, that is, her age at her last birthday.54565456195019851968.9011969.27310.09510.069Age(completed years)Age(completed years)Age(completed years)Age(completed years)Age(completed years)How old were you at your last birthday?Enter the woman's date of birth or age. This is an important question, because many of the survey results will be calculated by age of the woman. You must obtain the month and year for her date of birth, or her age in completed years, that is, her age at her last birthday.
If she does not know the answer to either of these 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 since elapsed.)
As a very last resort, if you cannot obtain her age in any other way, you will have to estimate her age. You must fill in this information. Do not leave this item blank.54565456154931.06430.69210.09210.06641874186.94812691269.0521142.6232.6891.2351.28541874186.94812691269.052151.1521.1720.4610.495Ever given birthEver given birthEver given birthEver given birthEver given birthCHILD MORTALITY MODULE (ADMINISTER TO ALL WOMEN)
These questions are used to collect information about all births the woman has ever had (including births from earlier marriages). The answers are used to estimate childhood mortality rates. It is important that the respondent understands which events to include in these reports. We want to know about all of the woman's natural births, even if the child no longer lives with her and even if the child is no longer alive. We want to know about children who were born alive - ever breathed or cried or showed other signs of life - even if they lived only a few minutes or hours. We do not want you to record any stillbirths (children who were born dead), or miscarriages, or children adopted by the woman, or children of her present husband born to another wife (to whom the respondent did not herself give birth).Now I would like to ask about all the births you have had during your life. Have you ever given birth?Now I would like to ask about all the births you have had during your life. Have you ever given birth?
This question is used to determine if the Child Mortality module and several subsequent modules should be administered to this woman. If the answer is "yes" circle 1 and go on to Q. 2. If the woman says she has never given birth, read out the probe to make sure the woman understands the meaning of 'live birth', as described during your training: I mean, to 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 the answer is still "no", draw a line through the rest of this module and skip directly to the Contraceptive Use module.41874186.94812691269.052121yes2noday of first birthday of first birthday of first birthday of first birthday of first birthFor each woman who reports at least one birth (whether still alive or now dead), ask:What was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or is the child of a man other than your current partner.You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information.
Write in the date of the first birth if she knows it, and go on to Q. 3. If she does not know, circle the 9s for "doesn't know". If she cannot give the date, the number of years elapsed since the birth of her first child is an acceptable answer. Ask: Q2b34883423.94719682032.05313114.86214.8128.6598.656Month of firts birthMonth of firts birthMonth of firts birthMonth of firts birthMonth of firts birthWhat was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or is the child of a man other than your current partner.You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information.
Write in the date of the first birth if she knows it, and go on to Q. 3. If she does not know, circle the 9s for "doesn't know". If she cannot give the date, the number of years elapsed since the birth of her first child is an acceptable answer. Ask: Q2b34883423.94719682032.0531125.8665.83.123.104Year of first birthYear of first birthYear of first birthYear of first birthYear of first birthWhat was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or is the child of a man other than your current partner.You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information.
Write in the date of the first birth if she knows it, and go on to Q. 3. If she does not know, circle the 9s for "doesn't know". If she cannot give the date, the number of years elapsed since the birth of her first child is an acceptable answer. Ask: Q2b34883423.94719682032.053196320001986.8071986.7167.4827.5Years since firts birthYears since firts birthYears since firts birthYears since firts birthYears since firts birthHow many years ago did you have your first birth?It may be easier to obtain the information using this form of the question, especially if the first child is still alive, in which case the answer is the first child's current age in completed years.34883423.94719682032.0533312.97513.0667.4897.489Any sons daughters living at homeAny sons daughters living at homeAny sons daughters living at homeAny sons daughters living at homeAny sons daughters living at homeDo you have any sons or daughters to whom you have given birth who are now living with you?Read the question slowly. The sons and daughters being considered are those who live with her in her household. If "no", skip to Q. 5, drawing a line through the skipped question.34883423.94719682032.053121yes2noSons living at homeSons living at homeSons living at homeSons living at homeSons living at homeHow many sons live with you? How many daughters live with you?If the answer to Q. 3 was "yes", record the numbers of sons and daughters living with the woman in the spaces provided. If the answer is "none" for sons (or if she does not have any sons), record 00 in the space for sons. If the answer is "none" for daughters (or if she does not have any daughters), record 00 in the space for daughters.
Remember, we are interested only in the respondent's own children - not foster children, children of her husband by another woman, or children of another relative.34463385.73120102070.26971.1711.2460.9070.955Daughters living at homeDaughters living at homeDaughters living at homeDaughters living at homeDaughters living at homeHow many sons live with you? How many daughters live with you?If the answer to Q. 3 was "yes", record the numbers of sons and daughters living with the woman in the spaces provided. If the answer is "none" for sons (or if she does not have any sons), record 00 in the space for sons. If the answer is "none" for daughters (or if she does not have any daughters), record 00 in the space for daughters.
Remember, we are interested only in the respondent's own children - not foster children, children of her husband by another woman, or children of another relative.34463385.73120102070.26961.0931.1430.9751.025Sons or daughters living elsewhereSons or daughters living elsewhereSons or daughters living elsewhereSons or daughters living elsewhereSons or daughters living elsewhereDo you have any sons or daughters to whom you have given birth who are alive but do not live with you?This refers to sons and daughters who are alive but not living with her. For example, they may be living with a relative, staying in a boarding school, been given up for adoption, or may be grown-up children who have left home. Make sure the respondent is not reporting dead children in this question. If she answers "no", skip the next question, drawing a line through it, and ask Q. 7.34883423.94719682032.053121yes2noSons elsewhereSons elsewhereSons elsewhereSons elsewhereSons elsewhereHow many sons are alive but do not live with you? How many daughters are alive but do not live with you?If the answer to Q. 5 was "yes", record the number of sons and daughters not living with the woman in the space provided. If the answer is "none" for sons (or if she does not have any sons), record 00 in the space for sons. If the answer is "none" for daughters (or if she does not have any daughters), record 00 in the space for daughters.365367.5850915088.4230.5010.5290.6490.682Daughters elsewhereDaughters elsewhereDaughters elsewhereDaughters elsewhereDaughters elsewhereHow many sons are alive but do not live with you? How many daughters are alive but do not live with you?If the answer to Q. 5 was "yes", record the number of sons and daughters not living with the woman in the space provided. If the answer is "none" for sons (or if she does not have any sons), record 00 in the space for sons. If the answer is "none" for daughters (or if she does not have any daughters), record 00 in the space for daughters.365367.5850915088.4240.9510.9720.7650.80234783415.96819782040.032141.031.0330.2070.222CM-women numberCM-women numberCM-women numberCM-women numberCM-women number34883423.94719682032.0531142.3982.4291.0541.078Ever had child who later diedEver had child who later diedEver had child who later diedEver had child who later diedEver had child who later diedHave you ever given birth to a boy or girl who was born alive but later died?This question is extremely important, but it is often very difficult to obtain accurate information about children who have died. Some respondents may fail to mention children who died very young, so if she answers "no", it is important to probe by asking: Any baby who cried or showed signs of life but survived only a few hours or days (or only a short time)? Some respondents may be reluctant to talk about this subject and may become sad or upset that you are asking such questions. Be sympathetic and tactful in such situations. Say that you know the subject is painful, but the information is important.34883423.94719682032.053121yes2noBoys deadBoys deadBoys deadBoys deadBoys deadHow many boys have died? How many girls have died?If the answer to Q. 7 was "yes", ask this question and record the number of son and daughter deaths in the spaces provided. Record 00 for no deaths, and also if she did not bear any sons (or daughters).269285.76651875170.23440.7550.7780.640.679Girls deadGirls deadGirls deadGirls deadGirls deadHow many boys have died? How many girls have died?If the answer to Q. 7 was "yes", ask this question and record the number of son and daughter deaths in the spaces provided. Record 00 for no deaths, and also if she did not bear any sons (or daughters).269285.76651875170.23450.480.5120.6670.728Children ever bornChildren ever bornChildren ever bornChildren ever bornChildren ever bornAdd the numbers of births reported in Qs. 4, 6 and 8 and write the sum here. Then check:34883423.94719682032.0531112.4832.6321.2931.412Day of last birthDay of last birthDay of last birthDay of last birthDay of last birthOf these [total number] births you have had, when did you deliver the last one (even if he or she has died)?This question is used to ascertain the woman's eligibility for the next modules. Enter the date of the woman's most recent birth, even if no longer alive, in the space provided.
Now check the date of the last child's birth. If the child was born since January 1998** go on to the Tetanus Toxoid module. If the child was born before this date, skip to the Contraceptive Use module, drawing a line through the skipped modules.34883423.94719682032.05313114.4314.2388.6548.604Month of last birthMonth of last birthMonth of last birthMonth of last birthMonth of last birthOf these [total number] births you have had, when did you deliver the last one (even if he or she has died)?This question is used to ascertain the woman's eligibility for the next modules. Enter the date of the woman's most recent birth, even if no longer alive, in the space provided.
Now check the date of the last child's birth. If the child was born since January 1998** go on to the Tetanus Toxoid module. If the child was born before this date, skip to the Contraceptive Use module, drawing a line through the skipped modules.34883423.94719682032.0531125.7095.6943.1393.104Year of last birthYear of last birthYear of last birthYear of last birthYear of last birthOf these [total number] births you have had, when did you deliver the last one (even if he or she has died)?This question is used to ascertain the woman's eligibility for the next modules. Enter the date of the woman's most recent birth, even if no longer alive, in the space provided.
Now check the date of the last child's birth. If the child was born since January 1998** go on to the Tetanus Toxoid module. If the child was born before this date, skip to the Contraceptive Use module, drawing a line through the skipped modules.34883423.94719682032.053197220001991.6621991.9175.9825.833Live birth in last yearLive birth in last yearLive birth in last yearLive birth in last yearLive birth in last yearThis question is used to ascertain the woman's eligibility for the next modules. Enter the date of the woman's most recent birth, even if no longer alive, in the space provided.
Now check the date of the last child's birth. If the child was born since January 1998** go on to the Tetanus Toxoid module. If the child was born before this date, skip to the Contraceptive Use module, drawing a line through the skipped modules.35063454.38619502001.614121yes2noTT-women numberTT-women numberTT-women numberTT-women numberTT-women numberTETANUS TOXOID (TT) MODULE
The purpose of this module is to obtain information about protection from tetanus for infants through vaccination of their mothers. Neonatal tetanus is easily prevented if a woman receives the immunization while she is pregnant with the baby, or receives several vaccinations against it at an appropriate interval before the birth. Ask these questions even if the baby born within the year is no longer alive.254259.88652025196.1141102.9493.0071.4261.516254259.88652025196.114121.0041.0010.06270.036Has immunization cardHas immunization cardHas immunization cardHas immunization cardHas immunization cardDo you have a card or other document with your own immunizations listed?First, ask whether the mother has a vaccination card or other documentary evidence of vaccination. Ask to see this evidence and record that you have seen it. If a card is presented, use it to assist with answers to the following questions.
If no card is available, you must try to find out how long ago the last tetanus toxoid (TT) dose was received, and the total number of TT doses the mother has received in her lifetime. Use the probing questions, and fill in her answers in the boxes provided.254259.88652025196.114191yes (card seen)2yes (card not seen)3no7missing9dkAny tetanus toxoid injectionAny tetanus toxoid injectionAny tetanus toxoid injectionAny tetanus toxoid injectionAny tetanus toxoid injectionWhen you were pregnant with your last child, did you receive any injection to prevent him or her from getting convulsions after birth (an anti-tetanus shot, an injection at the top of the arm or shoulder)?Ask if she received any tetanus toxoid injection during her last pregnancy. Circle 1 for a "yes" response. If the answer is "no" or "doesn't know", circle the appropriate code and skip to Q. 4, drawing a line through the skipped question.254259.88652025196.114192.0182.0981yes2no7missing9dkDoses of tetanus during last pregnacyDoses of tetanus during last pregnacyDoses of tetanus during last pregnacyDoses of tetanus during last pregnacyDoses of tetanus during last pregnacyIf "yes": How many doses of tetanus toxoid (anti-tetanus injections) did you receive during your last pregnancy?Enter the number of doses the mother reports in the space provided. If the mother reports two doses during the last pregnancy, it is not necessary to ascertain whether she ever had earlier TT doses: after entering 02, stop here and skip to next module after drawing a line through the rest of this module.
But if she reports only one dose or none during her last pregnancy, or does not know, probe for earlier doses of TT:139136.42853175319.57219933.28831.70445.63444.985Any tetanus toxoid injection beforeAny tetanus toxoid injection beforeAny tetanus toxoid injection beforeAny tetanus toxoid injection beforeAny tetanus toxoid injection beforeDid you receive any tetanus toxoid injection [additional probes] at any time before your last pregnancy, including during a previous pregnancy or between pregnancies?If she reports never having received any TT prior to her last pregnancy, or does not know, circle the appropriate response and skip to Q. 7, drawing a line through the skipped questions.254259.88652025196.114191yes2no7missing9dkDoses of tetanus toxoid before lastDoses of tetanus toxoid before lastDoses of tetanus toxoid before lastDoses of tetanus toxoid before lastDoses of tetanus toxoid before lastIf "yes": How many doses did you receive?If she reports only one dose before her latest pregnancy, probe: ask about doses received during or before the next-to-last pregnancy or between pregnancies. Enter her response in the space provided, as in Qs. 2 and 3 above.7269.19653845386.80419930.22225.30444.44941.785Month last tetanus toxoid recivedMonth last tetanus toxoid recivedMonth last tetanus toxoid recivedMonth last tetanus toxoid recivedMonth last tetanus toxoid recivedWhen was the last dose received?Ask her the date she received the latest dose of TT prior to her last pregnancy. If she cannot supply the month and year, circle the 9s for "doesn't know" and ask:7269.19653845386.80419920.13916.68232.07328.093Year last tetanus toxoid receivedYear last tetanus toxoid receivedYear last tetanus toxoid receivedYear last tetanus toxoid receivedYear last tetanus toxoid receivedWhen was the last dose received?Ask her the date she received the latest dose of TT prior to her last pregnancy. If she cannot supply the month and year, circle the 9s for "doesn't know" and ask:7269.19653845386.804199899993110.2922832.8852785.9872462.064Years ago last tetanus toxoidYears ago last tetanus toxoidYears ago last tetanus toxoidYears ago last tetanus toxoidYears ago last tetanus toxoidHow many years ago did you receive the last dose?Ask her to estimate how long ago she received the last dose of TT, and enter her response.7269.19653845386.8049918.04217.67736.52236.226Total doses of tetanusTotal doses of tetanusTotal doses of tetanusTotal doses of tetanusTotal doses of tetanusTotal up the number of doses the mother reports (add doses in Qs. 3 and 5) and enter the total in the box next to Q. 7 (total doses received in lifetime). If she answered "doesn't know" to Qs. 3 and 5, enter 99 ("doesn't know") for her lifetime total.123116.69453335339.3069916.62612.29334.27329.185254259.88652025196.114121.0081.0040.08860.0648MN-women numberMN-women numberMN-women numberMN-women numberMN-women number254259.88652025196.1141102.9493.0071.4261.516Vitamin A dose after last birthVitamin A dose after last birthVitamin A dose after last birthVitamin A dose after last birthVitamin A dose after last birthMATERNAL AND NEWBORN HEALTH MODULE
The purpose of this module is to obtain information on the health of the mother and newborn child. The module asks about the mother's health and health care received during pregnancy and during labour and delivery. We also ask about the weight of the child at the time of birth.In the first two months after your last birth, did you receive a vitamin A dose like this?IF MORE THAN ONE TYPE OF CAPSULE OR DISPENSER IS IN USE, INTERVIEWERS SHOULD BE GIVEN A SAMPLE OF EACH TYPE. THE RECOMMENDED DOSE FOR POST-PARTUM WOMEN IS 200,000 IU.
Vitamin A given to nursing mothers is transferred to her infant and can improve the health status of both mother and child. Show the vitamin A capsule (or method of dispensing) given to nursing mothers. Circle the appropriate code for her response.254259.88652025196.114191yes2no7missing9dkAntenatal care : doctorAntenatal care : doctorAntenatal care : doctorAntenatal care : doctorAntenatal care : doctorDid you see anyone for antenatal care for this pregnancy? If "yes": Whom did you see? Anyone else?Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. This question refers to any antenatal care given by a health provider during the pregnancy - a check specifically for the pregnancy and not for other reasons. This is a two-part question because if the woman answers "yes", you must ask whom she saw for the check-up. Ask if she saw more than one person, and record all persons seen. If you are unsure where to place a person mentioned, write the description in the space provided ("Other") and circle 6. If she saw no one for antenatal checks, circle 0.254259.88652025196.1141no one1doctor7missingAntenatal care: nurseAntenatal care: nurseAntenatal care: nurseAntenatal care: nurseAntenatal care: nurseDid you see anyone for antenatal care for this pregnancy? If "yes": Whom did you see? Anyone else?Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. This question refers to any antenatal care given by a health provider during the pregnancy - a check specifically for the pregnancy and not for other reasons. This is a two-part question because if the woman answers "yes", you must ask whom she saw for the check-up. Ask if she saw more than one person, and record all persons seen. If you are unsure where to place a person mentioned, write the description in the space provided ("Other") and circle 6. If she saw no one for antenatal checks, circle 0.254259.88652025196.1142no one2nurse7missingAntenatal care:auxilaryAntenatal care:auxilaryAntenatal care:auxilaryAntenatal care:auxilaryAntenatal care:auxilaryDid you see anyone for antenatal care for this pregnancy? If "yes": Whom did you see? Anyone else?Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. This question refers to any antenatal care given by a health provider during the pregnancy - a check specifically for the pregnancy and not for other reasons. This is a two-part question because if the woman answers "yes", you must ask whom she saw for the check-up. Ask if she saw more than one person, and record all persons seen. If you are unsure where to place a person mentioned, write the description in the space provided ("Other") and circle 6. If she saw no one for antenatal checks, circle 0.254259.88652025196.1143no one3auxilary7missingAntenatal care: traditionalAntenatal care: traditionalAntenatal care: traditionalAntenatal care: traditionalAntenatal care: traditionalDid you see anyone for antenatal care for this pregnancy? If "yes": Whom did you see? Anyone else?Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. This question refers to any antenatal care given by a health provider during the pregnancy - a check specifically for the pregnancy and not for other reasons. This is a two-part question because if the woman answers "yes", you must ask whom she saw for the check-up. Ask if she saw more than one person, and record all persons seen. If you are unsure where to place a person mentioned, write the description in the space provided ("Other") and circle 6. If she saw no one for antenatal checks, circle 0.254259.88652025196.1144no one4traditional7missingAntenatal care : otherAntenatal care : otherAntenatal care : otherAntenatal care : otherAntenatal care : otherDid you see anyone for antenatal care for this pregnancy? If "yes": Whom did you see? Anyone else?Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. This question refers to any antenatal care given by a health provider during the pregnancy - a check specifically for the pregnancy and not for other reasons. This is a two-part question because if the woman answers "yes", you must ask whom she saw for the check-up. Ask if she saw more than one person, and record all persons seen. If you are unsure where to place a person mentioned, write the description in the space provided ("Other") and circle 6. If she saw no one for antenatal checks, circle 0.254259.88652025196.114no one5other7missingAntenatal care: no oneAntenatal care: no oneAntenatal care: no oneAntenatal care: no oneAntenatal care: no oneDid you see anyone for antenatal care for this pregnancy? If "yes": Whom did you see? Anyone else?Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. This question refers to any antenatal care given by a health provider during the pregnancy - a check specifically for the pregnancy and not for other reasons. This is a two-part question because if the woman answers "yes", you must ask whom she saw for the check-up. Ask if she saw more than one person, and record all persons seen. If you are unsure where to place a person mentioned, write the description in the space provided ("Other") and circle 6. If she saw no one for antenatal checks, circle 0.254259.88652025196.114no one7missing8not no oneAssistance at delivery: doctorAssistance at delivery: doctorAssistance at delivery: doctorAssistance at delivery: doctorAssistance at delivery: doctorWho assisted with the delivery of your last child [or name]? Anyone else?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. Record all persons assisting at the delivery. If you are unsure where to put a person mentioned, write the description in the space provided ("Other") and circle 6. If no one attended the delivery, circle 0.254259.88652025196.1141no one1doctor7missingAssistance at delivery: nurseAssistance at delivery: nurseAssistance at delivery: nurseAssistance at delivery: nurseAssistance at delivery: nurseWho assisted with the delivery of your last child [or name]? Anyone else?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. Record all persons assisting at the delivery. If you are unsure where to put a person mentioned, write the description in the space provided ("Other") and circle 6. If no one attended the delivery, circle 0.254259.88652025196.1142no one2nurse7missingAssistance at delivery: auxilary midwifeAssistance at delivery: auxilary midwifeAssistance at delivery: auxilary midwifeAssistance at delivery: auxilary midwifeAssistance at delivery: auxilary midwifeWho assisted with the delivery of your last child [or name]? Anyone else?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. Record all persons assisting at the delivery. If you are unsure where to put a person mentioned, write the description in the space provided ("Other") and circle 6. If no one attended the delivery, circle 0.254259.88652025196.1143no one3auxilary7missingAssistance at delivery: traditionalAssistance at delivery: traditionalAssistance at delivery: traditionalAssistance at delivery: traditionalAssistance at delivery: traditionalWho assisted with the delivery of your last child [or name]? Anyone else?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. Record all persons assisting at the delivery. If you are unsure where to put a person mentioned, write the description in the space provided ("Other") and circle 6. If no one attended the delivery, circle 0.254259.88652025196.1144no one4traditional7missingAssistance at delivery : relativeAssistance at delivery : relativeAssistance at delivery : relativeAssistance at delivery : relativeAssistance at delivery : relativeWho assisted with the delivery of your last child [or name]? Anyone else?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. Record all persons assisting at the delivery. If you are unsure where to put a person mentioned, write the description in the space provided ("Other") and circle 6. If no one attended the delivery, circle 0.254259.88652025196.1145no one5relative7missingAssitance at delivery: otherAssitance at delivery: otherAssitance at delivery: otherAssitance at delivery: otherAssitance at delivery: otherWho assisted with the delivery of your last child [or name]? Anyone else?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. Record all persons assisting at the delivery. If you are unsure where to put a person mentioned, write the description in the space provided ("Other") and circle 6. If no one attended the delivery, circle 0.254259.88652025196.114no one6other7missingAssitance at delivery: no oneAssitance at delivery: no oneAssitance at delivery: no oneAssitance at delivery: no oneAssitance at delivery: no oneWho assisted with the delivery of your last child [or name]? Anyone else?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. Record all persons assisting at the delivery. If you are unsure where to put a person mentioned, write the description in the space provided ("Other") and circle 6. If no one attended the delivery, circle 0.254259.88652025196.114no one7missing8not no oneSize of child at birthSize of child at birthSize of child at birthSize of child at birthSize of child at birthWhen your last child [name] was born, was he/she very large, larger than average, average, smaller than average, or very small?Low birthweight babies are at higher risk of serious illness or death than other babies. Mothers are asked to give the baby's birthweight, and since some babies are not weighed at birth, their subjective assessment of the baby's size at birth. When the information from women who answer these questions is analysed, we can obtain an indication of what women mean by the 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 9 for "doesn't know".254259.88652025196.114151very large2larger than average3average4smaller than average5very small7missing9dkChild weighed at birthChild weighed at birthChild weighed at birthChild weighed at birthChild weighed at birthWas [name] weighed at birth?If the baby was not weighed at birth, or the mother doesn't know, skip the next question, drawing a line through it, and go on to Q. 7.254259.88652025196.114191yes2no7missing9dkWeight from card or recallWeight from card or recallWeight from card or recallWeight from card or recallWeight from card or recall230227.33452265228.666121card2recall7missing9dkWeight at birth (grams)Weight at birth (grams)Weight at birth (grams)Weight at birth (grams)Weight at birth (grams)How much did [name] weigh?If weighed, record the birthweight in grams. There are two spaces - one if the weight is from a card or written record of the birthweight on a document (vaccination card, antenatal card, or birth certificate). The other - 'grams from recall' - is to record the birthweight reported by the mother, if no other record is available. Fill in only one of these spaces, and 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 the code for "doesn't know" if she absolutely cannot remember even the approximate weight.230227.33452265228.666150053003361.7393325.058516.637500.054Difficulty with visionDifficulty with visionDifficulty with visionDifficulty with visionDifficulty with visionWhen you were pregnant with your last child, did you have difficulty with your vision during the daylight?This is a leading question to find out whether the woman has any sight problem.254259.88652025196.114191yes2no7missing9dkSuffer from nigt blidnessSuffer from nigt blidnessSuffer from nigt blidnessSuffer from nigt blidnessSuffer from nigt blidnessDuring that pregnancy, did you suffer from night blindness [insert local term]?When you are finished recording, go on to the Contraceptive Use module.Use the local term that describes night blindness. If the woman describes a problem that you are in doubt about, write down the terms she uses and check with your supervisor.254259.88652025196.114191yes2no7missing9dkCU-women numberCU-women numberCU-women numberCU-women numberCU-women number53015320.597155135.4031142.8672.9381.3211.37653015320.597155135.403171.3241.3470.6310.662currently married or livingcurrently married or livingcurrently married or livingcurrently married or livingcurrently married or livingCheck marital status in Household Listing Form (Q. 9), or ask:Are you currently married or living with a man?Record the woman's status at the time of the interview. If the woman is currently married or living in an informal union, circle 1. If she is not in a union now, probe to find out if she has ever been married (circle 3 if never married) and is now widowed, divorced or separated. If one of the latter, circle 2. Remember that in this questionnaire 'married' means living in both formal and informal unions. If she is currently married (or in union) go on to Q. 2. If not, skip to next module after drawing a line through this one.53015320.597155135.403131yes2no, widowed, divorced,separated3no, never marriedcurrently pregnantcurrently pregnantcurrently pregnantcurrently pregnantcurrently pregnantNow I am going to change topics. I would like to talk with you about another subject - family planning - and your reproductive health. I know this is a difficult subject to talk about, but it is important that we obtain this information. Of course, all the information you supply will remain strictly confidential. You will never be identified with the answers to these questions.
Are you pregnant now?This question is important because later questions in this module will not need to be asked of pregnant women. A woman who is pregnant does not need to use contraception! Circle the number corresponding to the response given; if the woman is unsure or does not know for certain if she is pregnant, circle 9 for "doesn't know". If she is pregnant circle 1 and skip to the next module, drawing a line through Qs. 3 and 4.35953553.11218611902.888131yes, currently pregnant2no3unsure or dk7missingcurrently using a methodcurrently using a methodcurrently using a methodcurrently using a methodcurrently using a methodSome couples use various ways or methods to delay or avoid a pregnancy. Are you currently doing something or using any method to delay or avoid getting pregnant?Circle 1 if "yes" and go on to ask Q. 4. If the answer is "no", circle 2 and skip to the next module, drawing a line through Q. 4.34313385.86220252070.138121yes2nocurrently method: female sterilizationcurrently method: female sterilizationcurrently method: female sterilizationcurrently method: female sterilizationcurrently method: female sterilizationWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.34313385.86220252070.1381no1female sterilization97missingcurrently method: male sterilizationcurrently method: male sterilizationcurrently method: male sterilizationcurrently method: male sterilizationcurrently method: male sterilizationWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.34313385.86220252070.1382no2male sterilization97missingcurrently method: pillcurrently method: pillcurrently method: pillcurrently method: pillcurrently method: pillWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.34313385.86220252070.1383no3pill97missingcurrently method:iudcurrently method:iudcurrently method:iudcurrently method:iudcurrently method:iudWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.54565456currently method: injectionscurrently method: injectionscurrently method: injectionscurrently method: injectionscurrently method: injectionsWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.34313385.86220252070.1385no5injections97missingcurrently method:implantscurrently method:implantscurrently method:implantscurrently method:implantscurrently method:implantsWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.54565456currently method: condomcurrently method: condomcurrently method: condomcurrently method: condomcurrently method: condomWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.34313385.86220252070.1387no7condom97missingcurrently method: female condomcurrently method: female condomcurrently method: female condomcurrently method: female condomcurrently method: female condomWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.34313385.86220252070.138no8female condom97missingcurrently method:diaphragmcurrently method:diaphragmcurrently method:diaphragmcurrently method:diaphragmcurrently method:diaphragmWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.54565456currently metod:foamcurrently metod:foamcurrently metod:foamcurrently metod:foamcurrently metod:foamWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.54565456currently method: lactationalcurrently method: lactationalcurrently method: lactationalcurrently method: lactationalcurrently method: lactationalWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.34313385.86220252070.13811no11lactational97missingcurrently method: periodic abstcurrently method: periodic abstcurrently method: periodic abstcurrently method: periodic abstcurrently method: periodic abstWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.34313385.86220252070.13812no12periodic abstinence97missingcurrently method: withdrawalcurrently method: withdrawalcurrently method: withdrawalcurrently method: withdrawalcurrently method: withdrawalWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.34313385.86220252070.13813no13withdrawal97missingcurrently method: othercurrently method: othercurrently method: othercurrently method: othercurrently method: otherWhich method are you using?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 condoms, 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 3-6 months earlier and still provide protection. Implants protect against pregnancy for up to 5 years. An IUD protects until removed or expelled. If the woman has been sterilized, you will circle 01 for female sterilization. If her current partner has been sterilized, circle 02 for male sterilization. However, if the woman is no longer living with a former partner who had a vasectomy, this should not be noted as the current method.
Do not prompt the woman. If she mentions more than one method, record only the one appearing first on the list provided. If she mentions a method you do not know of, write her description in the space provided ("Other") and circle 14.34513413.32520052042.67514no14other97missing545654561142.8882.9531.3241.37654565456171.3471.3640.6480.67ever heard hiv or aidsever heard hiv or aidsever heard hiv or aidsever heard hiv or aidsever heard hiv or aidsNow I would like to talk with you about what you know about serious illness, in particular, about HIV and AIDS.
Have you ever heard of the virus HIV or an illness called AIDS?This question leads off the discussion about HIV and AIDS, serving as an introduction. The purpose of this question, and the next seven questions, is to estimate a person's level of basic knowledge about HIV transmission and AIDS. If a respondent has never heard of the HIV virus or AIDS, skip to Q. 18 at the end of this module, drawing a line through the skipped questions.54565456121yes2no7missinganything a person can do to avoid aidsanything a person can do to avoid aidsanything a person can do to avoid aidsanything a person can do to avoid aidsanything a person can do to avoid aidsIs there anything a person can do to avoid getting HIV, the virus that causes AIDS?This question is used to identify respondents for Qs. 3-7. If the answer is "no" or "doesn't know" skip to Q. 8, drawing a line through the skipped questions.
The purpose of Qs. 3-8 is to obtain information about knowledge of correct ways of avoiding infection with HIV, and to assess the prevalence of misconceptions about how the HIV virus is transmitted. Questions 3, 5 and 7 describe three correct ways to protect from HIV infection. Questions 4 and 6 describe two common misconceptions about how HIV is transmitted. A "no" answer to Q. 8 also indicates that respondents are misinformed about HIV.51335034.207323421.793191yes2no7missing9dkcan avoid aidscan avoid aidscan avoid aidscan avoid aidscan avoid aidsNow I will read some questions about how people can protect themselves from the AIDS virus. These questions include issues related to sexuality which some people might find difficult to answer. However, your answers are very important to help understand the needs of people in [country name]. Again, this information is all completely private and anonymous. Please answer yes or no to each question.
Can people protect themselves from getting infected with the AIDS virus by having one uninfected sex partner who also has no other partners?38643613.29315921842.707191yes2no7missing9dkcan get aids throught supernaturalcan get aids throught supernaturalcan get aids throught supernaturalcan get aids throught supernaturalcan get aids throught supernaturalDo you think a person can get infected with the AIDS virus through supernatural means?**THIS QUESTION IS ALSO POSED AS: Do you think the AIDS virus can be transmitted by witchcraft?38643613.29315921842.707191yes2no7missing9dkcan avoid aids using condomcan avoid aids using condomcan avoid aids using condomcan avoid aids using condomcan avoid aids using condomCan people protect themselves from the AIDS virus by using a condom correctly every time they have sex?38643613.29315921842.707191yes2no7missing9dkcan get aids from mosquito bitescan get aids from mosquito bitescan get aids from mosquito bitescan get aids from mosquito bitescan get aids from mosquito bitesCan a person get the AIDS virus from mosquito bites?38643613.29315921842.707191yes2no7missing9dk38623609.85915941846.141171.3521.3740.6570.688HA-women numberHA-women numberHA-women numberHA-women numberHA-women number38743624.03815821831.9621122.9012.9921.3261.41can avoid aids by not having sexcan avoid aids by not having sexcan avoid aids by not having sexcan avoid aids by not having sexcan avoid aids by not having sexCan people protect themselves from getting infected with the AIDS virus by not having sex at all?Do not prompt the respondent, or indicate the 'correct' answers in any way. Circle the codes for the responses given. If the respondent cannot provide a "yes" or "no" answer, circle 9 for "doesn't know".38643613.29315921842.707191yes2no7missing9dkpossible for a helthy-lookingpossible for a helthy-lookingpossible for a helthy-lookingpossible for a helthy-lookingpossible for a helthy-lookingIs it possible for a healthy-looking person to have the AIDS virus?Another common misconception is that a person with AIDS or HIV always looks ill. This question is asked of every woman who has heard of HIV or AIDS. Circle the code for the response given and go on to Q. 9.
An understanding of more in-depth AIDS-related knowledge is obtained with Qs. 9-12, which aim to elicit whether the woman knows that the HIV virus can be transmitted vertically:51335034.207323421.793191yes2no7missing9dkcan aids be transmitted from mothercan aids be transmitted from mothercan aids be transmitted from mothercan aids be transmitted from mothercan aids be transmitted from motherCan the AIDS virus be transmitted from a mother to a child?If the respondent answers "no" or "doesn't know" to this question, draw a line through the next three questions and skip to Q. 13.51335034.207323421.793191yes2no7missing9dkaids from mother to child during pregnancyaids from mother to child during pregnancyaids from mother to child during pregnancyaids from mother to child during pregnancyaids from mother to child during pregnancyCan the AIDS virus be transmitted from a mother to a child during pregnancy?51335034.207323421.793191yes2no7missing9dkaids from mother to child at delivryaids from mother to child at delivryaids from mother to child at delivryaids from mother to child at delivryaids from mother to child at delivryCan the AIDS virus be transmitted from a mother to a child during delivery?51335034.207323421.793191yes2no7missing9dkaids from mother to child throught breastmilkaids from mother to child throught breastmilkaids from mother to child throught breastmilkaids from mother to child throught breastmilkaids from mother to child throught breastmilkCan the AIDS virus be transmitted from a mother to a child through breastmilk?Circle the codes corresponding to the answers given, and go on to the next question.
Attitudes toward persons with AIDS and discrimination against them affect efforts to prevent transmission and to care for persons with AIDS. The following questions obtain information about discriminatory attitudes and practices:51335034.207323421.793191yes2no7missing9dk51265024.203330431.797171.3391.3560.6440.669HA-women numberHA-women numberHA-women numberHA-women numberHA-women number51335034.207323421.7931142.8912.9641.3351.393should teacher with hiv/aidsshould teacher with hiv/aidsshould teacher with hiv/aidsshould teacher with hiv/aidsshould teacher with hiv/aidsIf a teacher has the AIDS virus but is not sick, should he or she be allowed to continue teaching in school?51335034.207323421.793191yes2no7missing9dkwould buy food from shopsellerwould buy food from shopsellerwould buy food from shopsellerwould buy food from shopsellerwould buy food from shopsellerIf you knew that a shopkeeper or food seller had AIDS or the virus that causes it, would you buy food from him or her?Circle the codes for the responses given.
The last three questions aim to obtain information about the level of 'unmet need' for HIV testing. They first ask about experience of HIV testing. Voluntary testing and counselling are now encouraged, in the belief that if a person knows his/her status, he/she is more likely to adopt behaviours to prevent contracting the virus or (if HIV-positive) transmitting it. Many of those who get tested do not return to learn the result of the test, but the proportion of those who return should rise as the quality of pre-test counselling improves. It is important to obtain an estimate of the number of those tested who return to learn the result, in order to monitor this proxy indicator of the quality of available counselling and the level of demand for such services.
Before you ask the questions about AIDS testing, preface them with the introduction given below in Q. 15.
OR USE A SIMILAR STATEMENT DESIGNED BY THE SURVEY TEAM.51335034.207323421.793191yes2no7missing9dkever had hiv/aidsever had hiv/aidsever had hiv/aidsever had hiv/aidsever had hiv/aidsI am not going to ask you about your HIV status [use term understood locally], but we are interested to know how much demand there is in your community for HIV testing and counselling. So, I would like to ask you:
I do not want to know the results, but have you ever been tested to see if you have HIV, the virus that causes AIDS?If the respondent answers that she has been tested, circle 1 and go on to ask Q. 16. If her answer is "no" draw a line through the next question and skip to Q. 17.51335034.207323421.793121yes2no7missing9dkreceived results of his/aidsreceived results of his/aidsreceived results of his/aidsreceived results of his/aidsreceived results of his/aidsI do not want you to tell me the results of the test, but have you been told the results?It is important that you do not attempt to find out the HIV status of any respondent who has been tested, or imply that you have any interest in knowing her HIV status. Ask the question, ensuring that the respondent knows that you are not interested in learning the result of any test she may have undergone.6040.24853965415.752111yes2no7missing9dkknow a place to get hiv/aids testknow a place to get hiv/aids testknow a place to get hiv/aids testknow a place to get hiv/aids testknow a place to get hiv/aids testAt this time, do you know of a place where you can go to get such a test to see if you have the AIDS virus?Check: Is the woman a caretaker of any children under five years of age?
If yes, go on to the Children's Questionnaire and administer one questionnaire for each child under five for whom she is the caretaker. If no:
Check: Does another eligible woman reside in the household?
If yes, end the current interview by thanking the woman for her cooperation and administer the Women's Questionnaire to the next eligible woman.
If no, end the interview with this woman by thanking her for her cooperation.
If all children have been weighed and measured, the interviews for this household are now complete. Gather together all the questionnaires for this household and tally the number of interviews completed on the Household Information Panel.
Before you leave the household, check to ensure that all the questionnaires were completed in full and that there are no blanks left. Be sure to distinguish between true zero answers and missing data or "doesn't know" answers.
Make sure to fill in the Cluster and Household number at the top of each form before leaving the dwelling. Clip the pages together as instructed and give them to your supervisor.This question is asked of all those who have heard of HIV/AIDS and aims to find out if individuals know of a source where an HIV test can be performed. Even if the respondent has been tested, we ask this question because the original testing place may no longer be accessible to the respondent.54565456121yes2no7missing9dkUrban/RuralUrban/RuralUrban/RuralUrban/RuralUrban/Rural54565456121Urban2Ruralregionregionregionregionregion54565456131North2Central3SouthSexSexSexSexSex54565456221male2female7missing8NAAgeAgeAgeAgeAge54565456154931.06430.69210.09210.066Year of birthYear of birthYear of birthYear of birthYear of birth54565456195019851968.8911969.26610.09310.068line number of eligible womenline number of eligible womenline number of eligible womenline number of eligible womenline number of eligible women545654561142.8882.9531.3241.376line number of mother for child labor moduleline number of mother for child labor moduleline number of mother for child labor moduleline number of mother for child labor moduleline number of mother for child labor module54565456line number of mother for child health moduleline number of mother for child health moduleline number of mother for child health moduleline number of mother for child health moduleline number of mother for child health module54565456can read a newspaper or lettercan read a newspaper or lettercan read a newspaper or lettercan read a newspaper or lettercan read a newspaper or letter54565456191reads easily2reads with difficulty3not a all7missing9dkmarital statusmarital statusmarital statusmarital statusmarital status54565456151married, in union2widowed3divorced4separated5never married7missingmother alivemother alivemother alivemother alivemother alive545654561yes2no7missing9dkmother in HHmother in HHmother in HHmother in HHmother in HH545654561yes2no7missingfather alivefather alivefather alivefather alivefather alive545654561yes2no7missing9dkfather in HHfather in HHfather in HHfather in HHfather in HH545654561yes2no7missingperson line numberperson line numberperson line numberperson line numberperson line number545654561142.8882.9531.3241.376ever attended schoolever attended schoolever attended schoolever attended schoolever attended school54565456111yes2no7missinghighest level of school attendedhighest level of school attendedhighest level of school attendedhighest level of school attendedhighest level of school attended54565456141primary2secondary3higher4non-standard curriculum7missing9dkhighest grade at levelhighest grade at levelhighest grade at levelhighest grade at levelhighest grade at level54565456185.2075.5462.1162.181currently attending schoolcurrently attending schoolcurrently attending schoolcurrently attending schoolcurrently attending school772802.56746844653.433121yes2no7missingattended school during last yearattended school during last yearattended school during last yearattended school during last yearattended school during last year560596.36348964859.637121yes2no7missingdays attended school in last weekdays attended school in last weekdays attended school in last weekdays attended school in last weekdays attended school in last week226218.11752305237.883164.6154.5991.1541.177level of education attendedlevel of education attendedlevel of education attendedlevel of education attendedlevel of education attended226218.11752305237.883341preschool2primary3secondary4non-standard curriculum7missing9dkgrade of education attendedgrade of education attendedgrade of education attendedgrade of education attendedgrade of education attended226218.11752305237.883183.2573.4432.4582.557attended school last yearattended school last yearattended school last yearattended school last yearattended school last year772802.56746844653.433121yes2no7missing9dklevel of education attended last yearlevel of education attended last yearlevel of education attended last yearlevel of education attended last yearlevel of education attended last year442414.04350145041.957241preschool2primary3secondary4non-standard curriculum7missing9dkgrade of education attended last yeargrade of education attended last yeargrade of education attended last yeargrade of education attended last yeargrade of education attended last year442414.04350145041.95784.384.5833.0032.986line numberline numberline numberline numberline number54565456child s line numberchild s line numberchild s line numberchild s line numberchild s line number54565456Househol numberHousehol numberHousehol numberHousehol numberHousehol number54565456139220558419.4370251.41732717.66230054.217Additonal household numberAdditonal household numberAdditonal household numberAdditonal household numberAdditonal household number5456545610.0009160.0004340.03030.0208Interview DateInterview DateInterview DateInterview DateInterview Date5456545610620003006200012002964.07611533307.7957812063.7347554806.637Day of interviewDay of interviewDay of interviewDay of interviewDay of interview5456545613011.94111.4717.8127.555Month of interviewMonth of interviewMonth of interviewMonth of interviewMonth of interview54565456671January2February3March4April5May6June7July8August9September10October11November12DecemberYear of interviewYear of interviewYear of interviewYear of interviewYear of interview5456545620002000200020000.000137Interviewer numberInterviewer numberInterviewer numberInterviewer numberInterviewer number545654561473.6783.8122.9492.996Material of dwelling floorMaterial of dwelling floorMaterial of dwelling floorMaterial of dwelling floorMaterial of dwelling floor54565456141wood_tile2planks_concrete3dirt/straw4other7missingnumber of rooms in dwellingnumber of rooms in dwellingnumber of rooms in dwellingnumber of rooms in dwellingnumber of rooms in dwelling5456545611497Missingresult of HH interviewresult of HH interviewresult of HH interviewresult of HH interviewresult of HH interview54565456111completed2refused3not at home4hh not found_destroyed5othertotal eligible womentotal eligible womentotal eligible womentotal eligible womentotal eligible women54565456171.7031.7360.8980.927women interviews completedwomen interviews completedwomen interviews completedwomen interviews completedwomen interviews completed54565456171.6951.7280.8950.925total children under 5total children under 5total children under 5total children under 5total children under 55456545660.3260.3390.6320.647child interview completedchild interview completedchild interview completedchild interview completedchild interview completed5456545660.3260.3390.6320.647data entry clerkdata entry clerkdata entry clerkdata entry clerkdata entry clerk54565456101714.32714.2121.7631.786other memberother memberother memberother memberother member54565456122.9223.0651.3931.429nb of household membersnb of household membersnb of household membersnb of household membersnb of household members545654561194.9515.141.8011.866code of geographical unitcode of geographical unitcode of geographical unitcode of geographical unitcode of geographical unit54565456100840452618.1142617.729882.227896.287code of registration areacode of registration areacode of registration areacode of registration areacode of registration area545654561999198.957274.788248.921268.687control code of geografical unitcontrol code of geografical unitcontrol code of geografical unitcontrol code of geografical unitcontrol code of geografical unit54565456100840452618.1142617.729882.227896.287control code of registration areacontrol code of registration areacontrol code of registration areacontrol code of registration areacontrol code of registration area545654561999198.957274.788248.921268.687household control numberhousehold control numberhousehold control numberhousehold control numberhousehold control number54565456139220558419.4370251.41732717.66230054.217additional household control numberadditional household control numberadditional household control numberadditional household control numberadditional household control number5456545610.00110.0007180.03310.0268control cluster numbercontrol cluster numbercontrol cluster numbercontrol cluster numbercontrol cluster number545654561505181.142153.506113.172117.897line numberline numberline numberline numberline number5456545611116.85e-08source of drinking watersource of drinking watersource of drinking watersource of drinking watersource of drinking water545654561121piped into dweling2piped into yard or plot3public tap4tubewell, borehole with pompe5protected dug well6protected spring7rainwater collection8bottled water9unprotected dug well10unprotected spring11pond, river or stream12tanker-truck, vendor13other88NA97missing99dk or no answertime to water and backtime to water and backtime to water and backtime to water and backtime to water and back545654561999888water on premises997missing999Don"t knowkind of toilet facilitykind of toilet facilitykind of toilet facilitykind of toilet facilitykind of toilet facility54565456171flush to sewage system2pour flush latrine3improved pit latrine4traditional5open pit6bucket7missing8no facilities, bush, filedfacility located within privatefacility located within privatefacility located within privatefacility located within privatefacility located within private54565456121yes, in dwelling2no, outside dwelling7missing9dkdisposal of children stoolsdisposal of children stoolsdisposal of children stoolsdisposal of children stoolsdisposal of children stools54565456181children always use toilet2thrwn in the toilet3thrown outside outside the yard4buried in the yard5not disposed of, left on the ground6other7missing8not applicableline numberline numberline numberline numberline number5456545611116.85e-08salt iodization test outcomesalt iodization test outcomesalt iodization test outcomesalt iodization test outcomesalt iodization test outcome54565456191not iodized o PPm2less than 15 PPM315 or more7missing8NA or no salt in home9salt not tested54560.3172.3921.0040.502AgeAgeAgeAgeAge54566848.31715497070+99Missing/dkDate of interview (CMC)Date of interview (CMC)Date of interview (CMC)Date of interview (CMC)Date of interview (CMC)54566848.317120612071206.0161206.0110.1270.102Date of birth (CMC)Date of birth (CMC)Date of birth (CMC)Date of birth (CMC)Date of birth (CMC)54566848.3176071026832.311840.716121.116120.482AgeAgeAgeAgeAge54566848.31717115-19220-24325-29430-34535-39640-44745-49Marital statusMarital statusMarital statusMarital statusMarital status53016698.61155149.708131Currently married2Formerly married3Never marriedWoman's education levelWoman's education levelWoman's education levelWoman's education levelWoman's education level54566848.317131Primary2Secondary3HigherChildren ever bornChildren ever bornChildren ever bornChildren ever bornChildren ever born41875247.23412691601.083112.0692.2181.51.728Dead childrenDead childrenDead childrenDead childrenDead children34884228.65219682619.66670.09520.120.3820.465Heard of AIDSHeard of AIDSHeard of AIDSHeard of AIDSHeard of AIDS54566848.31710094.0891.01923.60228.59354560.3372.38110.501REGR factor score 1 for analysis 1REGR factor score 1 for analysis 1REGR factor score 1 for analysis 1REGR factor score 1 for analysis 1REGR factor score 1 for analysis 154566848.317-0.8192.70.009920.4570.9891.049Wealth Index QuintilesWealth Index QuintilesWealth Index QuintilesWealth Index QuintilesWealth Index Quintiles54566848.317151Poorest2Second3Middle4Fourth5RichestHousehold identificationHousehold identificationHousehold identificationHousehold identificationHousehold identification54566848.3171900610505851170181726239.756133040641.808113025581.994116048447.167Household members identificationHousehold members identificationHousehold members identificationHousehold members identificationHousehold members identification54566848.3171900610025058511700318172623978.5313304064183.81411302558199.24211604844716.603PSU numberPSU numberPSU numberPSU numberPSU number14521453.4561505179.337153.554121.246128.239cluster numbercluster numbercluster numbercluster numbercluster number14521453.4561505179.337153.554121.246128.239Household numberHousehold numberHousehold numberHousehold numberHousehold number14521453.456139220559508.15972074.82133306.07129533.447Child numberChild numberChild numberChild numberChild number14521453.4562195.0035.1611.9191.93Care taker numberCare taker numberCare taker numberCare taker numberCare taker number14521453.4561132.7922.8311.3371.353Questionnaire numberQuestionnaire numberQuestionnaire numberQuestionnaire numberQuestionnaire number14521453.456130922050595081.592720748.213333060.709295334.469Additional household numberAdditional household numberAdditional household numberAdditional household numberAdditional household number14521453.45610.0006890.0003220.02620.01814521453.456161.2211.2390.510.52514521453.4562195.0035.1611.9191.93Child ageChild ageChild ageChild ageChild ageFill in the child's age in completed years as stated in the Household Listing, Column 4. You will use this, or correct and use this, to ascertain eligibility for certain questions later on in this questionnaire. Enter a zero before the digit.14521453.45642.3712.3961.3331.335Day of birth of childDay of birth of childDay of birth of childDay of birth of childDay of birth of childNow I would like to ask you some questions about the health of each child under the age of five in your care, who lives with you now.
Now I want to ask you about [name].
In what month and year was [name] born?
Probe: What is his/her birthday?Ask the mother or caretaker for the child's date of birth. If the month or day contains only one digit, use a zero to fill in the first space: for example, the month of March is coded as 03. If the mother knows the exact birth date, also enter the day of birth. Otherwise, enter 99 in the space for day of birth. It is important to record the child's month and year of birth accurately, especially if the Immunization and Anthropometry modules are included in the survey. Then go on to Q. 4.14521453.45613114.77514.6248.6238.571Month of birth of childMonth of birth of childMonth of birth of childMonth of birth of childMonth of birth of childNow I would like to ask you some questions about the health of each child under the age of five in your care, who lives with you now.
Now I want to ask you about [name].
In what month and year was [name] born?
Probe: What is his/her birthday?Ask the mother or caretaker for the child's date of birth. If the month or day contains only one digit, use a zero to fill in the first space: for example, the month of March is coded as 03. If the mother knows the exact birth date, also enter the day of birth. Otherwise, enter 99 in the space for day of birth. It is important to record the child's month and year of birth accurately, especially if the Immunization and Anthropometry modules are included in the survey. Then go on to Q. 4.14521453.4561125.7135.7073.1463.115Year of birth of childYear of birth of childYear of birth of childYear of birth of childYear of birth of childNow I would like to ask you some questions about the health of each child under the age of five in your care, who lives with you now.
Now I want to ask you about [name].
In what month and year was [name] born?
Probe: What is his/her birthday?Ask the mother or caretaker for the child's date of birth. If the month or day contains only one digit, use a zero to fill in the first space: for example, the month of March is coded as 03. If the mother knows the exact birth date, also enter the day of birth. Otherwise, enter 99 in the space for day of birth. It is important to record the child's month and year of birth accurately, especially if the Immunization and Anthropometry modules are included in the survey. Then go on to Q. 4.14521453.456199520001997.5361997.5191.3261.338Child has birth certificateChild has birth certificateChild has birth certificateChild has birth certificateChild has birth certificateDoes [name] have a birth certificate? May I see it?This question is used to verify that the child's correct age can be computed, but also aims to provide an estimate of the extent of birth registration in your country.
Circle the code for the response, noting whether or not the certificate was presented. If a certificate is presented, verify the birth date you were given for Q. 3 and correct it if necessary; then draw a line through the next three questions and skip to Q. 8. If no birth certificate is presented, and the mother is unsure of the exact date, try to verify the date using another document (health card, etc.). Be cautious about accepting the date from an immunization card or other document that may have been obtained some time after the child's birth. Check this date with the mother to be sure she thinks this date is accurate. Go on to Q. 5 if no certificate is shown.
If the birth certificate is unobtainable, or if none exists, and the mother is unsure of the birth date, you will need to probe further to obtain the best possible estimate of the date. If the mother can give a year of birth, but not the month, probe to try to estimate the month. You will have to convert the month to a number, as you have been instructed.
If you cannot estimate the child's month of birth from this information, you may need to find out in which season he/she was born. If it is still not possible to estimate the child's month of birth, write 99 in the space for month. If you cannot ascertain the day of birth, write 99 in the space provided for day. Do not leave these columns blank.
You must record a year of birth. If the mother cannot give a year of birth, you may need to use a calendar of important events to estimate the child's year of birth. If there is no other way to estimate the year of birth, relate the child's birth to another child in the household for whom the date is known. You will need to use your judgement to estimate a year of birth for each child.
Remember, ages must be at last birthday; that is, the child must have already passed or celebrated that birthday.14521453.456131yes, seen2yes, nott seen3no7missing9dkChild registredChild registredChild registredChild registredChild registredHas [name]'s birth been registered?Ask this question if no birth certificate was presented. If the answer is "yes" circle 1 and skip to Q. 8, drawing a line through the skipped questions. If the answer is "no" circle 2 and go on to Q. 6. If the answer is "doesn't know" circle 9 and skip to Q. 7, drawing a line through the skipped question.365397.21710871056.239121yes2no7missing9dkReason birth not registredReason birth not registredReason birth not registredReason birth not registredReason birth not registredWhy is [name]'s birth not registered?This question aims to elicit the reason for non-registration. Circle the code corresponding to the answer given. If more than one reason is given circle all that apply.1416.36814381437.088261costs too much2must travel too far3did not know it should be registred4late, and did note want to pay fine5does not know where to register6other7missing9dkKnow how to register birthKnow how to register birthKnow how to register birthKnow how to register birthKnow how to register birthDo you know how to register your child's birth?The purpose of this question is to assess how important lack of knowledge (of the process of registering or, if applicable, the place to go to register) may be among the reasons for non-registration. This information can inform advocacy efforts and help to formulate education campaigns.
Circle the code for the response given. If no response is provided, circle 8 for "no answer".1416.36814381437.088121yes2no7missing8no answerChild attends early chilhood educationChild attends early chilhood educationChild attends early chilhood educationChild attends early chilhood educationChild attends early chilhood educationCheck the child's age in Q. 2 above. If three years old or more, ask:Does [name] attend any organized learning or early childhood education programme, such as a private or government facility, including kindergarten or community child care?This question aims to find out if any under-fives are participating in early learning activities. Circle the appropriate code. If the answer to this question is "no" or "doesn't know", draw a line through the next question and skip to next module. If the child is under three and hence not eligible for this question, draw a line through this and the next question and skip to the next module. You must ensure that the mother or caretaker understands the meaning of 'early childhood education programme', explaining it as instructed.14521453.456121yes2no7missing9dkHours attended education in last 7 daysHours attended education in last 7 daysHours attended education in last 7 daysHours attended education in last 7 daysHours attended education in last 7 daysWithin the last seven days, about how many hours did [name] attend?If the response to Q. 8 was "yes", then ask this question and record the estimated number of hours the child attended in the last seven days. Enter a zero first if the number is one digit.194179.0812581274.37514814.3313.00413.78613.40114521453.456181.2271.2460.5410.562VA-Child numberVA-Child numberVA-Child numberVA-Child numberVA-Child number14521453.4562195.0035.1611.9191.93VA-Mother numberVA-Mother numberVA-Mother numberVA-Mother numberVA-Mother number14521453.4561132.7922.8311.3381.354Child ever received vitamin AChild ever received vitamin AChild ever received vitamin AChild ever received vitamin AChild ever received vitamin AHas [name] ever received a vitamin A capsule (supplement) like this one?This question asks if the child has received a supplement. Show the sample capsule or dispenser you were given to help the mother remember. (You may be instructed to show several different capsules, asking the mother to identify the correct one.) Circle the code for her answer. If the child has never received a vitamin A supplement, or the mother/caretaker does not know if he/she has ever received one, draw a line through this module and skip to the next one.14521453.456191yes2no7missing9dkMonths ago child took last vitamin A doseMonths ago child took last vitamin A doseMonths ago child took last vitamin A doseMonths ago child took last vitamin A doseMonths ago child took last vitamin A doseHow many months ago did [name] take the last dose?If the answer to Q. 1 was "yes" record the number of months ago the last dose was given to the child. Circle 99 if the mother does not know.377351.81710751101.63819954.22353.94246.22346.03Place child got last vitamin A dosePlace child got last vitamin A dosePlace child got last vitamin A dosePlace child got last vitamin A dosePlace child got last vitamin A doseWhere did [name] get this last dose?This question is meant to provide information for health programmes about where children are most likely to get their vitamin A dose. Circle the code corresponding to the answer given. If the dose was obtained from a source not listed, write the description next to "Other" and circle 4.377351.81710751101.638191on routine visit2sick chikd visit3national immunization day4other9dk14521453.456161.2211.2390.510.525VD-Child numberVD-Child numberVD-Child numberVD-Child numberVD-Child number14521453.4562195.0035.1611.9191.93VD-mother numberVD-mother numberVD-mother numberVD-mother numberVD-mother number14521453.4561132.7922.8311.3381.354Child ever received vitamin DChild ever received vitamin DChild ever received vitamin DChild ever received vitamin DChild ever received vitamin D14521453.456191yes2no7missing9dkMonths ago child took last doseMonths ago child took last doseMonths ago child took last doseMonths ago child took last doseMonths ago child took last dose798722.003654731.45219947.6948.24143.55543.48Place child got last dosePlace child got last dosePlace child got last dosePlace child got last dosePlace child got last dose798722.003654731.452191on routine visit to health centre2sick child visit to health centre3national immunization day4other7missing9dk14521453.456161.2211.2390.510.525BF-child numberBF-child numberBF-child numberBF-child numberBF-child number14521453.4562195.0035.1611.9191.93BF-mother numberBF-mother numberBF-mother numberBF-mother numberBF-mother number14521453.4561132.7932.8321.341.357child ever been breastfedchild ever been breastfedchild ever been breastfedchild ever been breastfedchild ever been breastfedHas [name] ever been breastfed?This question asks if the child has ever been breastfed. It includes any breastfeeding experience of the child - not necessarily by the mother. If the answer is "yes", circle 1 and go on to Q. 2. If the answer is "no" or "doesn't know", circle the appropriate code and skip to Q. 4, drawing a line through the skipped questions.14521453.456121yes2no7missing9dkchild still being breastfedchild still being breastfedchild still being breastfedchild still being breastfedchild still being breastfedIs he/she still being breastfed?The next questions ask about what the child was fed in the preceding 24 hours.Breastfeeding is defined as putting the child to the breast at least once a day. Circle the appropriate code for the response given. If the answer is "yes", ask the next question. If the child is no longer breastfed, or the caretaker doesn't know, draw a line through the next question and skip to Q. 4.12921295.867160157.589121yes2no7missing9dkchild received vitamin,...child received vitamin,...child received vitamin,...child received vitamin,...child received vitamin,...Since this time yesterday, did he/she receive any of the following?The purpose of this question is to determine what other liquids or foods the child was given in addition to breastmilk. Prompt by asking each listed question in turn: Did [name] receive vitamin or mineral supplements or medicine? Did he/she receive plain water? and so on through the list. Use the local terms that were defined during your training. Make sure that the caretaker understands the questions, particularly what you mean by 'since this time yesterday'. (Specify to the mother: mid-morning, mid-afternoon, etc., depending on the time of the interview.) Circle the appropriate code for each answer: 1 = "yes", 2 = "no". If the 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 9 for "doesn't know". If a mother mentions a liquid which does not fit into one of the categories listed, write the description in the space provided in 3F and circle 1.326335.5111261117.9461no1yes7missing9dkchild received plain waterchild received plain waterchild received plain waterchild received plain waterchild received plain waterSince this time yesterday, did he/she receive any of the following?The purpose of this question is to determine what other liquids or foods the child was given in addition to breastmilk. Prompt by asking each listed question in turn: Did [name] receive vitamin or mineral supplements or medicine? Did he/she receive plain water? and so on through the list. Use the local terms that were defined during your training. Make sure that the caretaker understands the questions, particularly what you mean by 'since this time yesterday'. (Specify to the mother: mid-morning, mid-afternoon, etc., depending on the time of the interview.) Circle the appropriate code for each answer: 1 = "yes", 2 = "no". If the 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 9 for "doesn't know". If a mother mentions a liquid which does not fit into one of the categories listed, write the description in the space provided in 3F and circle 1.326335.5111261117.9462no2yes7missing9dkchild received sweetened waterchild received sweetened waterchild received sweetened waterchild received sweetened waterchild received sweetened waterSince this time yesterday, did he/she receive any of the following?The purpose of this question is to determine what other liquids or foods the child was given in addition to breastmilk. Prompt by asking each listed question in turn: Did [name] receive vitamin or mineral supplements or medicine? Did he/she receive plain water? and so on through the list. Use the local terms that were defined during your training. Make sure that the caretaker understands the questions, particularly what you mean by 'since this time yesterday'. (Specify to the mother: mid-morning, mid-afternoon, etc., depending on the time of the interview.) Circle the appropriate code for each answer: 1 = "yes", 2 = "no". If the 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 9 for "doesn't know". If a mother mentions a liquid which does not fit into one of the categories listed, write the description in the space provided in 3F and circle 1.326335.5111261117.9463no3yes7missing9dkchild received orschild received orschild received orschild received orschild received orsSince this time yesterday, did he/she receive any of the following?The purpose of this question is to determine what other liquids or foods the child was given in addition to breastmilk. Prompt by asking each listed question in turn: Did [name] receive vitamin or mineral supplements or medicine? Did he/she receive plain water? and so on through the list. Use the local terms that were defined during your training. Make sure that the caretaker understands the questions, particularly what you mean by 'since this time yesterday'. (Specify to the mother: mid-morning, mid-afternoon, etc., depending on the time of the interview.) Circle the appropriate code for each answer: 1 = "yes", 2 = "no". If the 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 9 for "doesn't know". If a mother mentions a liquid which does not fit into one of the categories listed, write the description in the space provided in 3F and circle 1.326335.5111261117.9464no4yes7missing9dkchild received milkchild received milkchild received milkchild received milkchild received milkSince this time yesterday, did he/she receive any of the following?The purpose of this question is to determine what other liquids or foods the child was given in addition to breastmilk. Prompt by asking each listed question in turn: Did [name] receive vitamin or mineral supplements or medicine? Did he/she receive plain water? and so on through the list. Use the local terms that were defined during your training. Make sure that the caretaker understands the questions, particularly what you mean by 'since this time yesterday'. (Specify to the mother: mid-morning, mid-afternoon, etc., depending on the time of the interview.) Circle the appropriate code for each answer: 1 = "yes", 2 = "no". If the 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 9 for "doesn't know". If a mother mentions a liquid which does not fit into one of the categories listed, write the description in the space provided in 3F and circle 1.326335.5111261117.9465no5yes7missing9dkchild received other liquidschild received other liquidschild received other liquidschild received other liquidschild received other liquidsSince this time yesterday, did he/she receive any of the following?The purpose of this question is to determine what other liquids or foods the child was given in addition to breastmilk. Prompt by asking each listed question in turn: Did [name] receive vitamin or mineral supplements or medicine? Did he/she receive plain water? and so on through the list. Use the local terms that were defined during your training. Make sure that the caretaker understands the questions, particularly what you mean by 'since this time yesterday'. (Specify to the mother: mid-morning, mid-afternoon, etc., depending on the time of the interview.) Circle the appropriate code for each answer: 1 = "yes", 2 = "no". If the 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 9 for "doesn't know". If a mother mentions a liquid which does not fit into one of the categories listed, write the description in the space provided in 3F and circle 1.326335.5111261117.9466no6yes7missing9dkchild received solid or rmushy foodchild received solid or rmushy foodchild received solid or rmushy foodchild received solid or rmushy foodchild received solid or rmushy foodSince this time yesterday, did he/she receive any of the following?The purpose of this question is to determine what other liquids or foods the child was given in addition to breastmilk. Prompt by asking each listed question in turn: Did [name] receive vitamin or mineral supplements or medicine? Did he/she receive plain water? and so on through the list. Use the local terms that were defined during your training. Make sure that the caretaker understands the questions, particularly what you mean by 'since this time yesterday'. (Specify to the mother: mid-morning, mid-afternoon, etc., depending on the time of the interview.) Circle the appropriate code for each answer: 1 = "yes", 2 = "no". If the 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 9 for "doesn't know". If a mother mentions a liquid which does not fit into one of the categories listed, write the description in the space provided in 3F and circle 1.326335.5111261117.9467no7yes9dkchild received drink from bottlechild received drink from bottlechild received drink from bottlechild received drink from bottlechild received drink from bottleSince this time yesterday, has [name] been given anything to drink from a bottle with a nipple or teat?This question asks if the child was bottle-fed in the last 24 hours, and can be used to estimate the rate of bottle-feeding. Make sure the mother understands the question, using local words for nipple or teat. It does not matter what was in the bottle (milk, water, teas, juices), only whether or not a bottle was used.14511451.3312.126121yes2no7missing9dk14521453.456161.221.2390.50.522CI-child numberCI-child numberCI-child numberCI-child numberCI-child number14521453.4562195.0035.1611.9191.93CI-mother numberCI-mother numberCI-mother numberCI-mother numberCI-mother number14521453.4561132.7922.8311.3381.354child had diarrhoeachild had diarrhoeachild had diarrhoeachild had diarrhoeachild had diarrhoeaCARE OF ILLNESS MODULE
These questions aim to find out if the child has recently had diarrhoea or any other illness and, if so, what treatments, drinks and foods the child took during the episode. A diarrhoea episode is defined as three or more loose or watery stools per day, or blood in the stool on any day, or as defined by the mother.Has [name] had diarrhoea in the last two weeks, that is, since [day of the week] of the week before last?Record the mother's answer by circling the appropriate code. If a respondent is not sure what is meant by diarrhoea, tell her 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 two weeks'.
If the child has had diarrhoea in the last two weeks, circle 1 for "yes" and skip to Q. 3, drawing a line through the skipped question. If the child has not had diarrhoea in the last two weeks or the caretaker doesn't know, circle 2 for "no" or 9 for "doesn't know", and go on to Q. 2.14521453.456121yes2no7missing9dkchild had other illnesschild had other illnesschild had other illnesschild had other illnesschild had other illnessIn the last two weeks, has [name] had any other illness, such as cough or fever, or any other health problem?Accept the caretaker definition of whether or not the child has been ill. Illnesses that started more than two weeks ago but finished within the last two weeks should also be included. If the answer is "yes", circle 1 and skip to Q. 4. If the answer is "no" or "doesn't know", circle code and skip to Q. 11.13511347.531101105.924121yes2no7missing9dkchild drank breastmilk during diarrhoeachild drank breastmilk during diarrhoeachild drank breastmilk during diarrhoeachild drank breastmilk during diarrhoeachild drank breastmilk during diarrhoeaDuring this last episode of diarrhoea, did [name] drink any of the following?We want to know what the child took to drink during the last episode of diarrhoea. Ask each question separately: Was [name] given breastmilk? Was he/she given cereal-based gruel or gruel made from roots or soup? and so forth. Circle the correct code for each answer: 1 for "yes", 2 for "no" and 9 for "doesn't know". You will be given a list of locally defined acceptable home fluids, like sugar-salt solution, yogurt drink, and so on. If the respondent answers "water", ask if this was the only drink offered, or if it was accompanied by other feeding. Ask about other fluids considered unacceptable by the local Control of Diarrhoeal Disease (IMCI) programme: you will be given a list of these. If the child took nothing to drink - code 1 for item 3I in this question - draw a line through the next question (already answered) and skip to Q. 5.101105.92413511347.53111yes2no7missing9dkchild drank gruel during diarroheachild drank gruel during diarroheachild drank gruel during diarroheachild drank gruel during diarroheachild drank gruel during diarroheaDuring this last episode of diarrhoea, did [name] drink any of the following?We want to know what the child took to drink during the last episode of diarrhoea. Ask each question separately: Was [name] given breastmilk? Was he/she given cereal-based gruel or gruel made from roots or soup? and so forth. Circle the correct code for each answer: 1 for "yes", 2 for "no" and 9 for "doesn't know". You will be given a list of locally defined acceptable home fluids, like sugar-salt solution, yogurt drink, and so on. If the respondent answers "water", ask if this was the only drink offered, or if it was accompanied by other feeding. Ask about other fluids considered unacceptable by the local Control of Diarrhoeal Disease (IMCI) programme: you will be given a list of these. If the child took nothing to drink - code 1 for item 3I in this question - draw a line through the next question (already answered) and skip to Q. 5.101105.92413511347.53121yes2no7missing9dkchild drank other acceptable fluidschild drank other acceptable fluidschild drank other acceptable fluidschild drank other acceptable fluidschild drank other acceptable fluidsDuring this last episode of diarrhoea, did [name] drink any of the following?We want to know what the child took to drink during the last episode of diarrhoea. Ask each question separately: Was [name] given breastmilk? Was he/she given cereal-based gruel or gruel made from roots or soup? and so forth. Circle the correct code for each answer: 1 for "yes", 2 for "no" and 9 for "doesn't know". You will be given a list of locally defined acceptable home fluids, like sugar-salt solution, yogurt drink, and so on. If the respondent answers "water", ask if this was the only drink offered, or if it was accompanied by other feeding. Ask about other fluids considered unacceptable by the local Control of Diarrhoeal Disease (IMCI) programme: you will be given a list of these. If the child took nothing to drink - code 1 for item 3I in this question - draw a line through the next question (already answered) and skip to Q. 5.101105.92413511347.53131yes2no7missing9dkchild drank ors packet during diarrhoeachild drank ors packet during diarrhoeachild drank ors packet during diarrhoeachild drank ors packet during diarrhoeachild drank ors packet during diarrhoeaDuring this last episode of diarrhoea, did [name] drink any of the following?We want to know what the child took to drink during the last episode of diarrhoea. Ask each question separately: Was [name] given breastmilk? Was he/she given cereal-based gruel or gruel made from roots or soup? and so forth. Circle the correct code for each answer: 1 for "yes", 2 for "no" and 9 for "doesn't know". You will be given a list of locally defined acceptable home fluids, like sugar-salt solution, yogurt drink, and so on. If the respondent answers "water", ask if this was the only drink offered, or if it was accompanied by other feeding. Ask about other fluids considered unacceptable by the local Control of Diarrhoeal Disease (IMCI) programme: you will be given a list of these. If the child took nothing to drink - code 1 for item 3I in this question - draw a line through the next question (already answered) and skip to Q. 5.101105.92413511347.53141yes2no7missing9dkchild drank other milk during diarrhoeachild drank other milk during diarrhoeachild drank other milk during diarrhoeachild drank other milk during diarrhoeachild drank other milk during diarrhoeaDuring this last episode of diarrhoea, did [name] drink any of the following?We want to know what the child took to drink during the last episode of diarrhoea. Ask each question separately: Was [name] given breastmilk? Was he/she given cereal-based gruel or gruel made from roots or soup? and so forth. Circle the correct code for each answer: 1 for "yes", 2 for "no" and 9 for "doesn't know". You will be given a list of locally defined acceptable home fluids, like sugar-salt solution, yogurt drink, and so on. If the respondent answers "water", ask if this was the only drink offered, or if it was accompanied by other feeding. Ask about other fluids considered unacceptable by the local Control of Diarrhoeal Disease (IMCI) programme: you will be given a list of these. If the child took nothing to drink - code 1 for item 3I in this question - draw a line through the next question (already answered) and skip to Q. 5.101105.92413511347.53151yes2no7missing9dkchild drank water with feedingchild drank water with feedingchild drank water with feedingchild drank water with feedingchild drank water with feedingDuring this last episode of diarrhoea, did [name] drink any of the following?We want to know what the child took to drink during the last episode of diarrhoea. Ask each question separately: Was [name] given breastmilk? Was he/she given cereal-based gruel or gruel made from roots or soup? and so forth. Circle the correct code for each answer: 1 for "yes", 2 for "no" and 9 for "doesn't know". You will be given a list of locally defined acceptable home fluids, like sugar-salt solution, yogurt drink, and so on. If the respondent answers "water", ask if this was the only drink offered, or if it was accompanied by other feeding. Ask about other fluids considered unacceptable by the local Control of Diarrhoeal Disease (IMCI) programme: you will be given a list of these. If the child took nothing to drink - code 1 for item 3I in this question - draw a line through the next question (already answered) and skip to Q. 5.101105.92413511347.53161yes2no7missing9dkchild drank water alonechild drank water alonechild drank water alonechild drank water alonechild drank water aloneDuring this last episode of diarrhoea, did [name] drink any of the following?We want to know what the child took to drink during the last episode of diarrhoea. Ask each question separately: Was [name] given breastmilk? Was he/she given cereal-based gruel or gruel made from roots or soup? and so forth. Circle the correct code for each answer: 1 for "yes", 2 for "no" and 9 for "doesn't know". You will be given a list of locally defined acceptable home fluids, like sugar-salt solution, yogurt drink, and so on. If the respondent answers "water", ask if this was the only drink offered, or if it was accompanied by other feeding. Ask about other fluids considered unacceptable by the local Control of Diarrhoeal Disease (IMCI) programme: you will be given a list of these. If the child took nothing to drink - code 1 for item 3I in this question - draw a line through the next question (already answered) and skip to Q. 5.101105.92413511347.53171yes2no7missing9dkchild drank unacceptable fluidchild drank unacceptable fluidchild drank unacceptable fluidchild drank unacceptable fluidchild drank unacceptable fluidDuring this last episode of diarrhoea, did [name] drink any of the following?We want to know what the child took to drink during the last episode of diarrhoea. Ask each question separately: Was [name] given breastmilk? Was he/she given cereal-based gruel or gruel made from roots or soup? and so forth. Circle the correct code for each answer: 1 for "yes", 2 for "no" and 9 for "doesn't know". You will be given a list of locally defined acceptable home fluids, like sugar-salt solution, yogurt drink, and so on. If the respondent answers "water", ask if this was the only drink offered, or if it was accompanied by other feeding. Ask about other fluids considered unacceptable by the local Control of Diarrhoeal Disease (IMCI) programme: you will be given a list of these. If the child took nothing to drink - code 1 for item 3I in this question - draw a line through the next question (already answered) and skip to Q. 5.101105.92413511347.53181yes2no7missing9dkchild drank nothingchild drank nothingchild drank nothingchild drank nothingchild drank nothingDuring this last episode of diarrhoea, did [name] drink any of the following?We want to know what the child took to drink during the last episode of diarrhoea. Ask each question separately: Was [name] given breastmilk? Was he/she given cereal-based gruel or gruel made from roots or soup? and so forth. Circle the correct code for each answer: 1 for "yes", 2 for "no" and 9 for "doesn't know". You will be given a list of locally defined acceptable home fluids, like sugar-salt solution, yogurt drink, and so on. If the respondent answers "water", ask if this was the only drink offered, or if it was accompanied by other feeding. Ask about other fluids considered unacceptable by the local Control of Diarrhoeal Disease (IMCI) programme: you will be given a list of these. If the child took nothing to drink - code 1 for item 3I in this question - draw a line through the next question (already answered) and skip to Q. 5.101105.92413511347.53191yes2no7missing9dkchild drank less or morechild drank less or morechild drank less or morechild drank less or morechild drank less or moreDuring [name]'s illness, did he/she drink much less, about the same, 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 the illness. Ask the question just as it is worded here. Read out the entire question, and circle the appropriate code for the mother's response.
For those children who had diarrhoea in the past two weeks, 'illness' in this and the next question refers to the diarrhoea episode. Disregard any additional illness these children might have had.
Get the caretaker'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 oral rehydration solution.
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 fluids" is not satisfactory. You would need to ask: But how much did your child actually drink during this diarrhoea (or other illness, as appropriate)?
It may be difficult to estimate the relative amount of breastmilk taken by the child. The caretaker may make an estimate based on whether the child nursed longer or more frequently.206208.11712461245.338131much less or none2about the esame3more7missing9dkchild ate less or morechild ate less or morechild ate less or morechild ate less or morechild ate less or moreDuring [name]'s illness, did he/she eat less, about the same, or more food than usual? If "less", probe: Much less or a little less?During an episode of diarrhoea or other illness a child may change the amount usually eaten. Ask the question just as it is worded on the questionnaire. If the mother's answer is "less than usual", probe to try to find out if she thinks the amount was "somewhat less" or "much less" than usual. Circle the code for her response.
The focus in this question is on how much food was actually consumed by the child. If the caretaker offered more food than usual, but the child ate much less, the answer is "much less"; circle 2.
If the child is very young and the mother replies that he/she takes only fluids or breastmilk (i.e. 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 circled for Q. 4 (drinking).206208.11712461245.338141none2much less3somewhat4about the same5more7missing9dk216215.7412361237.716161.3561.4380.7140.811CI-child line numberCI-child line numberCI-child line numberCI-child line numberCI-child line number216215.7412361237.7162145.1445.4272.0982.279CI-women line numberCI-women line numberCI-women line numberCI-women line numberCI-women line number216215.7412361237.716192.8662.9581.311.401child ill with coughchild ill with coughchild ill with coughchild ill with coughchild ill with coughHas [name] had an illness with a cough at any time in the last two weeks, that is, since [day of the week] of the week before last?'Illness with a cough' means a cold or other acute respiratory illness with a cough. If a caretaker says "He coughs all the time" or "She's been coughing for months", do not count this as 'illness with a cough' since it is a chronic problem. If the answer is "no" or "doesn't know", circle the appropriate code and skip to Q. 11, drawing a line through the skipped questions. If the symptoms started before but continued into the two-week period, this counts as a "yes".206208.11712461245.338121yes2no7missing9dkdifficulty brethngdifficulty brethngdifficulty brethngdifficulty brethngdifficulty brethngWhen [name] had an illness with a cough, did he/she breathe faster than usual with short, quick breaths or have difficulty breathing?This question is asked to find out if the child has or had an illness needing assessment by a health professional (as defined by the CDD/IMCI programme). If the caretaker asks "What do you mean by 'fast breathing'?" you may say noticeably faster than normal when the child is rested. If the caretaker asks "What do you mean by 'difficulty breathing'?" you may say The child sounded/looked as if he/she was having trouble breathing, or you may give other explanations that were developed and tested during the adaptation and pre-testing of the questionnaire. Some societies have specific words for rapid breathing: in north-east Brazil, for example, canseira, meaning 'tiredness', is specifically identified with this symptom. Circle the appropriate code. If the answer is "yes", go on to the next question. Otherwise skip to Q. 11, drawing a line through the skipped questions.9191.0813611362.376121yes2no7missing9dksymptoms due to problem in chestsymptoms due to problem in chestsymptoms due to problem in chestsymptoms due to problem in chestsymptoms due to problem in chestWere the symptoms due to a problem in the chest or a blocked nose?This question aims to find out if the problem needs assessment by a health professional, which does not include a simple cold. If you circled 2 for "problem in chest", 3 for "both", or 9 for "doesn't know", go on to the next question. If the symptoms were from a blocked nose (1) or "Other" (8: write the description), skip to Q. 11, drawing a line through the skipped questions.6157.70313911395.753191blocked nose2problem in chest3both7missing8other9dksought advicesought advicesought advicesought advicesought adviceDid you seek advice or treatment for the illness outside the home?'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 caretaker when she sought care. For example, going to buy medicine without the child counts as seeking care.
If the answer is "yes", go on to Q. 10. Otherwise skip to Q. 11.2420.25914281433.197121yes2no7missing9dkplace sought care: hospitalplace sought care: hospitalplace sought care: hospitalplace sought care: hospitalplace sought care: hospitalFrom where did you seek care? After the first reply, ask: Anywhere else?Keep asking until all providers are mentioned, but do not suggest or prompt any answers. Circle the appropriate code for every provider mentioned. If an unlisted provider is mentioned, write the description in the "Other" space.2016.81414321436.6421no1hospital97missing99dkplace sought care:health centreplace sought care:health centreplace sought care:health centreplace sought care:health centreplace sought care:health centreFrom where did you seek care? After the first reply, ask: Anywhere else?Keep asking until all providers are mentioned, but do not suggest or prompt any answers. Circle the appropriate code for every provider mentioned. If an unlisted provider is mentioned, write the description in the "Other" space.2016.81414321436.6422no2health centre97missing99dkplace sought care: dispansaryplace sought care: dispansaryplace sought care: dispansaryplace sought care: dispansaryplace sought care: dispansaryFrom where did you seek care? After the first reply, ask: Anywhere else?Keep asking until all providers are mentioned, but do not suggest or prompt any answers. Circle the appropriate code for every provider mentioned. If an unlisted provider is mentioned, write the description in the "Other" space.2016.81414321436.642no3dispansary97missing99dkplace sought care:village health workerplace sought care:village health workerplace sought care:village health workerplace sought care:village health workerplace sought care:village health workerFrom where did you seek care? After the first reply, ask: Anywhere else?Keep asking until all providers are mentioned, but do not suggest or prompt any answers. Circle the appropriate code for every provider mentioned. If an unlisted provider is mentioned, write the description in the "Other" space.2016.81414321436.6424no4health worker97missing99dkplace sought care : private physicianplace sought care : private physicianplace sought care : private physicianplace sought care : private physicianplace sought care : private physicianFrom where did you seek care? After the first reply, ask: Anywhere else?Keep asking until all providers are mentioned, but do not suggest or prompt any answers. Circle the appropriate code for every provider mentioned. If an unlisted provider is mentioned, write the description in the "Other" space.2016.81414321436.6427no7private physician97missing99dkplace sought care : traditional healerplace sought care : traditional healerplace sought care : traditional healerplace sought care : traditional healerplace sought care : traditional healerFrom where did you seek care? After the first reply, ask: Anywhere else?Keep asking until all providers are mentioned, but do not suggest or prompt any answers. Circle the appropriate code for every provider mentioned. If an unlisted provider is mentioned, write the description in the "Other" space.2016.81414321436.642no8traditional97missing99dkplace sought care : pharmacyplace sought care : pharmacyplace sought care : pharmacyplace sought care : pharmacyplace sought care : pharmacyFrom where did you seek care? After the first reply, ask: Anywhere else?Keep asking until all providers are mentioned, but do not suggest or prompt any answers. Circle the appropriate code for every provider mentioned. If an unlisted provider is mentioned, write the description in the "Other" space.2016.81414321436.6429no9pharmacy97mising99dkplace sought care : relative/friendsplace sought care : relative/friendsplace sought care : relative/friendsplace sought care : relative/friendsplace sought care : relative/friendsFrom where did you seek care? After the first reply, ask: Anywhere else?Keep asking until all providers are mentioned, but do not suggest or prompt any answers. Circle the appropriate code for every provider mentioned. If an unlisted provider is mentioned, write the description in the "Other" space.2016.81414321436.642no10realtive97missing99dkplace sought care : otherplace sought care : otherplace sought care : otherplace sought care : otherplace sought care : otherFrom where did you seek care? After the first reply, ask: Anywhere else?Keep asking until all providers are mentioned, but do not suggest or prompt any answers. Circle the appropriate code for every provider mentioned. If an unlisted provider is mentioned, write the description in the "Other" space.2016.81414321436.642no11other97missing99dkchild not able to drinkchild not able to drinkchild not able to drinkchild not able to drinkchild not able to drinkSometimes 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 needs to be asked only once of each caretaker. If the mother or caretaker cares for more than one child under age five, ask Q. 11 when completing the first child's questionnaire. Put a line through the question on the forms for subsequent children of the same mother or caretaker.
Do not prompt by mentioning the symptoms listed. If the caretaker mentions a few signs and then stops, continue by asking Any others? until you are satisfied that she has understood you and has told you all the signs she considers important. If you are not sure whether a particular sign reported by the mother fits in one of the categories listed, write the description in full and check with your supervisor later.14521453.4561no1child not able to drink97missingchild becomes sickerchild becomes sickerchild becomes sickerchild becomes sickerchild becomes sickerSometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?This question needs to be asked only once of each caretaker. If the mother or caretaker cares for more than one child under age five, ask Q. 11 when completing the first child's questionnaire. Put a line through the question on the forms for subsequent children of the same mother or caretaker.
Do not prompt by mentioning the symptoms listed. If the caretaker mentions a few signs and then stops, continue by asking Any others? until you are satisfied that she has understood you and has told you all the signs she considers important. If you are not sure whether a particular sign reported by the mother fits in one of the categories listed, write the description in full and check with your supervisor later.14521453.4562no2child becomes sicker97missingchild develops a feverchild develops a feverchild develops a feverchild develops a feverchild develops a feverSometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?This question needs to be asked only once of each caretaker. If the mother or caretaker cares for more than one child under age five, ask Q. 11 when completing the first child's questionnaire. Put a line through the question on the forms for subsequent children of the same mother or caretaker.
Do not prompt by mentioning the symptoms listed. If the caretaker mentions a few signs and then stops, continue by asking Any others? until you are satisfied that she has understood you and has told you all the signs she considers important. If you are not sure whether a particular sign reported by the mother fits in one of the categories listed, write the description in full and check with your supervisor later.14521453.4563no3child develops a fever97missingchild has faster breathingchild has faster breathingchild has faster breathingchild has faster breathingchild has faster breathingSometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?This question needs to be asked only once of each caretaker. If the mother or caretaker cares for more than one child under age five, ask Q. 11 when completing the first child's questionnaire. Put a line through the question on the forms for subsequent children of the same mother or caretaker.
Do not prompt by mentioning the symptoms listed. If the caretaker mentions a few signs and then stops, continue by asking Any others? until you are satisfied that she has understood you and has told you all the signs she considers important. If you are not sure whether a particular sign reported by the mother fits in one of the categories listed, write the description in full and check with your supervisor later.14521453.4564no4child has faster breathing97missingchild has difficult breathingchild has difficult breathingchild has difficult breathingchild has difficult breathingchild has difficult breathingSometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?This question needs to be asked only once of each caretaker. If the mother or caretaker cares for more than one child under age five, ask Q. 11 when completing the first child's questionnaire. Put a line through the question on the forms for subsequent children of the same mother or caretaker.
Do not prompt by mentioning the symptoms listed. If the caretaker mentions a few signs and then stops, continue by asking Any others? until you are satisfied that she has understood you and has told you all the signs she considers important. If you are not sure whether a particular sign reported by the mother fits in one of the categories listed, write the description in full and check with your supervisor later.14521453.4565no5child has difficult97missingchild has blood in stoolchild has blood in stoolchild has blood in stoolchild has blood in stoolchild has blood in stoolSometimes 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 needs to be asked only once of each caretaker. If the mother or caretaker cares for more than one child under age five, ask Q. 11 when completing the first child's questionnaire. Put a line through the question on the forms for subsequent children of the same mother or caretaker.
Do not prompt by mentioning the symptoms listed. If the caretaker mentions a few signs and then stops, continue by asking Any others? until you are satisfied that she has understood you and has told you all the signs she considers important. If you are not sure whether a particular sign reported by the mother fits in one of the categories listed, write the description in full and check with your supervisor later.14521453.4566no6child has blodd in stool97missingchild is drinking poorlychild is drinking poorlychild is drinking poorlychild is drinking poorlychild is drinking poorlySometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?This question needs to be asked only once of each caretaker. If the mother or caretaker cares for more than one child under age five, ask Q. 11 when completing the first child's questionnaire. Put a line through the question on the forms for subsequent children of the same mother or caretaker.
Do not prompt by mentioning the symptoms listed. If the caretaker mentions a few signs and then stops, continue by asking Any others? until you are satisfied that she has understood you and has told you all the signs she considers important. If you are not sure whether a particular sign reported by the mother fits in one of the categories listed, write the description in full and check with your supervisor later.14521453.4567no7child is drinking poorly97missingotherotherotherotherotherSometimes 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 needs to be asked only once of each caretaker. If the mother or caretaker cares for more than one child under age five, ask Q. 11 when completing the first child's questionnaire. Put a line through the question on the forms for subsequent children of the same mother or caretaker.
Do not prompt by mentioning the symptoms listed. If the caretaker mentions a few signs and then stops, continue by asking Any others? until you are satisfied that she has understood you and has told you all the signs she considers important. If you are not sure whether a particular sign reported by the mother fits in one of the categories listed, write the description in full and check with your supervisor later.14521453.4568no8other symptoms97missingIMMUNIZATION MODULE
This module is used to obtain the percentages of children under five who have received BCG, DPT3, OPV3 and measles immunization.14521453.456161.2211.2390.510.525IM-child numberIM-child numberIM-child numberIM-child numberIM-child number14521453.4562195.0035.1611.9191.93IM-women numberIM-women numberIM-women numberIM-women numberIM-women number14521453.4561132.7932.8311.341.355vaccination recordvaccination recordvaccination recordvaccination recordvaccination recordIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.14521453.456131yes, seen2yes, not seen3no7missing9dkday of bcg immunizationday of bcg immunizationday of bcg immunizationday of bcg immunizationday of bcg immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.568527.153884926.30213114.9314.7828.6458.371month of bcg immunizationmonth of bcg immunizationmonth of bcg immunizationmonth of bcg immunizationmonth of bcg immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.568527.153884926.3021126.1026.0913.3233.338year of bcg immunizationyear of bcg immunizationyear of bcg immunizationyear of bcg immunizationyear of bcg immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.568527.153884926.302199520001997.871997.8051.3771.377day of opvo immunizationday of opvo immunizationday of opvo immunizationday of opvo immunizationday of opvo immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.133139.73513191313.72113114.39814.0067.8067.615month of opvo immunizationmonth of opvo immunizationmonth of opvo immunizationmonth of opvo immunizationmonth of opvo immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.133139.73513191313.7211126.0236.0363.2623.293year of opvo immunizationyear of opvo immunizationyear of opvo immunizationyear of opvo immunizationyear of opvo immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.133139.73513191313.721199520001997.4291997.341.3611.337day of opv1 immunizationday of opv1 immunizationday of opv1 immunizationday of opv1 immunizationday of opv1 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.249261.62312031191.83313014.58214.1548.3258.095month of opv1 immunizationmonth of opv1 immunizationmonth of opv1 immunizationmonth of opv1 immunizationmonth of opv1 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.249261.62312031191.8331126.8036.6793.2443.298year of opv1 immunizationyear of opv1 immunizationyear of opv1 immunizationyear of opv1 immunizationyear of opv1 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.249261.62312031191.833199520001997.6631997.6051.3191.313day of opv2 immunizationday of opv2 immunizationday of opv2 immunizationday of opv2 immunizationday of opv2 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.239250.59512131202.86113114.62814.1868.3948.311month of opv2 immunizationmonth of opv2 immunizationmonth of opv2 immunizationmonth of opv2 immunizationmonth of opv2 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.239250.59512131202.8611126.7786.6443.4373.364year of opv2 immunizationyear of opv2 immunizationyear of opv2 immunizationyear of opv2 immunizationyear of opv2 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.239250.59512131202.861199520001997.7821997.7381.2851.272day of opv3 immunizationday of opv3 immunizationday of opv3 immunizationday of opv3 immunizationday of opv3 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.202215.39912501238.05713114.68314.4188.4488.585month of opv3 immunizationmonth of opv3 immunizationmonth of opv3 immunizationmonth of opv3 immunizationmonth of opv3 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.202215.39912501238.0571126.496.6123.6023.521year of opv3 immunizationyear of opv3 immunizationyear of opv3 immunizationyear of opv3 immunizationyear of opv3 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.202215.39912501238.057199620001997.9551997.9091.1861.193day of dpt1 immunizationday of dpt1 immunizationday of dpt1 immunizationday of dpt1 immunizationday of dpt1 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.544509.944908943.51213014.9114.8898.2088.056month of dpt1 immunizationmonth of dpt1 immunizationmonth of dpt1 immunizationmonth of dpt1 immunizationmonth of dpt1 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.544509.944908943.5121126.4616.4043.4213.437year of dpt1 immunizationyear of dpt1 immunizationyear of dpt1 immunizationyear of dpt1 immunizationyear of dpt1 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.544509.944908943.512199520001997.8861997.8251.3671.374day of dpt2 immunizationday of dpt2 immunizationday of dpt2 immunizationday of dpt2 immunizationday of dpt2 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.506471.385946982.07113115.07314.7238.2078.12month of dpt2 immunizationmonth of dpt2 immunizationmonth of dpt2 immunizationmonth of dpt2 immunizationmonth of dpt2 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.506471.385946982.0711126.4686.2763.5913.526year of dpt2 immunizationyear of dpt2 immunizationyear of dpt2 immunizationyear of dpt2 immunizationyear of dpt2 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.506471.385946982.071199520001997.9271997.8921.3141.321day of dpt3 immunizationday of dpt3 immunizationday of dpt3 immunizationday of dpt3 immunizationday of dpt3 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.475441.4379771012.01913115.52415.2988.3548.259month of dpt3 immunizationmonth of dpt3 immunizationmonth of dpt3 immunizationmonth of dpt3 immunizationmonth of dpt3 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.475441.4379771012.0191126.0326.1363.4893.44year of dpt3 immunizationyear of dpt3 immunizationyear of dpt3 immunizationyear of dpt3 immunizationyear of dpt3 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.475441.4379771012.019199520001998.0381997.9591.2721.281day of dpt4 immunizationday of dpt4 immunizationday of dpt4 immunizationday of dpt4 immunizationday of dpt4 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.405385.95410471067.50113115.2415.1958.0127.939month of dpt4 immunizationmonth of dpt4 immunizationmonth of dpt4 immunizationmonth of dpt4 immunizationmonth of dpt4 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.405385.95410471067.5011126.636.6693.5283.595year of dpt4 immunizationyear of dpt4 immunizationyear of dpt4 immunizationyear of dpt4 immunizationyear of dpt4 immunizationIs there a vaccination record for [name]?If the answer is "yes", ask to see the vaccination card. If the mother does not have a proper vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), consider this as being a card. Copy the dates of all relevant vaccinations in the spaces provided.
Remember that the 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. Be careful not to record a scheduled appointment date for the child's next immunizations: record only the dates vaccinations were actually given. Be patient and read the card thoroughly. If a card shows that a vaccination was given but no date recorded, write "44" in the "day" column.
The remaining questions in the module (Q. 6 onwards) are asked to fill in all the gaps. Ask Q. 6 when a card is available, since the child might have received vaccinations that were not recorded on the card. For children without a card, skip from the first question to Q. 7. If the answer to Q. 7 is "yes," continue with Q. 8 through Q. 15, otherwise skip to Q. 15.405385.95410471067.501199520001998.221998.1711.141.16414521453.456161.221.2390.510.525IM-child numberIM-child numberIM-child numberIM-child numberIM-child number14521453.4562195.0035.1611.9191.93IM_women numberIM_women numberIM_women numberIM_women numberIM_women number14521453.4561132.7932.8311.341.355child received any other vaccinachild received any other vaccinachild received any other vaccinachild received any other vaccinachild received any other vaccinaIn addition to the vaccinations shown on this card, did [name] receive any other vaccinations - including vaccinations received in a National Immunization Day?This question applies only when a card is available. It is possible that some of the vaccinations received by the child were not recorded: for example, the mother may have forgotten to bring the card to the health facility, or attended a National Immunization Day.
If the answer is "yes," record "yes" only if respondent mentions BCG, OPV 0-3, DPT 1-3, and/or Measles vaccine(s). You can refer to the information already obtained from the vaccination card to make sure that the mother/caretaker is referring only to these vaccines. Probe for vaccinations and write "66" in the corresponding day column in Q. 2 through Q. 5. For example, if two doses of DPT were recorded on the card, and another dose was given but not recorded, the answer to Q. 4c should be "44" in the column for "Day."
If a vaccination card is not available, ask Qs. 7-15 to obtain the child's vaccination status. 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, antimalarials, etc. - but only in vaccines.608562.77844890.685191yes2no7missing9dkchild ever received any vaccinatchild ever received any vaccinatchild ever received any vaccinatchild ever received any vaccinatchild ever received any vaccinatHas [name] ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a National Immunization Day campaign?Read this question only to respondents without a vaccination card, i.e. if the answer to Q. 1 was 2 for "Yes, not seen" or 3 for "No". If the answer to Q. 7 is "No" or "DK" skip to Q. 15.844890.685608562.77191yes2no7missing9dkchild ever given bcg vaccinationchild ever given bcg vaccinationchild ever given bcg vaccinationchild ever given bcg vaccinationchild ever given bcg vaccinationHas [name] ever been given a BCG vaccination against tuberculosis - that is, an injection in the left shoulder that caused a scar?Circle the appropriate code.637670.131815783.325191yes2no7missing9dkchild ever given polio vaccinatichild ever given polio vaccinatichild ever given polio vaccinatichild ever given polio vaccinatichild ever given polio vaccinatiHas [name] ever been given any 'vaccination drops in the mouth' to protect him/her from getting diseases - that is, polio?Circle the appropriate code. If the answer is "Yes" go on to Q. 10. If the answer is "No" or "doesn't know" skip to Q. 12, drawing a line through the skipped questions.590624.895862828.561191yes2no7missing9dkpolio firts given just after birpolio firts given just after birpolio firts given just after birpolio firts given just after birpolio firts given just after birHow old was he/she when the first dose was given - just after birth or later?Circle the appropriate code.590624.895862828.561191just after birth2later7missing12131202.081239251.374151.21.2170.4560.467IM-child numberIM-child numberIM-child numberIM-child numberIM-child number12131202.081239251.3742194.925.0581.8231.809IM-women numberIM-women numberIM-women numberIM-women numberIM-women number12131202.081239251.3741132.7392.7611.2611.245times child given poliotimes child given poliotimes child given poliotimes child given poliotimes child given polioHow many times has he/she been given these drops?Fill in the number.590624.895862828.5611112.6682.6351.1631.175child ever given dptchild ever given dptchild ever given dptchild ever given dptchild ever given dptHas [name] even been given 'vaccination injections' - that is, an injection in the thigh or buttocks - to prevent him/her from getting tetanus, whooping cough, diphtheria? (Sometimes given at the same time as polio)Circle the appropriate code. If the answer is "Yes" go on to Q. 13. If the answer is "No" or "Doesn't know" skip to Q. 14, drawing a line through the skipped question.637670.131815783.325191yes2no7missing9dktimes child given poliotimes child given poliotimes child given poliotimes child given poliotimes child given polioHow many times?Fill in the number.446464.341006989.115192.4012.4251.3031.218child ever given measleschild ever given measleschild ever given measleschild ever given measleschild ever given measlesHas [name] ever been given 'vaccination injections' - that is, a shot in the arm at the age of 9 months or older - to prevent him/her from getting measles?Circle the appropriate code.
Measles vaccine is normally given as an injection in the arm. In some countries, some children may receive it as an injection in the thigh. If the mother specifically mentions measles vaccine but refers to an injection in the thigh, accept the answer as valid.
If the child is overdue for his/her measles shot, refer to a health facility.637670.131815783.325191yes2no7missing9dkparticipated in immunization dayparticipated in immunization dayparticipated in immunization dayparticipated in immunization dayparticipated in immunization dayPlease tell me if [name] has participated in any of the following National Immunization Days:Circle the codes as appropriate.
This question is asked to inform immunization programmes. It also provides a check on Q. 6 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. If the respondent answers "Yes" here to at least one of the dates, check back to Q. 6: if the answer given there was "No", ask again.14521453.456191yes2no7missing9dkparticipated in immunization dayparticipated in immunization dayparticipated in immunization dayparticipated in immunization dayparticipated in immunization dayPlease tell me if [name] has participated in any of the following National Immunization Days:Circle the codes as appropriate.
This question is asked to inform immunization programmes. It also provides a check on Q. 6 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. If the respondent answers "Yes" here to at least one of the dates, check back to Q. 6: if the answer given there was "No", ask again.14521453.456191yes2no7missing9dkparticipated in immunization dayparticipated in immunization dayparticipated in immunization dayparticipated in immunization dayparticipated in immunization dayPlease tell me if [name] has participated in any of the following National Immunization Days:Circle the codes as appropriate.
This question is asked to inform immunization programmes. It also provides a check on Q. 6 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. If the respondent answers "Yes" here to at least one of the dates, check back to Q. 6: if the answer given there was "No", ask again.14521453.456191yes2no7missing9dk14521453.456161.2221.240.5110.526AN-child numberAN-child numberAN-child numberAN-child numberAN-child number14521453.4562195.0035.1611.9191.93AN-mother numberAN-mother numberAN-mother numberAN-mother numberAN-mother number14521453.4561132.7922.8311.3381.354child weight (kg)child weight (kg)child weight (kg)child weight (kg)child weight (kg)ANTHROPOMETRY MODULE
Each child is weighed and measured, and the result recorded on his/her questionnaire. Be sure the weight for each child is recorded on the correct questionnaire, checking the child's name and line number at the top of the page. Follow instructions for weighing as you were trained; see Appendix Four, Anthropometric Techniques.
The mother may assist you, if necessary, when you weigh the child. Always insist that the child should be weighed naked, but if this is absolutely impossible, make a detailed list of all pieces of clothing worn by the child during the exam, including diapers, underwear, footwear, headwear, etc.
Weighing (and measuring) should be done only when you have completed the questionnaires for all children in the household. That will allow you to become familiar with the household members. If there is more than one eligible child in a household, complete all weighing and measuring for that child before going on to the next child. If there is more than one mother of eligible children, weigh and measure all her children before proceeding to the next mother's children.
When you weigh and measure, you must control the child. Be firm but gentle with the child. Stay calm. The mother and the child will feel your confidence. Never leave a child alone with a piece of equipment.
Explain the weighing procedure to the mother, and to the child, to help reduce fear. Sometimes, young children are very uncooperative. You must decide if the process is causing undue stress and must be stopped. Do not weigh or measure a child if the mother refuses, or if the child is too sick or distressed.The child should be weighed according to the instructions given during training. Record the result to the nearest tenth of a kilo (100 grams). Place the kilograms to the left of the decimal point and grams to the right of the decimal point. Write a zero first if the number of kilos is one digit.14521453.456299944.98143.063176.516171.772child measured lying or standingchild measured lying or standingchild measured lying or standingchild measured lying or standingchild measured lying or standing14041408.0534845.402171lying down2standing up7missingchild length or heightchild length or heightchild length or heightchild length or heightchild length or heightFor children under 2 years, record recumbent length (i.e. lying down), to the nearest tenth of a centimeter. If the child is aged 2 years or more, measure standing height. Write a zero first if the number of centimeters is two digits.14521453.45625999127.756125.436201.228198.059measurer identification codemeasurer identification codemeasurer identification codemeasurer identification codemeasurer identification codeRecord the measurer's code number.14521453.4561193.623.8482.8932.997result of measurementresult of measurementresult of measurementresult of measurementresult of measurementCheck: Is there another child in the household who is eligible for measurement?
If yes, record the measurements for the next child.
If no child remains to be measured and all questionnaires for this household have been completed, end the interview with this household by thanking all participants for their cooperation.Record whether the measurement was made, or the reason it was not made.14521453.456131measured2not present3refused4other7missing14511451.92311.53399.830.28527.74437.34236.23214511451.92311.533-9.989.98-1.76-1.9923.2973.34914511451.92311.53331.31233.2193.12892.20714.91215.41114511451.92311.53399.841.71539.79235.56235.1814511451.92311.533-8.219.98-0.411-0.5231.9581.91314511451.92311.53311.79359.8596.62695.32123.39322.51514511451.92311.53399.964.31464.85738.12238.04214511451.92311.533-9.969.991.221.2813.2363.30514511451.92311.53311.95999.9142.104145.144157.985163.92414511451.92311.53370.6290.6731.2821.304Urban/RuralUrban/RuralUrban/RuralUrban/RuralUrban/Rural14521453.456121Urban2Ruralregionregionregionregionregion14521453.456131North2Central3SouthSexSexSexSexSex14521453.456121male2female7missing8NAAgeAgeAgeAgeAge14521453.45642.3792.3991.3371.346Year of birthYear of birthYear of birthYear of birthYear of birth14521453.456199520001997.5341997.5161.3241.335line number of eligible womenline number of eligible womenline number of eligible womenline number of eligible womenline number of eligible women14521453.456line number of mother for child labor moduleline number of mother for child labor moduleline number of mother for child labor moduleline number of mother for child labor moduleline number of mother for child labor module14521453.456line number of mother for child health moduleline number of mother for child health moduleline number of mother for child health moduleline number of mother for child health moduleline number of mother for child health module14521453.4561132.782.821.3371.353can read a newspaper or lettercan read a newspaper or lettercan read a newspaper or lettercan read a newspaper or lettercan read a newspaper or letter14521453.4561reads easily2reads with difficulty3not a all7missing9dkmarital statusmarital statusmarital statusmarital statusmarital status14521453.4561married, in union2widowed3divorced4separated5never married7missingmother alivemother alivemother alivemother alivemother alive14521453.456121yes2no7missing9dkmother in HHmother in HHmother in HHmother in HHmother in HH14511452.98710.469121yes2no7missingfather alivefather alivefather alivefather alivefather alive14521453.456121yes2no7missing9dkfather in HHfather in HHfather in HHfather in HHfather in HH14471444.6358.825121yes2no7missingperson line numberperson line numberperson line numberperson line numberperson line number14521453.4562195.0035.1611.9191.93line numberline numberline numberline numberline number14521453.456child s line numberchild s line numberchild s line numberchild s line numberchild s line number14521453.456Househol numberHousehol numberHousehol numberHousehol numberHousehol number14521484.915139220559508.15972084.70633306.07129538.97Additonal household numberAdditonal household numberAdditonal household numberAdditonal household numberAdditonal household number14521484.91510.0006890.0003580.02620.0189Interview DateInterview DateInterview DateInterview DateInterview Date14521484.91510620003006200011544210.74411338611.6567654108.9637527535.497Day of interviewDay of interviewDay of interviewDay of interviewDay of interview14521484.91513011.48211.2777.6547.528Month of interviewMonth of interviewMonth of interviewMonth of interviewMonth of interview14521484.915671January2February3March4April5May6June7July8August9September10October11November12DecemberYear of interviewYear of interviewYear of interviewYear of interviewYear of interview14521484.91520002000200020000.000123Interviewer numberInterviewer numberInterviewer numberInterviewer numberInterviewer number14521484.9151143.5653.7372.8042.863Material of dwelling floorMaterial of dwelling floorMaterial of dwelling floorMaterial of dwelling floorMaterial of dwelling floor14521484.915141wood_tile2planks_concrete3dirt/straw4other7missingnumber of rooms in dwellingnumber of rooms in dwellingnumber of rooms in dwellingnumber of rooms in dwellingnumber of rooms in dwelling14521484.9151997Missingresult of HH interviewresult of HH interviewresult of HH interviewresult of HH interviewresult of HH interview14521484.915111completed2refused3not at home4hh not found_destroyed5othertotal eligible womentotal eligible womentotal eligible womentotal eligible womentotal eligible women14521484.91561.2311.2580.6010.616women interviews completedwomen interviews completedwomen interviews completedwomen interviews completedwomen interviews completed14521484.91561.2251.250.5970.611total children under 5total children under 5total children under 5total children under 5total children under 514521484.915161.4421.4780.7150.728child interview completedchild interview completedchild interview completedchild interview completedchild interview completed14521484.915161.4421.4780.7150.728data entry clerkdata entry clerkdata entry clerkdata entry clerkdata entry clerk14521484.915101714.26714.1761.7181.69other memberother memberother memberother memberother member14521484.915122.6812.7951.4881.525nb of household membersnb of household membersnb of household membersnb of household membersnb of household members14521484.9152195.3545.5312.0842.085code of geographical unitcode of geographical unitcode of geographical unitcode of geographical unitcode of geographical unit14521484.915100840452579.4922607.046888.189900.317code of registration areacode of registration areacode of registration areacode of registration areacode of registration area14521484.9151999217.882293.572265.047275.591control code of geografical unitcontrol code of geografical unitcontrol code of geografical unitcontrol code of geografical unitcontrol code of geografical unit14521484.915100840452579.4922607.046888.189900.317control code of registration areacontrol code of registration areacontrol code of registration areacontrol code of registration areacontrol code of registration area14521484.9151999217.882293.572265.047275.591household control numberhousehold control numberhousehold control numberhousehold control numberhousehold control number14521484.915139220559508.15972084.70633306.07129538.97additional household control numberadditional household control numberadditional household control numberadditional household control numberadditional household control number14521484.91510.0006890.0003580.02620.0189control cluster numbercontrol cluster numbercontrol cluster numbercontrol cluster numbercontrol cluster number14521484.9151505179.337153.457121.246128.221line numberline numberline numberline numberline number14521484.91511116.16e-08source of drinking watersource of drinking watersource of drinking watersource of drinking watersource of drinking water14521484.9151piped into dweling2piped into yard or plot3public tap4tubewell, borehole with pompe5protected dug well6protected spring7rainwater collection8bottled water9unprotected dug well10unprotected spring11pond, river or stream12tanker-truck, vendor13other88NA97missing99dk or no answertime to water and backtime to water and backtime to water and backtime to water and backtime to water and back14521484.9151999888water on premises997missing999Don"t knowkind of toilet facilitykind of toilet facilitykind of toilet facilitykind of toilet facilitykind of toilet facility14521484.915171flush to sewage system2pour flush latrine3improved pit latrine4traditional5open pit6bucket7missing8no facilities, bush, filedfacility located within privatefacility located within privatefacility located within privatefacility located within privatefacility located within private14521484.915121yes, in dwelling2no, outside dwelling7missing9dkdisposal of children stoolsdisposal of children stoolsdisposal of children stoolsdisposal of children stoolsdisposal of children stools14521484.915181children always use toilet2thrwn in the toilet3thrown outside outside the yard4buried in the yard5not disposed of, left on the ground6other7missing8not applicableline numberline numberline numberline numberline number14521484.91511116.16e-08salt iodization test outcomesalt iodization test outcomesalt iodization test outcomesalt iodization test outcomesalt iodization test outcome14521484.915191not iodized o PPm2less than 15 PPM315 or more7missing8NA or no salt in home9salt not tested14520.3172.3921.0230.517AgeAgeAgeAgeAge14521453.45647070+99Missing/dkUje i pijshemUje i pijshemUje i pijshemUje i pijshemUje i pijshem14521453.456182.0842.4811.6991.855Uje i pijshemUje i pijshemUje i pijshemUje i pijshemUje i pijshem14521453.456181piped into dweling2piped into yard or plot3public tap4tubewell, borehole with pompe5protected dug well6protected spring7unprotected dug well8Otherhl4 >= 7 and hl4 <= 14 (FILTER)hl4 >= 7 and hl4 <= 14 (FILTER)hl4 >= 7 and hl4 <= 14 (FILTER)hl4 >= 7 and hl4 <= 14 (FILTER)hl4 >= 7 and hl4 <= 14 (FILTER)14521453.456Not Selected1Selectedhighest level of school attendedhighest level of school attendedhighest level of school attendedhighest level of school attendedhighest level of school attended14521453.456141primary-12primary-23secondary4higher7missing9dkMother's education levelMother's education levelMother's education levelMother's education levelMother's education level14521453.456131Primary2Secondary3HigherDate of interview (CMC)Date of interview (CMC)Date of interview (CMC)Date of interview (CMC)Date of interview (CMC)14521453.456120612071206.0121206.0080.1080.0899Date of birth (CMC)Date of birth (CMC)Date of birth (CMC)Date of birth (CMC)Date of birth (CMC)14521453.456114712061176.151175.93915.81615.903Age (months)Age (months)Age (months)Age (months)Age (months)14521453.4565929.86230.06915.81815.90414521453.45614521453.45614521453.45614521453.45614521453.45614521453.456AgeAgeAgeAgeAge14521453.456161< 6 months26-11 months312-23 months424-35 months536-47 months648-59 monthsBCGBCGBCGBCGBCG14521453.456131Vaccination Card2Mother's Report3Not vaccinatedPolio 0Polio 0Polio 0Polio 0Polio 014521453.456131Vaccination Card2Mother's Report3Not vaccinatedPolio 1Polio 1Polio 1Polio 1Polio 114521453.456131Vaccination Card2Mother's Report3Not vaccinatedPolio 2Polio 2Polio 2Polio 2Polio 214521453.456131Vaccination Card2Mother's Report3Not vaccinatedPolio 3Polio 3Polio 3Polio 3Polio 314521453.456131Vaccination Card2Mother's Report3Not vaccinatedDPT1DPT1DPT1DPT1DPT114521453.456131Vaccination Card2Mother's Report3Not vaccinatedDPT2DPT2DPT2DPT2DPT214521453.456131Vaccination Card2Mother's Report3Not vaccinatedDPT3DPT3DPT3DPT3DPT314521453.456131Vaccination Card2Mother's Report3Not vaccinatedMeaslesMeaslesMeaslesMeaslesMeasles14521453.456131Vaccination Card2Mother's Report3Not vaccinatedAll vaccinationsAll vaccinationsAll vaccinationsAll vaccinationsAll vaccinations14521453.456131Vaccination Card2Mother's Report3Doesn't have all vaccinationsNo vaccinationsNo vaccinationsNo vaccinationsNo vaccinationsNo vaccinations14521453.456131Vaccination Card2Mother's Report3Has some vaccinationsHas vaccination cardHas vaccination cardHas vaccination cardHas vaccination cardHas vaccination card14521453.456121Yes2NoHad diarrhea in last two weeksHad diarrhea in last two weeksHad diarrhea in last two weeksHad diarrhea in last two weeksHad diarrhea in last two weeks14521453.4561006.9567.28825.44926.003Had acute respitory infectionHad acute respitory infectionHad acute respitory infectionHad acute respitory infectionHad acute respitory infection14521453.4561001.6531.39412.75411.72814520.312.3391.0010.506REGR factor score 1 for analysis 1REGR factor score 1 for analysis 1REGR factor score 1 for analysis 1REGR factor score 1 for analysis 1REGR factor score 1 for analysis 114521453.456-0.8192.70.05940.3491.0161.075Wealth Index QuintilesWealth Index QuintilesWealth Index QuintilesWealth Index QuintilesWealth Index Quintiles14521453.456151Poorest2Second3Middle4Fourth5RichestHousehold identificationHousehold identificationHousehold identificationHousehold identificationHousehold identification14521453.4561900650505851170179931858.451154274571.394121120000.107128112515.945Household members identificationHousehold members identificationHousehold members identificationHousehold members identificationHousehold members identification14521453.4561900650035058511700417993185850.11415427457144.5612112000010.40812811251594.26914521453.45610.4210.4350.4940.49614521453.45610.4940.5020.50.514521453.45610.1420.1430.3490.35