DDI_IDN_1998_SUSENAS_v01_M_WB World Bank Indonesia, Poverty Team 2014-02-12 NADA Version 1 (December 22, 2012): Initial version of DDI documentation. Version 2 (February 12, 2014): Revision of DDI documentation. National Socio-Economic Survey 1998 SUSENAS 1998 Survei Sosial Ekonomi Nasional 1998 IDN_1998_SUSENAS_v01_M Central Bureau of Statistics (BPS) of Indonesia Copyright © 2012, Central Board of Statistics (BPS) of Indonesia. All rights reserved. NADA Socio-Economic/Monitoring Survey [hh/sems] Since 1992, BPS through Susenas collecting core data and the module data every year. Susenas modules is divided into three major groups, that is module socio-cultural and educational, modules housing and health, module household consumption and household expenditure, implementation of each module is every three years. v01: basic raw data. Obtained from BPS Birth control Children Child health Consumption (Economics) Income Education Employment Family Fertility Health Heatlh services Housing Information technology Indonesia Literacy Living standards Mass media Breast milk Occupations Internet Married Recreation Energy Poverty Assets Social conditions Insurance Transport Victims of Crime Water supply Sector Part Chapter Susenas is a survey designed to collect socio-demographic data in large area. The data collected were related to the fields of education, health / nutrition, housing / environmental, socio-cultural activities, consumption and household income, trips, and public opinion about the welfare of household. In 1992, Susenas data collection system has been updated, the information used to develop indicators of welfare (Welfare) contained in the module (information collected once every three years) drawn into the core (group information is collected each year). The questions are included in the core is intended to obtain the information and to monitor the things that may change each year. It is also useful for short-term planning, as well as questions that can be associated with a question module, such as expenditures. Questions in the modules required to analyze problems that do not need to be monitored every year or analyze issues like government intervention, such as poverty and malnutrition. Core module combined data can generate analysis to answer questions such as, whether the poor can get benefit from the appropriate educational program launched by the government (e.g., 9-year compulsory education program), who are able to take advantage of government subsidies in education, is there any kind -certain types of birth control that is more widely used by poor people than others, whether there is a link between working hours and fertility, then whether there is a link between sanitation and health status. Since 1993 the core Susenas sample size is enlarged to generate simple statistics for the district / city level. This new development gives a new dimension to the Susenas data analyst and in that time, several counties have started to develop the indicators / statistics on the welfare of each. Indonesia National coverage, representative to the district level Household Members (Individual) and Household In 1998 Susenas conducted in all geographic regions of Indonesia with a sample size of 208,064 households spread across urban and rural areas. Household will be enumerated using the core questionnaire (VSEN98.K List). Sample survey data [ssd] 1. Type data of households enumerated with Questionnaire Core (VSEN98.K) Types of data collected in the core Susenas 1998 is relatively different from the Susenas, 1997, unless additional information about household participation in the program and Kukesra Takesra and other assistance programs related to poverty alleviation. Data collected in Susenas 1998 includes: a. General information the household member includes name, relationship to head of household, sex, age, marital status, crime experienced, and travel. b. Characteristics of health and education of household members. c. Description of the economic and socio-cultural activities, in particular access to the mass media, household members aged 10 years and over. d. Fertility information for women who have ever married and methods of pregnancy prevention for household members a married status e. Information concerning the quality of residential buildings, household facilities, and the environment. f. information about the average household consumption and the main source of household income. g. Information about household participation in the IDT program, Takesra, Kukesra, and other business assistance programs, and h. Description of raising livestock/poultry. 2. Type data of households enumerated with Questionnaire Module (VSEN98.MKG & VSEN98.MPP) The data module that will be collected in Susenas 1998 includes detailed data on education, housing, health, and nutrition. Details of the data collected for each module are: a. Characteristics of Education, includes the status of education, participation in courses, learning, and education costs. b. Housing information, include the physical condition of buildings, residential buildings, utility / home supplies, and environmental conditions. c. Health and nutrition information including population health, nutritional status of children, the costs incurred for the purposes of health, regular brushing and breakfast, diarrhea prevention knowledge and burns, as well as the household diet. Education and housing data collected using 98.MPP VSEN list, while the health and nutrition of data collected through the list VSEN98.MKG The design of the sample used is a three-phased sample design. Sample selection for urban and rural areas is done separately. 1. In the first-phase, and sample frame of enumeration areas is selected a number of enumeration areas systematically. 2. In the second-phase, each selected enumeration areas selected from the group segment (segment group) in pps, the number of households in the size segment group. Especially for enumeration that has the first digit NKS codes 3, selected 2 segment group. 3. In the third-phase, from each selected segment group, selected a sample of 16 households in a systematic, the households selected from core enumeration area, is named core household, while households selected from enumeration areas core-module is named household core-module. Face-to-face [f2f] Sub Directorate Services and Promotion Statistics Use of the dataset must be acknowledged using a citation which would include: - the Identification of the Primary Investigator - the title of the survey (including country, acronym and year of implementation) - the survey reference number - the source and date of download Example: Statistic Indonesia (BPS), National Socio-Economic Survey 1998, ref. IDN_1998_SUSENAS_v01_M. Data downloaded from www.microdatalib.worldbank.org in December 20, 2012 The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses. susenas98_ki 879936 109 susenas98_ki1 275747 128 susenas98_ki2 275747 66 susenas98_kr 207625 154 susenas98_kr0 65569 46 Province Province Province Province Province Province Write down the name province in the space provided and add the related code referred to in the box provided. 879936 11 Nanggroe Aceh Darussalam 12 North Sumatera 13 West Sumatera 14 Riau 15 Jambi 16 South Sumatera 17 Bengkulu 18 Lampung 19 Bangka Belitung 21 Riau Island 31 DKI Jakarta 32 West Java 33 Central Java 34 DI Yogyakarta 35 East Java 36 Banten 51 Bali 52 West Nusa Tenggara 53 East Nusa Tenggara 54 East Timor 61 West Kalimantan 62 Central Kalimantan 63 South Kalimantan 64 East Kalimantan 71 North Sulawesi 72 Central Sulawesi 73 South Sulawesi 74 Southeast Sulawesi 75 Gorontalo 76 West Sulawesi 81 Maluku 82 Papua District/City District/City District/City District/City District/City District/City Cross out the unnecessary and the Write down the name of district/city in the space provided and add the related code referred to in the box provided. 879936 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 71 72 73 74 75 76 77 78 Sub-district Sub-district Sub-district Sub-district Sub-district Sub-district Write down the name subdistrict in the space provided and add the related code referred to in the box provided. 879936 006 010 011 012 013 014 020 021 022 030 031 032 040 041 042 050 051 052 060 061 062 070 071 080 081 090 091 100 101 110 111 120 121 130 131 132 140 141 150 151 153 160 161 170 171 180 181 182 190 191 200 201 210 220 221 230 231 240 241 250 260 270 280 290 300 301 310 320 330 340 350 710 720 721 730 740 Village/kelurahan Village/kelurahan Village/kelurahan Village/kelurahan Village/kelurahan Village/kelurahan Cross out the unnecessary and the Write down the name of village/kelurahan in the space provided and add the related code referred to in the box provided. 879936 001 002 003 004 005 006 007 008 009 010 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026 027 028 029 030 031 032 033 034 035 036 037 038 039 040 041 042 043 044 045 046 047 048 049 050 051 052 053 054 055 056 057 058 059 060 061 062 063 064 065 066 067 068 069 070 071 072 073 074 076 077 078 079 080 081 082 083 084 085 086 087 089 090 091 093 095 096 097 098 099 100 102 104 105 108 110 111 112 113 114 115 116 121 122 126 131 Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Circle the answered code, then write it down in the box provided. 879936 1 Urban 2 Rural Sample code number Sample code number Sample code number Sample code number Sample code number Sample code number Write down the sample code number (NKS) in the space provided. These details are copies of Details 1 s.d. 9 Block I VSEN98.DSRT list. 879936 Serial number of Sample household Serial number of Sample household Serial number of Sample household Serial number of Sample household Serial number of Sample household Serial number of Sample household Write down the serial number of sample households in the space provided and then move to the box provided. 879936 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 Serial number of household members Serial number of household members Serial number of household members Serial number of household members Serial number of household members 879936 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Village/kelurahan (original) Village/kelurahan (original) Village/kelurahan (original) Village/kelurahan (original) Village/kelurahan (original) 826 1 10 15 3 31 4 5 6 7 9 Sample code number (original) Sample code number (original) Sample code number (original) Sample code number (original) Sample code number (original) 826 110557 110613 111004 111532 111541 120005 121006 121024 121639 210007 210069 210175 211003 211745 221212 221531 411501 Relation with the head of household Relation with the head of household Relation with the head of household Relation with the head of household Relation with the head of household Relation with the head of household Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided. 879936 1 9 2.657 1 Head of household 2 Wife/husband 3 Child 4 In-law 5 Grandchild 6 Parent/in-law 7 Other family 8 Housemaid 9 Other 1. The head of household (krt) is a man in a group of household members who is responsible to provide the daily needs of the concerned households, or a person who is considerend/appointed to be the head of a household (for example a group of students live together in one room inside a census building; because they each are responsible for their own needs, one person is appointed as the household head). 2. Wife/husband, is the wife/husband of the head of household. 3. Children, includes biological children, stepchildren, and adopted children of the head of household. 4. Son/daughter in laws, are the husbands/wives of biological daughters/sons, step daughters/sons, or adopted daughters/sons. 5. Grandchildren, are the children of biological children, step children, or adopted children. 6. Parent in laws, are father/mother of the head of household or father/mother of the spouse of the head of household. 7. Other families, are those who have blood relation with head of the household or the spouse, such as siblings, aunties, uncles, grandparents. 8. Household helpers, are people who works as a helper and lives in the concerned household, receiving wage/salary in the form money or in-kind payment. 9. Other, are people who do not have familial relation to the head of household or the spouse, who live in the household for more than 6 months, such as visitors, friends or tenants who rent room plus food, including children of helpers who also live and eat in the employer's house. Gender Gender Gender Gender Gender Gender Write down the gender of each household member in the provided box, code 1 for “Male” and code 2 for “Female”. Do not guess people’s gender based on their names. To make sure, please ask if the person in question is a male or a female. 879936 1 2 1.503 1 Male 2 Female Age (year) Age (year) Age (year) Age (year) Age (year) Age (year) Ask the respondent's age and enter the answer into the box. Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar. 879936 99 26.62 Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar. Marital status Marital status Marital status Marital status Marital status Marital status Ask marital status of the respondent and enter the code into the box provided. 879936 1 4 1.585 1 Not married 2 Married 3 Divorce 4 Divorce due to death 1. Married means having a wife (for male) or husband (for female) durint the census, whether living together or separately. In this case the people included in this status are those who are married legally (by the law of the tradition, religion, state, etc), and also those who live together and have been considered husband and wive by the local society. 2. Divorcee is a person who has been separated from wife/husband and has not remarried.In this case including a person who claims to be divorced although it is not legally confirmed yet. Biological mother sequential number Biological mother sequential number Biological mother sequential number Biological mother sequential number Biological mother sequential number Write down the name and number of household member being interviewed. Enter the number of the household member into the box. Biological mother number,ask whether the biological mother of this household member lives with him.Fill with "00" if the biological mother is not living in this household. 879936 1 10 11 12 13 14 15 16 2 3 4 5 6 7 8 9 Health complaints - fever Health complaints - fever Health complaints - fever Health complaints - fever Health complaints - fever Any health complaint in the past one month? (read from a to p) a. fever If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Fever is a condition which symptom is the increasing body temperature above 37.5 degrees Celcius, or if touched (especially with the back of the hand) it feels hot. Health complaints - cough Health complaints - cough Health complaints - cough Health complaints - cough Health complaints - cough Any health complaint in the past one month? (read from a to p) b. cough If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Coughing is a sound produced by the sudden opening of vocal cords followed by the fast release of air, in order to let out the object that stimulates the central or lower part of respiratory tract; short or long; dry, phlegm or bloody expectoration; lasting for days, weeks, months or years. Health complaints - cold Health complaints - cold Health complaints - cold Health complaints - cold Health complaints - cold Any health complaint in the past one month? (read from a to p) c. cold If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Colds is a condition with the following symptoms: mucus, nasal congestion, and might be followed by sneezing, or other symptoms. Health complaints - asthma Health complaints - asthma Health complaints - asthma Health complaints - asthma Health complaints - asthma Any health complaint in the past one month? (read from a to p) d. asthma If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Asthma is an illness during which attack the patient suffers difficulty in breathing due to constriction in the lower respiratoty track, causing the breathing to make a shound while letting air out; local community calls the illness bengek or mengi. Health complaints - breathlessness Health complaints - breathlessness Health complaints - breathlessness Health complaints - breathlessness Health complaints - breathlessness Any health complaint in the past one month? (read from a to p) e. breathlessness If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Breathlessness is a condition where panting of breath so must using extra energy (drawn into the chest wall when breathing)and fast (infants> 50 beats/min, 14 years> 40 beats / min, 5 + years> 30 times/min), possibly accompanied a bluish color to lips and nails, because of lack of oxygen. Health complaints - diarrhea Health complaints - diarrhea Health complaints - diarrhea Health complaints - diarrhea Health complaints - diarrhea Any health complaint in the past one month? (read from a to p) f. diarrhea If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Diarrhea is an illness which symptomsare: runny or liquid faeces, sometimes mixed with blood or mucus; generally happens 3 times or more within 24 hours. Diarrhea might be accompanied with a throwing up, or decrement of consciousness. Local people call this illness as mencret or bocor. Health complaints - measles Health complaints - measles Health complaints - measles Health complaints - measles Health complaints - measles Any health complaint in the past one month? (read from a to p) g. measles If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Measles is a disease that is known by people with diffrent various local names, such as: tampek (Java), kerumut (Borneo), eder, gabagan (Java), etc., usually occurs in children, characterized by fever, red eyes, red spots on the skin, cough, cold, possibly accompanied by breathlessness and diarrhea. Health complaints - ear diseases Health complaints - ear diseases Health complaints - ear diseases Health complaints - ear diseases Health complaints - ear diseases Any health complaint in the past one month? (read from a to p) h. ear diseases If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Ear diseases/congek is a disease known to the public as congek, characterized by smelling discharge from the ear. Health complaints - liver Health complaints - liver Health complaints - liver Health complaints - liver Health complaints - liver Any health complaint in the past one month? (read from a to p) i. liver If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Liver is a disease characterized by skin and the whites of eyes looks yellow and colored urine like strong tea. Health complaints - migraine Health complaints - migraine Health complaints - migraine Health complaints - migraine Health complaints - migraine Any health complaint in the past one month? (read from a to p) j. migraine If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Migraine/Recurring headache is the feeling of pain, throbbing pain, jabbing pain, like being tied up, drilled or stabbed in the head, or other uncomfortable feelings in part or of the whole head. It lasts from a few hours to a few days, recurring for several times within 1 year (at least 2 times), with similar symptoms. Headache during fewer is not considered a recurring headache. Health complaints - epilepsy Health complaints - epilepsy Health complaints - epilepsy Health complaints - epilepsy Health complaints - epilepsy Any health complaint in the past one month? (read from a to p) k. epilepsy If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Seizures are uncontrolled movements from the whole body or parts of the body, various causes such as epilepsy, febrile seizures (stip), encephalitis/meningitis. In epileptic seizures appear periodically (eg, every few months) with properties similar to seizures, seizures in epilepsy may be local (ie on the left cheek and eyelid), or whole body, people are not aware at the time of seizure, there is kind of epilepsy is not accompanied by seizures, unconsciousness stare just moments Health complaints - paralysis Health complaints - paralysis Health complaints - paralysis Health complaints - paralysis Health complaints - paralysis Any health complaint in the past one month? (read from a to p) l. paralysis If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Paralyzed is a weakness or inability to move a part of the body. It affects the left side, right side, lower part, right and left side or the whole body, the degree may be mild or medium (the strength is weakening), or severe (does not have any strength to move). The cause is various, example: stroke, polio, spine fracture, meningitis. Impotency is not considered as paralyzed. Health complaints - senility Health complaints - senility Health complaints - senility Health complaints - senility Health complaints - senility Any health complaint in the past one month? (read from a to p) m. senility If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Senility is a disease characterized by the loss or decline of intellectual ability so severe that impede social or occupational functioning; may occur in the elderly or older adults, either after exposure to the disease (eg, stroke), or for no apparent reason. Disruption occurs in memory, abstract thinking, the values, the ability to speak, recognize objects, doing a bit complex, the mimic, and accompanied by personality changes. Health complaints - accident Health complaints - accident Health complaints - accident Health complaints - accident Health complaints - accident Any health complaint in the past one month? (read from a to p) n. accident If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Accidents are not accidental events, omissions or failure of a system that cause injury (not including intentional / criminal), occurred in the home (eg slip, scalded, stabbed nails), on the road (eg falling from a horse, hit by a gig, grazed truck), at work (eg crushed building materials, an explosion), or other (eg falling from a tree, sprains while playing basketball). Health complaints - toothache Health complaints - toothache Health complaints - toothache Health complaints - toothache Health complaints - toothache Any health complaint in the past one month? (read from a to p) o. toothache If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Toothache is the feeling of pain in the teeth or gums, sometimes accompanied by swelling, but does not include sprue. Health complaints - other Health complaints - other Health complaints - other Health complaints - other Health complaints - other Any health complaint in the past one month? (read from a to p) p. other If the answer is coded 0, skip to k5r7a or k5r14 Use code 1 if the respondent have health problems or code 0 if the answer is "No". 879936 No 1 Yes 1. Health complaints is a condition where a person suffers from physical or mental illness, whether it is an acute disease, chronic disease (although there is no problem in the last one month), accident, criminal act or other things. 2. Other problems are health problems such as measles, perforated tympanic membrane /CSOM, hepatitis/liver disease, seizures, paralyzed, senility, including other health problems caused by accidents/tragic events, natural disaster, lost of appetite, difficulty in defecating, headache caused by fever, non-recurring headache, problems with joints, problems in hearing, cataract, gastritis, stomachache, catching colds, unable to urinate, ulcer, sore eyes, and physical problems caused due to menstruation or pregnancy. If there is a complaint,did it disrupt job,school or daily activities? If there is a complaint,did it disrupt job,school or daily activities? If there is a complaint,did it disrupt job,school or daily activities? If there is a complaint,did it disrupt job,school or daily activities? If there is a complaint,did it disrupt job,school or daily activities? If there is a complaint,did it disrupt job,school or daily activities? If the answer is coded 2, skip to k5r5a Circle the appropriate code and fill in the provided box. 222762 1 Yes 2 No Complaint of activities means that the respondent cannot do the normal activity (work, study, daily activities) as usual. Period of disruption: (days) Period of disruption: (days) Period of disruption: (days) Period of disruption: (days) Period of disruption: (days) Period of disruption:(days) Write down how long (days) the household members who have health problems are interrupted from their daily activities in the last one month.The duration of interruption shall not exceed 30 days because the time reference used is the last one month, although the actual health problems last for more than 30 days. 131400 748536 1 30 5.901 Period of disruption does not refer to the worst health problem, but also covers the total duration of all the health problems suffered by the household members in the last one month. If a person has more than one health problem, the length of interruption time caused by the illnesses should not be combined. Is it still disrupting now? Is it still disrupting now? Is it still disrupting now? Is it still disrupting now? Is it still disrupting now? Is it still disrupting now? Circle one of codes and record in the box available. Circles code 1 if householder "still has health disruption until the enumeration day" and circle code 2 if "No". 131400 1 Yes 2 No Did you treat yourself in the last month? Did you treat yourself in the last month? Did you treat yourself in the last month? Did you treat yourself in the last month? Did you treat yourself in the last month? Ever performed self-medication in the past 1 month? If the answer is coded 2, skip to k5r6a Circle code 1 for "Yes" or code 2 for "No", and enter in the boxes provided. 222762 1 Yes 2 No Self medication is an effort to have a medication by deciding the kind of medicines by oneself (without any /prescription from a medical doctor/traditional medication/batra). Duration of self-treatment: (days) Duration of self-treatment: (days) Duration of self-treatment: (days) Duration of self-treatment: (days) Duration of self-treatment: (days) Duration of self-treatment: (days) Write down the respondent's answer in the space provided and directly move it to the box provided 133014 746922 1 30 3.225 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Sysmiss Type of medicine used: Type of medicine used: Type of medicine used: Type of medicine used: Type of medicine used: Cost of self-medication incurred by the household:(Rp) Circle the appropriate code. The circled code can be more than one and fill in the number of circled code into the box provided. 133014 1 Modern medicine 2 Traditional medicine 3 Modern medicine and Traditional medicine 4 Others 5 6 7 If used modern medicine, where was it purchased? If used modern medicine, where was it purchased? If used modern medicine, where was it purchased? If used modern medicine, where was it purchased? If used modern medicine, where was it purchased? Ask for each answer choice, circle the code where to buy drugs, and enter amount of code that is circled in the box provided. 114918 765018 1 62 6.986 1 Pharmacy 2 Drug store 4 Village Medicine Post 8 Vendor 16 Ambulant vendor 32 Other 1. Pharmacy is a place selling drugs to a pharmacist as responsible and obtain permission from local Department of Health Regional Office. 2. Drug store is a place that sells limited free medicine, free medicine and traditional medicine may also (sometimes breaking the law by selling drugs that must be prescribed by a doctor), the assistant pharmacist as responsible and obtain permission from the local health service. 3. Village Medicine Post is the village-level units that provide basic drugs and organized by the community through health volunteers under the guidance of health center. In practice, cadres will ask the patient complaint and then provide the appropriate remedy. 4. Vendor is a place that sells a variety of goods and daily necessities of food, including unlimited free drugs, free drugs or certain traditional medicines (sometimes breaking the law by selling drugs that must be prescribed by a doctor). 5. Ambulant vendor is a traveling salesman who sold the drug dealers to move where. 6. Others, for example, giving neighbors, drug samples, etc.. Ever become an outpatient in the past one month? Ever become an outpatient in the past one month? Ever become an outpatient in the past one month? Ever become an outpatient in the past one month? Ever become an outpatient in the past one month? Ever become an outpatient in the past one month? If the answer is coded 2, skip to k5r7a or k5r14 Circle the appropriate code and fill in the provided box. 222762 1 Yes 2 No The followings are not included in medical treatment:consultation,medical check-up,health check (such as for Driver Liscense,new employee acceptance,promotion),screening (medical check-up to find illness,such as:Pap Smear Test for cervix cancer,mantoux tes for toddler to find TBC),normal pregnancy check-up,and immunization,because all are prevention efforts. Outpatient is an effort by household members who have health problems to check their health and get medication by going to modern or traditional health services without hospitalization,including housecall. Frequency outpatient - Government’s hospital Frequency outpatient - Government’s hospital Frequency outpatient - Government’s hospital Frequency outpatient - Government’s hospital Frequency outpatient - Government’s hospital How many times have you had an ongoing treatment in this last month: 01. Government’s hospital Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization). 95570 784366 8 0.0894 1 2 3 4 5 6 7 8 Sysmiss Government’s hospital is a hospital owned by the central government (such as RSCM/RSUP Dr. Cipto Mangunkusumo); regional government (such as RSU Labuang Baji), National Army/TNI (such as RSPAD), or State-owned Enterprise/BUMN (such as RS Pertamina). Frequency outpatient - Private hospital Frequency outpatient - Private hospital Frequency outpatient - Private hospital Frequency outpatient - Private hospital Frequency outpatient - Private hospital How many times have you had an ongoing treatment in this last month: 02. Private hospital Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization). 95570 784366 8 0.0401 1 2 3 4 5 6 7 8 Sysmiss Private Hospital is a private owned hospital such as RS St. Carolus, RS Medistra. Frequency outpatient - Doctor’s office Frequency outpatient - Doctor’s office Frequency outpatient - Doctor’s office Frequency outpatient - Doctor’s office Frequency outpatient - Doctor’s office How many times have you had an ongoing treatment in this last month: 03. Doctor’s office Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization). 95570 784366 8 0.291 1 2 3 4 5 6 7 8 Sysmiss Doctor’s office is a health service center for outpatient (not hospitalized); usually managed by privates, companies, foundations, Army/TNI or various Departments/BUMN. Frequency outpatient - Public Health Center (Puskesmas) Frequency outpatient - Public Health Center (Puskesmas) Frequency outpatient - Public Health Center (Puskesmas) Frequency outpatient - Public Health Center (Puskesmas) Frequency outpatient - Public Health Center (Puskesmas) How many times have you had an ongoing treatment in this last month: 04. Public Health Center (Puskesmas) Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization). 95570 784366 8 0.382 1 2 3 4 5 6 7 8 Sysmiss Public Health Center (Puskesmas) is a health service unit owned by the government responsible for providing health services to the community in sub-districts,part of sub-districts or kelurahan (such in DKI Jakarta). Puskesmas team can do mobile practices to certain places within its working territory in order to provide easier access of health services for the society. Frequency outpatient - Assisted Public Health Center (Puskesmas Pembantu) Frequency outpatient - Assisted Public Health Center (Puskesmas Pembantu) Frequency outpatient - Assisted Public Health Center (Puskesmas Pembantu) Frequency outpatient - Assisted Public Health Center (Puskesmas Pembantu) Frequency outpatient - Assisted Public Health Center (Puskesmas Pembantu) How many times have you had an ongoing treatment in this last month: 05. Assisted Public Health Center (Puskesmas Pembantu) 95570 784366 8 0.155 1 2 3 4 5 6 7 8 Sysmiss Assisted Public Health Center (Puskesmas Pembantu), the public health service units that assist the health center in most of the Puskesmas. Frequency outpatient - Clinic Frequency outpatient - Clinic Frequency outpatient - Clinic Frequency outpatient - Clinic Frequency outpatient - Clinic How many times have you had an ongoing treatment in this last month: 06. Clinic Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization). 95570 784366 8 0.0339 1 2 3 4 5 6 7 8 Sysmiss Polyclinic is a health service center for outpatient (not hospitalized); usually managed by privates, companies, foundations, Army/TNI or various Departments/BUMN. Frequency outpatient - Health officer’s office Frequency outpatient - Health officer’s office Frequency outpatient - Health officer’s office Frequency outpatient - Health officer’s office Frequency outpatient - Health officer’s office How many times have you had an ongoing treatment in this last month: 07. Health officer’s office Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization). 95570 784366 8 0.295 1 2 3 4 5 6 7 8 Sysmiss Medical worker practice are private/personal practices of physicians,whether general practitioners,dentists,or specialists.Location of practices can be carried out in Hospitals,puskesmas (community health center),supporting puskemas,or clinic that is commonly open outside the doctor's working hours. Frequency outpatient - Batra’s practices Frequency outpatient - Batra’s practices Frequency outpatient - Batra’s practices Frequency outpatient - Batra’s practices Frequency outpatient - Batra’s practices How many times have you had an ongoing treatment in this last month: 08. Batra’s practices Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization). 95570 784366 8 0.07 1 2 3 4 5 6 7 8 Sysmiss Batra Practice (Traditional treatment) is an alternative health service by shaman/healer/sinshe,including accupuncture practice,finger therapy,paranormal,radiesthesia (usually using a pendulum). Frequency outpatient - Polindes Frequency outpatient - Polindes Frequency outpatient - Polindes Frequency outpatient - Polindes Frequency outpatient - Polindes How many times have you had an ongoing treatment in this last month: 09. Polindes Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization). 95570 784366 8 0.0309 1 2 3 4 5 6 7 8 Sysmiss Polindes (village midwife stations) is service place to assisted the childbirth process villagers/kelurahan, usually led by a midwife in the village. Frequency outpatient - Integrated Service Post (Posyandu) Frequency outpatient - Integrated Service Post (Posyandu) Frequency outpatient - Integrated Service Post (Posyandu) Frequency outpatient - Integrated Service Post (Posyandu) Frequency outpatient - Integrated Service Post (Posyandu) How many times have you had an ongoing treatment in this last month: 10. Integrated Service Post (Posyandu) Write down in the provided box the frequency of (how many times) the respondent visits health centers for medical treatment (without hospitalization). 95570 784366 8 0.0138 1 2 3 4 5 6 7 8 Sysmiss Integrated Service Post (Posyandu) is an integrated POS services that provide integrated service especially for immunization, maternal and child health, family planning, prevention of diarrhea and nutrient (growth monitoring and supplementary feeding for children under five); held by the public through health cadres under the guidance of health center. Where did you go for outpatient services the first time? Where did you go for outpatient services the first time? Where did you go for outpatient services the first time? Where did you go for outpatient services the first time? Where did you go for outpatient services the first time? Where did you go for outpatient services the first time? Fill in code the service for outpatient visits first time into box provided. 78679 1 Government’s hospital 10 Integrated Service Post (Posyandu) 2 Private hospital 3 Doctor’s office 4 Public Health Center (Puskesmas) 5 Assisted Public Health Center (Puskesmas Pembantu) 6 Clinic 7 Health officer’s office 8 Batra’s practices 9 Polindes/BDD/Posyandu Age in months: (months) Age in months: (months) Age in months: (months) Age in months: (months) Age in months: (months) Age in months: (months) If the toddler is 1 month old or more (k5r7a not equal to 00), continue to k5r8. Fill in the toddler's age in months, if the age is >= 1 month in the space provided and directly move it to the box provided Child age 0-59 months 87631 792305 59 28.853 Age in days: (days) Age in days: (days) Age in days: (days) Age in days: (days) Age in days: (days) If k5r7a = 00 Age in days: (days) Fill in the toddler's age in days, if the toddler is < 1 month old in the space provided and directly move it to the box provided. Child age 0-59 months 1226 878710 1 30 15.658 Who assisted the first birth process? Who assisted the first birth process? Who assisted the first birth process? Who assisted the first birth process? Who assisted the first birth process? Who assisted the first birth process? Fill in the box a for the helper for the first born . Child age 0-59 months 87631 1 Doctor 2 Midwife 3 Other paramedic 4 Healer 5 Family 6 Other The birth process is the process of birth of a fetus from the mother’s womb to the world,starting with birth symptoms (periodic stomach ache that gets more often,longer and stronger,contraction of womb,water-broke mixed with mucus and blood from vagina, water-broke of yellowish clear color from vagina,and the feeling of defecation before the baby is finally delivered),infant delivered,cutting the placenta cord and the release of placenta.In birth a process,a woman might be help by more than one type of helper(such as traditional midwife and a nurse). Birth is a process when the fetus is delivered at the age of more than 5 months (22 weeks);if the fetus’s age is less than 5 months,it is called an abortion. Who assisted the last birth process? Who assisted the last birth process? Who assisted the last birth process? Who assisted the last birth process? Who assisted the last birth process? Who assisted the last birth process? Fill in box b for the helper for the last born . Child age 0-59 months 87631 1 Doctor 2 Midwife 3 Other paramedic 4 Healer 5 Family 6 Other The birth process is the process of birth of a fetus from the mother’s womb to the world,starting with birth symptoms (periodic stomach ache that gets more often,longer and stronger,contraction of womb,water-broke mixed with mucus and blood from vagina, water-broke of yellowish clear color from vagina,and the feeling of defecation before the baby is finally delivered),infant delivered,cutting the placenta cord and the release of placenta.In birth a process,a woman might be help by more than one type of helper(such as traditional midwife and a nurse). Birth is a process when the fetus is delivered at the age of more than 5 months (22 weeks);if the fetus’s age is less than 5 months,it is called an abortion. Frequency of immunization - BCG Frequency of immunization - BCG Frequency of immunization - BCG Frequency of immunization - BCG Frequency of immunization - BCG How many times the children have had immunization? a. BCG Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine. Child age 0-59 months 87631 792305 9 1.028 1 2 3 9 Sysmiss 1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease. 2. BCG (Bacillus Calmette Guerin) is a vaccination to prevent Tuberculosis/TBC, given to a new born baby or a toddler by injection on the base of the upper arm. BCG injection is given one time. Frequency of immunization - DPT Frequency of immunization - DPT Frequency of immunization - DPT Frequency of immunization - DPT Frequency of immunization - DPT How many times the children have had immunization? b. DPT Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine. Child age 0-59 months 87631 792305 9 1.868 1 2 3 4 5 6 7 8 9 Sysmiss 1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease. 2. DPT (Diphteria ,Pertussis, Tetanus) is given to a baby aged 3 months or older, by injecting it on the thigh and should be repeated after 1 month and then again after 2 months. Thus, a complete DPT Immunization on toddlers are done 3 times (sometimes time lapse between injections can be more than one month). Frequency of immunization - Polio Frequency of immunization - Polio Frequency of immunization - Polio Frequency of immunization - Polio Frequency of immunization - Polio How many times the children have had immunization? c. Polio Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine. Child age 0-59 months 87631 792305 9 2.456 1 2 3 4 5 6 7 8 9 Sysmiss 1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease. 2. Polio is a vaccine to prevent polio virus, given to a baby at the age 3 months or older by giving 3 drops of liquid vaccine in a pink or white color directly into the baby's mouth; usually given together with DPT vaccination. A complete Polio immunization is given 3 times. In National Immunization Week (PIN), polio immunization are given specifically for all toddlers in Indonesia at the same week (in certain regions are at the same month or day) in accordance to the given schedule. Frequency of immunization - Measles/Morbili Frequency of immunization - Measles/Morbili Frequency of immunization - Measles/Morbili Frequency of immunization - Measles/Morbili Frequency of immunization - Measles/Morbili How many times the children have had immunization? d. Measles/Morbili Enter how many times a child has been given immunization according to the mother's answer, and enter the code into the boxes provided. If the answer is never, enter a zero and if she does not know, enter a nine. Child age 0-59 months 87631 792305 9 0.784 1 2 9 Sysmiss 1. Immunization or vaccination is inserting certain attenuated germs or toxins(vaccine) into human body by means of injecting or drinking(dropping into mouth) in order to increase body immunity against the disease. 2. Measles/morbilli is a vaccine to prevent measles/morbilli; (please state the symptoms and epidemic area of measles if the mother seems not understand), that is usually given one time to a baby aged between 9 to 12 months, by injecting on the thigh. Do you have KMS/Immunization Card? Do you have KMS/Immunization Card? Do you have KMS/Immunization Card? Do you have KMS/Immunization Card? Do you have KMS/Immunization Card? Do you have KMS/Immunization Card? If the answer is coded 2 or 3, skip to k5r12 Circle the appropriate code and enter the box provided. Select the code of 1 if the mother or any household member saving at home and can show KMS (Card Towards Healthy) or the child's immunization card. Select the code 2 if the card in other place, such as stored by leader of cadre, mother village head , or if the respondent said that having the card, but can not show for forgetting where to put it, including those in the doctor's immunization records. Select the code 3 if not have a card. Child age 0-59 months 87630 1 Yes, have at home 2 Yes, have in another Place 3 Doesn’t have KMS is the card that contains the child's growth curve based on anthropometric index weight according to age differentiated by sex. KMS/Immunization - BCG KMS/Immunization - BCG KMS/Immunization - BCG KMS/Immunization - BCG KMS/Immunization - BCG Copy the frequency of immunization based on KMS/Immunization data: a. BCG Copy how many times received an injection of immunizations in accordance with the data written on Card Towards Healthy (KMS) / Immunization Card. If KMS/Immunization Card not exist at all records that the child has received the immunization, although according to the mother is, enter a zero in the box provided. Child age 0-59 months 36250 843686 9 1.15 1 2 3 9 Sysmiss KMS/Immunization - DPT KMS/Immunization - DPT KMS/Immunization - DPT KMS/Immunization - DPT KMS/Immunization - DPT Copy the frequency of immunization based on KMS/Immunization data: b. DPT Copy how many times received an injection of immunizations in accordance with the data written on Card Towards Healthy (KMS) / Immunization Card. If KMS/Immunization Card not exist at all records that the child has received the immunization, although according to the mother is, enter a zero in the box provided. Child age 0-59 months 36250 843686 9 2.216 1 2 3 4 5 6 7 8 9 Sysmiss KMS/Immunization - Polio KMS/Immunization - Polio KMS/Immunization - Polio KMS/Immunization - Polio KMS/Immunization - Polio Copy the frequency of immunization based on KMS/Immunization data: c. Polio Copy how many times received an injection of immunizations in accordance with the data written on Card Towards Healthy (KMS) / Immunization Card. If KMS/Immunization Card not exist at all records that the child has received the immunization, although according to the mother is, enter a zero in the box provided. Child age 0-59 months 36250 843686 9 2.542 1 2 3 4 5 6 7 8 9 Sysmiss KMS/Immunization - Measles/Morbili KMS/Immunization - Measles/Morbili KMS/Immunization - Measles/Morbili KMS/Immunization - Measles/Morbili KMS/Immunization - Measles/Morbili Copy the frequency of immunization based on KMS/Immunization data: d. Measles/Morbili Copy how many times received an injection of immunizations in accordance with the data written on Card Towards Healthy (KMS) / Immunization Card. If KMS/Immunization Card not exist at all records that the child has received the immunization, although according to the mother is, enter a zero in the box provided. Child age 0-59 months 36250 843686 9 0.843 1 2 9 Sysmiss Ever provided with breast milk? Ever provided with breast milk? Ever provided with breast milk? Ever provided with breast milk? Ever provided with breast milk? Ever provided with breast milk? If the entry is coded 2, finished. Circle code 1 for “Yes” and code 2 for “No” and write down in the provided box. Child age 0-59 months 87631 1 Yes 2 No Breastfeeding is if a mother’s nipple sucked by a baby secreting milk that is drunk by the baby,although only a little. A breastfeeding mother is not only the biological mother of the baby but she could be another woman. Breast milk(ASI) is the best natural food for baby,which composition meets the full requirement of a baby up to 6 months old.ASI contains elements that provides protection against various diseases and also enzyme that help baby’s digestive system. Breastfeeding with affection can also strengthen the bond between a mother and her baby. Duration of breast feeding (days) Duration of breast feeding (days) Duration of breast feeding (days) Duration of breast feeding (days) Duration of breast feeding (days) If k5r7a = 00 Duration of breast feeding (days) If a child has been given ASI, enter duration of breastfeeding into the provided boxes. Child age 0-59 months 82993 796943 59 16.977 Breast feeding only (days) Breast feeding only (days) Breast feeding only (days) Breast feeding only (days) Breast feeding only (days) If k5r7a = 00 Breast feeding only (days) If a child has been given AS I, enter duration of exclusive breastfeeding into the provided boxes. Child age 0-59 months 82993 796943 49 3.775 Breast feeding + food/drink supplement (days) Breast feeding + food/drink supplement (days) Breast feeding + food/drink supplement (days) Breast feeding + food/drink supplement (days) Breast feeding + food/drink supplement (days) If k5r7a = 00 Breast feeding + food/drink supplement (days) If a child has been given ASI , enter duration of ASI plus complementary food into the provided boxes. Child age 0-59 months 82993 796943 59 13.202 Within 24 the last hours, the child given: (days) Within 24 the last hours, the child given: (days) Within 24 the last hours, the child given: (days) Within 24 the last hours, the child given: (days) Within 24 the last hours, the child given: (days) If k5r7a = 00 (Specific for children under 12 month) within 24 the last hours, the child given: (days) Fill code 1 if the child in the last 24 hours were given only breast milk only, code 2 if given breast milk + food/drinks additional, code 3 if not given breast milk into the box provided. Child age 0-59 months 16412 1 Breast feeding only 2 Breast feeding + food/drink supplement 3 No breast feeding (only food and drinks) 4 Duration of breast feeding (month) Duration of breast feeding (month) Duration of breast feeding (month) Duration of breast feeding (month) Duration of breast feeding (month) If k5r7a not equal to 00 Duration of breast feeding (month) If a child has been given ASI, enter duration of breastfeeding into the provided boxes Child age 0-59 months 1226 878710 30 13.746 Breast feeding only (month) Breast feeding only (month) Breast feeding only (month) Breast feeding only (month) Breast feeding only (month) If k5r7a not equal to 00 Breast feeding only (month) If a child has been given AS I, enter duration of exclusive breastfeeding into the provided boxes. Child age 0-59 months 1226 878710 30 11.967 Breast feeding + food/drink supplement (month) Breast feeding + food/drink supplement (month) Breast feeding + food/drink supplement (month) Breast feeding + food/drink supplement (month) Breast feeding + food/drink supplement (month) If k5r7a not equal to 00 Breast feeding + food/drink supplement (month) If a child has been given ASI , enter duration of ASI plus complementary food into the provided boxes. Child age 0-59 months 1226 878710 29 1.778 Within 24 the last hours, the child given: (month) Within 24 the last hours, the child given: (month) Within 24 the last hours, the child given: (month) Within 24 the last hours, the child given: (month) Within 24 the last hours, the child given: (month) If k5r7a not equal to 00 (Specific for children under 12 month)Within 24 the last hours, the child given: (month) Fill code 1 if the child in the last 24 hours were given only breast milk only, code 2 if given breast milk + food/drinks additional, code 3 if not given breast milk into the box provided. Child age 0-59 months 1226 1 Breast feeding only 2 Breast feeding + food/drink supplement 3 No breast feeding (only food and drinks) Schooling participation: Schooling participation: Schooling participation: Schooling participation: Schooling participation: Schooling participation: 1. If the answer is coded 1, skip to k5r18 Circle one of the codes from 1 to 3 and enter the number into the box provided. Household member age five years up 792305 1 No/never in school 2 Still in school 3 No longer in school A person is considered schooling if he is registered and active in attending a study process in formal education level,whether under supervision of Ministry of National Education/Depdiknas or other department/institution. 1. Not/not yet attending school - never or not yet been registered and never been active in attending school or at formal education level, including have completed/not completed kindergarten level but do not continue to elementary school. 2. Still attending school - are those who are registered and actively attending a formal education level, whether it is under supervision of Ministry of National Education, Ministry of Religion, other Government Institution, or Private Institution. 3. No longer in school - those who were once registered and actively attending a formal education, but at the time of census are not registered and active anymore, including those who are attending Package A program of SD (Elementary) equivalent, Package B program of SMP (Junior High) equivalent and Package C Program of SMA (Senior High) equivalent. The highest education type and level currently studied/passed: The highest education type and level currently studied/passed: The highest education type and level currently studied/passed: The highest education type and level currently studied/passed: The highest education type and level currently studied/passed: The highest education type and level currently studied/passed: Circle one of code 1 to 14 and fill it in the provided box. Household member age five years up 683376 1 Primary school 10 Diploma I/II 11 Diploma III/bachelor 12 Diploma IV/ graduate 13 Master 14 Ph.D. 2 “Ibtidaiyah” (Islamic) 3 “A” packet group 4 Junior high/ Vocational 5 “Tsanawiyah” (Islamic) 6 “B” packet group 7 Senior High school 8 “Aliyah” (islamic) 9 Vocational High school 1. SD/SDLB is an Elementary School of 5/6/7 years or equivalent(elementary special school,small elementary school,pamong elementary school). 2. Madrasah Ibtidaiyah(MI) is Islamic Elementary School of SD equivalent. 3. SMP/SMPLB is Secondary School or the equivalent MULO,3-year HBS,and Secondary Special School). 4. Madrasah Tsanawiyah(MTs) is Islamic Secondary School of SMP equivalent . 5. General High School(SMU)/Special High School(SMLB) is a High School(SMU),or the equivalent(Special High School,5-year HBS,AMS,and Employee Administration High Course(KPAA). 6. Madrasah Aliyah(MA) is an Islamic High School of SMU equivalent. 7. Vocational High School(SMK) is a vocational school of SMA equivalent. 8. Diploma 1/2 Program is D1/D2 program in a university that organizes diploma 1 and 2 program in formal education. 9. Diploma 3 Program/baccalaureate is a D3 program or baccalaureate degree in an academy or university that organizes diploma programs or issues baccalaureate degrees. 10. Diploma 4 Program/bachelor is an education program of Diploma 4 or Strata1 in a university. 11. S2/S3 is a postgraduate education program(master or doctorate),Strata 2 or Strata 3 in a university. Education provider: Education provider: Education provider: Education provider: Education provider: Ask who education providers. Fill one of the appropriate code in the box provided. Household member age five years up 683380 1 State 2 Private 3 Overseas Highest level ever or being attended Highest level ever or being attended Highest level ever or being attended Highest level ever or being attended Highest level ever or being attended Level/grade ever or being attended: Circle one of the following codes from 1 to 8 and enter the code into the box provided. Household member age five years up 683376 196560 8 5.415 1 Grade-1 2 Grade-2 3 Grade-3 4 Grade-4 5 Grade-5 6 Grade-6 7 Grade-7 8 Graduated Sysmiss Graduated means has completed the study marked with passing the final exams in the last class/level of an education in a public or private school and received a certificate/diploma. A household head/member who has not attended the last level of education program but has passed the final exams is considered graduate. The highest level completed: The highest level completed: The highest level completed: The highest level completed: The highest level completed: The highest level completed: Household member age five years up 683376 1 None 2 Elementary/MI and its equivalent 3 Junior high/MTs/vocational and its equivalent 4 Senior high/MS and its equivalent 5 Vocational school 6 Diploma I/II 7 Diploma III/junior bachelor 8 Diploma IV/University 9 Master degree/doctoral degree None means that the household/member does not possessed certificate for a certain educational level, but has to attended to Elementary School of 5/6/7 year study or equivalent(among others are basic level of SLB,Madrasah Ibtidaiyah,Pamong Elementary School,Smal Elementary School,Package A1-A100,Package a Equivalent) but did not/has not yet graduate.This include household/member who graduated 3-year elementary school or equivalent. Can you speak Indonesian? Can you speak Indonesian? Can you speak Indonesian? Can you speak Indonesian? Can you speak Indonesian? Can you speak Indonesian? Household member age five years up 792305 1 Yes 2 No Can read and write: Can read and write: Can read and write: Can read and write: Can read and write: Can read and write: Circle one of the code 1 to code 4 and enter the answer into the provided box. Household member age five years up 792305 1 Latin alphabets 2 Other alphabets 3 Latin and other alphabets 4 Cannot Can read and write means able to read and write words/simple sentences in certain letters, e.g. "I must be honest." Activities in past one week - work Activities in past one week - work Activities in past one week - work Activities in past one week - work Activities in past one week - work Did you perform the following activity in the past one week? a. work Circle code 1 for "Yes" or code 0 for "No", and enter in the boxes provided. Household member age 10 years up 693869 No 1 Yes Working is an activity of doing work with the intention to earn or help earning a living or profit,minimum for one hour in the last one week. Working for one hour as mentioned above should be done continuously and uninterrupted. Income includes wages/salary,including all the benefits and bonus for worker/employee and business income in the form of rents or profits,whether in cash or goods for businessmen. Activities in past one week - attending school Activities in past one week - attending school Activities in past one week - attending school Activities in past one week - attending school Activities in past one week - attending school Did you perform the following activity in the past one week? b. attending school Circle code 1 for "Yes" or code 0 for "No", and enter in the boxes provided. Household member age 10 years up 693869 No 1 Yes Going to school is an activity at a formal school,whether in primary,secondary,or higher education.Students on leave are not included. Activities in past one week - handling household Activities in past one week - handling household Activities in past one week - handling household Activities in past one week - handling household Activities in past one week - handling household Did you perform the following activity in the past one week? c. handling household Circle code 1 for "Yes" or code 0 for "No", and enter in the boxes provided. Household member age 10 years up 693869 No 1 Yes Handling household is an activities of managing the household or helping to manage the household without getting paid. Activities in past one week - looking for a job Activities in past one week - looking for a job Activities in past one week - looking for a job Activities in past one week - looking for a job Activities in past one week - looking for a job Did you perform the following activity in the past one week? d. looking for a job Circle code 1 for "Yes" or code 0 for "No", and enter in the boxes provided. Household member age 10 years up 693869 No 1 Yes Other activities include: sports, course, picnic and social activities (organization, volunteering) Others are activities other than working,going to school and managing household. Included in this category are people who cannot do activities such as senior citizens,disabled and people who receive pension and do not work anymore. Activities in past one week - other beside personal activity Activities in past one week - other beside personal activity Activities in past one week - other beside personal activity Activities in past one week - other beside personal activity Activities in past one week - other beside personal activity Did you perform the following activity in the past one week? e. other beside personal activity Circle code 1 for "Yes" or code 0 for "No", and enter in the boxes provided. Household member age 10 years up 693869 No 1 Yes Other activities include: sports, course, picnic and social activities (organization, volunteering) Others are activities other than working,going to school and managing household. Included in this category are people who cannot do activities such as senior citizens,disabled and people who receive pension and do not work anymore. What activity used the most time in the past one week? What activity used the most time in the past one week? What activity used the most time in the past one week? What activity used the most time in the past one week? What activity used the most time in the past one week? If k6r20a1- 4 with code 1 (“Yes”) What activity used the most time in the past one week? If k6r20b is coded 1, skip to k6r23 k6r24a with code 1 (“Yes”) – ask what activity is the most time consuming in the last one week, circle one of the codes and enter the number into the box provided. Household member age 10 years up 693869 1 Work 2 School 3 Handling Household 4 Other 5 The most time consuming activity is an activity that uses up most time in comparison with other activities. Did you work for living at least 1 hour during previous week? Did you work for living at least 1 hour during previous week? Did you work for living at least 1 hour during previous week? Did you work for living at least 1 hour during previous week? Did you work for living at least 1 hour during previous week? If k6r20a1 is code 0 ("No") If the answer is coded 1, skip to k6r23 If the details 20.a1 = 1, then details 21 code directly filled 1, if the details 20.a.1 = 2, then details 21 were asked again to ensure whether respondents actually work for living or not for 1 hour during previous week. Household member age 10 years up 389796 1 Yes 2 No Do you have work/business, but temporarily not working for the past one week? Do you have work/business, but temporarily not working for the past one week? Do you have work/business, but temporarily not working for the past one week? Do you have work/business, but temporarily not working for the past one week? Do you have work/business, but temporarily not working for the past one week? Do you have work/business, but temporarily not working for the past one week? If the answer is coded 2, skip to k6r28. Circle code 1 for “Yes” or code 2 for “No”, then enter the answer into the provided box. Household member age 10 years up 330459 1 Yes 2 No Those who are categorized as have jobs but temporarily do not work are: 1.Professional workers who do not work because of sickness waiting for the next projects.Examples: Puppet master,masseur/se,shaman and singer. 2.Regular employees,government officials or employees of private companies who are ill,on leave,absent,on strike or temporarily laid off because the company stopped operating,for example a factory having machine malfunction,or lack of raw material,etc. 3.Farmer who works on farm land,stops working because of an illness or waiting for the next job such as harvest or rainy season to start planting paddy field. Those who are categorized as having jobs but temporarily do not work are people who work/have businesses but for the last one week stop working for a reason,such as sick,on leave,waiting for harvesting,or on a strike. Total work day: (days) Total work day: (days) Total work day: (days) Total work day: (days) Total work day: (days) Total work day: (days) Write down the total working days for the last one week according to the number of days spent for work and enter it in the box provided. Household member age 10 years up 373112 506824 7 5.789 1 2 3 4 5 6 7 Sysmiss Working days means days spent by a person to carry out working activities at a minimum of one (1) hour continuously in the last one week. Total work hour from all jobs in the past one week: (hours) Total work hour from all jobs in the past one week: (hours) Total work hour from all jobs in the past one week: (hours) Total work hour from all jobs in the past one week: (hours) Total work hour from all jobs in the past one week: (hours) Total work hour from all jobs in the past one week: (hours) Write down the total working hours in the last one week and enter it in the box provided. Household member age 10 years up 373112 506824 98 36.183 Total working hours is the time (in hour) spent to do all the working activities in the last one week. If respondent is temporary out of work, write down "00" Type of work/position of the main job in the past one week: Type of work/position of the main job in the past one week: Type of work/position of the main job in the past one week: Type of work/position of the main job in the past one week: Type of work/position of the main job in the past one week: Type of work/position of the main job in the past one week: Write down completely the type of position/main job in the empty space provided. Household member age 10 years up 373112 1 10 11 12 13 14 15 16 17 18 19 2 20 21 3 30 31 32 33 34 35 36 37 38 39 4 40 41 42 43 44 45 5 50 51 52 53 54 55 56 57 58 59 6 60 61 62 63 64 7 70 71 72 73 74 75 76 77 78 79 8 80 81 82 83 84 85 86 87 88 89 9 90 91 92 93 94 95 96 97 98 99 Main business/job from workplace in the past one week: Main business/job from workplace in the past one week: Main business/job from workplace in the past one week: Main business/job from workplace in the past one week: Main business/job from workplace in the past one week: Main business/job from workplace in the past one week: Write down completely the main business/job from workplace in the empty space provided. Household member age 10 years up 373112 1 10 11 12 13 14 15 16 17 18 2 21 22 23 24 25 26 3 31 32 33 34 35 36 37 38 39 4 41 42 43 5 51 52 6 61 62 63 64 7 71 72 73 74 75 8 81 82 83 9 91 92 93 94 95 96 99 Business sector/type of work is the sector of activity of work/company/business where the household head/member works. How to determine the main work: 1.If a household head/member in the last one week only has only one work,than it is considered the main work. 2.If a household head/member in the last one week has more than one work,the main work is the one that consumes the most time. If the time spent to do those works are the same,than the work that produces the largest income is considered the main work. Position/status of the main job in the past one week: Position/status of the main job in the past one week: Position/status of the main job in the past one week: Position/status of the main job in the past one week: Position/status of the main job in the past one week: Position/status of the main job in the past one week: If the answer is coded 1,2,3 or 5 skip to k6r28. Circle one of the code 1 to code 5 and enter the answer into the provided box. Household member age 10 years up 373112 1 Self-owned business 2 Self-owned business with non-permanent/non-paid worker 3 Self-owned business with permanent/paid worker 4 Worker/employee/staff 5 Non-paid worker Status/work position is the household head/member position at main job. 1. Self-owned business/freelance is a household head/member who works/owns business by taking economical risk, that may result in the lost of production cost that has been spent in doing the business, and does not employ any worker whether paid or unpaid. Included in this category are works that required special skill/talent. 2. Self-owned business with non-permanent/non-paid worker is a household head/member who works or owns a business on his own risk, and hires unpaid labor/employee/staff and or employs fee labor/employee/staff. 3. Self-owned business with permanent/paid worker is a household head/member who opens a business at his own risk and employs at lease one paid labor/employee/staff. 4. Worker/employee/staff is a household head/member whow works for other people or institutions/ office/company and regularly receives wages/salaries in the form of money or goods (in-kind) 5. Non-paid worker is a household member who works to help household head/member/other people without getting paid, whether in the form of money or goods. Wage/salary (in cash): (Rp) Wage/salary (in cash): (Rp) Wage/salary (in cash): (Rp) Wage/salary (in cash): (Rp) Wage/salary (in cash): (Rp) What was the wage/net salary received in a month from main work? wage/salary (in cash): (Rp) Write down the wage / salary received by the worker / employee during the month, corresponding the respondents' answers. If wages / salaries received during the month are generally in the form of money, fill the available space and moved into the box. Household member age 10 years up 116325 763611 99999999 276392.565 Wage/salary (in-goods): (Rp) Wage/salary (in-goods): (Rp) Wage/salary (in-goods): (Rp) Wage/salary (in-goods): (Rp) Wage/salary (in-goods): (Rp) What was the wage/net salary received in a month from main work? wage/salary (in-goods): (Rp) Write down the wage / salary received by the worker / employee during the month, corresponding the respondents' answers. If wages / salaries received during the month are generally in the form of goods, fill the available space and moved into the box. Household member age 10 years up 116326 763610 2143289343 41324.267 Have you aver worked before? Have you aver worked before? Have you aver worked before? Have you aver worked before? Have you aver worked before? Have you aver worked before? Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box. Household member age 10 years up 693801 1 Yes 2 No Were you looking for a job? Were you looking for a job? Were you looking for a job? Were you looking for a job? Were you looking for a job? Were you looking for a job? If the answer is coded 2, skip to k7r32 or other household member. Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box. Household member age 10 years up 693801 1 Yes 2 No Did you listen to the radio during previous week Did you listen to the radio during previous week Did you listen to the radio during previous week Did you listen to the radio during previous week Did you listen to the radio during previous week Did you listen to the radio during previous week If the answer is coded 2, skip to k7r32 or other household member. Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box. Household member age 10 years up 693801 1 Yes 2 No Listening to the radio, if someone directs his hearing to the materials broadcasted on the radio or takes time to listen to the radio, so that he can follow, understand, or enjoy what he is doing. Did you watch TV during the previous week? Did you watch TV during the previous week? Did you watch TV during the previous week? Did you watch TV during the previous week? Did you watch TV during the previous week? Did you watch TV during the previous week? Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box. Household member age 10 years up 693801 1 Yes 2 No It said watching television if someone directs attention to the shows in television, or takes time to watch TV shows, so that he can understand or enjoy the show broadcasted. Did you read newspaper/magazine during previous week? Did you read newspaper/magazine during previous week? Did you read newspaper/magazine during previous week? Did you read newspaper/magazine during previous week? Did you read newspaper/magazine during previous week? Did you read newspaper/magazine during previous week? Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box. Household member age 10 years up 693801 1 Yes 2 No It can be said reading, if someone had read at least one topic over the past week,and he knows / understands the contents of the topic or at a minimum had read one page of a book. Parents who read a storybook to the children is categorized reading a storybook, while the children who just listen are not categorized as reading. Newspaper covers daily and weekly newspapers. - Daily newspaper is a newspaper which is published daily, such as Kompas, Media Indonesia, Merdeka, Suara Karya, Suara Pembaruan, Terbit, etc. - Weekly newspaper is a newspaper published once a week (not including tabloid), for instance Suara Pembaharuan Minggu (SPM). First marriage at age: (Years) First marriage at age: (Years) First marriage at age: (Years) First marriage at age: (Years) First marriage at age: (Years) First marriage at age: (Years) Fill in respondent’s age at first marriage in the provided space and write it down in the box. The formula to calculate the respondent's age at first marriage is the same as the formula to count respondent's age. Women ever married aged 10 years and above 229500 650436 10 79 19.214 Number of years in marriage: (years) Number of years in marriage: (years) Number of years in marriage: (years) Number of years in marriage: (years) Number of years in marriage: (years) Number of years in marriage: (years) Ask how long the respondent has been married. If there were more than one marriage, please add the number of years of the entire wedlocks made. Rounded it down. For those who got pregnant out of wedlock enter code "00". Women ever married aged 10 years and above 229500 650436 84 19.197 Number of biological children - born alive Number of biological children - born alive Number of biological children - born alive Number of biological children - born alive Number of biological children - born alive Number of biological children a. Born alive Number of biological children - born alive Fill in the number of biological children born alive for each sex in appropriate column (male or female), and enter number of children into the box provided. Women ever married aged 10 years and above 229500 650436 44 3.35 The biological child who born at that time showed signs of life, although perhaps only a few moments only, such as heart beat, breathing, and crying. Number of biological children - still alive Number of biological children - still alive Number of biological children - still alive Number of biological children - still alive Number of biological children - still alive Number of biological children b. Still alive (In this household and Outside of this HH) Number of biological children - still alive Fill in number of biological children who are still alive (In this household and Outside of this HH) for each sex in the appropriate column (male or female) and write down the number of children in the box provided. To avoid possible errors, first check and write down the number of children living in the household and living outside the household. For children living outside the household and unknown conditions considered still alive. Women ever married aged 10 years and above 229500 650436 44 2.941 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 20 21 22 25 30 32 44 Sysmiss Children still alive refers to children who were born alive and are still living at the time of enumeration, regardless of whether they are currently living with their parents or not. Number of biological children - died Number of biological children - died Number of biological children - died Number of biological children - died Number of biological children - died Number of biological children c. Died Number of biological children - died Fill in the number of biological children who have died for each sex in the corresponding column (male or female), and enter the number of children in the box provided. Women ever married aged 10 years and above 229500 650436 21 0.409 1 2 3 4 5 6 7 8 9 10 11 12 13 15 16 20 21 Sysmiss Did you ever use contraception? Did you ever use contraception? Did you ever use contraception? Did you ever use contraception? Did you ever use contraception? Did you ever use contraception? If the answer is coded 2, finish. Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box. Women aged 10-49 years and married 156134 1 Yes 2 No Do you currently use a contraceptive? Do you currently use a contraceptive? Do you currently use a contraceptive? Do you currently use a contraceptive? Do you currently use a contraceptive? If the answer is coded 2, finish. Circle code 1 for "Yes" or code 2 for "No", then enter the answer into the provided box. Women aged 10-49 years and married 103599 1 Yes 2 No Type of contraceptive currently using: Type of contraceptive currently using: Type of contraceptive currently using: Type of contraceptive currently using: Type of contraceptive currently using: If currently using (k7r28 = 1) The selected family planning device/method: If respondent uses more than one type of contraception (to meet the concept of contraception usage), then write down the type with the smallest code number. Women aged 10-49 years and married 81854 1 Women/tubectomy 2 Men/vasectomy 3 IUD/spiral 4 Injection 5 Implant/norplant 6 Birth control pill 7 Condom/rubber 8 Intravag/tissue/women condom 9 Traditional method 1. MOW/Medis Operasi Wanita (woman medical surgery)/tubectomy (woman sterilization) is a surgery performed on female household head/member by having her fallopian tubes closed to prevent pregnancy. Please emphasize that the goal is to prevent future pregnancies. 2. MOP/Medis Operasi Pria (man medical surgery)/vasectomy (man sterilization) is a minor surgery performed on male household head/member to prevent his spouse from being pregnant. 3. AKDR/Alat Kontrasepsi Dalam Rahim (IUD/Intra Uterus Device) is a device made of soft plastic/copper,small in size,in the forms of spiral,T,fan,etc. installed inside the womb/uterus to prevent pregnancy. This device functions as pregnancy prevention for a long period of time. 4. KB Injection is one of ways to prevent pregnancy by injecting contraceptive substance periodically,e.g. once in one,three,or six months. 5. Susuk KB/norplant/implanon/alwalit (Contraceptive Skin Implant)-are six small metals to be implanted/injected under the skin of the upper arm to prevent pregnancy. A household head/member is considered using susuk KB if she had the implant less than five(5) years ago prior to the date of census. This includes under the skin injection(implant). 6. KB Pills are pills that are taken to prevent pregnancy. These pills should be taken regularly. 7. Condom/KB rubber is a device made of rubber,in a balloon-like shape,used by male household head/member while having sexual intercourse in order to prevent the spouse from getting pregnant. 8. Intravag/tissue/woman’s condom is a KB tissue positioned inside the vagina before having sexual intercourse. Reference time for this device is up to the last intercourse within 30 days before the interview. 9. Traditional method: a.Periodic abstinence/calendar method is based on the assumption that by not having sexual intercourse in a certain days of the month,which is during fertile period in monthly cycle,a woman could prevent pregnancy. b.Coitus interruptus is a method to prevent semen from entering vagina by interrupting intercourse before ejaculation. The refference time for this method is the last intercourse within 30 days. c.Other traditional methods such as breastfeeding for the purpose of birth control,abstinence,traditional herbs (jamu),and massage. Individual weight 1998 Individual weight 1998 Individual weight 1998 Individual weight 1998 Individual weight 1998 879936 12 1524 230.255 Household weight 1998 Household weight 1998 Household weight 1998 Household weight 1998 Household weight 1998 879936 12 2080 225.441 Province Province Province Province Province Province Write down the name province in the space provided and add the related code referred to in the box provided. 275747 11 Nanggroe Aceh Darussalam 12 North Sumatera 13 West Sumatera 14 Riau 15 Jambi 16 South Sumatera 17 Bengkulu 18 Lampung 19 Bangka Belitung 21 Riau Island 31 DKI Jakarta 32 West Java 33 Central Java 34 DI Yogyakarta 35 East Java 36 Banten 51 Bali 52 West Nusa Tenggara 53 East Nusa Tenggara 54 East Timor 61 West Kalimantan 62 Central Kalimantan 63 South Kalimantan 64 East Kalimantan 71 North Sulawesi 72 Central Sulawesi 73 South Sulawesi 74 Southeast Sulawesi 75 Gorontalo 76 West Sulawesi 81 Maluku 82 Papua District/City District/City District/City District/City District/City District/City Cross out the unnecessary and the Write down the name of district/city in the space provided and add the related code referred to in the box provided. 275747 1 10 11 12 13 14 15 16 17 18 19 2 20 21 22 23 24 25 26 27 28 29 3 4 5 6 7 71 72 73 74 75 76 77 78 8 9 Sub-district Sub-district Sub-district Sub-district Sub-district Sub-district Write down the name subdistrict in the space provided and add the related code referred to in the box provided. 275747 10 100 101 11 110 111 12 120 121 130 131 132 14 140 141 150 151 153 160 161 170 171 180 181 182 190 191 20 200 201 21 210 22 220 230 231 240 241 250 260 270 280 30 300 31 310 32 320 330 40 41 42 50 51 52 60 61 70 71 710 720 730 740 80 81 90 91 Village/kelurahan Village/kelurahan Village/kelurahan Village/kelurahan Village/kelurahan Village/kelurahan Cross out the unnecessary and the Write down the name of village/kelurahan in the space provided and add the related code referred to in the box provided. 275747 1 10 100 102 104 11 112 115 116 12 121 122 13 131 14 15 16 17 18 19 2 20 21 22 23 24 25 26 27 28 29 3 30 31 32 33 34 35 36 37 38 39 4 40 41 42 43 44 45 46 47 48 49 5 50 51 52 53 54 55 56 57 58 59 6 60 61 62 63 64 65 68 69 7 70 71 72 73 76 77 79 8 80 81 83 85 86 87 9 90 95 96 Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Circle the answered code, then write it down in the box provided. 275747 1 Urban 2 Rural Sample code number Sample code number Sample code number Sample code number Sample code number Sample code number Write down the sample code number (NKS) in the space provided. These details are copies of Details 1 s.d. 9 Block I VSEN98.DSRT list. 275747 Serial number of Sample household Serial number of Sample household Serial number of Sample household Serial number of Sample household Serial number of Sample household Serial number of Sample household Write down the serial number of sample households in the space provided and then move to the box provided. 275747 1 10 11 12 13 14 15 16 2 3 4 5 6 7 8 9 Village classification Village classification Village classification Village classification Village classification 275747 1 Least developed village 2 Developed village Number of household members Number of household members Number of household members Number of household members Number of household members Number of household members Fill in the number of household members of the sample households. The contents should be same as unit numbers of household members last in Column 1 Block IV. 275747 1 23 5.057 Number of household members aged 0 – 59 months Number of household members aged 0 – 59 months Number of household members aged 0 – 59 months Number of household members aged 0 – 59 months Number of household members aged 0 – 59 months Number of household members aged 0 – 59 months Write down the number of household members aged 0-59 months in accordance with the number of rows in Column 6 Block IV. 275747 6 0.512 1 2 3 4 5 6 Number of household members was an outpatient in the last one month Number of household members was an outpatient in the last one month Number of household members was an outpatient in the last one month Number of household members was an outpatient in the last one month Number of household members was an outpatient in the last one month Number of household members was an outpatient in the last one month Write down the number of household members who outpatient in the past month according to the number of code 1 in column 8, Block IV. 275747 13 0.621 1 2 3 4 5 6 7 8 9 13 Number of household members was an inpatient in the last one month Number of household members was an inpatient in the last one month Number of household members was an inpatient in the last one month Number of household members was an inpatient in the last one month Number of household members was an inpatient in the last one month Number of household members was an inpatient in the last one month Write down the number of household members inpatient in the past 12 months in accordance to the number of code 1 in column 9, Block IV. 275747 4 0.0596 1 2 3 4 Serial number of household members Serial number of household members Serial number of household members Serial number of household members Serial number of household members 275747 1 10 11 12 13 14 15 16 17 18 19 2 20 21 22 23 3 4 5 6 7 8 9 Relation with the head of household Relation with the head of household Relation with the head of household Relation with the head of household Relation with the head of household Relation with the head of household Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided. The first household member should be the head of household, and therefore, Column (3) should be filled in with code 1. 275747 1 Head of household 2 Wife/husband 3 Child 4 In-law 5 Grandchild 6 Parent/in-law 7 Other family 8 Housemaid 9 Other 1. The head of household (krt) is a man in a group of household members who is responsible to provide the daily needs of the concerned households, or a person who is considerend/appointed to be the head of a household (for example a group of students live together in one room inside a census building; because they each are responsible for their own needs, one person is appointed as the household head). 2. Wife/husband, is the wife/husband of the head of household. 3. Children, includes biological children, stepchildren, and adopted children of the head of household. 4. Son/daughter in laws, are the husbands/wives of biological daughters/sons, step daughters/sons, or adopted daughters/sons. 5. Grandchildren, are the children of biological children, step children, or adopted children. 6. Parent in laws, are father/mother of the head of household or father/mother of the spouse of the head of household. 7. Other families, are those who have blood relation with head of the household or the spouse, such as siblings, aunties, uncles, grandparents. 8. Housemaid, are people who works as a helper and lives in the concerned household, receiving wage/salary in the form money or in-kind payment. 9. Other, are people who do not have familial relation to the head of household or the spouse, who live in the household for more than 6 months, such as visitors, friends or tenants who rent room plus food, including children of helpers who also live and eat in the employer's house. Gender Gender Gender Gender Gender Gender Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided. The first household member should be the head of household, and therefore, Column (3) should be filled in with code 1. 275747 1 Male 2 Female Age (year) Age (year) Age (year) Age (year) Age (year) Age (year) Ask the respondent's age and enter the answer into the box. 275747 99 26.812 Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar. Marital status Marital status Marital status Marital status Marital status Marital status Ask marital status of the respondent and enter the code into the box provided. 275747 1 Not married 2 Married 3 Divorce 4 Divorce due to death 1. Married means having a wife (for male) or husband (for female) durint the census, whether living together or separately. In this case the people included in this status are those who are married legally (by the law of the tradition, religion, state, etc), and also those who live together and have been considered husband and wive by the local society. 2. Divorcee is a person who has been separated from wife/husband and has not remarried.In this case including a person who claims to be divorced although it is not legally confirmed yet. Serial number of respondents Serial number of respondents Serial number of respondents Serial number of respondents Serial number of respondents Serial number of respondents 275747 1 10 11 12 13 14 15 16 17 18 19 2 20 21 22 23 3 4 5 6 7 8 9 Outpatie nt in the past one month Outpatie nt in the past one month Outpatie nt in the past one month Outpatie nt in the past one month Outpatie nt in the past one month Outpatie nt in the past one month Enter code 1 if any household member who outpatient for the past month, and code 2 if it is not into the column (8). 275747 1 Yes 2 No Ever have been inpatient in the past 12 month Ever have been inpatient in the past 12 month Ever have been inpatient in the past 12 month Ever have been inpatient in the past 12 month Ever have been inpatient in the past 12 month Ever have been inpatient in the past 12 month Enter code 1 if any household members ever inpatient during the past year, and code 2 if not into the column (9). 275747 1 Yes 2 No Have you ever treated yourself in the past -month? (Check on Core Block V R.5.a) Have you ever treated yourself in the past -month? (Check on Core Block V R.5.a) Have you ever treated yourself in the past -month? (Check on Core Block V R.5.a) Have you ever treated yourself in the past -month? (Check on Core Block V R.5.a) Have you ever treated yourself in the past -month? (Check on Core Block V R.5.a) Have you ever treated yourself in the past -month? (Check on Core Block V R.5.a) If the answer is coded 2, skip to b5r3 Fill code 1 if Yes, Code 2 if not, in the box provided. 275747 1 Yes 2 No Expenses for the treatment: (Rp) Expenses for the treatment: (Rp) Expenses for the treatment: (Rp) Expenses for the treatment: (Rp) Expenses for the treatment: (Rp) Expenses for the treatment: (Rp) 275747 9999999 998.462 Health insurance for out-patient/in-patient - ‘Askes’ (Health Insurance) Health insurance for out-patient/in-patient - ‘Askes’ (Health Insurance) Health insurance for out-patient/in-patient - ‘Askes’ (Health Insurance) Health insurance for out-patient/in-patient - ‘Askes’ (Health Insurance) Health insurance for out-patient/in-patient - ‘Askes’ (Health Insurance) Do you have health insurance for out-patient/in-patient such as: a. ‘Askes’ (Health Insurance) Ask if the household members who participate insurance or financial guarantees for the purposes of outpatient / inpatient. Fill code 1 if "Yes", or code 0 if "No". 275747 No 1 Yes Health insurance for out-patient/in-patient - ‘Astek/Jamsostek’ (Man power insurance) Health insurance for out-patient/in-patient - ‘Astek/Jamsostek’ (Man power insurance) Health insurance for out-patient/in-patient - ‘Astek/Jamsostek’ (Man power insurance) Health insurance for out-patient/in-patient - ‘Astek/Jamsostek’ (Man power insurance) Health insurance for out-patient/in-patient - ‘Astek/Jamsostek’ (Man power insurance) Do you have health insurance for out-patient/in-patient such as: b. ‘Astek/Jamsostek’ (Man power insurance) Ask if the household members who participate insurance or financial guarantees for the purposes of outpatient / inpatient. Fill code 1 if "Yes", or code 0 if "No". 275747 No 1 Yes Health insurance for out-patient/in-patient - Company/Office Health insurance for out-patient/in-patient - Company/Office Health insurance for out-patient/in-patient - Company/Office Health insurance for out-patient/in-patient - Company/Office Health insurance for out-patient/in-patient - Company/Office Do you have health insurance for out-patient/in-patient such as: c. Company/Office Ask if the household members who participate insurance or financial guarantees for the purposes of outpatient / inpatient. Fill code 1 if "Yes", or code 0 if "No". 275747 No 1 Yes Health insurance for out-patient/in-patient - Other insurance Health insurance for out-patient/in-patient - Other insurance Health insurance for out-patient/in-patient - Other insurance Health insurance for out-patient/in-patient - Other insurance Health insurance for out-patient/in-patient - Other insurance Do you have health insurance for out-patient/in-patient such as: d. Other insurance Ask if the household members who participate insurance or financial guarantees for the purposes of outpatient / inpatient. Fill code 1 if "Yes", or code 0 if "No". 275747 No 1 Yes Health insurance for out-patient/in-patient - “Dana sehat” (fund for health) Health insurance for out-patient/in-patient - “Dana sehat” (fund for health) Health insurance for out-patient/in-patient - “Dana sehat” (fund for health) Health insurance for out-patient/in-patient - “Dana sehat” (fund for health) Health insurance for out-patient/in-patient - “Dana sehat” (fund for health) Do you have health insurance for out-patient/in-patient such as: e. “Dana sehat” (fund for health) Ask if the household members who participate insurance or financial guarantees for the purposes of outpatient / inpatient. Fill code 1 if "Yes", or code 0 if "No". 275747 No 1 Yes Health insurance for out-patient/in-patient - Health Card Health insurance for out-patient/in-patient - Health Card Health insurance for out-patient/in-patient - Health Card Health insurance for out-patient/in-patient - Health Card Health insurance for out-patient/in-patient - Health Card Do you have health insurance for out-patient/in-patient such as: f. Health Card Ask if the household members who participate insurance or financial guarantees for the purposes of outpatient / inpatient. Fill code 1 if "Yes", or code 0 if "No". 275747 No 1 Yes Were you an Out-patient in the last one month (Check on Core Block V R.6.a.) Were you an Out-patient in the last one month (Check on Core Block V R.6.a.) Were you an Out-patient in the last one month (Check on Core Block V R.6.a.) Were you an Out-patient in the last one month (Check on Core Block V R.6.a.) Were you an Out-patient in the last one month (Check on Core Block V R.6.a.) Were you an Out-patient in the last one month (Check on Core Block V R.6.a.) If the answer is coded 2, skip to b5r7 Fill code 1 if Yes, Code 2 if not, in the box provided. 275747 1 Yes 2 No Source of outpatient expenses - Household Source of outpatient expenses - Household Source of outpatient expenses - Household Source of outpatient expenses - Household Source of outpatient expenses - Household Source of out-patient expenses in the last one month: a. Household Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided. 35829 No 1 Yes Source of outpatient expenses - “Askes” Source of outpatient expenses - “Askes” Source of outpatient expenses - “Askes” Source of outpatient expenses - “Askes” Source of outpatient expenses - “Askes” Source of out-patient expenses in the last one month: b. “Askes” Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided. 35829 No 1 Yes Source of outpatient expenses - “Askes/Jamsostek” Source of outpatient expenses - “Askes/Jamsostek” Source of outpatient expenses - “Askes/Jamsostek” Source of outpatient expenses - “Askes/Jamsostek” Source of outpatient expenses - “Askes/Jamsostek” Source of out-patient expenses in the last one month: c. “Askes/Jamsostek” Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided. 35829 No 1 Yes Source of outpatient expenses - Other insurance Source of outpatient expenses - Other insurance Source of outpatient expenses - Other insurance Source of outpatient expenses - Other insurance Source of outpatient expenses - Other insurance Source of out-patient expenses in the last one month: d. Other insurance Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided. 35829 No 1 Yes Source of outpatient expenses - Company/Official Source of outpatient expenses - Company/Official Source of outpatient expenses - Company/Official Source of outpatient expenses - Company/Official Source of outpatient expenses - Company/Official Source of out-patient expenses in the last one month: e. Company/Official Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided. 35829 No 1 Yes Source of outpatient expenses - “Jasa raharja Source of outpatient expenses - “Jasa raharja Source of outpatient expenses - “Jasa raharja Source of outpatient expenses - “Jasa raharja Source of outpatient expenses - “Jasa raharja Source of out-patient expenses in the last one month: f. “Jasa raharja Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided. 35829 No 1 Yes Source of outpatient expenses - Fund Health Source of outpatient expenses - Fund Health Source of outpatient expenses - Fund Health Source of outpatient expenses - Fund Health Source of outpatient expenses - Fund Health Source of out-patient expenses in the last one month: g. Fund Health Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided. 35829 No 1 Yes Source of outpatient expenses - Health Card Source of outpatient expenses - Health Card Source of outpatient expenses - Health Card Source of outpatient expenses - Health Card Source of outpatient expenses - Health Card Source of out-patient expenses in the last one month: h. Health Card Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided. 35829 No 1 Yes Source of outpatient expenses - “Lurah” letter Source of outpatient expenses - “Lurah” letter Source of outpatient expenses - “Lurah” letter Source of outpatient expenses - “Lurah” letter Source of outpatient expenses - “Lurah” letter Source of out-patient expenses in the last one month: i. “Lurah” letter Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided. 35829 No 1 Yes Source of outpatient expenses - Other party Source of outpatient expenses - Other party Source of outpatient expenses - Other party Source of outpatient expenses - Other party Source of outpatient expenses - Other party Source of out-patient expenses in the last one month: j. Other party Ask your source or outpatient treatment costs. Fill code 1 if Yes, and code 0 if not in the box provided. 35829 No 1 Yes How many times became outpatient - Government Hospital How many times became outpatient - Government Hospital How many times became outpatient - Government Hospital How many times became outpatient - Government Hospital How many times became outpatient - Government Hospital How many times became outpatient in the past one month? a. Government Hospital Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided. 275747 1 0.00692 1 Total expenses (in Rupiah) - Government Hospital Total expenses (in Rupiah) - Government Hospital Total expenses (in Rupiah) - Government Hospital Total expenses (in Rupiah) - Government Hospital Total expenses (in Rupiah) - Government Hospital Description of out-patient in the last one month: total expenses (in Rupiah) a. Government Hospital Ask the amount of the total cost for the purpose of outpatient during the past one month 275747 9999999 5327.15 Paid by household (in Rupiah) - Government Hospital Paid by household (in Rupiah) - Government Hospital Paid by household (in Rupiah) - Government Hospital Paid by household (in Rupiah) - Government Hospital Paid by household (in Rupiah) - Government Hospital Description of out-patient in the last one month: paid by household (in Rupiah) a. Government Hospital Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month. 275747 9999999 1510.18 Got injection - Government Hospital Got injection - Government Hospital Got injection - Government Hospital Got injection - Government Hospital Got injection - Government Hospital Description of out-patient in the last one month: got injection a. Government Hospital Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month. 275747 2 0.0105 1 Yes 2 No Injection on whose request - Government Hospital Injection on whose request - Government Hospital Injection on whose request - Government Hospital Injection on whose request - Government Hospital Injection on whose request - Government Hospital Description of out-patient in the last one month: injection on whose request? a. Government Hospital Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided. 275747 2 0.00594 1 Household member 2 Healer Got medicine - Government Hospital Got medicine - Government Hospital Got medicine - Government Hospital Got medicine - Government Hospital Got medicine - Government Hospital Description of out-patient in the last one month: got medicine? a. Government Hospital For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided. 275747 2 0.00716 1 Yes 2 No Service Satisfaction - Government Hospital Service Satisfaction - Government Hospital Service Satisfaction - Government Hospital Service Satisfaction - Government Hospital Service Satisfaction - Government Hospital Description of out-patient in the last one month: service Satisfaction a. Government. Hospital Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 275747 4 0.0139 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied How many times became outpatient - Private Hospital How many times became outpatient - Private Hospital How many times became outpatient - Private Hospital How many times became outpatient - Private Hospital How many times became outpatient - Private Hospital How many times became outpatient in the past one month? b. Private Hospital Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided. 275747 1 0.00372 1 Total expenses (in Rupiah) - Private Hospital Total expenses (in Rupiah) - Private Hospital Total expenses (in Rupiah) - Private Hospital Total expenses (in Rupiah) - Private Hospital Total expenses (in Rupiah) - Private Hospital Description of out-patient in the last one month: total expenses (in Rupiah) b. Private Hospital Ask the amount of the total cost for the purpose of outpatient during the past one month 275747 9999999 2063.995 Paid by household (in Rupiah) - Private Hospital Paid by household (in Rupiah) - Private Hospital Paid by household (in Rupiah) - Private Hospital Paid by household (in Rupiah) - Private Hospital Paid by household (in Rupiah) - Private Hospital Description of out-patient in the last one month: paid by household (in Rupiah) b. Private Hospital Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month. 275747 9999999 606.832 Got injection - Private Hospital Got injection - Private Hospital Got injection - Private Hospital Got injection - Private Hospital Got injection - Private Hospital Description of out-patient in the last one month: got injection b. Private Hospital Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month. 1026 1 Yes 2 No Injection on whose request - Private Hospital Injection on whose request - Private Hospital Injection on whose request - Private Hospital Injection on whose request - Private Hospital Injection on whose request - Private Hospital Description of out-patient in the last one month: injection on whose request? b. Private Hospital Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided. 547 1 Household member 2 Healer Got medicine - Private Hospital Got medicine - Private Hospital Got medicine - Private Hospital Got medicine - Private Hospital Got medicine - Private Hospital Description of out-patient in the last one month: got medicine? b. Private Hospital For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided. 1026 1 Yes 2 No Service Satisfaction - Private Hospital Service Satisfaction - Private Hospital Service Satisfaction - Private Hospital Service Satisfaction - Private Hospital Service Satisfaction - Private Hospital Description of out-patient in the last one month: service Satisfaction b. Private Hospital Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 1026 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied How many times became outpatient - Medial doctor How many times became outpatient - Medial doctor How many times became outpatient - Medial doctor How many times became outpatient - Medial doctor How many times became outpatient - Medial doctor How many times became outpatient in the past one month? c. Medial doctor Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided. 275747 1 0.0358 1 Total expenses (in Rupiah) - Medial doctor Total expenses (in Rupiah) - Medial doctor Total expenses (in Rupiah) - Medial doctor Total expenses (in Rupiah) - Medial doctor Total expenses (in Rupiah) - Medial doctor Description of out-patient in the last one month: total expenses (in Rupiah) c. Medial doctor Ask the amount of the total cost for the purpose of outpatient during the past one month 275747 9999999 3402.14 Paid by household (in Rupiah) - Medial doctor Paid by household (in Rupiah) - Medial doctor Paid by household (in Rupiah) - Medial doctor Paid by household (in Rupiah) - Medial doctor Paid by household (in Rupiah) - Medial doctor Description of out-patient in the last one month: paid by household (in Rupiah) c. Medial doctor Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month. 275747 9999999 1641.613 Got injection - Medial doctor Got injection - Medial doctor Got injection - Medial doctor Got injection - Medial doctor Got injection - Medial doctor Description of out-patient in the last one month: got injection c. Medial doctor Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month. 9875 1 Yes 2 No Injection on whose request - Medial doctor Injection on whose request - Medial doctor Injection on whose request - Medial doctor Injection on whose request - Medial doctor Injection on whose request - Medial doctor Description of out-patient in the last one month: injection on whose request? c. Medial doctor Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided. 5590 1 Household member 2 Healer Got medicine - Medial doctor Got medicine - Medial doctor Got medicine - Medial doctor Got medicine - Medial doctor Got medicine - Medial doctor Description of out-patient in the last one month: got medicine? c. Medial doctor For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided. 9875 1 Yes 2 No Service Satisfaction - Medial doctor Service Satisfaction - Medial doctor Service Satisfaction - Medial doctor Service Satisfaction - Medial doctor Service Satisfaction - Medial doctor Description of out-patient in the last one month: service Satisfaction c. Medial doctor Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 9875 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied How many times became outpatient - Puskesmas How many times became outpatient - Puskesmas How many times became outpatient - Puskesmas How many times became outpatient - Puskesmas How many times became outpatient - Puskesmas How many times became outpatient in the past one month? d. Puskesmas Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided. 275747 1 0.0337 1 Total expenses (in Rupiah) - Puskesmas Total expenses (in Rupiah) - Puskesmas Total expenses (in Rupiah) - Puskesmas Total expenses (in Rupiah) - Puskesmas Total expenses (in Rupiah) - Puskesmas Description of out-patient in the last one month: total expenses (in Rupiah) d. Puskesmas Ask the amount of the total cost for the purpose of outpatient during the past one month 275747 9999999 8125.629 Paid by household (in Rupiah) - Puskesmas Paid by household (in Rupiah) - Puskesmas Paid by household (in Rupiah) - Puskesmas Paid by household (in Rupiah) - Puskesmas Paid by household (in Rupiah) - Puskesmas Description of out-patient in the last one month: paid by household (in Rupiah) d. Puskesmas Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month. 275747 9999999 1834.496 Got injection - Puskesmas Got injection - Puskesmas Got injection - Puskesmas Got injection - Puskesmas Got injection - Puskesmas Description of out-patient in the last one month: got injection d. Puskesmas Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month. 9295 1 Yes 2 No Injection on whose request - Puskesmas Injection on whose request - Puskesmas Injection on whose request - Puskesmas Injection on whose request - Puskesmas Injection on whose request - Puskesmas Description of out-patient in the last one month: injection on whose request? d. Puskesmas Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided. 4431 1 Household member 2 Healer Got medicine - Puskesmas Got medicine - Puskesmas Got medicine - Puskesmas Got medicine - Puskesmas Got medicine - Puskesmas Description of out-patient in the last one month: got medicine? d. Puskesmas For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided. 9295 1 Yes 2 No Service Satisfaction - Puskesmas Service Satisfaction - Puskesmas Service Satisfaction - Puskesmas Service Satisfaction - Puskesmas Service Satisfaction - Puskesmas Description of out-patient in the last one month: service Satisfaction d. Puskesmas Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 9295 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied How many times became outpatient - Supporting Puskesmas How many times became outpatient - Supporting Puskesmas How many times became outpatient - Supporting Puskesmas How many times became outpatient - Supporting Puskesmas How many times became outpatient - Supporting Puskesmas How many times became outpatient in the past one month? e. Supporting Puskesmas Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided. 275747 1 0.0152 1 Total expenses (in Rupiah) - Supporting Puskesmas Total expenses (in Rupiah) - Supporting Puskesmas Total expenses (in Rupiah) - Supporting Puskesmas Total expenses (in Rupiah) - Supporting Puskesmas Total expenses (in Rupiah) - Supporting Puskesmas Description of out-patient in the last one month: total expenses (in Rupiah) e. Supporting Puskesmas Ask the amount of the total cost for the purpose of outpatient during the past one month 275747 9999999 1831.638 Paid by household (in Rupiah) - Supporting Puskesmas Paid by household (in Rupiah) - Supporting Puskesmas Paid by household (in Rupiah) - Supporting Puskesmas Paid by household (in Rupiah) - Supporting Puskesmas Paid by household (in Rupiah) - Supporting Puskesmas Description of out-patient in the last one month: paid by household (in Rupiah) e. Supporting Puskesmas Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month. 275747 9999999 596.613 Got injection - Supporting Puskesmas Got injection - Supporting Puskesmas Got injection - Supporting Puskesmas Got injection - Supporting Puskesmas Got injection - Supporting Puskesmas Description of out-patient in the last one month: got injection e. Supporting Puskesmas Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month. 4201 1 Yes 2 No Injection on whose request - Supporting Puskesmas Injection on whose request - Supporting Puskesmas Injection on whose request - Supporting Puskesmas Injection on whose request - Supporting Puskesmas Injection on whose request - Supporting Puskesmas Description of out-patient in the last one month: injection on whose request? e. Supporting Puskesmas Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided. 2564 1 Household member 2 Healer Got medicine - Supporting Puskesmas Got medicine - Supporting Puskesmas Got medicine - Supporting Puskesmas Got medicine - Supporting Puskesmas Got medicine - Supporting Puskesmas Description of out-patient in the last one month: got medicine? e. Supporting Puskesmas For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided. 4201 1 Yes 2 No Service Satisfaction - Supporting Puskesmas Service Satisfaction - Supporting Puskesmas Service Satisfaction - Supporting Puskesmas Service Satisfaction - Supporting Puskesmas Service Satisfaction - Supporting Puskesmas Description of out-patient in the last one month: service Satisfaction e. Supporting Puskesmas Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 4201 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied How many times became outpatient - Polyclinic How many times became outpatient - Polyclinic How many times became outpatient - Polyclinic How many times became outpatient - Polyclinic How many times became outpatient - Polyclinic How many times became outpatient in the past one month? f. Polyclinic Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided. 275747 1 0.0035 1 Total expenses (in Rupiah) - Polyclinic Total expenses (in Rupiah) - Polyclinic Total expenses (in Rupiah) - Polyclinic Total expenses (in Rupiah) - Polyclinic Total expenses (in Rupiah) - Polyclinic Description of out-patient in the last one month: total expenses (in Rupiah) f. Polyclinic Ask the amount of the total cost for the purpose of outpatient during the past one month 275747 9999999 3900.593 Paid by household (in Rupiah) - Polyclinic Paid by household (in Rupiah) - Polyclinic Paid by household (in Rupiah) - Polyclinic Paid by household (in Rupiah) - Polyclinic Paid by household (in Rupiah) - Polyclinic Description of out-patient in the last one month: paid by household (in Rupiah) f. Polyclinic Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month. 275747 999999 44.746 Got injection - Polyclinic Got injection - Polyclinic Got injection - Polyclinic Got injection - Polyclinic Got injection - Polyclinic Description of out-patient in the last one month: got injection f. Polyclinic Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month. 966 1 Yes 2 No Injection on whose request - Polyclinic Injection on whose request - Polyclinic Injection on whose request - Polyclinic Injection on whose request - Polyclinic Injection on whose request - Polyclinic Description of out-patient in the last one month: injection on whose request? f. Polyclinic Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided. 441 1 Household member 2 Healer Got medicine - Polyclinic Got medicine - Polyclinic Got medicine - Polyclinic Got medicine - Polyclinic Got medicine - Polyclinic Description of out-patient in the last one month: got medicine? f. Polyclinic For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided. 966 1 Yes 2 No Service Satisfaction - Polyclinic Service Satisfaction - Polyclinic Service Satisfaction - Polyclinic Service Satisfaction - Polyclinic Service Satisfaction - Polyclinic Description of out-patient in the last one month: service Satisfaction f. Polyclinic Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 966 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied How many times became outpatient - Practice of Health Workers How many times became outpatient - Practice of Health Workers How many times became outpatient - Practice of Health Workers How many times became outpatient - Practice of Health Workers How many times became outpatient - Practice of Health Workers How many times became outpatient in the past one month? g. Practice of Health Workers Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided. 275747 1 0.0341 1 Total expenses (in Rupiah) - Practice of Health Workers Total expenses (in Rupiah) - Practice of Health Workers Total expenses (in Rupiah) - Practice of Health Workers Total expenses (in Rupiah) - Practice of Health Workers Total expenses (in Rupiah) - Practice of Health Workers Description of out-patient in the last one month: total expenses (in Rupiah) g. Practice of Health Workers Ask the amount of the total cost for the purpose of outpatient during the past one month 275747 9999999 677.703 Paid by household (in Rupiah) - Practice of Health Workers Paid by household (in Rupiah) - Practice of Health Workers Paid by household (in Rupiah) - Practice of Health Workers Paid by household (in Rupiah) - Practice of Health Workers Paid by household (in Rupiah) - Practice of Health Workers Description of out-patient in the last one month: paid by household (in Rupiah) g. Practice of Health Workers Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month. 275747 9999999 448.029 Got medicine - Practice of Health Workers Got medicine - Practice of Health Workers Got medicine - Practice of Health Workers Got medicine - Practice of Health Workers Got medicine - Practice of Health Workers Description of out-patient in the last one month: paid by household (in Rupiah) g. Practice of Health Workers For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided. 9390 1 Yes 2 No Service Satisfaction - Practice of Health Workers Service Satisfaction - Practice of Health Workers Service Satisfaction - Practice of Health Workers Service Satisfaction - Practice of Health Workers Service Satisfaction - Practice of Health Workers Description of out-patient in the last one month: service Satisfaction g. Practice of Health Workers Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 9390 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied How many times became outpatient in the past one month - Practice of Traditional Healer How many times became outpatient in the past one month - Practice of Traditional Healer How many times became outpatient in the past one month - Practice of Traditional Healer How many times became outpatient in the past one month - Practice of Traditional Healer How many times became outpatient in the past one month - Practice of Traditional Healer How many times became outpatient in the past one month? h. Practice of Traditional Healer 275747 1 0.00559 1 Total expenses (in Rupiah) - Practice of Traditional Healer Total expenses (in Rupiah) - Practice of Traditional Healer Total expenses (in Rupiah) - Practice of Traditional Healer Total expenses (in Rupiah) - Practice of Traditional Healer Total expenses (in Rupiah) - Practice of Traditional Healer Description of out-patient in the last one month: total expenses (in Rupiah) h. Practice of Traditional Healer Ask the amount of the total cost for the purpose of outpatient during the past one month 275747 9999999 169.939 Paid by household (in Rupiah) - Practice of Traditional Healer Paid by household (in Rupiah) - Practice of Traditional Healer Paid by household (in Rupiah) - Practice of Traditional Healer Paid by household (in Rupiah) - Practice of Traditional Healer Paid by household (in Rupiah) - Practice of Traditional Healer Description of out-patient in the last one month: paid by household (in Rupiah) h. Practice of Traditional Healer Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month. 275747 9999999 131.77 Got medicine - Practice of Traditional Healer Got medicine - Practice of Traditional Healer Got medicine - Practice of Traditional Healer Got medicine - Practice of Traditional Healer Got medicine - Practice of Traditional Healer Description of out-patient in the last one month: got medicine? h. Practice of Traditional Healer For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided. 1541 1 Yes 2 No Service Satisfaction - Practice of Traditional Healer Service Satisfaction - Practice of Traditional Healer Service Satisfaction - Practice of Traditional Healer Service Satisfaction - Practice of Traditional Healer Service Satisfaction - Practice of Traditional Healer Description of out-patient in the last one month: service Satisfaction h. Practice of Traditional Healer Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 1541 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied How many times became outpatient in the past one month - “Polindes” (Village Maternity Post) How many times became outpatient in the past one month - “Polindes” (Village Maternity Post) How many times became outpatient in the past one month - “Polindes” (Village Maternity Post) How many times became outpatient in the past one month - “Polindes” (Village Maternity Post) How many times became outpatient in the past one month - “Polindes” (Village Maternity Post) How many times became outpatient in the past one month? i. “Polindes” (Village Maternity Post) Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided. 275747 1 0.00247 1 Total expenses (in Rupiah) - “Polindes” (Village Maternity Post) Total expenses (in Rupiah) - “Polindes” (Village Maternity Post) Total expenses (in Rupiah) - “Polindes” (Village Maternity Post) Total expenses (in Rupiah) - “Polindes” (Village Maternity Post) Total expenses (in Rupiah) - “Polindes” (Village Maternity Post) Description of out-patient in the last one month: total expenses (in Rupiah) i. “Polindes” (Village Maternity Post) Ask the amount of the total cost for the purpose of outpatient during the past one month 275747 9999999 229.101 Paid by household (in Rupiah) - “Polindes” (Village Maternity Post) Paid by household (in Rupiah) - “Polindes” (Village Maternity Post) Paid by household (in Rupiah) - “Polindes” (Village Maternity Post) Paid by household (in Rupiah) - “Polindes” (Village Maternity Post) Paid by household (in Rupiah) - “Polindes” (Village Maternity Post) Description of out-patient in the last one month: paid by household (in Rupiah) i. “Polindes” (Village Maternity Post) Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month. 275747 9999999 83.879 Got injection - “Polindes” (Village Maternity Post) Got injection - “Polindes” (Village Maternity Post) Got injection - “Polindes” (Village Maternity Post) Got injection - “Polindes” (Village Maternity Post) Got injection - “Polindes” (Village Maternity Post) Description of out-patient in the last one month: got injection i. “Polindes” (Village Maternity Post) Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month. 682 1 Yes 2 No Injection on whose request - “Polindes” (Village Maternity Post) Injection on whose request - “Polindes” (Village Maternity Post) Injection on whose request - “Polindes” (Village Maternity Post) Injection on whose request - “Polindes” (Village Maternity Post) Injection on whose request - “Polindes” (Village Maternity Post) Description of out-patient in the last one month: injection on whose request? i. “Polindes” (Village Maternity Post) Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided. 394 1 Household member 2 Healer Got medicine - “Polindes” (Village Maternity Post) Got medicine - “Polindes” (Village Maternity Post) Got medicine - “Polindes” (Village Maternity Post) Got medicine - “Polindes” (Village Maternity Post) Got medicine - “Polindes” (Village Maternity Post) Description of out-patient in the last one month: got medicine? i. “Polindes” (Village Maternity Post) For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided. 682 1 Yes 2 No Service Satisfaction - “Polindes” (Village Maternity Post) Service Satisfaction - “Polindes” (Village Maternity Post) Service Satisfaction - “Polindes” (Village Maternity Post) Service Satisfaction - “Polindes” (Village Maternity Post) Service Satisfaction - “Polindes” (Village Maternity Post) Description of out-patient in the last one month: service Satisfaction i. “Polindes” (Village Maternity Post) Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 682 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied How many times became outpatient - “Posyandu” (Integrated Post Service) How many times became outpatient - “Posyandu” (Integrated Post Service) How many times became outpatient - “Posyandu” (Integrated Post Service) How many times became outpatient - “Posyandu” (Integrated Post Service) How many times became outpatient - “Posyandu” (Integrated Post Service) How many times became outpatient in the past one month? j. “Posyandu” (Integrated Post Service) Fill in frequency (how many times) of respondents visits to the health services for outpatient / outpatient (without hospitalization) in the box provided. 275747 1 0.000602 1 Total expenses (in Rupiah) - “Posyandu” (Integrated Post Service) Total expenses (in Rupiah) - “Posyandu” (Integrated Post Service) Total expenses (in Rupiah) - “Posyandu” (Integrated Post Service) Total expenses (in Rupiah) - “Posyandu” (Integrated Post Service) Total expenses (in Rupiah) - “Posyandu” (Integrated Post Service) Description of out-patient in the last one month: total expenses (in Rupiah) j. “Posyandu” (Integrated Post Service) Ask the amount of the total cost for the purpose of outpatient during the past one month 275747 9999999 255.193 Paid by household (in Rupiah) - “Posyandu” (Integrated Post Service) Paid by household (in Rupiah) - “Posyandu” (Integrated Post Service) Paid by household (in Rupiah) - “Posyandu” (Integrated Post Service) Paid by household (in Rupiah) - “Posyandu” (Integrated Post Service) Paid by household (in Rupiah) - “Posyandu” (Integrated Post Service) Description of out-patient in the last one month: paid by household (in Rupiah) j. “Posyandu” (Integrated Post Service) Ask the total cost of health / paid by household is concerned, either partially or completely, for the purpose of outpatient during the last month. 275747 9999999 110.067 Got injection - “Posyandu” (Integrated Post Service) Got injection - “Posyandu” (Integrated Post Service) Got injection - “Posyandu” (Integrated Post Service) Got injection - “Posyandu” (Integrated Post Service) Got injection - “Posyandu” (Integrated Post Service) Description of out-patient in the last one month: got injection j. “Posyandu” (Integrated Post Service) Ask if the respondent ever get an injection in the last one month; enter code 1 if Yes, code 2 if not available into the box, for each place / providers of outpatient services which visited in the past month. 166 1 Yes 2 No Injection on whose request - “Posyandu” (Integrated Post Service) Injection on whose request - “Posyandu” (Integrated Post Service) Injection on whose request - “Posyandu” (Integrated Post Service) Injection on whose request - “Posyandu” (Integrated Post Service) Injection on whose request - “Posyandu” (Integrated Post Service) Description of out-patient in the last one month: injection on whose request? j. “Posyandu” (Integrated Post Service) Ask injections at the request of anyone. Fill in the requested code 1 if the household members, and code 2 due to the desire of health service providers, enter the code into the box provided. 53 1 Household member 2 Healer Got medicine - “Posyandu” (Integrated Post Service) Got medicine - “Posyandu” (Integrated Post Service) Got medicine - “Posyandu” (Integrated Post Service) Got medicine - “Posyandu” (Integrated Post Service) Got medicine - “Posyandu” (Integrated Post Service) Description of out-patient in the last one month: got medicine? j. “Posyandu” (Integrated Post Service) For the checking, ask whether in the same visit, members of the household who received injections and received medicine to be eaten / drunk, if any note on the note blocks. Fill code 1 if 'Yes' and code 2 if 'No', in the box provided. 166 1 Yes 2 No Service Satisfaction - “Posyandu” (Integrated Post Service) Service Satisfaction - “Posyandu” (Integrated Post Service) Service Satisfaction - “Posyandu” (Integrated Post Service) Service Satisfaction - “Posyandu” (Integrated Post Service) Service Satisfaction - “Posyandu” (Integrated Post Service) Description of out-patient in the last one month: service Satisfaction j. “Posyandu” (Integrated Post Service) Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 166 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied Frequency of visits - Government hospital Frequency of visits - Government hospital Frequency of visits - Government hospital Frequency of visits - Government hospital Frequency of visits - Government hospital Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month a. Government hospital Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box. 275746 1 2 3 4 5 6 Frequency of visits - Private hospital Frequency of visits - Private hospital Frequency of visits - Private hospital Frequency of visits - Private hospital Frequency of visits - Private hospital Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month b. Private hospital Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box. 275746 1 2 3 4 5 6 8 Frequency of visits - Medical doctor Frequency of visits - Medical doctor Frequency of visits - Medical doctor Frequency of visits - Medical doctor Frequency of visits - Medical doctor Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month c. Medical doctor Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box. 275746 1 2 3 4 5 6 7 8 9 Frequency of visits - Puskesmas Frequency of visits - Puskesmas Frequency of visits - Puskesmas Frequency of visits - Puskesmas Frequency of visits - Puskesmas Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month d. Puskesmas Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box. 275746 1 2 3 4 5 6 8 Frequency of visits - Supporting Puskesmas Frequency of visits - Supporting Puskesmas Frequency of visits - Supporting Puskesmas Frequency of visits - Supporting Puskesmas Frequency of visits - Supporting Puskesmas Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month e. Supporting Puskesmas Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box. 275746 1 2 3 4 5 Frequency of visits - Polyclinic Frequency of visits - Polyclinic Frequency of visits - Polyclinic Frequency of visits - Polyclinic Frequency of visits - Polyclinic Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month f. Polyclinic Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box. 275746 1 2 3 4 8 Frequency of visits - Health workers practice Frequency of visits - Health workers practice Frequency of visits - Health workers practice Frequency of visits - Health workers practice Frequency of visits - Health workers practice Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month g. Health workers practice Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box. 275746 1 2 3 4 5 6 7 Frequency of visits - Traditional treatment Frequency of visits - Traditional treatment Frequency of visits - Traditional treatment Frequency of visits - Traditional treatment Frequency of visits - Traditional treatment Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month h. Traditional treatment Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box. 275746 1 2 3 4 5 6 Frequency of visits - “Polindes” Frequency of visits - “Polindes” Frequency of visits - “Polindes” Frequency of visits - “Polindes” Frequency of visits - “Polindes” Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month i. “Polindes” Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box. 275746 1 2 3 4 5 Frequency of visits - “Posyandu” Frequency of visits - “Posyandu” Frequency of visits - “Posyandu” Frequency of visits - “Posyandu” Frequency of visits - “Posyandu” Frequency of consultation/health examination, health “kir”, pregnancy examination, baby examination in the last month j. “Posyandu” Fill in the frequency (number of times) consultation / health checks in the box provided. If in the last month frequency 8 times or more, enter code 8 in the box. 275746 1 2 3 4 5 6 The amount of expenses: Rp The amount of expenses: Rp The amount of expenses: Rp The amount of expenses: Rp The amount of expenses: Rp The amount of expenses: Rp 275747 9999999 5319.392 Have you ever been In-patient in the last 12 months Have you ever been In-patient in the last 12 months Have you ever been In-patient in the last 12 months Have you ever been In-patient in the last 12 months Have you ever been In-patient in the last 12 months Have you ever been In-patient in the last 12 months If the answer is coded 2, skip to b5r12 Fill code 1 if Yes, Code 2 if not, in the box provided. 275746 1 Yes 2 No Source of in-patient expenses - Household Source of in-patient expenses - Household Source of in-patient expenses - Household Source of in-patient expenses - Household Source of in-patient expenses - Household Source of in-patient expenses in the last 12 months a. Household Fill code 1 if Yes, Code 2 if not, in the box provided. 3381 1 Yes 2 No Source of in-patient expenses - “Askes” Source of in-patient expenses - “Askes” Source of in-patient expenses - “Askes” Source of in-patient expenses - “Askes” Source of in-patient expenses - “Askes” Source of in-patient expenses in the last 12 months b. “Askes” Fill code 1 if Yes, Code 2 if not, in the box provided. 3381 1 Yes 2 No Source of in-patient expenses - “Askes/Jamsostek” Source of in-patient expenses - “Askes/Jamsostek” Source of in-patient expenses - “Askes/Jamsostek” Source of in-patient expenses - “Askes/Jamsostek” Source of in-patient expenses - “Askes/Jamsostek” Source of in-patient expenses in the last 12 months c. “Askes/Jamsostek” Fill code 1 if Yes, Code 2 if not, in the box provided. 3381 1 Yes 2 No Source of in-patient expenses - Other insurance Source of in-patient expenses - Other insurance Source of in-patient expenses - Other insurance Source of in-patient expenses - Other insurance Source of in-patient expenses - Other insurance Source of in-patient expenses in the last 12 months d. Other insurance Fill code 1 if Yes, Code 2 if not, in the box provided. 3381 1 Yes 2 No Source of in-patient expenses - Company/Official Source of in-patient expenses - Company/Official Source of in-patient expenses - Company/Official Source of in-patient expenses - Company/Official Source of in-patient expenses - Company/Official Source of in-patient expenses in the last 12 months e. Company/Official Fill code 1 if Yes, Code 2 if not, in the box provided. 3381 1 Yes 2 No Source of in-patient expenses - “Jasa Raharja Source of in-patient expenses - “Jasa Raharja Source of in-patient expenses - “Jasa Raharja Source of in-patient expenses - “Jasa Raharja Source of in-patient expenses - “Jasa Raharja Source of in-patient expenses in the last 12 months f. “Jasa Raharja Fill code 1 if Yes, Code 2 if not, in the box provided. 3381 1 Yes 2 No Source of in-patient expenses - Fund Healt Source of in-patient expenses - Fund Healt Source of in-patient expenses - Fund Healt Source of in-patient expenses - Fund Healt Source of in-patient expenses - Fund Healt Source of in-patient expenses in the last 12 months g. Fund Healt Fill code 1 if Yes, Code 2 if not, in the box provided. 3381 1 Yes 2 No Source of in-patient expenses - Health Card Source of in-patient expenses - Health Card Source of in-patient expenses - Health Card Source of in-patient expenses - Health Card Source of in-patient expenses - Health Card Source of in-patient expenses in the last 12 months h. Health Card Fill code 1 if Yes, Code 2 if not, in the box provided. 3381 1 Yes 2 No Source of in-patient expenses - “Lurah” letter Source of in-patient expenses - “Lurah” letter Source of in-patient expenses - “Lurah” letter Source of in-patient expenses - “Lurah” letter Source of in-patient expenses - “Lurah” letter Source of in-patient expenses in the last 12 months i. “Lurah” letter Fill code 1 if Yes, Code 2 if not, in the box provided. 3381 1 Yes 2 No Source of in-patient expenses - Other party Source of in-patient expenses - Other party Source of in-patient expenses - Other party Source of in-patient expenses - Other party Source of in-patient expenses - Other party Source of in-patient expenses in the last 12 months j. Other party Fill code 1 if Yes, Code 2 if not, in the box provided. 3381 1 Yes 2 No Description of In-patient - Government hospital Description of In-patient - Government hospital Description of In-patient - Government hospital Description of In-patient - Government hospital Description of In-patient - Government hospital Description of In-patient in the last 12 month - service a. Government hospital 3381 1 Province Province Province Province Province Province Write down the name province in the space provided and add the related code referred to in the box provided. 275747 11 Nanggroe Aceh Darussalam 12 North Sumatera 13 West Sumatera 14 Riau 15 Jambi 16 South Sumatera 17 Bengkulu 18 Lampung 19 Bangka Belitung 21 Riau Island 31 DKI Jakarta 32 West Java 33 Central Java 34 DI Yogyakarta 35 East Java 36 Banten 51 Bali 52 West Nusa Tenggara 53 East Nusa Tenggara 54 East Timor 61 West Kalimantan 62 Central Kalimantan 63 South Kalimantan 64 East Kalimantan 71 North Sulawesi 72 Central Sulawesi 73 South Sulawesi 74 Southeast Sulawesi 75 Gorontalo 76 West Sulawesi 81 Maluku 82 Papua District/City District/City District/City District/City District/City District/City Cross out the unnecessary and the Write down the name of district/city in the space provided and add the related code referred to in the box provided. 275747 1 10 11 12 13 14 15 16 17 18 19 2 20 21 22 23 24 25 26 27 28 29 3 4 5 6 7 71 72 73 74 75 76 77 78 8 9 Sub-district Sub-district Sub-district Sub-district Sub-district Sub-district Write down the name subdistrict in the space provided and add the related code referred to in the box provided. 275747 10 100 101 11 110 111 12 120 121 130 131 132 14 140 141 150 151 153 160 161 170 171 180 181 182 190 191 20 200 201 21 210 22 220 230 231 240 241 250 260 270 280 30 300 31 310 32 320 330 40 41 42 50 51 52 60 61 70 71 710 720 730 740 80 81 90 91 Village/kelurahan Village/kelurahan Village/kelurahan Village/kelurahan Village/kelurahan Village/kelurahan Cross out the unnecessary and the Write down the name of village/kelurahan in the space provided and add the related code referred to in the box provided. 275747 1 10 100 102 104 11 112 115 116 12 121 122 13 131 14 15 16 17 18 19 2 20 21 22 23 24 25 26 27 28 29 3 30 31 32 33 34 35 36 37 38 39 4 40 41 42 43 44 45 46 47 48 49 5 50 51 52 53 54 55 56 57 58 59 6 60 61 62 63 64 65 68 69 7 70 71 72 73 76 77 79 8 80 81 83 85 86 87 9 90 95 96 Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Circle the answered code, then write it down in the box provided. 275747 1 Urban 2 Rural Sample code number Sample code number Sample code number Sample code number Sample code number Sample code number Write down the sample code number (NKS) in the space provided. These details are copies of Details 1 s.d. 9 Block I VSEN98.DSRT list. 275747 Serial number of Sample household Serial number of Sample household Serial number of Sample household Serial number of Sample household Serial number of Sample household Serial number of Sample household Write down the serial number of sample households in the space provided and then move to the box provided. 275747 1 10 11 12 13 14 15 16 2 3 4 5 6 7 8 9 Village classification Village classification Village classification Village classification Village classification 275747 1 Least developed village 2 Developed village Serial number of household members Serial number of household members Serial number of household members Serial number of household members Serial number of household members 275747 1 10 11 12 13 14 15 16 17 18 19 2 20 21 22 23 3 4 5 6 7 8 9 Relation with the head of household Relation with the head of household Relation with the head of household Relation with the head of household Relation with the head of household Relation with the head of household Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided. The first household member should be the head of household, and therefore, Column (3) should be filled in with code 1. 275747 1 Head of household 2 Wife/husband 3 Child 4 In-law 5 Grandchild 6 Parent/in-law 7 Other family 8 Housemaid 9 Other 1. The head of household (krt) is a man in a group of household members who is responsible to provide the daily needs of the concerned households, or a person who is considerend/appointed to be the head of a household (for example a group of students live together in one room inside a census building; because they each are responsible for their own needs, one person is appointed as the household head). 2. Wife/husband, is the wife/husband of the head of household. 3. Children, includes biological children, stepchildren, and adopted children of the head of household. 4. Son/daughter in laws, are the husbands/wives of biological daughters/sons, step daughters/sons, or adopted daughters/sons. 5. Grandchildren, are the children of biological children, step children, or adopted children. 6. Parent in laws, are father/mother of the head of household or father/mother of the spouse of the head of household. 7. Other families, are those who have blood relation with head of the household or the spouse, such as siblings, aunties, uncles, grandparents. 8. Housemaid, are people who works as a helper and lives in the concerned household, receiving wage/salary in the form money or in-kind payment. 9. Other, are people who do not have familial relation to the head of household or the spouse, who live in the household for more than 6 months, such as visitors, friends or tenants who rent room plus food, including children of helpers who also live and eat in the employer's house. Gender Gender Gender Gender Gender Gender Ask the relation of each household member to the head of household and enter the code accordingly into the boxes provided. The first household member should be the head of household, and therefore, Column (3) should be filled in with code 1. 275747 1 Male 2 Female Age (year) Age (year) Age (year) Age (year) Age (year) Age (year) Ask the respondent's age and enter the answer into the box. 275747 99 26.812 Age is measured in years rounded down or the age after the last birthday. Age calculation is based on Christian calendar. Duration of treatment - Government hospital Duration of treatment - Government hospital Duration of treatment - Government hospital Duration of treatment - Government hospital Duration of treatment - Government hospital Description of In-patient in the last 12 month - duration of treatment: a. Government hospital Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits. 275747 999 0.057 Household Total expenses - Government hospital Household Total expenses - Government hospital Household Total expenses - Government hospital Household Total expenses - Government hospital Household Total expenses - Government hospital Description of In-patient in the last 12 month - household Total expenses: a. Government hospital The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months. 275747 99999999 25950.627 Paid by household (in Rp) - Government hospital Paid by household (in Rp) - Government hospital Paid by household (in Rp) - Government hospital Paid by household (in Rp) - Government hospital Paid by household (in Rp) - Government hospital Description of In-patient in the last 12 month - paid by household (in Rp): a. Government hospital Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once. 275747 99999999 6292.743 Satisfaction on the service - Government hospital Satisfaction on the service - Government hospital Satisfaction on the service - Government hospital Satisfaction on the service - Government hospital Satisfaction on the service - Government hospital Description of In-patient in the last 12 month - satisfaction on the service: a. Government hospital Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 1617 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied Service type - Private hospital Service type - Private hospital Service type - Private hospital Service type - Private hospital Service type - Private hospital Description of In-patient in the last 12 month - service b. Private hospital 3381 1 Duration of treatment - Private hospital Duration of treatment - Private hospital Duration of treatment - Private hospital Duration of treatment - Private hospital Duration of treatment - Private hospital Description of In-patient in the last 12 month - duration of treatment: b. Private hospital Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits. 275747 999 0.0365 Household Total expenses - Private hospital Household Total expenses - Private hospital Household Total expenses - Private hospital Household Total expenses - Private hospital Household Total expenses - Private hospital Description of In-patient in the last 12 month - household Total expenses: b. Private hospital The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months. 275747 99999999 19531.262 Paid by household (in Rp) - Private hospital Paid by household (in Rp) - Private hospital Paid by household (in Rp) - Private hospital Paid by household (in Rp) - Private hospital Paid by household (in Rp) - Private hospital Description of In-patient in the last 12 month - paid by household (in Rp): b. Private hospital Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once. 275747 99999999 5426.817 Satisfaction on the service - Private hospital Satisfaction on the service - Private hospital Satisfaction on the service - Private hospital Satisfaction on the service - Private hospital Satisfaction on the service - Private hospital Description of In-patient in the last 12 month - satisfaction on the service: b. Private hospital Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 1040 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied Service type c. Puskesmas Service type c. Puskesmas Service type c. Puskesmas Service type c. Puskesmas Service type c. Puskesmas Description of In-patient in the last 12 month - service c. Puskesmas 3381 1 Duration of treatment - Puskesmas Duration of treatment - Puskesmas Duration of treatment - Puskesmas Duration of treatment - Puskesmas Duration of treatment - Puskesmas Description of In-patient in the last 12 month - duration of treatment: c. Puskesmas Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits. 275747 90 0.00529 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 20 21 22 28 30 40 60 90 Household Total expenses - Puskesmas Household Total expenses - Puskesmas Household Total expenses - Puskesmas Household Total expenses - Puskesmas Household Total expenses - Puskesmas Description of In-patient in the last 12 month - household Total expenses: c. Puskesmas The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months. 275747 99999999 4091.246 Paid by household (in Rp) - Puskesmas Paid by household (in Rp) - Puskesmas Paid by household (in Rp) - Puskesmas Paid by household (in Rp) - Puskesmas Paid by household (in Rp) - Puskesmas Description of In-patient in the last 12 month - paid by household (in Rp): c. Puskesmas Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once. 275747 650000 95.112 Satisfaction on the service - Puskesmas Satisfaction on the service - Puskesmas Satisfaction on the service - Puskesmas Satisfaction on the service - Puskesmas Satisfaction on the service - Puskesmas Description of In-patient in the last 12 month - satisfaction on the service: c. Puskesmas Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 295 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied Service type - Maternity house Service type - Maternity house Service type - Maternity house Service type - Maternity house Service type - Maternity house Description of In-patient in the last 12 month - service d. Maternity house 3381 1 Duration of treatment - Maternity house Duration of treatment - Maternity house Duration of treatment - Maternity house Duration of treatment - Maternity house Duration of treatment - Maternity house Description of In-patient in the last 12 month - duration of treatment: d. Maternity house Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits. 275747 32 0.00369 1 2 3 4 5 6 7 8 9 10 24 32 Household Total expenses - Maternity house Household Total expenses - Maternity house Household Total expenses - Maternity house Household Total expenses - Maternity house Household Total expenses - Maternity house Description of In-patient in the last 12 month - household Total expenses: d. Maternity house The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months. 275747 99999999 3207.498 Paid by household (in Rp) - Maternity house Paid by household (in Rp) - Maternity house Paid by household (in Rp) - Maternity house Paid by household (in Rp) - Maternity house Paid by household (in Rp) - Maternity house Description of In-patient in the last 12 month - paid by household (in Rp): d. Maternity house Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once. 275747 99999999 993.771 Satisfaction on the service - Maternity house Satisfaction on the service - Maternity house Satisfaction on the service - Maternity house Satisfaction on the service - Maternity house Satisfaction on the service - Maternity house Description of In-patient in the last 12 month - satisfaction on the service: d. Maternity house Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 314 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied Service type - Village maternity Huts Service type - Village maternity Huts Service type - Village maternity Huts Service type - Village maternity Huts Service type - Village maternity Huts Description of In-patient in the last 12 month - service e. Village maternity Huts 3381 1 Duration of treatment - Village maternity Huts Duration of treatment - Village maternity Huts Duration of treatment - Village maternity Huts Duration of treatment - Village maternity Huts Duration of treatment - Village maternity Huts Description of In-patient in the last 12 month - duration of treatment: e. Village maternity Huts Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits. 275747 4 0.000424 1 2 3 4 Household Total expenses - Village maternity Huts Household Total expenses - Village maternity Huts Household Total expenses - Village maternity Huts Household Total expenses - Village maternity Huts Household Total expenses - Village maternity Huts Description of In-patient in the last 12 month - household Total expenses: e. Village maternity Huts The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months. 275747 99999999 387.098 Paid by household (in Rp) - Village maternity Huts Paid by household (in Rp) - Village maternity Huts Paid by household (in Rp) - Village maternity Huts Paid by household (in Rp) - Village maternity Huts Paid by household (in Rp) - Village maternity Huts Description of In-patient in the last 12 month - paid by household (in Rp): e. Village maternity Huts Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once. 275747 500000 22.827 Satisfaction on the service - Village maternity Huts Satisfaction on the service - Village maternity Huts Satisfaction on the service - Village maternity Huts Satisfaction on the service - Village maternity Huts Satisfaction on the service - Village maternity Huts Description of In-patient in the last 12 month - satisfaction on the service: e. Village maternity Huts Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 51 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied Service type - Traditional healer Service type - Traditional healer Service type - Traditional healer Service type - Traditional healer Service type - Traditional healer Description of In-patient in the last 12 month - service f. Traditional healer 3381 1 Duration of treatment - Traditional healer Duration of treatment - Traditional healer Duration of treatment - Traditional healer Duration of treatment - Traditional healer Duration of treatment - Traditional healer Description of In-patient in the last 12 month - duration of treatment: f. Traditional healer Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits. 275747 120 0.00251 Household Total expenses - Traditional healer Household Total expenses - Traditional healer Household Total expenses - Traditional healer Household Total expenses - Traditional healer Household Total expenses - Traditional healer Description of In-patient in the last 12 month - household Total expenses: f. Traditional healer The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months. 275747 9999999 104.56 Paid by household (in Rp) - Traditional healer Paid by household (in Rp) - Traditional healer Paid by household (in Rp) - Traditional healer Paid by household (in Rp) - Traditional healer Paid by household (in Rp) - Traditional healer Description of In-patient in the last 12 month - paid by household (in Rp): f. Traditional healer Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once. 275747 2700000 66.1 Satisfaction on the service - Traditional healer Satisfaction on the service - Traditional healer Satisfaction on the service - Traditional healer Satisfaction on the service - Traditional healer Satisfaction on the service - Traditional healer Description of In-patient in the last 12 month - satisfaction on the service: f. Traditional healer Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 54 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied Service type - Others Service type - Others Service type - Others Service type - Others Service type - Others Description of In-patient in the last 12 month - service g. Others 3381 1 Duration of treatment - Others Duration of treatment - Others Duration of treatment - Others Duration of treatment - Others Duration of treatment - Others Description of In-patient in the last 12 month - duration of treatment: g. Others Ask the number of days hospitalized in the last 12 months and fill the appropriate boxes. Total duration (days) of hospitalization for facility services if more than one times visits. 275747 40 0.00103 Household Total expenses - Others Household Total expenses - Others Household Total expenses - Others Household Total expenses - Others Household Total expenses - Others Description of In-patient in the last 12 month - household Total expenses: g. Others The contents of Column 3 must be greater or equal to Column 4. Ask the amount of the total cost for the purposes of inpatient (hospitalization) during the last 12 months. 275747 99999999 404.8 Paid by household (in Rp) - Others Paid by household (in Rp) - Others Paid by household (in Rp) - Others Paid by household (in Rp) - Others Paid by household (in Rp) - Others Description of In-patient in the last 12 month - paid by household (in Rp): g. Others Ask the amount of the total cost incurred / paid by household is concerned, either partially or in whole, for purposes of inpatient (hospitalization) during last 12 months. Sum the cost of hospitalization for a place of service if the household member hospitalized more than once. 275747 99999999 403.292 Satisfaction on the service - Others Satisfaction on the service - Others Satisfaction on the service - Others Satisfaction on the service - Others Satisfaction on the service - Others Description of In-patient in the last 12 month - satisfaction on the service: g. Others Ask the respondents about the level of satisfaction according to services provided and enter the relevant code in the box provided. 70 1 Very satisfied 2 Satisfied 3 Not that satisfied 4 Not satisfied How many times the child’s weight was taken during 6 months How many times the child’s weight was taken during 6 months How many times the child’s weight was taken during 6 months How many times the child’s weight was taken during 6 months How many times the child’s weight was taken during 6 months How many times the child’s weight was taken during 6 months 275747 9 0.261 1 2 3 4 5 6 7 8 9 Last weighted: (date) (month) Last weighted: (date) (month) Last weighted: (date) (month) Last weighted: (date) (month) Last weighted: (date) (month) If b5r12 not equal to 0 Last weighted: (date) (month) 18353 1 10 11 12 2 3 4 5 6 7 8 9 99 The weight of “Balita” based on the last record The weight of “Balita” based on the last record The weight of “Balita” based on the last record The weight of “Balita” based on the last record The weight of “Balita” based on the last record If b5r12 not equal to 0 The weight of “Balita” based on the last record 275747 62 0.699 Date of weighing by workers (date) Date of weighing by workers (date) Date of weighing by workers (date) Date of weighing by workers (date) Date of weighing by workers (date) Date of weighing by workers (date) 27043 1 10 11 12 2 3 4 5 6 7 8 9 Date of weighing by workers (month) Date of weighing by workers (month) Date of weighing by workers (month) Date of weighing by workers (month) Date of weighing by workers (month) Date of weighing by workers (month) 275747 51 0.831 Breakfast habits in the last 6 month: Breakfast habits in the last 6 month: Breakfast habits in the last 6 month: Breakfast habits in the last 6 month: Breakfast habits in the last 6 month: Breakfast habits in the last 6 month: 270865 1 Every day 2 Never 3 Sometimes Brushing your teeth - after eating Brushing your teeth - after eating Brushing your teeth - after eating Brushing your teeth - after eating Brushing your teeth - after eating Do you usually brush your teeth everyday? a. After eating Ask if respondent regular of brushing teeth or assisted of brushing teeth (for toddlers) every day. Ask if respondent regular brushing teeth immediately after meals, before bed at night, after waking up, and others (such as bath time afternoon / evening, or before prayer). Fill code 1 if "Yes", code 0 if "No", into the box provided. 270865 No 1 Yes Brushing your teeth - before sleeping at night Brushing your teeth - before sleeping at night Brushing your teeth - before sleeping at night Brushing your teeth - before sleeping at night Brushing your teeth - before sleeping at night Do you usually brush your teeth everyday? b. Before sleeping at night Ask if respondent regular of brushing teeth or assisted of brushing teeth (for toddlers) every day. Ask if respondent regular brushing teeth immediately after meals, before bed at night, after waking up, and others (such as bath time afternoon / evening, or before prayer). Fill code 1 if "Yes", code 0 if "No", into the box provided. 270865 No 1 Yes Brushing your teeth - after waking up in morning Brushing your teeth - after waking up in morning Brushing your teeth - after waking up in morning Brushing your teeth - after waking up in morning Brushing your teeth - after waking up in morning Do you usually brush your teeth everyday? c. After waking up in morning Ask if respondent regular of brushing teeth or assisted of brushing teeth (for toddlers) every day. Ask if respondent regular brushing teeth immediately after meals, before bed at night, after waking up, and others (such as bath time afternoon / evening, or before prayer). Fill code 1 if "Yes", code 0 if "No", into the box provided. 270865 No 1 Yes Brushing your teeth - others Brushing your teeth - others Brushing your teeth - others Brushing your teeth - others Brushing your teeth - others Do you usually brush your teeth everyday? d. Others Ask if respondent regular of brushing teeth or assisted of brushing teeth (for toddlers) every day. Ask if respondent regular brushing teeth immediately after meals, before bed at night, after waking up, and others (such as bath time afternoon / evening, or before prayer). Fill code 1 if "Yes", code 0 if "No", into the box provided. 270865 No 1 Yes Has a Dentist ever examined you, within the last 6 months? Has a Dentist ever examined you, within the last 6 months? Has a Dentist ever examined you, within the last 6 months? Has a Dentist ever examined you, within the last 6 months? Has a Dentist ever examined you, within the last 6 months? Has a Dentist ever examined you, within the last 6 months? If the answer is coded 2, skip to b5r19 270865 1 Yes 2 No What was the objective of examination? What was the objective of examination? What was the objective of examination? What was the objective of examination? What was the objective of examination? What was the objective of examination? 8779 1 Teeth treatment 10 11 12 13 14 15 16 Others 17 18 19 2 Check-up 20 21 22 23 24 25 28 29 3 4 Maintenance 5 6 7 8 Install false teeth 9 Did you have sleeping disorder in the past month? Did you have sleeping disorder in the past month? Did you have sleeping disorder in the past month? Did you have sleeping disorder in the past month? Did you have sleeping disorder in the past month? Did you have sleeping disorder in the past month? 186686 1 Yes 2 No If you having burn wounds (causes by fired, hot cooking oil, hot water, hot items), what was the first action did you do? (the correct answer is if the respondent says: should be immediately splash/immerse in the cold for few minutes) If you having burn wounds (causes by fired, hot cooking oil, hot water, hot items), what was the first action did you do? (the correct answer is if the respondent says: should be immediately splash/immerse in the cold for few minutes) If you having burn wounds (causes by fired, hot cooking oil, hot water, hot items), what was the first action did you do? (the correct answer is if the respondent says: should be immediately splash/immerse in the cold for few minutes) If you having burn wounds (causes by fired, hot cooking oil, hot water, hot items), what was the first action did you do? (the correct answer is if the respondent says: should be immediately splash/immerse in the cold for few minutes) If you having burn wounds (causes by fired, hot cooking oil, hot water, hot items), what was the first action did you do? (the correct answer is if the respondent says: should be immediately splash/immerse in the cold for few minutes) If you having burn wounds (causes by fired, hot cooking oil, hot water, hot items), what was the first action did you do? (the correct answer is if the respondent says: should be immediately splash/immerse in the cold for few minutes) 186686 1 Incorrect answer 2 Don’t know 3 Correct answer Did you have a general check-up in the last 5 years? Did you have a general check-up in the last 5 years? Did you have a general check-up in the last 5 years? Did you have a general check-up in the last 5 years? Did you have a general check-up in the last 5 years? Did you have a general check-up in the last 5 years? If the answer is coded 2, skip to b5r23 110157 1 Yes 2 No Was there a full laboratory check up with the general check up (blood, urine), x-ray, & ECG? Was there a full laboratory check up with the general check up (blood, urine), x-ray, & ECG? Was there a full laboratory check up with the general check up (blood, urine), x-ray, & ECG? Was there a full laboratory check up with the general check up (blood, urine), x-ray, & ECG? Was there a full laboratory check up with the general check up (blood, urine), x-ray, & ECG? Was there a full laboratory check up with the general check up (blood, urine), x-ray, & ECG? 6285 1 Yes 2 No Do you know or ever heard of “SADARI “ (Breast self-examination)? Do you know or ever heard of “SADARI “ (Breast self-examination)? Do you know or ever heard of “SADARI “ (Breast self-examination)? Do you know or ever heard of “SADARI “ (Breast self-examination)? Do you know or ever heard of “SADARI “ (Breast self-examination)? Do you know or ever heard of “SADARI “ (Breast self-examination)? If the answer is coded 2, skip to b5r25 55621 1 Yes 2 No How many times did you “SADARI” in the last year? How many times did you “SADARI” in the last year? How many times did you “SADARI” in the last year? How many times did you “SADARI” in the last year? How many times did you “SADARI” in the last year? How many times did you “SADARI” in the last year? 4548 1 10-12 times 2 7-9 times 3 4-6 times 4 1-3 times 5 Never Have you ever heard of a Pap Smear test? Have you ever heard of a Pap Smear test? Have you ever heard of a Pap Smear test? Have you ever heard of a Pap Smear test? Have you ever heard of a Pap Smear test? Have you ever heard of a Pap Smear test? If the answer is coded 2, finish. 55621 1 2 When was the last Pap Smear test? When was the last Pap Smear test? When was the last Pap Smear test? When was the last Pap Smear test? When was the last Pap Smear test? When was the last Pap Smear test? 3322 1 0-11 months ago 2 12-23 months ago 3 24-35 months ago 4 >= 36 months ago 5 Never Province Province Province Province Province 207625 11 12 13 14 15 16 17 18 31 32 33 34 35 51 52 53 54 61 62 63 64 71 72 73 74 81 82 District/City District/City District/City District/City District/City 207625 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 71 72 73 74 75 76 77 78 Sub-district Sub-district Sub-district Sub-district Sub-district 207625 006 010 011 012 013 014 020 021 022 030 031 032 040 041 042 050 051 052 060 061 062 070 071 080 081 090 091 100 101 110 111 120 121 130 131 132 140 141 150 151 153 160 161 170 171 180 181 182 190 191 200 201 210 220 221 230 231 240 241 250 260 270 280 290 300 301 310 320 330 340 350 710 720 721 730 740 Village/kelurahan Village/kelurahan Village/kelurahan Village/kelurahan Village/kelurahan 207625 001 002 003 004 005 006 007 008 009 010 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026 027 028 029 030 031 032 033 034 035 036 037 038 039 040 041 042 043 044 045 046 047 048 049 050 051 052 053 054 055 056 057 058 059 060 061 062 063 064 065 066 067 068 069 070 071 072 073 074 076 077 078 079 080 081 082 083 084 085 086 087 089 090 091 093 095 096 097 098 099 100 102 104 105 108 110 111 112 113 114 115 116 121 122 126 131 Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification 207625 1 2 Sample code number Sample code number Sample code number Sample code number Sample code number 207625 Serial number of Sample household Serial number of Sample household Serial number of Sample household Serial number of Sample household Serial number of Sample household 207625 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 Village/kelurahan (original) Village/kelurahan (original) Village/kelurahan (original) Village/kelurahan (original) Village/kelurahan (original) 204 1 10 15 3 31 4 5 6 7 9 Sample code number Sample code number Sample code number Sample code number Sample code number 204 110557 110613 111004 111532 111541 120005 121006 121024 121639 210007 210069 210175 211003 211745 221212 221531 411501 Village classification Village classification Village classification Village classification Village classification 207625 1 2 Number of household members Number of household members Number of household members Number of household members Number of household members 207625 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 23 24 Number of children aged 0 - 4 years old Number of children aged 0 - 4 years old Number of children aged 0 - 4 years old Number of children aged 0 - 4 years old Number of children aged 0 - 4 years old 207624 1 1 2 3 4 5 6 Sysmiss Number of household member who are still in school Number of household member who are still in school Number of household member who are still in school Number of household member who are still in school Number of household member who are still in school 207625 1 2 3 4 5 6 7 8 9 10 11 12 Number of household members were passed away Number of household members were passed away Number of household members were passed away Number of household members were passed away Number of household members were passed away 207625 1 2 3 4 Is this household have a holly book? Is this household have a holly book? Is this household have a holly book? Is this household have a holly book? Is this household have a holly book? 207625 1 Yes 2 No Type of most roof material : Type of most roof material : Type of most roof material : Type of most roof material : Type of most roof material : 207625 1 2 3 4 5 6 7 8 Type of most wall material : Type of most wall material : Type of most wall material : Type of most wall material : Type of most wall material : 207625 1 2 3 4 Type of most flooring material : Type of most flooring material : Type of most flooring material : Type of most flooring material : Type of most flooring material : 207625 1 2 3 4 5 6 7 Floor area:(square meter) Floor area:(square meter) Floor area:(square meter) Floor area:(square meter) Floor area:(square meter) 207625 2 999 65.949 59.419 Source of drinking water: Source of drinking water: Source of drinking water: Source of drinking water: Source of drinking water: 207625 1 2 3 4 5 6 7 8 9 Distance to the closest feces containment: Distance to the closest feces containment: Distance to the closest feces containment: Distance to the closest feces containment: Distance to the closest feces containment: 142527 1 2 3 4 5 Method to obtain drinking water: Method to obtain drinking water: Method to obtain drinking water: Method to obtain drinking water: Method to obtain drinking water: 207625 1 2 The use of drinking water facilities: The use of drinking water facilities: The use of drinking water facilities: The use of drinking water facilities: The use of drinking water facilities: 207625 1 2 3 4 Defecation facility use: Defecation facility use: Defecation facility use: Defecation facility use: Defecation facility use: 207625 1 2 3 4 Type of toilet: Type of toilet: Type of toilet: Type of toilet: Type of toilet: 207625 1 2 3 4 Final disposal location: Final disposal location: Final disposal location: Final disposal location: Final disposal location: 207625 1 2 3 4 5 6 Source of lighting: Source of lighting: Source of lighting: Source of lighting: Source of lighting: 207625 1 2 3 4 5 Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the pa Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the pa Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the pa Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the pa Food expenditure - Grains [rice, corn, wheat, flour, cornflour etc.] - in the pa 207625 186200 11886.452 7545.433 Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in Food expenditure - Tubers [cassava, sweet potato, potato, yam, sago, etc.] - in 207625 120000 877.166 1763.552 Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the Food expenditure - Fish [fresh fish, salted/preserved fish, prawn etc.] - in the 207625 245000 4746.094 5296.361 Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, Food expenditure - Meat [beef, buffalo meat, mutton, lamb, pork, chicken, offal, 207625 151500 2704.537 4693.468 Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, e Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, e Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, e Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, e Food expenditure - Egg and milk (chicken egg, duck egg, quail egg, fresh milk, e 207625 150000 2709.752 4316.952 Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, s Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, s Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, s Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, s Food expenditure - Vegetables [spinach, water spinach, cucumber, carrot, bean, s 207625 96750 3137.746 2734.72 Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nu Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nu Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nu Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nu Food expenditure - Nuts [peanut, mung bean, soybean, red bean, cowpea, cashew nu 207625 125000 1699.509 1839.816 Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, Food expenditure - Fruits [orange, mango, apple, durian, rambutan, salak, duku, 207625 89000 2044.48 2921.512 Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc Food expenditure - Oil and fat [coconut oil, cooking oil, coconut, margarine etc 207625 119000 2593.43 2077.435 Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocol Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocol Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocol Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocol Food expenditure - Beverage supplements [sugar, brown sugar, tea, coffee, chocol 207625 196000 2913.02 2327.697 Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybea Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybea Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybea Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybea Food expenditure - Spices [salt, hazelnut, coriander, pepper, fish paste, soybea 207625 42500 1376.904 1211.945 Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] Food expenditure - Other foodstuffs [cracker, noodle, vermicelli, macaroni etc.] 207625 150000 1041.718 1680.802 Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemona Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemona Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemona Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemona Food expenditure - Delicatessen [bread, biscuit, porridge, meatball, ice, lemona 207625 750000 4137.145 8096.568 Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-pr Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-pr Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-pr Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-pr Food expenditure - Alcoholic beverages [beer, wine, other]from purchase, self-pr 207625 200000 114.766 1374.484 Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, t Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, t Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, t Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, t Food expenditure - Tobacco and betel [clove cigarette, white cigarette, cigar, t 207625 190000 3964.525 4933.461 Total Foodstuff [Details 1 to 15] Total Foodstuff [Details 1 to 15] Total Foodstuff [Details 1 to 15] Total Foodstuff [Details 1 to 15] Total Foodstuff [Details 1 to 15] 207597 28 2900 780000 45945.128 27317.274 Non-food expenditure - housing and household facility in the past month:(Rp) Non-food expenditure - housing and household facility in the past month:(Rp) Non-food expenditure - housing and household facility in the past month:(Rp) Non-food expenditure - housing and household facility in the past month:(Rp) Non-food expenditure - housing and household facility in the past month:(Rp) 207597 28 3 10000000 54041.39 124515.195 Non-food expenditure - housing and household facility in the 12 months :(Rp) Non-food expenditure - housing and household facility in the 12 months :(Rp) Non-food expenditure - housing and household facility in the 12 months :(Rp) Non-food expenditure - housing and household facility in the 12 months :(Rp) Non-food expenditure - housing and household facility in the 12 months :(Rp) 207597 28 100 120000000 648509.027 1480088.629 Non-food expenditure - miscellaneous goods and services in the past month:(Rp) Non-food expenditure - miscellaneous goods and services in the past month:(Rp) Non-food expenditure - miscellaneous goods and services in the past month:(Rp) Non-food expenditure - miscellaneous goods and services in the past month:(Rp) Non-food expenditure - miscellaneous goods and services in the past month:(Rp) 207597 28 18500000 13187.328 49843.099 Non-food expenditure - miscellaneous goods and services in the past 12 month:(Rp Non-food expenditure - miscellaneous goods and services in the past 12 month:(Rp Non-food expenditure - miscellaneous goods and services in the past 12 month:(Rp Non-food expenditure - miscellaneous goods and services in the past 12 month:(Rp Non-food expenditure - miscellaneous goods and services in the past 12 month:(Rp 207597 28 58160000 139089.269 332056.345 Non-food expenditure - education expenses in the past month:(Rp) Non-food expenditure - education expenses in the past month:(Rp) Non-food expenditure - education expenses in the past month:(Rp) Non-food expenditure - education expenses in the past month:(Rp) Non-food expenditure - education expenses in the past month:(Rp) 207597 28 6500000 12578.829 59606.279 Non-food expenditure - education expenses in the past 12 month:(Rp) Non-food expenditure - education expenses in the past 12 month:(Rp) Non-food expenditure - education expenses in the past 12 month:(Rp) Non-food expenditure - education expenses in the past 12 month:(Rp) Non-food expenditure - education expenses in the past 12 month:(Rp) 207597 28 112000000 139413.756 537780.593 Non-food expenditure - health expenses in the past month:(Rp) Non-food expenditure - health expenses in the past month:(Rp) Non-food expenditure - health expenses in the past month:(Rp) Non-food expenditure - health expenses in the past month:(Rp) Non-food expenditure - health expenses in the past month:(Rp) 207597 28 22150000 11933.009 108198.603 Non-food expenditure - health expenses in the past 12 month:(Rp) Non-food expenditure - health expenses in the past 12 month:(Rp) Non-food expenditure - health expenses in the past 12 month:(Rp) Non-food expenditure - health expenses in the past 12 month:(Rp) Non-food expenditure - health expenses in the past 12 month:(Rp) 207597 28 100000000 70430.156 376153.533 Non-food expenditure - clothing, footwear, head gear in the past month:(Rp) Non-food expenditure - clothing, footwear, head gear in the past month:(Rp) Non-food expenditure - clothing, footwear, head gear in the past month:(Rp) Non-food expenditure - clothing, footwear, head gear in the past month:(Rp) Non-food expenditure - clothing, footwear, head gear in the past month:(Rp) 207597 28 4000000 27865.741 62206.398 Non-food expenditure - clothing, footwear, head gear in the past 12 month:(Rp) Non-food expenditure - clothing, footwear, head gear in the past 12 month:(Rp) Non-food expenditure - clothing, footwear, head gear in the past 12 month:(Rp) Non-food expenditure - clothing, footwear, head gear in the past 12 month:(Rp) Non-food expenditure - clothing, footwear, head gear in the past 12 month:(Rp) 207595 30 17500000 160437.051 178500.913 Non-food expenditure - durable goods in the past month:(Rp) Non-food expenditure - durable goods in the past month:(Rp) Non-food expenditure - durable goods in the past month:(Rp) Non-food expenditure - durable goods in the past month:(Rp) Non-food expenditure - durable goods in the past month:(Rp) 207197 428 35000000 13971.751 180191.534 Non-food expenditure - durable goods in the past 12 month:(Rp) Non-food expenditure - durable goods in the past 12 month:(Rp) Non-food expenditure - durable goods in the past 12 month:(Rp) Non-food expenditure - durable goods in the past 12 month:(Rp) Non-food expenditure - durable goods in the past 12 month:(Rp) 207197 428 74000000 125971.343 729233.252 Non-food expenditure - taxes and insurance in the past month:(Rp) Non-food expenditure - taxes and insurance in the past month:(Rp) Non-food expenditure - taxes and insurance in the past month:(Rp) Non-food expenditure - taxes and insurance in the past month:(Rp) Non-food expenditure - taxes and insurance in the past month:(Rp) 207197 428 3016667 3414.432 19959.053 Non-food expenditure - taxes and insurance in the past 12 month:(Rp) Non-food expenditure - taxes and insurance in the past 12 month:(Rp) Non-food expenditure - taxes and insurance in the past 12 month:(Rp) Non-food expenditure - taxes and insurance in the past 12 month:(Rp) Non-food expenditure - taxes and insurance in the past 12 month:(Rp) 207197 428 14460000 39095.747 139785.444 Non-food expenditure - festivities and ceremonies in the past month:(Rp) Non-food expenditure - festivities and ceremonies in the past month:(Rp) Non-food expenditure - festivities and ceremonies in the past month:(Rp) Non-food expenditure - festivities and ceremonies in the past month:(Rp) Non-food expenditure - festivities and ceremonies in the past month:(Rp) 207197 428 10000000 8009.987 56628.115 Non-food expenditure - festivities and ceremonies in the past 12 month:(Rp) Non-food expenditure - festivities and ceremonies in the past 12 month:(Rp) Non-food expenditure - festivities and ceremonies in the past 12 month:(Rp) Non-food expenditure - festivities and ceremonies in the past 12 month:(Rp) Non-food expenditure - festivities and ceremonies in the past 12 month:(Rp) 207197 428 17000000 55761.461 207987.116 Total non-food (details 17 to 24) in the past month:(Rp) Total non-food (details 17 to 24) in the past month:(Rp) Total non-food (details 17 to 24) in the past month:(Rp) Total non-food (details 17 to 24) in the past month:(Rp) Total non-food (details 17 to 24) in the past month:(Rp) 207197 428 1000 35259583 145036.657 308901.23 Total non-food (details 17 to 24) in the past 12 month:(Rp) Total non-food (details 17 to 24) in the past 12 month:(Rp) Total non-food (details 17 to 24) in the past 12 month:(Rp) Total non-food (details 17 to 24) in the past 12 month:(Rp) Total non-food (details 17 to 24) in the past 12 month:(Rp) 207197 428 17100 139434000 1379359.779 2274759.053 Average monthly food expenditure (Detail 16) x 30/7 Average monthly food expenditure (Detail 16) x 30/7 Average monthly food expenditure (Detail 16) x 30/7 Average monthly food expenditure (Detail 16) x 30/7 Average monthly food expenditure (Detail 16) x 30/7 207197 428 12429 3342857 196960.312 117093.165 Average monthly non food expenditure (b9r25 Column 3)/12 Average monthly non food expenditure (b9r25 Column 3)/12 Average monthly non food expenditure (b9r25 Column 3)/12 Average monthly non food expenditure (b9r25 Column 3)/12 Average monthly non food expenditure (b9r25 Column 3)/12 207197 428 1425 11619500 114946.668 189563.251 Average of monthly household expenditure (b8r26 + b9r27) Average of monthly household expenditure (b8r26 + b9r27) Average of monthly household expenditure (b8r26 + b9r27) Average of monthly household expenditure (b8r26 + b9r27) Average of monthly household expenditure (b8r26 + b9r27) 207197 428 18588 14375214 311906.963 266404.961 Main source of household income Main source of household income Main source of household income Main source of household income Main source of household income 207197 428 11 111 44.94 34.79 Has the head/member of household ever received credit/aid to increase the income Has the head/member of household ever received credit/aid to increase the income Has the head/member of household ever received credit/aid to increase the income Has the head/member of household ever received credit/aid to increase the income Has the head/member of household ever received credit/aid to increase the income 207625 1 2 Name of credit/aid program (Details 2.1 column 1) Name of credit/aid program (Details 2.1 column 1) Name of credit/aid program (Details 2.1 column 1) Name of credit/aid program (Details 2.1 column 1) Name of credit/aid program (Details 2.1 column 1) 20044 1 10 11 12 13 14 15 16 17 2 3 4 5 6 7 8 9 How many times received aid in the last 2 years? (Details 2.1 column 2) How many times received aid in the last 2 years? (Details 2.1 column 2) How many times received aid in the last 2 years? (Details 2.1 column 2) How many times received aid in the last 2 years? (Details 2.1 column 2) How many times received aid in the last 2 years? (Details 2.1 column 2) 20044 187581 1 2 3 4 5 6 7 8 Sysmiss When did you get it (month) (Details 2.1 column 3a) When did you get it (month) (Details 2.1 column 3a) When did you get it (month) (Details 2.1 column 3a) When did you get it (month) (Details 2.1 column 3a) When did you get it (month) (Details 2.1 column 3a) 20044 1 10 11 12 2 3 4 5 6 7 8 9 When did you get it (year) (Details 2.1 column 3b) When did you get it (year) (Details 2.1 column 3b) When did you get it (year) (Details 2.1 column 3b) When did you get it (year) (Details 2.1 column 3b) When did you get it (year) (Details 2.1 column 3b) 20044 96 97 Amount of fund received (in thousand rupiah) (Details 2.1 column 4) Amount of fund received (in thousand rupiah) (Details 2.1 column 4) Amount of fund received (in thousand rupiah) (Details 2.1 column 4) Amount of fund received (in thousand rupiah) (Details 2.1 column 4) Amount of fund received (in thousand rupiah) (Details 2.1 column 4) 20044 187581 10 99999 1437.56 7302.429 Type of aid (Details 2.1 column 5) Type of aid (Details 2.1 column 5) Type of aid (Details 2.1 column 5) Type of aid (Details 2.1 column 5) Type of aid (Details 2.1 column 5) 20044 1 2 4 8 Type of activity conducted credit payment (Details 2.1 column 6) Type of activity conducted credit payment (Details 2.1 column 6) Type of activity conducted credit payment (Details 2.1 column 6) Type of activity conducted credit payment (Details 2.1 column 6) Type of activity conducted credit payment (Details 2.1 column 6) 20044 1 2 3 4 5 6 7 8 9 Credit payment (Details 2.1 column 7) Credit payment (Details 2.1 column 7) Credit payment (Details 2.1 column 7) Credit payment (Details 2.1 column 7) Credit payment (Details 2.1 column 7) 20044 187581 1 Paid 2 Doesn’t have a job 3 Can not pay/postpone payment Sysmiss Name of credit/aid program (Details 2.2 column 1) Name of credit/aid program (Details 2.2 column 1) Name of credit/aid program (Details 2.2 column 1) Name of credit/aid program (Details 2.2 column 1) Name of credit/aid program (Details 2.2 column 1) 20044 1 10 11 12 13 14 15 17 2 3 4 5 6 7 8 9 How many times received aid in the last 2 years? (Details 2.2 column 2) How many times received aid in the last 2 years? (Details 2.2 column 2) How many times received aid in the last 2 years? (Details 2.2 column 2) How many times received aid in the last 2 years? (Details 2.2 column 2) How many times received aid in the last 2 years? (Details 2.2 column 2) 1030 206595 1 2 3 4 5 6 7 8 Sysmiss When did you get it (month) (Details 2.2 column 3a) When did you get it (month) (Details 2.2 column 3a) When did you get it (month) (Details 2.2 column 3a) When did you get it (month) (Details 2.2 column 3a) When did you get it (month) (Details 2.2 column 3a) 1030 1 10 11 12 2 3 4 5 6 7 8 9 When did you get it (year) (Details 2.2 column 3b) When did you get it (year) (Details 2.2 column 3b) When did you get it (year) (Details 2.2 column 3b) When did you get it (year) (Details 2.2 column 3b) When did you get it (year) (Details 2.2 column 3b) 1030 96 97 Amount of fund received (in thousand rupiah) (Details 2.2 column 4) Amount of fund received (in thousand rupiah) (Details 2.2 column 4) Amount of fund received (in thousand rupiah) (Details 2.2 column 4) Amount of fund received (in thousand rupiah) (Details 2.2 column 4) Amount of fund received (in thousand rupiah) (Details 2.2 column 4) 1030 206595 10 78000 1362.768 6821.921 Type of aid (Details 2.2 column 5) Type of aid (Details 2.2 column 5) Type of aid (Details 2.2 column 5) Type of aid (Details 2.2 column 5) Type of aid (Details 2.2 column 5) 1030 1 2 4 8 Type of activity conducted credit payment (Details 2.2 column 6) Type of activity conducted credit payment (Details 2.2 column 6) Type of activity conducted credit payment (Details 2.2 column 6) Type of activity conducted credit payment (Details 2.2 column 6) Type of activity conducted credit payment (Details 2.2 column 6) 1030 1 2 3 4 5 6 7 8 9 Credit payment (Details 2.2 column 7) Credit payment (Details 2.2 column 7) Credit payment (Details 2.2 column 7) Credit payment (Details 2.2 column 7) Credit payment (Details 2.2 column 7) 1030 206595 1 Paid 2 Doesn’t have a job 3 Can not pay/postpone payment Sysmiss Name of credit/aid program (Details 2.3 column 1) Name of credit/aid program (Details 2.3 column 1) Name of credit/aid program (Details 2.3 column 1) Name of credit/aid program (Details 2.3 column 1) Name of credit/aid program (Details 2.3 column 1) 1030 1 14 15 17 3 6 8 How many times received aid in the last 2 years? (Details 2.3 column 2) How many times received aid in the last 2 years? (Details 2.3 column 2) How many times received aid in the last 2 years? (Details 2.3 column 2) How many times received aid in the last 2 years? (Details 2.3 column 2) How many times received aid in the last 2 years? (Details 2.3 column 2) 56 207569 1 2 3 4 Sysmiss When did you get it (month) (Details 2.3 column 3a) When did you get it (month) (Details 2.3 column 3a) When did you get it (month) (Details 2.3 column 3a) When did you get it (month) (Details 2.3 column 3a) When did you get it (month) (Details 2.3 column 3a) 56 1 10 11 12 2 3 4 6 7 8 9 When did you get it (year) (Details 2.3 column 3b) When did you get it (year) (Details 2.3 column 3b) When did you get it (year) (Details 2.3 column 3b) When did you get it (year) (Details 2.3 column 3b) When did you get it (year) (Details 2.3 column 3b) 56 96 97 Amount of fund received (in thousand rupiah) (Details 2.1 column 4) Amount of fund received (in thousand rupiah) (Details 2.1 column 4) Amount of fund received (in thousand rupiah) (Details 2.1 column 4) Amount of fund received (in thousand rupiah) (Details 2.1 column 4) Amount of fund received (in thousand rupiah) (Details 2.1 column 4) 56 207569 20 80000 3216 14924.861 Type of aid (Details 2.3 column 5) Type of aid (Details 2.3 column 5) Type of aid (Details 2.3 column 5) Type of aid (Details 2.3 column 5) Type of aid (Details 2.3 column 5) 56 1 2 4 8 Type of activity conducted credit payment (Details 2.3 column 6) Type of activity conducted credit payment (Details 2.3 column 6) Type of activity conducted credit payment (Details 2.3 column 6) Type of activity conducted credit payment (Details 2.3 column 6) Type of activity conducted credit payment (Details 2.3 column 6) 56 1 2 3 4 5 6 7 8 9 Credit payment (Details 2.3 column 7) Credit payment (Details 2.3 column 7) Credit payment (Details 2.3 column 7) Credit payment (Details 2.3 column 7) Credit payment (Details 2.3 column 7) 56 207569 1 Paid 2 Doesn’t have a job 3 Can not pay/postpone payment Sysmiss Name of credit/aid program (Details 2.4 column 1) Name of credit/aid program (Details 2.4 column 1) Name of credit/aid program (Details 2.4 column 1) Name of credit/aid program (Details 2.4 column 1) Name of credit/aid program (Details 2.4 column 1) 56 1 14 17 5 How many times received aid in the last 2 years? (Details 2.4 column 2) How many times received aid in the last 2 years? (Details 2.4 column 2) How many times received aid in the last 2 years? (Details 2.4 column 2) How many times received aid in the last 2 years? (Details 2.4 column 2) How many times received aid in the last 2 years? (Details 2.4 column 2) 7 207618 1 2 4 Sysmiss When did you get it (month) (Details 2.4 column 3a) When did you get it (month) (Details 2.4 column 3a) When did you get it (month) (Details 2.4 column 3a) When did you get it (month) (Details 2.4 column 3a) When did you get it (month) (Details 2.4 column 3a) 7 12 2 5 6 9 When did you get it (year) (Details 2.4 column 3b) When did you get it (year) (Details 2.4 column 3b) When did you get it (year) (Details 2.4 column 3b) When did you get it (year) (Details 2.4 column 3b) When did you get it (year) (Details 2.4 column 3b) 7 96 97 Amount of fund received (in thousand rupiah) (Details 2.4 column 4) Amount of fund received (in thousand rupiah) (Details 2.4 column 4) Amount of fund received (in thousand rupiah) (Details 2.4 column 4) Amount of fund received (in thousand rupiah) (Details 2.4 column 4) Amount of fund received (in thousand rupiah) (Details 2.4 column 4) 7 207618 200 1500 1014.286 539.841 Type of aid (Details 2.4 column 5) Type of aid (Details 2.4 column 5) Type of aid (Details 2.4 column 5) Type of aid (Details 2.4 column 5) Type of aid (Details 2.4 column 5) 7 1 2 4 Type of activity conducted credit payment (Details 2.4 column 6) Type of activity conducted credit payment (Details 2.4 column 6) Type of activity conducted credit payment (Details 2.4 column 6) Type of activity conducted credit payment (Details 2.4 column 6) Type of activity conducted credit payment (Details 2.4 column 6) 7 1 3 4 5 7 Credit payment (Details 2.4 column 7) Credit payment (Details 2.4 column 7) Credit payment (Details 2.4 column 7) Credit payment (Details 2.4 column 7) Credit payment (Details 2.4 column 7) 7 207618 1 Paid 2 Doesn’t have a job 3 Can not pay/postpone payment Sysmiss Raising livestock 1997 - Milking a cow Raising livestock 1997 - Milking a cow Raising livestock 1997 - Milking a cow Raising livestock 1997 - Milking a cow Raising livestock 1997 - Milking a cow 207625 1 2 Raising livestock Jan 1, 1998 - milking a cow Raising livestock Jan 1, 1998 - milking a cow Raising livestock Jan 1, 1998 - milking a cow Raising livestock Jan 1, 1998 - milking a cow Raising livestock Jan 1, 1998 - milking a cow 207625 1 2 Jan 1, 1998 number of male - milking a cow Jan 1, 1998 number of male - milking a cow Jan 1, 1998 number of male - milking a cow Jan 1, 1998 number of male - milking a cow Jan 1, 1998 number of male - milking a cow 546 207079 1 2 3 4 11 13 20 22 222 Sysmiss Jan 1, 1998 number of female - milking a cow Jan 1, 1998 number of female - milking a cow Jan 1, 1998 number of female - milking a cow Jan 1, 1998 number of female - milking a cow Jan 1, 1998 number of female - milking a cow 546 207079 1 2 3 4 5 6 7 8 9 10 11 12 16 30 222 Sysmiss During Jan 1, to Dec, 31, 1997 born - milking a cow During Jan 1, to Dec, 31, 1997 born - milking a cow During Jan 1, to Dec, 31, 1997 born - milking a cow During Jan 1, to Dec, 31, 1997 born - milking a cow During Jan 1, to Dec, 31, 1997 born - milking a cow 534 207091 1 2 3 4 10 40 222 Sysmiss During Jan 1, to Dec, 31, 1997 death - milking a cow During Jan 1, to Dec, 31, 1997 death - milking a cow During Jan 1, to Dec, 31, 1997 death - milking a cow During Jan 1, to Dec, 31, 1997 death - milking a cow During Jan 1, to Dec, 31, 1997 death - milking a cow 534 207091 1 2 5 20 222 Sysmiss Raising livestock 1997 - Cattle Raising livestock 1997 - Cattle Raising livestock 1997 - Cattle Raising livestock 1997 - Cattle Raising livestock 1997 - Cattle 207625 1 2 Raising livestock Jan 1, 1998 - cattle Raising livestock Jan 1, 1998 - cattle Raising livestock Jan 1, 1998 - cattle Raising livestock Jan 1, 1998 - cattle Raising livestock Jan 1, 1998 - cattle 207625 1 2 Jan 1, 1998 number of male - cattle Jan 1, 1998 number of male - cattle Jan 1, 1998 number of male - cattle Jan 1, 1998 number of male - cattle Jan 1, 1998 number of male - cattle 23600 184025 601 0.942 5.388 Jan 1, 1998 number of female - cattle Jan 1, 1998 number of female - cattle Jan 1, 1998 number of female - cattle Jan 1, 1998 number of female - cattle Jan 1, 1998 number of female - cattle 23600 184025 999 1.722 7.514 During Jan 1, to Dec, 31, 1997 born - cattle During Jan 1, to Dec, 31, 1997 born - cattle During Jan 1, to Dec, 31, 1997 born - cattle During Jan 1, to Dec, 31, 1997 born - cattle During Jan 1, to Dec, 31, 1997 born - cattle 23452 184173 999 0.997 17.356 During Jan 1, to Dec, 31, 1997 death - cattle During Jan 1, to Dec, 31, 1997 death - cattle During Jan 1, to Dec, 31, 1997 death - cattle During Jan 1, to Dec, 31, 1997 death - cattle During Jan 1, to Dec, 31, 1997 death - cattle 23452 184173 999 1.07 19.615 Raising livestock 1997 - Buffalo Raising livestock 1997 - Buffalo Raising livestock 1997 - Buffalo Raising livestock 1997 - Buffalo Raising livestock 1997 - Buffalo 207625 1 2 Raising livestock Jan 1, 1998 - buffalo Raising livestock Jan 1, 1998 - buffalo Raising livestock Jan 1, 1998 - buffalo Raising livestock Jan 1, 1998 - buffalo Raising livestock Jan 1, 1998 - buffalo 207625 1 2 Jan 1, 1998 number of male - buffalo Jan 1, 1998 number of male - buffalo Jan 1, 1998 number of male - buffalo Jan 1, 1998 number of male - buffalo Jan 1, 1998 number of male - buffalo 3706 203919 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 20 30 33 50 109 Sysmiss Jan 1, 1998 number of female - buffalo Jan 1, 1998 number of female - buffalo Jan 1, 1998 number of female - buffalo Jan 1, 1998 number of female - buffalo Jan 1, 1998 number of female - buffalo 3706 203919 100 2.163 3.606 During Jan 1, to Dec, 31, 1997 born - buffalo During Jan 1, to Dec, 31, 1997 born - buffalo During Jan 1, to Dec, 31, 1997 born - buffalo During Jan 1, to Dec, 31, 1997 born - buffalo During Jan 1, to Dec, 31, 1997 born - buffalo 3631 203994 1 2 3 4 5 6 7 8 9 13 14 19 21 60 100 222 999 Sysmiss During Jan 1, to Dec, 31, 1997 death - buffalo During Jan 1, to Dec, 31, 1997 death - buffalo During Jan 1, to Dec, 31, 1997 death - buffalo During Jan 1, to Dec, 31, 1997 death - buffalo During Jan 1, to Dec, 31, 1997 death - buffalo 3631 203994 999 1.766 31.554 Raising livestock 1997 - Horse Raising livestock 1997 - Horse Raising livestock 1997 - Horse Raising livestock 1997 - Horse Raising livestock 1997 - Horse 207625 1 2 Raising livestock Jan 1, 1998 - horse Raising livestock Jan 1, 1998 - horse Raising livestock Jan 1, 1998 - horse Raising livestock Jan 1, 1998 - horse Raising livestock Jan 1, 1998 - horse 207625 1 2 Jan 1, 1998 number of male - horse Jan 1, 1998 number of male - horse Jan 1, 1998 number of male - horse Jan 1, 1998 number of male - horse Jan 1, 1998 number of male - horse 2636 204989 1 2 3 4 5 6 7 8 10 11 15 21 44 Sysmiss Jan 1, 1998 number of female - horse Jan 1, 1998 number of female - horse Jan 1, 1998 number of female - horse Jan 1, 1998 number of female - horse Jan 1, 1998 number of female - horse 2636 204989 999 1.722 27.547 During Jan 1, to Dec, 31, 1997 born - horse During Jan 1, to Dec, 31, 1997 born - horse During Jan 1, to Dec, 31, 1997 born - horse During Jan 1, to Dec, 31, 1997 born - horse During Jan 1, to Dec, 31, 1997 born - horse 2520 205105 1 2 3 4 5 6 7 8 11 14 26 999 Sysmiss During Jan 1, to Dec, 31, 1997 death - horse During Jan 1, to Dec, 31, 1997 death - horse During Jan 1, to Dec, 31, 1997 death - horse During Jan 1, to Dec, 31, 1997 death - horse During Jan 1, to Dec, 31, 1997 death - horse 2520 205105 1 2 3 4 5 7 8 22 30 222 999 Sysmiss Raising livestock 1997 5. Goat Raising livestock 1997 5. Goat Raising livestock 1997 5. Goat Raising livestock 1997 5. Goat Raising livestock 1997 5. Goat 207625 1 2 Raising livestock Jan 1, 1998 - goat Raising livestock Jan 1, 1998 - goat Raising livestock Jan 1, 1998 - goat Raising livestock Jan 1, 1998 - goat Raising livestock Jan 1, 1998 - goat 207625 1 2 3 4 Jan 1, 1998 number of male - goat Jan 1, 1998 number of male - goat Jan 1, 1998 number of male - goat Jan 1, 1998 number of male - goat Jan 1, 1998 number of male - goat 15641 191984 999 1.461 8.317 Jan 1, 1998 number of female - goat Jan 1, 1998 number of female - goat Jan 1, 1998 number of female - goat Jan 1, 1998 number of female - goat Jan 1, 1998 number of female - goat 15641 191984 300 2.773 4.286 During Jan 1, to Dec, 31, 1997 born - goat During Jan 1, to Dec, 31, 1997 born - goat During Jan 1, to Dec, 31, 1997 born - goat During Jan 1, to Dec, 31, 1997 born - goat During Jan 1, to Dec, 31, 1997 born - goat 15581 192044 999 1.463 17.03 During Jan 1, to Dec, 31, 1997 death - goat During Jan 1, to Dec, 31, 1997 death - goat During Jan 1, to Dec, 31, 1997 death - goat During Jan 1, to Dec, 31, 1997 death - goat During Jan 1, to Dec, 31, 1997 death - goat 15581 192044 999 0.99 18.737 Raising livestock 1997 - Sheep Raising livestock 1997 - Sheep Raising livestock 1997 - Sheep Raising livestock 1997 - Sheep Raising livestock 1997 - Sheep 207625 1 2 Raising livestock Jan 1, 1998 - sheep Raising livestock Jan 1, 1998 - sheep Raising livestock Jan 1, 1998 - sheep Raising livestock Jan 1, 1998 - sheep Raising livestock Jan 1, 1998 - sheep 207625 1 2 Jan 1, 1998 number of male - sheep Jan 1, 1998 number of male - sheep Jan 1, 1998 number of male - sheep Jan 1, 1998 number of male - sheep Jan 1, 1998 number of male - sheep 2801 204824 1 2 3 4 5 6 7 8 9 10 12 14 15 16 18 20 21 22 112 Sysmiss Jan 1, 1998 number of female - sheep Jan 1, 1998 number of female - sheep Jan 1, 1998 number of female - sheep Jan 1, 1998 number of female - sheep Jan 1, 1998 number of female - sheep 2801 204824 86 2.856 3.116 During Jan 1, to Dec, 31, 1997 born - sheep During Jan 1, to Dec, 31, 1997 born - sheep During Jan 1, to Dec, 31, 1997 born - sheep During Jan 1, to Dec, 31, 1997 born - sheep During Jan 1, to Dec, 31, 1997 born - sheep 2774 204851 1 2 3 4 5 6 7 8 9 10 11 12 13 14 16 22 27 221 Sysmiss During Jan 1, to Dec, 31, 1997 death - sheep During Jan 1, to Dec, 31, 1997 death - sheep During Jan 1, to Dec, 31, 1997 death - sheep During Jan 1, to Dec, 31, 1997 death - sheep During Jan 1, to Dec, 31, 1997 death - sheep 2774 204851 1 2 3 4 5 6 7 9 10 13 16 17 22 221 Sysmiss Raising livestock 1997 - Pig Raising livestock 1997 - Pig Raising livestock 1997 - Pig Raising livestock 1997 - Pig Raising livestock 1997 - Pig 207602 1 2 Raising livestock Jan 1, 1998 - pig Raising livestock Jan 1, 1998 - pig Raising livestock Jan 1, 1998 - pig Raising livestock Jan 1, 1998 - pig Raising livestock Jan 1, 1998 - pig 207602 1 2 Jan 1, 1998 number of male - pig Jan 1, 1998 number of male - pig Jan 1, 1998 number of male - pig Jan 1, 1998 number of male - pig Jan 1, 1998 number of male - pig 14911 192714 303 1.733 4.927 Jan 1, 1998 number of female - pig Jan 1, 1998 number of female - pig Jan 1, 1998 number of female - pig Jan 1, 1998 number of female - pig Jan 1, 1998 number of female - pig 14911 192714 500 1.933 5.421 During Jan 1, to Dec, 31, 1997 born - pig During Jan 1, to Dec, 31, 1997 born - pig During Jan 1, to Dec, 31, 1997 born - pig During Jan 1, to Dec, 31, 1997 born - pig During Jan 1, to Dec, 31, 1997 born - pig 14704 192921 721 1.735 9.122 During Jan 1, to Dec, 31, 1997 death - pig During Jan 1, to Dec, 31, 1997 death - pig During Jan 1, to Dec, 31, 1997 death - pig During Jan 1, to Dec, 31, 1997 death - pig During Jan 1, to Dec, 31, 1997 death - pig 14704 192921 222 0.707 4.607 Raising poultry 1997 - free-range chicken Raising poultry 1997 - free-range chicken Raising poultry 1997 - free-range chicken Raising poultry 1997 - free-range chicken Raising poultry 1997 - free-range chicken 207602 1 2 Raising poultry January 1, 1998 - free-range chicken Raising poultry January 1, 1998 - free-range chicken Raising poultry January 1, 1998 - free-range chicken Raising poultry January 1, 1998 - free-range chicken Raising poultry January 1, 1998 - free-range chicken 207602 1 2 January 1, 1998 - Number of free-range chicken January 1, 1998 - Number of free-range chicken January 1, 1998 - Number of free-range chicken January 1, 1998 - Number of free-range chicken January 1, 1998 - Number of free-range chicken 81818 125807 52222 18.035 421.259 Raising poultry 1997 - layer chicken Raising poultry 1997 - layer chicken Raising poultry 1997 - layer chicken Raising poultry 1997 - layer chicken Raising poultry 1997 - layer chicken 207602 1 2 Raising poultry January 1, 1998 - layer Chicken Raising poultry January 1, 1998 - layer Chicken Raising poultry January 1, 1998 - layer Chicken Raising poultry January 1, 1998 - layer Chicken Raising poultry January 1, 1998 - layer Chicken 207602 1 2 3 5 January 1, 1998 - Number of layer chicken January 1, 1998 - Number of layer chicken January 1, 1998 - Number of layer chicken January 1, 1998 - Number of layer chicken January 1, 1998 - Number of layer chicken 1945 205680 25222 110.567 908.872 Raising poultry 1997 - broiler chicken Raising poultry 1997 - broiler chicken Raising poultry 1997 - broiler chicken Raising poultry 1997 - broiler chicken Raising poultry 1997 - broiler chicken 207602 1 2 Raising poultry January 1, 1998 - broiler Chicken Raising poultry January 1, 1998 - broiler Chicken Raising poultry January 1, 1998 - broiler Chicken Raising poultry January 1, 1998 - broiler Chicken Raising poultry January 1, 1998 - broiler Chicken 207602 1 2 January 1, 1998 - Number of broiler chicken January 1, 1998 - Number of broiler chicken January 1, 1998 - Number of broiler chicken January 1, 1998 - Number of broiler chicken January 1, 1998 - Number of broiler chicken 794 206831 15000 249.866 961.297 Raising poultry 1997 - ducks Raising poultry 1997 - ducks Raising poultry 1997 - ducks Raising poultry 1997 - ducks Raising poultry 1997 - ducks 207602 1 2 Raising poultry January 1, 1998 - ducks Raising poultry January 1, 1998 - ducks Raising poultry January 1, 1998 - ducks Raising poultry January 1, 1998 - ducks Raising poultry January 1, 1998 - ducks 207602 1 2 January 1, 1998 - Number of ducks January 1, 1998 - Number of ducks January 1, 1998 - Number of ducks January 1, 1998 - Number of ducks January 1, 1998 - Number of ducks 11270 196355 32000 15.421 318.01 District ( code) District ( code) District ( code) District ( code) District ( code) 207625 1101 8271 4076.085 2095.227 Household weight 1998 Household weight 1998 Household weight 1998 Household weight 1998 Household weight 1998 207625 12 2080 230.806 150.595 Province Province Province Province Province 65569 11 12 13 14 15 16 17 18 31 32 33 34 35 51 52 53 54 61 62 63 64 71 72 73 74 81 82 District/City District/City District/City District/City District/City 65569 1 10 11 12 13 14 15 16 17 18 19 2 20 21 22 23 24 25 26 27 28 29 3 4 5 6 7 71 72 73 74 75 76 77 78 8 9 Sub-district Sub-district Sub-district Sub-district Sub-district 65569 10 100 101 11 110 111 12 120 121 130 131 132 14 140 141 150 151 153 160 161 170 171 180 181 182 190 191 20 200 201 21 210 22 220 230 231 240 241 250 260 270 280 30 300 31 310 32 320 330 40 41 42 50 51 52 60 61 70 71 710 720 730 740 80 81 90 91 Village/kelurahan Village/kelurahan Village/kelurahan Village/kelurahan Village/kelurahan 65569 1 10 100 102 104 11 112 115 116 12 121 122 13 131 14 15 16 17 18 19 2 20 21 22 23 24 25 26 27 28 29 3 30 31 32 33 34 35 36 37 38 39 4 40 41 42 43 44 45 46 47 48 49 5 50 51 52 53 54 55 56 57 58 59 6 60 61 62 63 64 65 68 69 7 70 71 72 73 76 77 79 8 80 81 83 85 86 87 9 90 95 96 Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification Village/kelurahan classification 65569 1 2 Sample code number Sample code number Sample code number Sample code number Sample code number 65569 Serial number of Sample household Serial number of Sample household Serial number of Sample household Serial number of Sample household Serial number of Sample household 65569 1 10 11 12 13 14 15 16 2 3 4 5 6 7 8 9 Village classification Village classification Village classification Village classification Village classification 65569 1 2 Number of household members Number of household members Number of household members Number of household members Number of household members 65569 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 23 Number of household members aged 0 – 59 months Number of household members aged 0 – 59 months Number of household members aged 0 – 59 months Number of household members aged 0 – 59 months Number of household members aged 0 – 59 months 65569 1 2 3 4 5 6 Number of household members was an outpatient in the last one month Number of household members was an outpatient in the last one month Number of household members was an outpatient in the last one month Number of household members was an outpatient in the last one month Number of household members was an outpatient in the last one month 65569 1 2 3 4 5 6 7 8 9 13 Number of household members was an inpatient in the last one month Number of household members was an inpatient in the last one month Number of household members was an inpatient in the last one month Number of household members was an inpatient in the last one month Number of household members was an inpatient in the last one month 65569 1 2 3 4 Frequency of food consumption - rice and its product Frequency of food consumption - rice and its product Frequency of food consumption - rice and its product Frequency of food consumption - rice and its product Frequency of food consumption - rice and its product 65569 1 2 3 4 5 Frequency of food consumption - flour and its product Frequency of food consumption - flour and its product Frequency of food consumption - flour and its product Frequency of food consumption - flour and its product Frequency of food consumption - flour and its product 65569 1 2 3 4 5 Frequency of food consumption - tuber and its product Frequency of food consumption - tuber and its product Frequency of food consumption - tuber and its product Frequency of food consumption - tuber and its product Frequency of food consumption - tuber and its product 65569 1 2 3 4 5 Frequency of food consumption - sago and its product Frequency of food consumption - sago and its product Frequency of food consumption - sago and its product Frequency of food consumption - sago and its product Frequency of food consumption - sago and its product 65569 1 2 3 4 5 Frequency of food consumption - corn Frequency of food consumption - corn Frequency of food consumption - corn Frequency of food consumption - corn Frequency of food consumption - corn 65569 1 2 3 4 5 Frequency of food consumption - noodle Frequency of food consumption - noodle Frequency of food consumption - noodle Frequency of food consumption - noodle Frequency of food consumption - noodle 65569 1 2 3 4 5 Frequency of food consumption - instant noodle Frequency of food consumption - instant noodle Frequency of food consumption - instant noodle Frequency of food consumption - instant noodle Frequency of food consumption - instant noodle 65569 1 2 3 4 5 Frequency of food consumption - fermented Soybean cake/Tempe Frequency of food consumption - fermented Soybean cake/Tempe Frequency of food consumption - fermented Soybean cake/Tempe Frequency of food consumption - fermented Soybean cake/Tempe Frequency of food consumption - fermented Soybean cake/Tempe 65569 1 2 3 4 5 Frequency of food consumption - tofu Frequency of food consumption - tofu Frequency of food consumption - tofu Frequency of food consumption - tofu Frequency of food consumption - tofu 65569 1 2 3 4 5 Frequency of food consumption - pulses and its product Frequency of food consumption - pulses and its product Frequency of food consumption - pulses and its product Frequency of food consumption - pulses and its product Frequency of food consumption - pulses and its product 65569 1 2 3 4 5 Frequency of food consumption - fresh sea water fish and its product Frequency of food consumption - fresh sea water fish and its product Frequency of food consumption - fresh sea water fish and its product Frequency of food consumption - fresh sea water fish and its product Frequency of food consumption - fresh sea water fish and its product 65569 1 2 3 4 5 Frequency of food consumption - fresh water fish and its product Frequency of food consumption - fresh water fish and its product Frequency of food consumption - fresh water fish and its product Frequency of food consumption - fresh water fish and its product Frequency of food consumption - fresh water fish and its product 65569 1 2 3 4 5 Frequency of food consumption - preserved fish Frequency of food consumption - preserved fish Frequency of food consumption - preserved fish Frequency of food consumption - preserved fish Frequency of food consumption - preserved fish 65569 1 2 3 4 5 Frequency of food consumption - canned fish Frequency of food consumption - canned fish Frequency of food consumption - canned fish Frequency of food consumption - canned fish Frequency of food consumption - canned fish 65569 1 2 3 4 5 Frequency of food consumption - fresh meat Frequency of food consumption - fresh meat Frequency of food consumption - fresh meat Frequency of food consumption - fresh meat Frequency of food consumption - fresh meat 65569 1 2 3 4 5 Frequency of food consumption - preserved meat Frequency of food consumption - preserved meat Frequency of food consumption - preserved meat Frequency of food consumption - preserved meat Frequency of food consumption - preserved meat 65569 1 2 3 4 5 Frequency of food consumption - can meat Frequency of food consumption - can meat Frequency of food consumption - can meat Frequency of food consumption - can meat Frequency of food consumption - can meat 65569 1 2 3 4 5 Frequency of food consumption - chicken/poultry Frequency of food consumption - chicken/poultry Frequency of food consumption - chicken/poultry Frequency of food consumption - chicken/poultry Frequency of food consumption - chicken/poultry 65569 1 2 3 4 5 Frequency of food consumption - innards (liver, brain, intestines, tripe, etc) Frequency of food consumption - innards (liver, brain, intestines, tripe, etc) Frequency of food consumption - innards (liver, brain, intestines, tripe, etc) Frequency of food consumption - innards (liver, brain, intestines, tripe, etc) Frequency of food consumption - innards (liver, brain, intestines, tripe, etc) 65569 1 2 3 4 5 Frequency of food consumption - egg Frequency of food consumption - egg Frequency of food consumption - egg Frequency of food consumption - egg Frequency of food consumption - egg 65569 1 2 3 4 5 Frequency of food consumption - fresh milk Frequency of food consumption - fresh milk Frequency of food consumption - fresh milk Frequency of food consumption - fresh milk Frequency of food consumption - fresh milk 65569 1 2 3 4 5 Frequency of food consumption - powdered milk Frequency of food consumption - powdered milk Frequency of food consumption - powdered milk Frequency of food consumption - powdered milk Frequency of food consumption - powdered milk 65569 1 2 3 4 5 Frequency of food consumption - condensed Milk Frequency of food consumption - condensed Milk Frequency of food consumption - condensed Milk Frequency of food consumption - condensed Milk Frequency of food consumption - condensed Milk 65569 1 2 3 4 5 Frequency of food consumption - green vegetables Frequency of food consumption - green vegetables Frequency of food consumption - green vegetables Frequency of food consumption - green vegetables Frequency of food consumption - green vegetables 65569 1 2 3 4 5 Frequency of food consumption - other vegetables Frequency of food consumption - other vegetables Frequency of food consumption - other vegetables Frequency of food consumption - other vegetables Frequency of food consumption - other vegetables 65569 1 2 3 4 5 Frequency of food consumption - fresh fruit Frequency of food consumption - fresh fruit Frequency of food consumption - fresh fruit Frequency of food consumption - fresh fruit Frequency of food consumption - fresh fruit 65569 1 2 3 4 5 Frequency of food consumption - cooking oil Frequency of food consumption - cooking oil Frequency of food consumption - cooking oil Frequency of food consumption - cooking oil Frequency of food consumption - cooking oil 65569 1 2 3 4 5 Frequency of food consumption - butter Frequency of food consumption - butter Frequency of food consumption - butter Frequency of food consumption - butter Frequency of food consumption - butter 65569 1 2 3 4 5 Frequency of food consumption - coconut/Coconut milk Frequency of food consumption - coconut/Coconut milk Frequency of food consumption - coconut/Coconut milk Frequency of food consumption - coconut/Coconut milk Frequency of food consumption - coconut/Coconut milk 65569 1 2 3 4 5 Frequency of food consumption - honey &Granulated sugar and its product Frequency of food consumption - honey &Granulated sugar and its product Frequency of food consumption - honey &Granulated sugar and its product Frequency of food consumption - honey &Granulated sugar and its product Frequency of food consumption - honey &Granulated sugar and its product 65569 1 2 3 4 5 Frequency of food consumption - dried/wet cake Frequency of food consumption - dried/wet cake Frequency of food consumption - dried/wet cake Frequency of food consumption - dried/wet cake Frequency of food consumption - dried/wet cake 65569 1 2 3 4 5 Frequency of food consumption - children’s snack Frequency of food consumption - children’s snack Frequency of food consumption - children’s snack Frequency of food consumption - children’s snack Frequency of food consumption - children’s snack 65569 1 2 3 4 5 Frequency of food consumption - fast food Frequency of food consumption - fast food Frequency of food consumption - fast food Frequency of food consumption - fast food Frequency of food consumption - fast food 65569 1 2 3 4 5 Frequency of food consumption - soft drink Frequency of food consumption - soft drink Frequency of food consumption - soft drink Frequency of food consumption - soft drink Frequency of food consumption - soft drink 65569 1 2 3 4 5