DDI_MDA_2012_MICS_v01_M_WB
Development Data Group
2014-12-15
NADA
Version 01 (December 2014)
Multiple Indicator Cluster Survey 2012
MICS 2012
MDA_2012_MICS_v01_M
National Centre of Public Health
National Bureau of Statistics
United Nations Children’s Fund
Scientific Research Institute of Mother and Child Health Care
Ministry of Labour, Social Protection and Family
Ministry of Education
National Centre for Health Management
National Centre for Reproductive Health and Medical Genetics
NADA
United Nations Children’s Fund
Swiss Agency for Development and Cooperation
World Health Organization
Valeriu Pantea
Elena Laur
Multiple Indicator Cluster Survey - Round 4 [hh/mics-4]
The Multiple Indicator Cluster Survey, Round 4 (MICS4) is the forth round of MICS surveys, previously conducted around 1995 (MICS1), 2000 (MICS2), and 2005-2007 (MICS3). MICS was originally developed to support countries measure progress towards an internationally agreed set of goals that emerged from the 1990 World Summit for Children.
The fourth round of Multiple Indicator Cluster Surveys (MICS4) is scheduled for 2009-2011 and survey results are expected to be available from 2010 onwards. MICS4 data allow countries to better monitor progress toward national goals and global commitments, including the Millennium Development Goals (MDGs) as the target year 2015 approaches.
Information on more than 20 of the MDG indicators is being collected through MICS4, offering one of the largest single sources of data for MDG monitoring. MICS4 continues to address emerging issues and new areas of interest, with validated, standard methodologies in collecting relevant data. It also helps countries capture rapid changes in key indicators.
- v01: Edited, anonymous datasets for public distribution.
The Republic of Moldova Multiple Indicator Cluster Survey was carried out in 2012 (hereinafter the 2012 Moldova MICS) by the National Centre of Public Health of the Ministry of Health in collaboration with the National Bureau of Statistics, the Scientific Research Institute of Mother and Child Health Care, the Ministry of Labour, Social Protection and Family, the Ministry of Education, the National Centre for Health Management, and the National Centre for Reproductive Health and Medical Genetics. Financial and technical support was provided by the United Nations Children’s Fund (UNICEF), with additional contribution of the Swiss Agency for Development and Cooperation and the World Health Organization Regional Office for Europe within the EU supported project on technical assistance to the health sector.
The Multiple Indicator Cluster Survey (MICS) is an international household survey programme developed by UNICEF. The 2012 Moldova MICS was conducted as part of the fourth global round of MICS surveys (MICS4). MICS provides up-to-date information on the situation of children and women and measures key indicators that allow countries to monitor progress towards the Millennium Development Goals (MDGs) and other internationally agreed upon commitments.
The 2012 Moldova MICS was based on a nationally representative probability sample, stratified in two stages and consisting of about 12,500 households. Fieldwork was carried out between April 17 and June 30, 2012 using four Questionnaires – the Household Questionnaire, the Questionnaire for Individual Women aged 15-49 years, the Questionnaire for Children Under Five, the Questionnaire for Individual Men aged 15-49 years, as well as a Questionnaire Form for Vaccination Records at the Health Facility.
In addition to the administration of questionnaires, fieldwork teams tested the salt used for cooking in the households for its iodate content, observed the place used for handwashing, measured the weights and heights of children under the age of five, as well as the haemoglobin levels in women aged 15-49 years and children aged 6-59 months. The household response rate was 97 percent, with 89 percent, 77 percent and 96 percent response rates calculated for the women’s, men’s and under-5’s interviews respectively.
Moldova
National
- individuals
- households
The survey covered all de jure household members (usual residents), all women aged between 15-49 years, all children under 5 living in the household, and all men aged 15-49 years.
Sample survey data [ssd]
The scope of the Moldova Multiple Indicator Cluster Survey includes:
- Household: household information panel, household listing form, education, water and sanitation, household characteristics, child discipline, hand washing and salt iodization.
- Women: woman’s information panel, woman's background, access to mass media and ICT, child mortality -birth history, desire for last birth, maternal and newborn health, post-natal health checks, illness symptoms, contraception, unmet need, attitudes toward domestic violence, marriage/union, sexual behavior, HIV/AIDS, tuberculosis, tobacco and alcohol use, life satisfaction and haemoglobin measurement.
- Children: child's age, birth registration, early childhood development, breastfeeding, care of illness, immunisation, anthropometry and haemoglobin measurement.
- Men: man’s information panel, man's background, access to mass media and ICT, child mortality, attitudes toward domestic violence, marriage/union, sexual behavior, HIV/AIDS, tuberculosis, tobacco and alcohol use and life satisfaction.
National Public Health Centre
A probability-based stratified sample was selected in two stages for the 2012 Moldova MICS. Considering that the 2004 Population Census cartographic materials were discarded, it became impossible to use them as a source of data for the sampling frame. Thus, the decision was to use the 2005 Moldova DHS sample for the first stage (PSU - Primary Sampling Unit) and for the second stage a probability-based sample of the households has been selected from each PSU.
Coverage
The reference population for the 2012 Moldova MICS depends on the particular indicators and is defined as follows (the size estimates are presented in Table SD.1):
1. Households;
2. Women aged 15-49 years;
3. Men aged 15-49 years;
4. Children under 5 years of age.
Geographically, the reference population is placed within the administrative borders of Moldova's territorial units which are located on the western side of the Nistru (Dniester River); the population living in the eastern side (left bank of the Dniester River and the Bender municipality -Transnistrian region) are not a part of 2012 Moldova MICS.
Sample representativeness
The 2012 Moldova MICS sample ensured representativeness at a national level (excluding Transnistrian region) and, like in the case of the 2005 Moldova DHS, at the level of residential areas - urban and rural. Although at the first sampling stage no stratification by zone was used, the results of the 2005 Moldova DHS survey indicate that the level of precision of the zone level estimates is acceptable.
Sample size
The sample size is determined, on the one hand, by the precision expected to be achieved for the key indicators, and on the other hand, by the availability of human and financial resources. The precision of a sample survey's results is liable to be affected by two types of errors: sampling and non-sampling errors. The level of the sampling errors is inversely proportional to the square root of the sample size, whereas the nonsampling errors are affected by an increase in the sample size. Consequently, the larger the sample is, the smaller the sampling errors, and the greater the non-sampling errors are. Therefore it is important that the size of the sample is balanced so as to ensure both an acceptable precision and a minimum level of non-sampling errors.
Taking into account the limitations due to the lack of maps of census sectors, which made it impossible to select a new sample of PSUs, it was decided to use the same sample of PSUs that was used for the 2005 Moldova DHS, which included 400 census sectors. The final sample size was 12,500 households, a figure obtained by selecting respective number of households from each of the 400 PSUs drawn at the first sampling stage.
PSU (cluster) size
The average number of households per PSU is around 90 in rural areas and approximately 120 in urban areas. These sizes were determined so as to ensure a reasonable workload for the enumerators involved in general 2004 Population Census conducted by the NBS. This also made the PSUs practical for updating the list of the households for the purpose of providing a sampling frame for the 2012 Moldova MICS second sampling stage in a timely and cost-effective manner.
Sampling frame
The sampling frame at the first sampling stage was built on the census sectors defined for the purposes of the 2004 Population Census carried out by the NBS. This included the list of all the census sectors, put into digital form, accompanied by variables for the identification of the sectors in the 2004 PC, information on areas of residence and geographical zones, and their measure of size expressed in number of persons.
Sample Selection Procedures
At the first stage of sampling, PSUs within each stratum were systematically drawn with probabilities proportional to their size (number of population based on the 2004 PC data). Prior to sampling, the census sectors in each stratum were sorted in geographical order from north to south, in order to provide an additional level of implicit stratification based on the geographic criterion. At the second sampling stage, a sample of 30 households was selected from each PSU. The selection was done in each PSU based on the lists of households registered following the update, using a simple systematic sampling procedure.
The sampling procedures are more fully described in "Moldova Multiple Indicator Cluster Survey 2012 - Final Report" pp.143-147.
Face-to-face [f2f]
The questionnaires for the Generic MICS were structured questionnaires based on the MICS4 model questionnaire with some modifications and additions. Household questionnaires were administered in each household, which collected various information on household members including sex, age and relationship. The household questionnaire includes household information panel, household listing form, education, water and sanitation, household characteristics, child discipline, hand washing and salt iodization.
In addition to a household questionnaire, questionnaires were administered in each household for women age 15-49, children under age five and men age 15-49. For children, the questionnaire was administered to the mother or primary caretaker of the child.
The women's questionnaire includes woman's information panel, woman's background, access to mass media and ICT, child mortality -birth history, desire for last birth, maternal and newborn health, post-natal health checks, illness symptoms, contraception, unmet need, attitudes toward domestic violence, marriage/union, sexual behavior, HIV/AIDS, tuberculosis, tobacco and alcohol use, life satisfaction and haemoglobin measurement.
The children's questionnaire includes child's age, birth registration, early childhood development, breastfeeding, care of illness, immunisation, anthropometry and haemoglobin measurement.
The men's questionnaire includes man's information panel, man's background, access to mass media and ICT, child mortality, attitudes toward domestic violence, marriage/union, sexual behavior, HIV/AIDS, tuberculosis, tobacco and alcohol use and life satisfaction.
MICS fourth round model questionnaires were customized based on the country’s needs so as to reflect relevant issues which are present in the Republic of Moldova in terms of children’s, women’s and men’s health, education, child protection, migration, HIV/AIDS, tuberculosis, anaemia, etc. Following content approval by the Steering Committee members, the questionnaires were translated from English and Russian into Romanian and were subsequently pre-tested (in Romanian and Russian).
Training for the fieldwork was conducted over 23 days (of which 16 were used for providing the theoretical framework and classroom practice, and 4 were used for field practice/piloting), between March 21 to April 12, 2012. The training included lectures on interviewing techniques and the contents of the questionnaires as well as working groups to gain practice in asking questions. The theoretical part of training also included lectures by specialists on different domains covered by the survey (HIV/AIDS, contraceptive methods, immunization, etc.), as well as introductions to standards of practice for haemoglobin and anthropometric measurements and for measurements on the iodate content in salt. Practical aspects of the traning included measurements and procedures for verification of immunization data, which were conducted both in classroom settings and at local health centres. Training was carried out according to standard MICS training procedures, including classroom presentations, mock interviews and written tests. All participants were instructed on how to complete the Household Questionnaire, the Questionnaire for Individual Women and Men, the Questionnaire for Children Under Five and the Questionnaire Form for Vaccination Records at Health Facility.
Training of field staff for both pre-test and data collection was mainly carried out in Romanian by UNICEF’s National Consultant with technical support from field coordinators and in collaboration with UNICEF’s MICS Regional Consultant. Towards the end of the training period, trainees spent four days in fieldwork (i.e. piloting), conducting interviews in Romanian and Russian as well as measurements and tests prescribed in the survey design. Piloting was conducted on 525 households in urban and rural areas of the Chi?inau municipality and of Straseni and Ialoveni districts/raions additionally selected on the basis of a non-MICS sample.
A total of 107 participants were trained as supervisors, field/office editors, interviewers and measurers. Participants who had medical training were made responsible for testing haemoglobin levels. Participants selected as supervisors and field editors were given two additional days of training on aspects of fieldwork supervision and editing of questionnaires.
The field staff was selected on the basis of psychological tests, communication skills, fluency in languages, interviewing capabilities as well as through classroom activity/field practice assessments and final post-training evaluations. Editors and supervisors were selected among the most experienced participants. The data were collected by fifteen teams; each team comprising of eight members: four interviewers (three female and one male), one editor, one measurer, one driver, and a supervisor.
Two field coordinators from the Implementing Agency coordinated and supervised all fieldwork activities with the support of UNICEF’s National Consultant. Fieldwork progress was closely watched and supervised by UNICEF Moldova’s MICS Coordinator and MICS experts of the UNICEF Regional Office, who assisted with field activities and regularly (approximately two to three weeks) assessed the quality on the basis of field check tables generated from parallel data entry.
The fieldwork was carried out between April 17 and June 30, 2012.
There is one supervisor for each of the 15 data collection teams in the field.
Data were entered using the CSPro software on 12 computers by 12 previously trained data-entry clerks. A supervisor and an expert in data processing and analysis were responsible for the quality of data entry. Completed questionnaires were returned each week from the field to the NCPH office in Chisinau for additional editing by two office editors. In order to ensure quality control, all questionnaires were double-entered and internal consistency checks were performed. Standard procedures and programmes developed under the global MICS4 programme and adapted to the Moldova questionnaires were used throughout. Data processing began on April 25, shortly after the fieldwork was initiated and was completed on July 10, 2012; however, due to inconsistencies between the data entered and the actual data in the questionnaires, the data processing period had to be extended until September 14, 2012. Data were analysed using the Statistical Package for Social Sciences (SPSS) software programme, Version 18. The standard SPSS syntax files and tabulation plans developed by UNICEF and adapted to the country’s needs were used to this end.
Of the 12,528 households selected for the sample, 11,657 were found to be occupied. Of these, 11,354 were successfully interviewed yielding a household response rate of 97 percent. In the interviewed households, 6,718 women aged 15-49 years were identified. Of these, 6,000 were successfully interviewed, yielding a response rate of 89 percent within interviewed households. In addition, 2007 eligible men aged 15-49 years were listed in the household questionnaire. This number is based on a sub-sample of men, with men being selected for interview in every third household. Questionnaires were completed for 1,545 of eligible men, which corresponds to a response rate of 77 percent. There were 1,940 children under age five listed in the household questionnaire; however, questionnaires were completed for 1,869, which corresponds to a response rate of 96 percent within interviewed households. Overall response rates of 87 percent, 75 percent, and 94 percent were reached for the women’s, men’s and under-5’s interviews respectively.
The sample of respondents selected in the 2012 Moldova Multiple Indicator Cluster Survey is only one of the samples that could have been selected from the same population, using the same design and size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between the estimates from all possible samples. The extent of variability is not known exactly, but can be estimated statistically from the survey data.
The following sampling error measures are presented in this appendix for each of the selected indicators:
- Standard error (se): Sampling errors are usually measured in terms of standard errors for particular indicators (means, proportions etc.). Standard error is the square root of the variance of the estimate. The Taylor linearization method is used for the estimation of standard errors.
- Coefficient of variation (se/r) is the ratio of the standard error to the value of the indicator, and is a measure of the relative sampling error.
- Design effect (deff) is the ratio of the actual variance of an indicator, under the sampling method used in the survey, to the variance calculated under the assumption of simple random sampling. The square root of the design effect (deft) is used to show the efficiency of the sample design in relation to the precision. A deft value of 1.0 indicates that the sample design is as efficient as a simple random sample, while a deft value above 1.0 indicates an increase in the standard error due to the use of a more complex sample design.
- Confidence limits are calculated to show the interval within which the true value for the population can be reasonably assumed to fall, with a specified level of confidence. For any given statistic calculated from the survey, the value of that statistic will fall within a range of plus or minus two times the standard error (r + 2.se or r – 2.se) of the statistic in 95 percent of all possible samples of identical size and design.
For the calculation of sampling errors from MICS data, SPSS Version 18 Complex Samples module has been used. The results are shown in the tables that follow. In addition to the sampling error measures described above, the tables also include weighted and unweighted counts of denominators for each indicator.
Sampling errors are calculated for indicators of primary interest, at the national level, for urban and rural areas, and for the different regions. One of the selected indicators is based on households, six are based on household members, 28 are based on women, 17 are based on men and 18 are based on children under 5. All indicators presented here are in the form of proportions.
A series of data quality tables are available to review the quality of the data and include the following:
- Age distribution of the household population
- Age distribution of eligible and interviewed women
- Age distribution of eligible and interviewed men
- Age distribution of children under 5 in household and children under 5 questionnaires
- Women’s completion rates by socio-economic characteristics of households
- Men’s completion rates by socio-economic characteristics of households
- Completion rates for under-5 questionnaires by socio-economic characteristics of households
- Completeness of reporting
- Completeness of information for anthropometric indicators
- Heaping in anthropometric measurements
- Observation of places for hand washing
- Observation of under-5s birth certificates
- Observation of vaccination cards
- Presence of mother in the household and the person interviewed for the under-5 questionnaire
- Selection of children age 2–14 years for the child discipline module
- School attendance by single age
- Sex ratio at birth among children ever born and living
- Births by calendar years
- Reporting of age at death in days
- Reporting of age at death in months
The results of each of these data quality tables are shown in appendix D in document "Moldova Multiple Indicator Cluster Survey 2012 - Final Report" pp.175-185.
United Nations Children's Fund
United Nations Children's Fund
http://www.childinfo.org/mics4_surveys.html
Cost: None
Users of the data agree to keep confidential all data contained in these datasets and to make no attempt to identify, trace or contact any individual whose data is included in these datasets.
Childinfo
Use of the dataset must be acknowledged using a citation which would include:
- the Identification of the Primary Investigator
- the title of the survey (including country, acronym and year of implementation)
- the survey reference number
- the source and date of download.
Example,
National Centre of Public Health, National Bureau of Statistics of Moldova and United Nations Children’s Fund. Moldova Multiple Indicator Cluster Survey (MICS) 2012, Ref. MDA_2012_MICS_v01_M. Dataset downloaded from [url] on [date].
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
hh
Data collected at the household level (MICS Household questionnaire modules: Household information panel, Water and sanitation, Household characteristics, Child discipline, Hand washing and Salt iodization.)
12528
123
bh
Data collected at the women's level (MICS Women's questionnaire modules: Birth history)
7878
30
ch
Data collected at the children's level (MICS Under Five Children's questionnaire modules: Under-five child information panel, Child's age, Birth registration, Early childhood development, Breastfeeding, Care of illness, Immunization, Anthropometry and Haemoglobin level measurement.)
1940
298
hl
Data collected at the household members' level (MICS Household members questionnaire modules: Household listing form and Education.)
28852
44
mn
Data collected at the men's level (MICS Men's questionnaire modules: Man's information panel, Man's background, Access to mass media use of information and communication technologies, Child mortality, Attitudes toward domestic violence, Marriage/union, Sexual behavior, HIV/AIDS,
Tuberculosis, Tobacco and alcohol use and Life satisfaction.)
2007
172
wm
Data collected at the women's level (MICS Women's questionnaire modules: Woman's information panel, Woman's background, Access to mass media use of information and communication technologies, Child mortality, Desire for last birth, Maternal and newborn health, Post-natal health checks, Illness symptoms, Contraception, Unmet need, Attitudes toward domestic violence, Marriage/union, Sexual behavior, HIV/AIDS, Tuberculosis, Tobacco and alcohol use, Life satisfaction and Haemoglobin level measurement.)
6718
366
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
Enter the cluster number as instructed by your supervisor.
12528
1
400
200.552
115.459
Household number
Household number
Household number
Household number
Household number
Enter the household number as instructed by your supervisor.
12528
1
65
16.453
9.689
Interviewer number
Interviewer number
Interviewer number
Interviewer number
Interviewer number
12528
3
520
60.231
20.685
Supervisor number
Supervisor number
Supervisor number
Supervisor number
Supervisor number
Leave this space blank. The supervisor will later enter his/her name and number in the space provided.
12528
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
19
29
39
49
59
69
79
89
99
109
119
129
139
149
159
169
179
189
Day of interview
Day of interview
Day of interview
Day of interview
Day of interview
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household.
12528
1
31
15.524
8.57
Month of interview
Month of interview
Month of interview
Month of interview
Month of interview
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household.
12528
4
5
6
Year of interview
Year of interview
Year of interview
Year of interview
Year of interview
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household.
12528
2012
Area
Area
Area
Area
Area
Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area.
12528
1
Urban
2
Rural
Region
Region
Region
Region
Region
Circle the code for region as instructed/provided by your supervisor.
After the HH1-HH7 has been filled out, begin by saying the following to the respondent:
We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now?
You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate.
12528
1
Central Serbia without Belgrade
2
City of Belgrade
3
AP Vojvodina
4
Result of HH interview
Result of HH interview
Result of HH interview
Result of HH interview
Result of HH interview
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
'Completed': If the Household Questionnaire is completed, circle '01'.
'No household member or no competent respondent at home at time of visit': If the dwelling is occupied, but no one is at home or if there is only a child at home or an adult member who is ill, deaf, or mentally incompetent and you have not been able to contact a more qualified member of the household after repeated visits, circle '02'.
'Entire household absent for extended period of time': If no one is at home and the neighbours say that no one will return for several days or weeks, circle '03'.
'Refused': If the household refuses to be interviewed, circle '04.
'Dwelling vacant / Address not a dwelling': If a dwelling assigned to you is unoccupied, that is, it is empty with no furniture and is not being lived in, this is what we call “vacant,” and you should circle '05'. Other times, you may find that a dwelling is not a residential unit. It is a shop, church, school, workshop, or some other type of facility that is not used as a living area. After making sure there are no residential units in back of or above the premises, circle '05' as the result for the visit.
'Dwelling destroyed': If the dwelling was burned down or was demolished in some other manner, circle '06'.
'Dwelling not found': If you are unable to find the dwelling even after asking people in the area whether they are familiar with the address or the name of the household head on listing forms, circle '07'.
'Other': If you have not been able to complete the Household Questionnaire for another reason, you should circle '96' and specify the reason in the space provided. Some examples of 'Other' codes might be: the household respondent is incapacitated; the questionnaire is partly completed.
12528
1
Completed
2
No household member or no competent respondent at home at ti
3
Entire household absent for extended time
4
Refused
5
Dwelling vacant / Address not a dwelling
6
Dwelling destroyed
7
Dwelling not found
96
Other
Household selected for individual man interview
Household selected for individual man interview
Household selected for individual man interview
Household selected for individual man interview
Household selected for individual man interview
12528
1
Yes
2
No
Respondent to HH questionnaire
Respondent to HH questionnaire
Respondent to HH questionnaire
Respondent to HH questionnaire
Respondent to HH questionnaire
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
Enter the name and line number (from the Household Listing, columns HL1 and HL2) of the respondent to the Household Questionnaire.
11354
1174
1
2
3
4
5
6
7
99
Missing
Sysmiss
Number of HH members
Number of HH members
Number of HH members
Number of HH members
Number of HH members
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
Count the number of household members recorded in column HL1 of the Household Listing Form and enter the total here. Normally, this is the line number of the last member listed in the Household Listing Form.
11354
1174
1
2
3
4
5
6
7
8
9
10
11
12
Sysmiss
Number of women 15 - 49 years
Number of women 15 - 49 years
Number of women 15 - 49 years
Number of women 15 - 49 years
Number of women 15 - 49 years
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
Enter the total number of women age 15-49; these are women eligible for interview with the Questionnaire for Individual Women.
11354
1174
1
2
3
4
Sysmiss
Number of woman' questionnaires completed
Number of woman' questionnaires completed
Number of woman' questionnaires completed
Number of woman' questionnaires completed
Number of woman' questionnaires completed
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here.
11354
1174
1
2
3
4
Sysmiss
Number of men 15 - 49 years
Number of men 15 - 49 years
Number of men 15 - 49 years
Number of men 15 - 49 years
Number of men 15 - 49 years
3701
8827
1
2
3
4
5
Sysmiss
Number of man' questionnaires completed
Number of man' questionnaires completed
Number of man' questionnaires completed
Number of man' questionnaires completed
Number of man' questionnaires completed
3701
8827
1
2
3
Sysmiss
Number of children under age 5
Number of children under age 5
Number of children under age 5
Number of children under age 5
Number of children under age 5
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
Enter the total number of children under five eligible for interview with the Questionnaire for Children Under Five. This should be calculated as the total number of children for whom a mother or caretaker line number is entered in column HL9. You will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children.
11354
1174
1
2
3
Sysmiss
Number of under - 5 questionnaires completed
Number of under - 5 questionnaires completed
Number of under - 5 questionnaires completed
Number of under - 5 questionnaires completed
Number of under - 5 questionnaires completed
You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14.
Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here.
11354
1174
1
2
3
Sysmiss
Field editor
Field editor
Field editor
Field editor
Field editor
Leave this space blank. The field editor of your team will later enter his/her name and number in the space provided when checking the completed household questionnaires.
12528
1
30
22.735
4.787
11
21
31
41
51
61
71
81
91
101
111
121
131
141
151
161
171
181
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
Leave this space blank. The data entry clerk will enter his/her name and number in the space provided.
12528
1
2
3
4
5
6
7
8
9
10
11
12
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Record the time of the day you start the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. Avoid rounding the minutes and write the exact minutes as you see on your watch.
List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4).
If the answer to the second question is yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time.
Use an additional questionnaire if all rows in the household listing form have been used.
11354
1174
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
99
Missing
Sysmiss
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Record the time of the day you start the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. Avoid rounding the minutes and write the exact minutes as you see on your watch.
List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4).
If the answer to the second question is yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time.
Use an additional questionnaire if all rows in the household listing form have been used.
11354
1174
59
99
Missing
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
Record the time of the day you finish the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the interview, revise and enter starting (HH18) and ending times (HH19) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the household questionnaire regarding this.
11354
1174
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
99
Missing
Sysmiss
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
Record the time of the day you finish the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the interview, revise and enter starting (HH18) and ending times (HH19) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the household questionnaire regarding this.
11354
1174
59
99
Missing
Main source of drinking water
Main source of drinking water
Main source of drinking water
Main source of drinking water
Main source of drinking water
What is the main source of drinking water for members of your household?
Circle the code for the most usual source. If several sources are mentioned, probe to determine the most usual source. Note that you can only circle one response code. If the source varies by season, record the source for the season of the interview. If the response is 'Piped into dwelling', 'Piped into compound, yard or plot', or 'Piped to neighbour' circle '11', '12', or '13' respectively, and skip to WS6. If the response is 'Bottled water' circle '91' and continue to the next question. Note that the next question is only asked if the response to this question is 'Bottled water'. For all other responses, skip to WS3.
11354
1174
11
Piped into dwelling
12
Piped into compound, yard or plot
13
Piped to neighbour
14
Public tap / standpipe
21
Tube well, Borehole
31
Protected well
32
Unprotected well
41
Protected spring
42
Unprotected spring
51
Rainwater collection
61
Tanker-truck
71
81
Surface water (river, stream, dam, lake, pond, canal, irriga
91
Bottled water
96
Other
99
Missing
Sysmiss
Main source of water used for other purposes (if bottled water used for drinking)
Main source of water used for other purposes (if bottled water used for drinking)
Main source of water used for other purposes (if bottled water used for drinking)
Main source of water used for other purposes (if bottled water used for drinking)
Main source of water used for other purposes (if bottled water used for drinking)
What is the main source of water used by your household for other purposes such as cooking and handwashing?
This question should only be asked to households that use 'Bottled water' for drinking. Circle the code for the most usual source. If the source varies by season, record the source for the season of the interview. If the most usual source of non-drinking water is 'Piped into dwelling', 'Piped into compound, yard or plot', or 'Piped into neighbour', circle '11', '12', or 13 respectively, and skip to WS6. Otherwise circle appropriate code and continue to the next question.
Note that you cannot replace “cooking and handwashing” with other uses of non-drinking water.
769
11759
11
Piped into dwelling
12
Piped into compound, yard or plot
13
Piped to neighbour
14
Public tap / standpipe
21
Tube well, Borehole
31
Protected well
32
Unprotected well
41
Protected spring
42
Unprotected spring
51
Rainwater collection
61
Tanker-truck
81
Surface water (river, stream, dam, lake, pond, canal, irriga
96
Other
99
Missing
Sysmiss
Location of the water source
Location of the water source
Location of the water source
Location of the water source
Location of the water source
Where is that water source located?
This question should only be asked to households where the main source of water is not a piped system. Circle the code for the location of water source. If the location is in own dwelling or in own yard/plot then circle '1' or '2' and skip to WS6. Otherwise circle appropriate code and continue to the next question.
4538
7990
1
In own dwelling
2
In own yard / plot
3
Elsewhere
9
Missing
Sysmiss
Time (in minutes) to get water and come back
Time (in minutes) to get water and come back
Time (in minutes) to get water and come back
Time (in minutes) to get water and come back
Time (in minutes) to get water and come back
How long does it take to go there, get water, and come back?
This question is used to find out how convenient the location of the source of water is to the dwelling for households using a water source outside their dwelling. Record the time it takes to get water by whatever means of transportation the person generally uses, whether the person walks or rides a bicycle or motor vehicle.
Fill in the estimated time (in minutes, converting from hours, if necessary) it takes by the usual mode of transport to get to the water source, wait to get water, and get back to the dwelling. Use zero(s) preceding the number if less than 100 minutes (for example, '060' or '005'). Then continue to the next question.
If the respondent tells you that the water is delivered to their dwelling (a situation that could arise if the water comes from a tanker truck or a small cart with a tank), record '000'.
If the respondent does not know how long it takes, circle '998' and continue to the next question.
2969
9559
1
998
998
DK
999
Missing
Person collecting water
Person collecting water
Person collecting water
Person collecting water
Person collecting water
Who usually goes to this source to collect the water for your household?
The purpose of this question is to find out the age and gender of the person who usually performs the task of hauling water. This will provide an understanding of whether water hauling responsibilities are given to members of a particular sex or age group.
Probe: “Is this person under age 15? What sex?” Circle the code that corresponds with the response or '8' if the respondent does not know. Adult refers to anyone age 15 or over, regardless of whether he/she is a household member. Child refers to anyone under the age of 15, regardless of whether he/she is a household member.
The purpose of the following two questions, WS6 and WS7, is to determine whether the household drinking water is treated within the household and, if so, what type of treatment is used. This question is intended to gather information on water treatment at the household level and not water treatment at the municipal or vendor level.
2969
9559
1
Adult woman (age 15+ years)
2
Adult man (age 15+ years)
3
Female child (under 15)
4
Male child (under 15)
8
DK
9
Missing
Sysmiss
Treat water to make safer for drinking
Treat water to make safer for drinking
Treat water to make safer for drinking
Treat water to make safer for drinking
Treat water to make safer for drinking
Do you do anything to the water to make it safer to drink?
Circle '1' if 'Yes', and continue to the next question. If 'No' or 'DK' (Doesn't know'), circle '2' or '8', respectively, and skip to WS8.
11354
1174
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Water treatment: Boil
Water treatment: Boil
Water treatment: Boil
Water treatment: Boil
Water treatment: Boil
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
2862
?
Missing
A
Boil
Water treatment: Add bleach/chlorine
Water treatment: Add bleach/chlorine
Water treatment: Add bleach/chlorine
Water treatment: Add bleach/chlorine
Water treatment: Add bleach/chlorine
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
120
?
Missing
B
Add bleach / chlorine
Water treatment: Strain it through a cloth
Water treatment: Strain it through a cloth
Water treatment: Strain it through a cloth
Water treatment: Strain it through a cloth
Water treatment: Strain it through a cloth
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
157
?
Missing
C
Strain it through a cloth
Water treatment: Use water filter
Water treatment: Use water filter
Water treatment: Use water filter
Water treatment: Use water filter
Water treatment: Use water filter
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
2205
?
Missing
D
Use water filter
Water treatment: Solar disinfection
Water treatment: Solar disinfection
Water treatment: Solar disinfection
Water treatment: Solar disinfection
Water treatment: Solar disinfection
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
2
?
Missing
E
Solar disinfection
Water treatment: Let it stand and settle
Water treatment: Let it stand and settle
Water treatment: Let it stand and settle
Water treatment: Let it stand and settle
Water treatment: Let it stand and settle
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
633
?
Missing
F
Let it stand and settle
Water treatment: Other
Water treatment: Other
Water treatment: Other
Water treatment: Other
Water treatment: Other
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
108
?
Missing
X
Other
Water treatment: DK
Water treatment: DK
Water treatment: DK
Water treatment: DK
Water treatment: DK
What do you usually do to make the water safer to drink?
Record all items mentioned.
Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time).
Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled.
Definitions of various methods of water treatment are as follows:
'A' - Boil refers to boiling or heating water with fuel.
'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water.
'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water.
'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water.
'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight.
'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles.
2
?
Missing
Z
DK
Type of toilet facility
Type of toilet facility
Type of toilet facility
Type of toilet facility
Type of toilet facility
Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use.
What kind of toilet facility do members of your household usually use?
If necessary ask permission to observe the facility.
The purpose of this question is to obtain a measure of the hygiene of the sanitary facility used by the household members.
It may be necessary to observe the facility. If so, ask permission to do so. If the respondent answers or it is observed that the household members have no facilities or use the bush or field, enter '95' for 'No facilities or bush or field' and skip to the next module.
If any of the flush or pour flush responses (11-15) are given, probe: “Where does it flush to?” Circle the code corresponding to the response given.
Definitions of various types of toilet facilities are as follows:
A flush toilet uses a cistern or holding tank for flushing water and has a water seal, which is a U-shaped pipe, below the seat or squatting pan that prevents the passage of flies and odours. A pour flush toilet uses a water seal, but unlike a flush toilet, a pour flush toilet uses water poured by hand for flushing (no cistern is used).
'11' - A piped sewer system is a system of sewer pipes, also called sewerage, that is designed to collect human excreta (faeces and urine) and wastewater and remove them from the household environment. Sewerage systems consist of facilities for collection, pumping, treating and disposing of human excreta and wastewater.
'12' - A septic tank is an excreta collection device and is a water-tight settling tank normally located underground, away from the house or toilet.
'13' - A flush/pour flush to pit latrine refers to a system that flushes excreta to a hole in the ground and has a water seal.
'14' - A flush/pour flush to somewhere else refers to excreta being deposited in or nearby the household environment (may have a water seal but deposited not into pit, septic tank or sewer); excreta may be flushed to the street, yard/plot, drainage way or other location.
'15' - Flush to unknown place/Not sure/DK where should be coded in cases when the respondent knows that the toilet facility is a flush toilet, but does not know where it flushes to.
'21' - A ventilated improved pit latrine or VIP is a type of pit latrine that is ventilated by a pipe extending above the latrine roof. The open end of the vent pipe is covered with gauze mesh or fly-proof netting and the inside of the superstructure is kept dark.
'22' - A pit latrine with slab uses a hole in the ground for excreta collection and has a squatting slab, platform or seat (made of concrete, steel, or wood to allow standing with ease) that is firmly supported on all sides, easy to clean and raised above the surrounding ground level to prevent surface water from entering the pit.
'23' - A pit latrine without slab/Open pit uses a hole in the ground for excreta collection and does not have a squatting slab, platform, or seat. An open pit is a rudimentary hole in the ground where excreta is collected.
'31' - A composting toilet is a toilet into which excreta and carbon-rich material are added (vegetable wastes, straw, grass, sawdust, ash) and special conditions maintained to produce inoffensive compost.
'41' - Bucket refers to the use of a bucket or other container for the retention of faeces (and sometimes urine and anal cleaning material), which is periodically removed for treatment or disposal.
'51' - A hanging toilet/hanging latrine is a toilet built over the sea, a river, or other body of water into which excreta drops directly.
'95' - No facilities/bush/field includes excreta wrapped and thrown with garbage, the 'cat' method of burying excreta in dirt, defecation in the bush or field or ditch, and defecation into surface water (drainage channel, beach, river, stream or sea).
Survey Coordinators: Adapt these instructions, adding explanations of any additional categories. Be sure to retain the categories shown on the questionnaire. These will determine the number of households to count in the numerator of the water and sanitation indicators. Any other usual types of facilities that do not fit into these categories should also be listed here.
The purpose of the following two questions is to determine whether the household shares their sanitation facility with other households. The shared status of a sanitation facility is important because shared facilities can be less hygienic than facilities used by only a single household. Unhygienic conditions (faeces on the floor, seat or wall and flies) may discourage use of the facility.
11354
1174
11
Flush to piped sewer system
12
Flush to septic tank
13
Flush to pit (latrine)
14
Flush to somewhere else
15
Flush to unknown place / Not sure / DK where
21
Ventilated Improved Pit latrine (VIP)
22
Pit latrine with slab
23
Pit latrine without slab / Open pit
31
Composting toilet
41
Bucket
51
95
No facility, Bush, Field
96
Other
99
Missing
Sysmiss
Toilet facility shared
Toilet facility shared
Toilet facility shared
Toilet facility shared
Toilet facility shared
Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use.
Do you share this faciilty with others who are not members of your household?
Circle the code corresponding to the response given. If 'No', go to the next module.
11341
1187
1
Yes
2
No
9
Missing
Sysmiss
Toilet shared with other household or with general public
Toilet shared with other household or with general public
Toilet shared with other household or with general public
Toilet shared with other household or with general public
Toilet shared with other household or with general public
Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use.
Do you share this facility only with members of other households that you know, or is the facility open to the use of the general public?
The intention of this question is to understand whether the shared facility is only shared with other households (such as a neighbouring household) or whether the facility is open to the public. If it is a public facility, then circle '2' and skip to the next module. If '1' is circled, continue with WS11.
1420
11108
1
Other households only (not public)
2
Public facility
9
Missing
Sysmiss
Households using this toilet facility
Households using this toilet facility
Households using this toilet facility
Households using this toilet facility
Households using this toilet facility
Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use.
How many households in total use this toilet facility, including your own household?
The total number of households using this facility should include the household being interviewed. If less than ten households use this toilet facility, enter the number of households on the line provided. Circle '10' if ten or more households use this toilet facility. Note that '01' is not a valid response (since it means that this is the only household that uses the facility; if that is the case, you should go back to WS9 and correct the response there). Circle '98' for 'DK' ('Doesn't know').
1409
11119
2
3
4
5
6
7
8
9
10
Ten or more households
98
DK
99
Missing
Sysmiss
Ethnic group of household head
Ethnic group of household head
Ethnic group of household head
Ethnic group of household head
Ethnic group of household head
To what ethnic group does the head of this household belong?
Circle the code corresponding to the answer given. Make sure to get the religion, ethnicity or mother tongue/native language of the household head.
Survey Coordinators: Questions on religion, language and ethnicity should be adapted to the country-specific setting. These questions are intended to identify the sociocultural background of the households. Some sociocultural groups tend to be more vulnerable or disadvantaged than others. Depending on the criteria used in your country to differentiate between these groups, you may want to delete one or two of these questions if only one of them is sufficient, or add a similar question which uses a criterion other than religion, ethnic group or mother tongue. For instance, in some countries, asking about the religious sect may be necessary to differentiate between various groups.
11354
1174
1
Serbian
2
Hungarian
3
Bosnian
4
Roma
5
6
Other ethnic group
7
Doesn't want to comment
9
Missing
Sysmiss
Number of rooms used for sleeping
Number of rooms used for sleeping
Number of rooms used for sleeping
Number of rooms used for sleeping
Number of rooms used for sleeping
How many rooms in this household are used for sleeping?
This information provides a measure of how crowded the house is, and reflects the socio-economic condition of the household. A room in this case refers to a special area with a permanent partition that is used for sleeping. It is not necessarily the number of rooms in the household that are called 'bedrooms', but rather how many rooms get used for sleeping on a regular basis. Exclude rooms that are used only for sleeping by visitors to the household, but include those rooms that may not be regular 'bedrooms' but may be regularly used by one or more of the household members for sleeping.
Enter the number of rooms in this household that are used for sleeping.
11354
1174
1
2
3
4
5
6
7
22
99
Missing
Sysmiss
Main material of floor
Main material of floor
Main material of floor
Main material of floor
Main material of floor
Record observation.
Survey Coordinators: Adapt the response categories to include locally relevant floor materials.
Circle the correct code for the material of the dwelling floor based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the floor at different parts of the household, record the main flooring material (the material that covers the largest amount of floor space).
11354
1174
11
Earth / sand
12
21
Wood planks
31
Parquet or polished wood
32
Vinyl or asphalt strips
33
Ceramic tiles
34
Cement
35
96
Other
99
Missing
Sysmiss
Main material of roof
Main material of roof
Main material of roof
Main material of roof
Main material of roof
Record observation.
Survey Coordinators: Adapt the response categories to include locally relevant roof materials.
Circle the correct code for the material of the dwelling roof, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the roof, record the main roofing material (the material that covers the largest amount of roof space).
11354
1174
11
No roof
12
Straw thatch
22
Cane
23
Wood planks
24
Carton
31
Metal/Sheet
32
Wood
33
Calamine / Cement fibre
34
Ceramic tiles
35
Concrete
36
Roofing shingles
96
Other
99
Missing
Sysmiss
Main material of exterior wall
Main material of exterior wall
Main material of exterior wall
Main material of exterior wall
Main material of exterior wall
Record observation.
Survey Coordinators: Adapt the response categories to include locally relevant wall materials.
Circle the correct code for the material of the dwelling walls, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the walls at different parts of the household, record the main wall material (the material that covers the largest amount of wall space).
11354
1174
11
No walls
12
Cane/Trunks
13
Mud
21
Cane, straw and mud
22
Stone with mud
23
Uncovered adobe
24
Plywood
25
Carton
26
Reused wood
28
31
Concrete
32
Stone with lime / cement
33
Bricks
34
Cement blocks
35
Covered adobe
36
Wood planks / shingles
37
38
96
Other
99
Missing
Sysmiss
Type of fuel using for cooking
Type of fuel using for cooking
Type of fuel using for cooking
Type of fuel using for cooking
Type of fuel using for cooking
What type of fuel does your household mainly use for cooking?
Information on the type of fuel used for cooking is collected as another measure of the socio-economic status of the household. The use of some cooking fuels can also have adverse health consequences.
Circle the code corresponding to the answer given. Remember that this question asks about fuel for cooking, not fuel for heating or lighting. If the household uses more than one fuel for cooking, find out which type of fuel is used most often. If electricity, liquid propane gas (LPG), natural gas, biogas or kerosene is mainly used, circle '01', '02', '03', '04', or '05', respectively, and skip to HC8. There might be cases when no cooking is done in the household. In this case, circle '95' and skip to HC8. If any fuel other than the pre-coded ones is reported as being the main fuel used for cooking, circle '96' and specify the type of fuel on the line provided.
Definitions of some of the types of fuel are as follows: 'Biogas' includes gases produced by fermenting manure in an enclosed pit. 'Lignite' is a derivative of coal that produces more smoke when burned but produces less heat than coal.
11354
1174
1
Electricity
2
Liquefied Petroleum Gas (LPG)
3
Natural gas
4
Biogas
5
Kerosene
6
Coal / Lignite
7
Charcoal
8
Wood
9
Straw / Shrubs / Grass
10
11
Agricultural crop residue
95
No cooking in the household
96
Other
99
Missing
Sysmiss
Cooking location
Cooking location
Cooking location
Cooking location
Cooking location
Is the cooking usually done in the house, in a separate building or outdoors?
If “In the house“, probe: Is it done in a separate room used as a kitchen?
Circle the code corresponding to the response given. Circle '1' if the cooking is done in a separate room designated as a kitchen. Circle '2' if the cooking is done in an area used for living, sitting, sleeping, and not in a separate kitchen or building. Circle '3' if the cooking is done in another building and '4' only if the cooking is usually done outdoors.
If a response is given other than the pre-coded ones, circle '6' and specify the cooking place on the line provided.
The answers to the following two questions on ownership of certain items will be used as an approximate measure of the socio-economic status of the household.
609
11919
1
In a separate room used as kitchen
2
In another room
3
In a separate building
4
Outdoors
6
Other
9
Missing
Sysmiss
Electricity
Electricity
Electricity
Electricity
Electricity
Does your household have: Electricity?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Radio
Radio
Radio
Radio
Radio
Does your household have: A radio?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Television
Television
Television
Television
Television
Does your household have: A television?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Non-mobile phone
Non-mobile phone
Non-mobile phone
Non-mobile phone
Non-mobile phone
Does your household have: A fixed telephone?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Refrigerator
Refrigerator
Refrigerator
Refrigerator
Refrigerator
Does your household have: A refrigerator?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Table
Table
Table
Table
Table
Does your household have: A table?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Sofa
Sofa
Sofa
Sofa
Sofa
Does your household have: A sofa?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Armoire
Armoire
Armoire
Armoire
Armoire
Does your household have: A wardrobe?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Washing machine
Washing machine
Washing machine
Washing machine
Washing machine
Does your household have: A washing machine?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Water heater
Water heater
Water heater
Water heater
Water heater
Does your household have: A water heater/boiler?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Vacuum cleaner
Vacuum cleaner
Vacuum cleaner
Vacuum cleaner
Vacuum cleaner
Does your household have: A vacuum cleaner?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Camera
Camera
Camera
Camera
Camera
Does your household have: A photo camera?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
DVD player
DVD player
DVD player
DVD player
DVD player
Does your household have: A DVD player?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Microwave
Microwave
Microwave
Microwave
Microwave
Does your household have: A microwave?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Computer
Computer
Computer
Computer
Computer
Does your household have: A computer?
Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank.
Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator?
Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet).
In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Watch
Watch
Watch
Watch
Watch
Does any member of your household own:A watch?
This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Mobile telephone
Mobile telephone
Mobile telephone
Mobile telephone
Mobile telephone
Does any member of your household own:A mobile telephone?
This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Bicycle
Bicycle
Bicycle
Bicycle
Bicycle
Does any member of your household own:A bicycle?
This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Motorcycle or scooter
Motorcycle or scooter
Motorcycle or scooter
Motorcycle or scooter
Motorcycle or scooter
Does any member of your household own:A motorcycle or scooter?
This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Animal-drawn cart
Animal-drawn cart
Animal-drawn cart
Animal-drawn cart
Animal-drawn cart
Does any member of your household own:An animal-drawn cart?
This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Car or truck
Car or truck
Car or truck
Car or truck
Car or truck
Does any member of your household own:A car or truck?
This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Tractor
Tractor
Tractor
Tractor
Tractor
Does any member of your household own:A tractor?
This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered.
Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Household owns the dwelling
Household owns the dwelling
Household owns the dwelling
Household owns the dwelling
Household owns the dwelling
Do you or someone living in this household own this dwelling?
Note that the question pertains to the situation at the time of interview. If the respondent or anyone else living in the household owns the dwelling, circle '1' and continue with the next question. If the answer is 'No' then ask Do you rent this dwelling from someone not living in this household? If the dwelling is rented, circle '2'. If the household lives in the dwelling without paying rent, if the household is squatting (occupied illegally), or if there is another arrangement, circle '6'; probe if the dwelling is not owned or rented by a household member.
11354
1174
1
Owned
2
Rented
6
Other (not owned or rented)
9
Missing
Sysmiss
Any household member own land that can be used for agriculture
Any household member own land that can be used for agriculture
Any household member own land that can be used for agriculture
Any household member own land that can be used for agriculture
Any household member own land that can be used for agriculture
Does any member of this household own any land that can be used for agriculture?
Agricultural land refers to land that is used for growing crops (the crops may be food for people, food for animals, or other non-food crops), raising animals, and grazing animals. In answering this question, common land used to graze animals but not owned by the household should not be included. Circle the code corresponding to the response given. If 'No', skip to HC13.
Note that the land in question may be far away, even in another country. Accept such answers as “Yes”.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Units (hectares/ares)
Units (hectares/ares)
Units (hectares/ares)
Units (hectares/ares)
Units (hectares/ares)
How many hectares of agricultural land do members of this household own?
Unit
For 1 hectare or more, circle 1 and record the figure mentioned by the respondent.
For 95 hectares or more, circle 1 and record 95.
For less than 1 hectare, circle 2 and record the figure in ares.
For less than 1are, circle 2 and record “00”.
If unknown, record „998?.
6786
5742
1
Hectares
2
Ares
9
Missing
Sysmiss
Hectares/ares of agricultural land members of household owns
Hectares/ares of agricultural land members of household owns
Hectares/ares of agricultural land members of household owns
Hectares/ares of agricultural land members of household owns
Hectares/ares of agricultural land members of household owns
How many hectares of agricultural land do members of this household own?
For 1 hectare or more, circle 1 and record the figure mentioned by the respondent.
For 95 hectares or more, circle 1 and record 95.
For less than 1 hectare, circle 2 and record the figure in ares.
For less than 1are, circle 2 and record “00”.
If unknown, record „998?.
6786
5742
99
Less than one hectare
95
More than 95
98
DK
99
Missing
Household own any animals
Household own any animals
Household own any animals
Household own any animals
Household own any animals
Does this household own any livestock, other farm animals or poultry?
Circle the code corresponding to the response given. If 'No', skip to HC15.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Cattle, milk cows, or bulls
Cattle, milk cows, or bulls
Cattle, milk cows, or bulls
Cattle, milk cows, or bulls
Cattle, milk cows, or bulls
How many of the following animals does this household have?
Cattle, milk cows, or bulls?
Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants.
Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank.
Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs.
5143
7385
1
2
3
4
5
6
9
10
13
15
20
95
95+
98
DK
99
Missing
Sysmiss
Horses, donkeys, or mules
Horses, donkeys, or mules
Horses, donkeys, or mules
Horses, donkeys, or mules
Horses, donkeys, or mules
How many of the following animals does this household have?
Horses, donkeys or mules?
Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants.
Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank.
Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs.
5143
7385
1
2
3
95
95+
98
DK
99
Missing
Sysmiss
Goats
Goats
Goats
Goats
Goats
How many of the following animals does this household have?
Goats?
Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants.
Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank.
Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs.
5143
7385
1
2
3
4
5
6
9
10
15
30
95
95+
98
DK
99
Missing
Sysmiss
Sheep
Sheep
Sheep
Sheep
Sheep
How many of the following animals does this household have?
Sheep?
Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants.
Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank.
Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs.
5143
7385
99
95
95+
98
DK
99
Missing
Chickens
Chickens
Chickens
Chickens
Chickens
How many of the following animals does this household have?
Chickens?
Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants.
Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank.
Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs.
5143
7385
99
95
95+
98
DK
99
Missing
Pigs
Pigs
Pigs
Pigs
Pigs
How many of the following animals does this household have?
Pigs?
Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants.
Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank.
Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs.
5143
7385
1
2
3
4
5
6
7
8
9
10
11
12
14
19
30
55
95
95+
98
DK
99
Missing
Sysmiss
Other poultry
Other poultry
Other poultry
Other poultry
Other poultry
How many of the following animals does this household have?
Other poultry?
Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants.
Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank.
Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs.
5143
7385
99
95
95+
98
DK
99
Missing
Rabbits
Rabbits
Rabbits
Rabbits
Rabbits
How many of the following animals does this household have?
Rabbits, coypu?
Survey Coordinators: Add country-specific animals to the list, as appropriate, such as oxen, water buffalo, camels, llamas, alpacas, ducks, geese, or elephants.
Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank.
Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs.
5143
7385
99
95
95+
98
DK
99
Missing
Any household member own bank account
Any household member own bank account
Any household member own bank account
Any household member own bank account
Any household member own bank account
Does any member of this household have a bank account?
Ask if any member in the household has an account with a bank, credit association or other similar organization in which they can deposit and withdraw funds. Circle the code corresponding to the response given.
11354
1174
1
Yes
2
No
9
Missing
Sysmiss
Total children aged 2-14 years
Total children aged 2-14 years
Total children aged 2-14 years
Total children aged 2-14 years
Total children aged 2-14 years
Total number of children age 2–14 years
Count the number of children and record the total number of children aged 2-14 years in the box provided.
If there is only one child aged 2-14 years in the household, then skip Table 2 and go to CD8; write down '1' and continue with CD9 to administer the questions on child discipline to the mother or the primary caretaker of this child.
If there is more than one eligible child on the list, go on to fill in Table 2.
3122
9406
1
2
3
4
5
7
Sysmiss
Rank number of the selected child
Rank number of the selected child
Rank number of the selected child
Rank number of the selected child
Rank number of the selected child
Record the rank number of selected child from Table 1 (CD1). This is the rank number of the child selected for the child discipline questions.
3122
9406
1
2
3
4
5
6
Sysmiss
Child line number
Child line number
Child line number
Child line number
Child line number
Write the name and line number of the child selected for the module from CD3 and CD2, based on the rank number in CD8.
Now go back to Table 1 and find this rank number (CD8) in the list in column CD1. Record the line number and name of this selected child from Table 1 in CD9 on the next page.
3122
9406
2
3
4
5
6
7
8
9
97
Inconsistent
Sysmiss
Flag for correct child line number
Flag for correct child line number
Flag for correct child line number
Flag for correct child line number
Flag for correct child line number
3122
9406
1
Correct child selected
2
Incorrect child selected
Sysmiss
Took away privileges
Took away privileges
Took away privileges
Took away privileges
Took away privileges
Took away privileges, forbade something (name) liked or did not allow him/her to leave house.
'Privileges' means a right or a benefit that is not available to everyone. As children get older, parents/caretakers often extend privileges not available to a very young child. If you must explain what this question means, first try by asking each prompting question separately. If you need to give examples, try to phrase these questions appropriately for the child's age. “Did you (or someone else in the household) forbid (name) from leaving the house or from going outside for a time? Did you (or someone else in the household) prohibit (name) from doing something he/she usually does, such as playing with friends or watching TV?” For a young child, you might include such things as 'forbidding him/her to have sweets', etc.
3122
9406
1
Yes
2
No
9
Missing
Sysmiss
Explained why behaviour was wrong
Explained why behaviour was wrong
Explained why behaviour was wrong
Explained why behaviour was wrong
Explained why behaviour was wrong
Explained why (name) behavior was wrong
When a child does something wrong, some parents/caretakers try to teach the child not to repeat the behaviour by explaining why they consider the behaviour to be wrong. For example, a young child playing with matches may be told not to do so, because he or she could accidentally start a fire.
3122
9406
1
Yes
2
No
9
Missing
Sysmiss
Shook child
Shook child
Shook child
Shook child
Shook child
Shook him/her.
Some parents/caretakers may shake (pick the child up or take him/her by the shoulders or other part of the body) and shake the child back and forth more than once. This is a method some parents may use to punish a child for bad behaviour. They may use this method alone, or combine this form of punishment together with other actions or methods to teach the child.
3122
9406
1
Yes
2
No
9
Missing
Sysmiss
Shouted, yelled or screamed at child
Shouted, yelled or screamed at child
Shouted, yelled or screamed at child
Shouted, yelled or screamed at child
Shouted, yelled or screamed at child
Shouted, yelled at or screamed at him/her.
Parents/caretakers may raise their voice when a child does something they consider wrong.
3122
9406
1
Yes
2
No
9
Missing
Sysmiss
Gave child something else to do
Gave child something else to do
Gave child something else to do
Gave child something else to do
Gave child something else to do
Gave him/her something else to do.
This question is designed to capture another non-violent discipline technique, diverting the child's attention from the incorrect behaviour. A parent/caretaker may try to distract the child from doing the unsuitable behaviour by giving the child something else to do in its place. If the respondent does not understand, you may add a probe: “This means distracting the child or helping the child pay attention to something else.”
3122
9406
1
Yes
2
No
9
Missing
Sysmiss
Spanked, hit or slapped child on bottom with bare hand
Spanked, hit or slapped child on bottom with bare hand
Spanked, hit or slapped child on bottom with bare hand
Spanked, hit or slapped child on bottom with bare hand
Spanked, hit or slapped child on bottom with bare hand
Spanked, hit or slapped him/her on the bottom with bare hand.
Spanking a child on the bottom with a bare hand is a form of physical punishment used by some parents/caretakers.
3122
9406
1
Yes
2
No
9
Missing
Sysmiss
Hit child on the bottom or elsewhere with belt, brush, stick, etc.
Hit child on the bottom or elsewhere with belt, brush, stick, etc.
Hit child on the bottom or elsewhere with belt, brush, stick, etc.
Hit child on the bottom or elsewhere with belt, brush, stick, etc.
Hit child on the bottom or elsewhere with belt, brush, stick, etc.
Hit him/her on the bottom or elsewhere on the body with something like a belt, hairbrush, stick or other hard object.
Hitting a child with a hard object (this includes a belt) is a more severe form of physical punishment used by some parents/caretakers. It is considered more severe than spanking because more force can be exerted with a hard object than a bare hand. Some parents/caretakers use this form of punishment to teach a child not to engage in a bad behaviour. Remember, you are asking if the method of punishment was used with this child during the previous 30 days.
3122
9406
1
Yes
2
No
9
Missing
Sysmiss
Called child dumb, lazy or another name
Called child dumb, lazy or another name
Called child dumb, lazy or another name
Called child dumb, lazy or another name
Called child dumb, lazy or another name
Called him/her dumb, lazy or another name like that.
Some parents/caretakers use verbal abuse to teach a child not to engage in a bad behaviour.
3122
9406
1
Yes
2
No
9
Missing
Sysmiss
Hit or slapped child on the face, head or ears
Hit or slapped child on the face, head or ears
Hit or slapped child on the face, head or ears
Hit or slapped child on the face, head or ears
Hit or slapped child on the face, head or ears
Hit or slapped him/her on the face, head or ears.
This asks if the parent/caretaker (or someone else in the household) slapped the child on the head or in the face, or on one or both ears. As before, slapping or hitting refers to an action carried out with a bare hand. (All questions using these terms refer to use of a bare hand, unless another object is explicitly mentioned.) Repeat this question slowly, and be sure to wait for an answer before going on to CD20.
3122
9406
1
Yes
2
No
9
Missing
Sysmiss
Hit or slapped child on the hand, arm or leg
Hit or slapped child on the hand, arm or leg
Hit or slapped child on the hand, arm or leg
Hit or slapped child on the hand, arm or leg
Hit or slapped child on the hand, arm or leg
Hit or slapped him/her on the hand, arm or leg.
This question is different from the previous question (CD19) because it asks whether the child was slapped or hit with a bare hand on the extremities - hand(s), arm(s) or leg(s).
3122
9406
1
Yes
2
No
9
Missing
Sysmiss
Beat child up as hard as one could
Beat child up as hard as one could
Beat child up as hard as one could
Beat child up as hard as one could
Beat child up as hard as one could
Beat him/her up, that is hit him/her over and over as hard as one could.
Circle the code corresponding to the response given.
3122
9406
1
Yes
2
No
9
Missing
Sysmiss
Child needs to be physically punished to be brought up properly
Child needs to be physically punished to be brought up properly
Child needs to be physically punished to be brought up properly
Child needs to be physically punished to be brought up properly
Child needs to be physically punished to be brought up properly
Do you believe that in order to bring up, raise, or educate a child properly, the child needs to be physically punished?
This question is designed to capture attitudes toward discipline and should be asked last, after asking about parental/caretaker disciplinary behaviour. The question asks the respondent for her/his own opinion of whether it is necessary to use physical punishment when teaching a child to behave properly. Do not be surprised if a respondent who has indicated that she/he has used physical punishment says that she/he does not believe in such punishment.
If the respondent states that she/he has no opinion on this or that she/he does not know, circle '8'.
3122
9406
1
Yes
2
No
8
Don't know / No opinion
9
Missing
Sysmiss
Place where household members most often wash their hands
Place where household members most often wash their hands
Place where household members most often wash their hands
Place where household members most often wash their hands
Place where household members most often wash their hands
Please show me where members of your household most often wash their hands.
You will begin by asking whether you may see the place where household members most often wash their hands. If the respondent agrees and you observe the facility, circle '1'. If there is no specific place in dwelling, plot, or yard, circle '2' and skip to HW4. If there is a place but permission is not granted to see it, circle '3'and skip to HW4. If the place used for handwashing is not observed for any other reason, circle '6' and skip to HW4.
In many cultures and crowded slum areas there may not be a designated place for hand-washing. Rather a movable object is used, like a bucket, basin, container or kettle, for people to wash or rinse their hands. Recording where such movable object is usually used for hand washing is important.
11354
1174
1
Observed
2
Not in dwelling/plot/yard
3
Not permitted
6
Other reason
9
Missing
Sysmiss
Water available at the place for handwashing
Water available at the place for handwashing
Water available at the place for handwashing
Water available at the place for handwashing
Water available at the place for handwashing
In HW2, you will observe whether there is water available at the place used for handwashing. If there is a tap or pump at the specific place for handwashing, open the tap or operate the pump to see if water is coming out. If there is a bucket, basin or other type of water container, examine to see whether water is present in the container. If you learn that the water is temporarily not available at the specific place for handwashing, code it as water not available ('2') but take a note of this at the end of the questionnaire.
10151
2377
1
With water
2
No water
9
Missing
Sysmiss
Bar soap
Bar soap
Bar soap
Bar soap
Bar soap
Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4.
7812
?
Missing
A
Bar soap
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4.
2916
?
Missing
B
Detergent (Powder / Liquid / Paste)
Liquid soap
Liquid soap
Liquid soap
Liquid soap
Liquid soap
Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4.
5773
?
Missing
C
Liquid soap
None
None
None
None
None
Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4.
427
?
Missing
Y
None
Soap/other material available for washing hands
Soap/other material available for washing hands
Soap/other material available for washing hands
Soap/other material available for washing hands
Soap/other material available for washing hands
Do you have any soap or detergent (or other locally used cleansing agent) in your household for washing hands?
1630
10898
1
Yes
2
No
9
Missing
Sysmiss
Bar soap
Bar soap
Bar soap
Bar soap
Bar soap
Can you please show it to me?
Record observation. Circle all that apply.
If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing.
874
?
Missing
A
Bar soap
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Detergent (Powder / Liquid / Paste)
Can you please show it to me?
Record observation. Circle all that apply.
If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing.
214
?
Missing
B
Detergent (Powder / Liquid / Paste)
Liquid soap
Liquid soap
Liquid soap
Liquid soap
Liquid soap
Can you please show it to me?
Record observation. Circle all that apply.
If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing.
562
538.441
?
Missing
C
Liquid soap
Ash / Mud / Sand
Ash / Mud / Sand
Ash / Mud / Sand
Ash / Mud / Sand
Ash / Mud / Sand
Can you please show it to me?
Record observation. Circle all that apply.
If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing.
?
Missing
D
Ash / Mud / Sand
Not able / Does not want to show
Not able / Does not want to show
Not able / Does not want to show
Not able / Does not want to show
Not able / Does not want to show
Can you please show it to me?
Record observation. Circle all that apply.
If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing.
393
?
Missing
Y
Not able / Does not want to show
Salt iodization test outcome
Salt iodization test outcome
Salt iodization test outcome
Salt iodization test outcome
Salt iodization test outcome
We would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household?
Once you have tested the salt, circle number that corresponds to test outcome.
11354
1174
1
Not iodized 0 PPM
2
More than 0 PPM and less than 15 PPM
3
15 PPM or more
6
No salt in the household
7
Salt not tested
9
Missing
Sysmiss
Sex of household head
Sex of household head
Sex of household head
Sex of household head
Sex of household head
11354
1174
1
Male
2
Female
9
Missing
Sysmiss
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
11354
1174
1
6
1
Serbian
2
Hungarian
3
Bosnian
4
Roma
6
Other
7
Doesn't want to declare
9
Missing/DK
Education of household head
Education of household head
Education of household head
Education of household head
Education of household head
11354
1174
1
9
1
None
2
Primary
3
Secondary
4
Higher/High
9
Missing/DK
Household sample weight
Household sample weight
Household sample weight
Household sample weight
Household sample weight
12528
3.125
0.906
0.53
Wealth index score
Wealth index score
Wealth index score
Wealth index score
Wealth index score
12528
-2.637
1.889
5.62e-16
0.952
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
12528
1
Poorest
2
Second
3
Middle
4
Fourth
5
Richest
Primary sampling unit
Primary sampling unit
Primary sampling unit
Primary sampling unit
Primary sampling unit
12528
1
400
200.552
115.459
Stratum
Stratum
Stratum
Stratum
Stratum
12528
1
2
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
Enter the cluster number as instructed by your supervisor.
28852
1
400
206.601
116.987
Household number
Household number
Household number
Household number
Household number
Enter the household number as instructed by your supervisor.
28852
1
65
16.401
9.681
Line number
Line number
Line number
Line number
Line number
This is the number used to identify each person listed. You must obtain a complete list of all persons who usually live in the household, but you do not need to fill in or do anything in this column since the numbers are already provided. This is a very important number since, once household members are assigned these line numbers after the Household Listing Form is completed, all members are identified with these line numbers throughout the questionnaires administered in this household.
Probe for additional household members.
Probe especially for any infants or small children not listed, and others who may not be members of the family (such as servants, friends) but who usually live in the household.
Insert names of additional members in the household list and complete form accordingly.
28852
1
2
3
4
5
6
7
8
9
10
11
12
Relationship to the head
Relationship to the head
Relationship to the head
Relationship to the head
Relationship to the head
What is the relationship of (name) to the head of the household?
You should begin by saying:
First, please tell me the name of each person who usually lives here, starting with the head of the household.
List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask:
Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time.
Enter the code corresponding to how the person listed is related to the head of the household. Use the codes at the bottom of the Household Listing Form. Be particularly careful in doing this if the respondent is not the head of the household. Make sure that you record the relationship of each person to the household head, not the relationship to the respondent. For example, if the respondent is the wife of the head of the household and she says that Sola is her brother, then Sola should be coded as '09' ('Brother-in-law / Sister-in-law'), not as '08' ('Brother / Sister'), because Sola is a brother-in-law of the head of the household. Be very careful in obtaining this information correctly, since respondents tend to provide the relationship of the person to themselves, rather than to the head of the household.
If the head of the household is married to a woman who has a child from a previous marriage, that child's relationship to the head of the household should be coded as '13' ('Adopted/foster/stepchild'). If a household member is not related to the head of household, such as a friend who lives with the household, enter '14' ('Not related'). Enter '98' if the respondent doesn't know the relationship of a household member to the head of household.
28852
1
Head
2
Wife / Husband
3
Son / Daughter
4
Son-In-Law / Daughter-In-Law
5
Grandchild
6
Parent
7
Parent-In-Law
8
Brother / Sister
9
Brother-In-Law / Sister-In-Law
10
Uncle / Aunt
11
Niece / Nephew
12
Other relative
13
Adopted / Foster / Stepchild
14
Not related
97
Inconsistent
98
Don't know
99
Missing
Sex
Sex
Sex
Sex
Sex
Is (name) male or female?
You should begin by saying:
First, please tell me the name of each person who usually lives here, starting with the head of the household.
List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask:
Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time.
Circle '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. When the respondent is listing everyone in the household, he/she may indicate the sex of the person at the same time, by saying “My sister Mary,” for instance. In this case, you do not need to ask the sex of the household member again, since it is already obvious that the person is a female. However, when a name is mentioned that can be used for both males and females, never use your judgement. Even in cases when you think that the name would most likely be a male's (or a female's) name, have the respondent confirm the sex. This column should never be left blank.
Once you have a complete list of names, relationship codes and sex, move across this page to ask and record answers to questions about individual persons starting from HL5. Start with the household head on line 01. When you have finished asking all questions HL5 to HL14 for the person on line 01, continue to the person listed on line 02, etc.
28852
1
Male
2
Female
9
Missing
Month of birth
Month of birth
Month of birth
Month of birth
Month of birth
What is (name)’s date of birth?
You should begin by saying:
First, please tell me the name of each person who usually lives here, starting with the head of the household.
List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask:
Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time.
If the respondent knows the date of birth for the member of the household, record the answer in months and year. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', and so on. If the respondent does not know the month of birth, enter the code '98' for 'Don't know month' and ask for the year of birth. Try to obtain at least the year of birth. If year is still unknown, enter '9998'.
28852
1
2
3
4
5
6
7
8
9
10
11
12
98
DK
99
Missing
Year of birth
Year of birth
Year of birth
Year of birth
Year of birth
What is (name)’s date of birth?
You should begin by saying:
First, please tell me the name of each person who usually lives here, starting with the head of the household.
List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask:
Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time.
If the respondent knows the date of birth for the member of the household, record the answer in months and year. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', and so on. If the respondent does not know the month of birth, enter the code '98' for 'Don't know month' and ask for the year of birth. Try to obtain at least the year of birth. If year is still unknown, enter '9998'.
28852
1904
9999
1904
1913
1914
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
9998
DK
9999
Missing
Age
Age
Age
Age
Age
How old is (name)?
Enter each person's age in completed years, that is, his/her age at his/her last birthday. Completed age is also defined as 'the number of completed years since birth'. With this definition, since a 6-month-old baby has not completed a full year, his/her age will be entered as '00'. Note that you will be obtaining more accurate estimates of children's ages later.
This column should never be left blank.
Even after you have probed and asked all the necessary information from the respondent and you still have difficulty obtaining the ages of elderly members of the household, you may enter the code '98', meaning 'Doesn't know/over age 50'. For household members younger than 50, completed ages must be entered. However, you should still indicate, with a note, what age range the person in question might be, so that your editor or supervisor can have an idea of the eligibility of the person to administer the individual questionnaires.
If the age of the member of the household is 95 or higher enter the code '95' for all such cases.
28852
99
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
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
95+
98
DK
99
Missing
Line number of woman age 15 - 49
Line number of woman age 15 - 49
Line number of woman age 15 - 49
Line number of woman age 15 - 49
Line number of woman age 15 - 49
Eligibility for individual modules: Questions HL7, HL7A and HL9 concern eligibility information.
Circle the line number in this column if the household member is a woman 15-49 years of age (this includes those age 15 and age 49). You will not ask this question to the respondent.
28852
Not eligible
1
2
3
4
5
6
7
8
9
10
11
Line number of man age 15 - 49
Line number of man age 15 - 49
Line number of man age 15 - 49
Line number of man age 15 - 49
Line number of man age 15 - 49
Eligibility for individual modules: Questions HL7, HL7A and HL9 concern eligibility information.
Circle the line number in this column if the household member is a man 15-49 years of age (this includes those age 15 and age 49). You will not ask this question to the respondent.
28852
Not eligible
1
2
3
4
5
6
7
8
12
Line number of mother/caretaker for children age 5 - 15
Line number of mother/caretaker for children age 5 - 15
Line number of mother/caretaker for children age 5 - 15
Line number of mother/caretaker for children age 5 - 15
Line number of mother/caretaker for children age 5 - 15
Who is the mother or primary caretaker of this child?
If the household member is a child between 5 and 14 years of age (this includes those age 5 and age 14), record the line number of his/her mother or primary caretaker in this column. Ask this question to the respondent if necessary.
28852
Not eligible
1
2
3
4
5
6
7
10
Line number of mother/caretaker for children under age 5
Line number of mother/caretaker for children under age 5
Line number of mother/caretaker for children under age 5
Line number of mother/caretaker for children under age 5
Line number of mother/caretaker for children under age 5
Eligibility for individual modules: Questions HL7, HL7A and HL9 concern eligibility information.
Who is the mother or primary caretaker of this child?
If the household member is a child under the age of five (this includes those just born and those age 4, but not children who have completed 5 years of age), record the line number of his/her mother or primary caretaker in this column. Ask this question to the respondent if necessary. Later, you will be interviewing the person you are recording her/his line number here about the child you are collecting information.
28852
Not eligible
1
2
3
4
5
6
7
9
Is natural mother alive
Is natural mother alive
Is natural mother alive
Is natural mother alive
Is natural mother alive
Is (name)’s natural mother alive?
For children age 0-17 years ask HL11-HL14:
For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank.
By 'natural' we mean the biological mother. In many cultures, people consider other people's children whom they are raising as their own, especially children of their husband or sisters, etc. You should be certain that the respondent understands that you are asking about the woman who gave birth to the child.
Record whether or not the child's natural mother is still alive by circling the code corresponding to the response given. If the child's natural mother is not alive or if the respondent does not know, skip to HL13. Otherwise, continue to the question in the next column.
6362
22490
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Natural mother's line number in HH
Natural mother's line number in HH
Natural mother's line number in HH
Natural mother's line number in HH
Natural mother's line number in HH
Does (name’s) natural mother live in this household?
For children age 0-17 years ask HL11-HL14:
For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank.
If the natural mother is still alive, we want to know whether she lives in the household. If the mother does live in the household, ask who she is (she should be listed in the Household Listing Form if she lives in the household) and record her line number in the space provided. If the mother is not a member of the household (not listed in the Household Listing Form), record '00'.
6299
22553
1
2
3
4
5
6
7
9
10
97
Inconsistent
99
Missing
Sysmiss
WHERE DOES (name)'S NATURAL MOTHER LIVE?
WHERE DOES (name)'S NATURAL MOTHER LIVE?
WHERE DOES (name)'S NATURAL MOTHER LIVE?
WHERE DOES (name)'S NATURAL MOTHER LIVE?
WHERE DOES (name)'S NATURAL MOTHER LIVE?
Where does (name)'s natural mother live?
806
28046
1
Abroad
2
In another household in Moldova
3
Institution
8
DK
Sysmiss
Is natural father alive
Is natural father alive
Is natural father alive
Is natural father alive
Is natural father alive
Is (name)’s natural father alive?
For children age 0-17 years ask HL11-HL14:
For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank.
Fill in these questions in exactly the same way as HL11 and HL12. This time, make sure to record the survival status and the line number of the natural (biological) fathers. If the father of the household member is not alive or his survival status is not known by the respondent in HL13, move to the next person on the list.
6362
22490
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Natural father's line number in HH
Natural father's line number in HH
Natural father's line number in HH
Natural father's line number in HH
Natural father's line number in HH
Does (name)’s natural father live in this household?
For children age 0-17 years ask HL11-HL14:
For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank.
Fill in these questions in exactly the same way as HL11 and HL12. This time, make sure to record the survival status and the line number of the natural (biological) fathers. If the father of the household member is not alive or his survival status is not known by the respondent in HL13, move to the next person on the list.
6036
22816
1
2
3
4
5
6
7
97
Inconsistent
99
Missing
Sysmiss
WHERE DOES (name)'S NATURAL FATHER LIVE?
WHERE DOES (name)'S NATURAL FATHER LIVE?
WHERE DOES (name)'S NATURAL FATHER LIVE?
WHERE DOES (name)'S NATURAL FATHER LIVE?
WHERE DOES (name)'S NATURAL FATHER LIVE?
Where does (name)'s natural father live?
1768
27084
1
Abroad
2
In another household of Moldova
3
Institution
8
DK
Sysmiss
Line number
Line number
Line number
Line number
Line number
For household members age 5 and above, ask ED1-ED8:
This is the number assigned to each person on the Household Listing Form. You do not need to fill in or do anything in this column since the numbers are already provided.
28852
1
2
3
4
5
6
7
8
9
10
11
12
Ever attended school or pre-school
Ever attended school or pre-school
Ever attended school or pre-school
Ever attended school or pre-school
Ever attended school or pre-school
Has (name) ever attended school or preschool?
For household members age 5 and above, ask ED1-ED8:
Circle '1' if the answer is 'Yes' and continue with question ED4A. If the answer is 'No', circle '2' and go to the household member on the next line.
The term 'school' includes primary, secondary and post-secondary schooling, as well as any other intermediate levels of schooling in the formal school system. It also includes technical or vocational training beyond the primary-school level, such as long-term courses in mechanics or secretarial work.
Schools that carry out non-standard curriculum (non-formal education) are not included here. A non-standard curriculum includes religious schools, such as Koranic schools, that do not teach a full, standard school curriculum. If a school teaches religious courses but also includes the standard curriculum - such as many Catholic schools - it would be coded as a standard (formal) school.
'Preschool' is listed for children who do not attend grade 1, but do attend some form of organized learning or early childhood education programme, whether or not such a programme is considered part of the school system. The definition of organized early learning programme does not refer to programmes offering only babysitting or child-minding.
26912
1940
1
Yes
2
No
9
Missing
Sysmiss
Highest level of education attended
Highest level of education attended
Highest level of education attended
Highest level of education attended
Highest level of education attended
What is the highest level of school (name) attended?
For household members age 5 and above, ask ED1-ED8:
If the person has been to school, record the highest level of schooling attended by circling the code for the response. You may need to probe for the type of school attended. Circle '8' if the respondent 'Doesn't know'. If the highest level of school the child has attended is preschool (Level=0), skip to ED5.
26564
2288
Kindergarten
1
Preschool preparation programme
2
Primary
3
Secondary
4
Higher
5
6
8
Don't know
9
Missing
Sysmiss
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
What is the highest grade (name) completed at this level?
For household members age 5 and above, ask ED1-ED8:
Enter the highest grade completed or '98' for 'DK' ('Doesn't know'). If less than one grade, enter '00'. For instance, if a person has attended primary school but did not complete the first grade, then the level for this person will be circled as '1' in ED4A, and the grade will be entered as '00' in ED4B.
Similarly, for a child who is attending grade 5 in primary school at the time of the interview, the level will be coded as '1' and the grade as '04', since this person has not yet completed grade 5.
Note that if the level of schooling is given as preschool in ED4A, the grade should be left blank.
For someone not at school anymore, the highest level attended is the one he/she went to before leaving the education system, even if it was for a few weeks. For someone still at school, the highest level is the one he/she is currently attending (or was attending if we are conducting the interview during a long school break period).
25838
3014
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
98
DK
99
Missing
Sysmiss
Attended school during current school year (2011-2012)
Attended school during current school year (2011-2012)
Attended school during current school year (2011-2012)
Attended school during current school year (2011-2012)
Attended school during current school year (2011-2012)
During the (201–2012) school year, did (name) attend school or preschool at any time?
For household members age 5 and above, ask ED1-ED8:
Circle the code corresponding to the answer given. If 'Yes', continue to the next question. If 'No', skip to ED7.
If the interview is carried out during the school year, then the question should be worded to refer to the current school year. If the interview is carried out between school years, then the question should refer to the last school year that has ended.
Take the example of a country where the school year ends in June and the new school year begins in September: If the interview is carried out in July 2012 (between school years), then the question should refer to the 2011-2012 school year; if the interview is carried out in October 2012 (during the new school year), then the question should refer to the 2012-2013 school year.
7205
21647
1
Yes
2
No
9
Missing
Sysmiss
Level of education attended current school year
Level of education attended current school year
Level of education attended current school year
Level of education attended current school year
Level of education attended current school year
During 2011-2012 school year, which level, grade is/was (name) attending? Level:
For household members age 5 and above, ask ED1-ED8:
Circle the code for the level of school, and enter the household member's current grade. If it applies, circle '8' for 'DK' ('Doesn't know'). Enter the highest grade number completed using '01', '02', etc. If a child is in preschool or kindergarten, and grades are not used, leave grade blank, and skip to ED7.
If the interview is conducted during the time between two school years, the question should refer to the school year that has ended, and you should use 'that' and 'was' in the question. If the interview is conducted during the school year, the question should refer to the current school year. Note that these questions should capture children who may have been attending at the beginning of the school year, but have dropped out since then. If necessary, past tense could be used to make sure that you obtain information on the level and grade of children who may have dropped out from school during the course of the school year.
5568
23284
Kindergarten
1
Preschool preparation programme
2
Primary
3
Secondary
4
Higher
5
6
8
Don't know
9
Missing
Sysmiss
Grade of education attended current school year
Grade of education attended current school year
Grade of education attended current school year
Grade of education attended current school year
Grade of education attended current school year
During 2011-2012 school year, which level, grade is/was (name) attending? Grade/year:
For household members age 5 and above, ask ED1-ED8:
Circle the code for the level of school, and enter the household member's current grade. If it applies, circle '8' for 'DK' ('Doesn't know'). Enter the highest grade number completed using '01', '02', etc. If a child is in preschool or kindergarten, and grades are not used, leave grade blank, and skip to ED7.
If the interview is conducted during the time between two school years, the question should refer to the school year that has ended, and you should use 'that' and 'was' in the question. If the interview is conducted during the school year, the question should refer to the current school year. Note that these questions should capture children who may have been attending at the beginning of the school year, but have dropped out since then. If necessary, past tense could be used to make sure that you obtain information on the level and grade of children who may have dropped out from school during the course of the school year.
4854
23998
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
98
DK
99
Missing
Sysmiss
Attended school previous school year (2010-2011)
Attended school previous school year (2010-2011)
Attended school previous school year (2010-2011)
Attended school previous school year (2010-2011)
Attended school previous school year (2010-2011)
During the previous 2010–2011 school year, did (name) attend school or preschool at any time?
For household members age 5 and above, ask ED1-ED8:
If the child attended school at any time during the last school year, circle '1'. If the answer is 'No' or 'DK', circle the appropriate code and go to the household member on the next line.
7205
21647
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Level of education attended previous school year
Level of education attended previous school year
Level of education attended previous school year
Level of education attended previous school year
Level of education attended previous school year
During 2010-2011 previous school year, which level and grade did (name) attend? Level:
For household members age 5 and above, ask ED1-ED8:
Circle the code for the level of school attended and fill in the child's grade or circle '8' if the respondent doesn't know the level and/or '98' if the respondent doesn't know the grade. If the child was in preschool or kindergarten, and grades are not used, leave grade blank, and skip to the next person.
5852
23000
Kindergarten
1
Preschool preparation programme
2
Primary
3
Secondary
4
Higher
5
6
8
Don't know
9
Missing
Sysmiss
Grade of education attended previous school year
Grade of education attended previous school year
Grade of education attended previous school year
Grade of education attended previous school year
Grade of education attended previous school year
During 2010-2011 previous school year, which level and grade did (name) attend? Grade/year:
For household members age 5 and above, ask ED1-ED8:
Circle the code for the level of school attended and fill in the child's grade or circle '8' if the respondent doesn't know the level and/or '98' if the respondent doesn't know the grade. If the child was in preschool or kindergarten, and grades are not used, leave grade blank, and skip to the next person.
4830
24022
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
98
DK
99
Missing
Sysmiss
Day of interview
Day of interview
Day of interview
Day of interview
Day of interview
Day/month/year of interview:
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household.
28852
1
31
15.562
8.476
Month of interview
Month of interview
Month of interview
Month of interview
Month of interview
Day/month/year of interview:
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household.
28852
4
5
6
Year of interview
Year of interview
Year of interview
Year of interview
Year of interview
Day/month/year of interview:
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household.
28852
2012
Area
Area
Area
Area
Area
Type of settlement:
Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area.
28852
1
Urban
2
Rural
Region
Region
Region
Region
Region
Circle the code for region as instructed/provided by your supervisor.
After the HH1-HH7 has been filled out, begin by saying the following to the respondent:
We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now?
You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate.
28852
1
Central Serbia without Belgrade
2
City of Belgrade
3
AP Vojvodina
4
Mother's line number
Mother's line number
Mother's line number
Mother's line number
Mother's line number
6363
22489
Not in household
1
2
3
4
5
6
7
9
10
Sysmiss
Father's line number
Father's line number
Father's line number
Father's line number
Father's line number
6363
22489
Not in household
1
2
3
4
5
6
7
Sysmiss
Age at beginning of school year
Age at beginning of school year
Age at beginning of school year
Age at beginning of school year
Age at beginning of school year
28852
998
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
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
96
98
107
998
DK/Missing
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
28852
1
6
1
Serbian
2
Hungarian
3
Bosnian
4
Roma
5
6
Other
7
Doesn't want to declare
9
Missing/DK
Mother’s/caretaker's ethnicity
Mother’s/caretaker's ethnicity
Mother’s/caretaker's ethnicity
Mother’s/caretaker's ethnicity
Mother’s/caretaker's ethnicity
6363
22489
1
Moldovan/Romanian
2
Russian
3
Ukrainian
4
Roma(Gypsy)
5
Gagauz
6
Other ethnic group
9
Missing/DK
Sysmiss
Mother's education
Mother's education
Mother's education
Mother's education
Mother's education
6363
22489
1
9
1
None
2
Primary
3
Secondary
4
Higher/High
5
Mother not in household
9
Missing/DK
Sysmiss
Father's education
Father's education
Father's education
Father's education
Father's education
6363
22489
1
9
1
None
2
Primary
3
Secondary
4
Higher/High
5
Father not in household
9
Missing/DK
Sysmiss
Education of household head
Education of household head
Education of household head
Education of household head
Education of household head
28852
28788.807
1
9
1
None
2
Primary
3
Secondary
4
Higher/High
9
Missing/DK
Wealth index score
Wealth index score
Wealth index score
Wealth index score
Wealth index score
28852
-2.637
1.889
0.103
0.977
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
28852
1
Poorest
2
Second
3
Middle
4
Fourth
5
Richest
Household sample weight
Household sample weight
Household sample weight
Household sample weight
Household sample weight
28852
0.21
3.125
0.998
0.467
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
Enter the cluster number as instructed by your supervisor.
7878
1
400
218.348
118.997
Household number
Household number
Household number
Household number
Household number
Enter the household number as instructed by your supervisor.
7878
1
59
16.726
9.911
Line number
Line number
Line number
Line number
Line number
7878
1
2
3
4
5
6
7
9
10
Line Number
Line Number
Line Number
Line Number
Line Number
7878
1
2
3
4
5
6
7
8
9
14
Twins
Twins
Twins
Twins
Twins
Were any of these births twins?
7878
1
Single
2
Twin
Sex of child
Sex of child
Sex of child
Sex of child
Sex of child
Is (name) a boy or a girl?
7878
1
Male
2
Female
9
Missing
Month of birth
Month of birth
Month of birth
Month of birth
Month of birth
In what month and year was (name) born?
Probe: What is his/her birthday?
7878
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
99
Missing
Year of birth
Year of birth
Year of birth
Year of birth
Year of birth
In what month and year was (name) born?
Probe: What is his/her birthday?
7878
1978
2012
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
9997
Inconsistent
9999
Missing
Still alive
Still alive
Still alive
Still alive
Still alive
Is (name) still alive?
7878
1
Yes
2
No
Age of child
Age of child
Age of child
Age of child
Age of child
How old was (name) at his/her last birthday?
Record age in completed years.
7631
247
33
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
31
32
33
99
Missing
Sysmiss
Living with respondent
Living with respondent
Living with respondent
Living with respondent
Living with respondent
Is (name) living with you?
7631
247
1
Yes
2
No
Sysmiss
Line number of child in HH
Line number of child in HH
Line number of child in HH
Line number of child in HH
Line number of child in HH
Record household line number of child (from HL1)
Record “00” if child is not listed.
7631
247
Not in household listing
1
2
3
4
5
6
7
8
9
10
11
12
Sysmiss
Age at death (units)
Age at death (units)
Age at death (units)
Age at death (units)
Age at death (units)
If dead:
How old was (name) when he/she died?
If "1 year", probe:
how many months old was (name)?
Record days if less than 1 month; record months
If less than 2 years; or years
247
7631
1
Days
2
Months
3
Years
9
Missing
Sysmiss
Age at death (number)
Age at death (number)
Age at death (number)
Age at death (number)
Age at death (number)
If dead:
How old was (name) when he/she died?
If "1 year", probe:
how many months old was (name)?
Record days if less than 1 month; record months
If less than 2 years; or years
247
7631
24
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
99
Missing
Sysmiss
Any other between births
Any other between births
Any other between births
Any other between births
Any other between births
Were there any other live births between (name of previous birth) and (name), including any children who died after birth?
3754
4124
1
Yes
2
No
9
Missing
Sysmiss
Area
Area
Area
Area
Area
Type of settlement:
Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area.
7878
1
Urban
2
Rural
Region
Region
Region
Region
Region
Circle the code for region as instructed/provided by your supervisor.
After the HH1-HH7 has been filled out, begin by saying the following to the respondent:
We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now?
You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate.
7878
1
Central Serbia without Belgrade
2
City of Belgrade
3
AP Vojvodina
4
Age
Age
Age
Age
Age
7878
1
15-19
2
20-24
3
25-29
4
30-34
5
35-39
6
40-44
7
45-49
CMC date of birth
CMC date of birth
CMC date of birth
CMC date of birth
CMC date of birth
7878
948
1349
1190.639
99.85
Date of interview women (CMC)
Date of interview women (CMC)
Date of interview women (CMC)
Date of interview women (CMC)
Date of interview women (CMC)
7878
1348
1349
1350
Date of birth of woman (CMC)
Date of birth of woman (CMC)
Date of birth of woman (CMC)
Date of birth of woman (CMC)
Date of birth of woman (CMC)
7878
749
1160
896.308
94.266
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
7878
1
6
1
Serbian
2
Hungarian
3
Bosnian
4
Roma
5
6
Other
7
Doesn't want to declare
9
Missing/DK
Education
Education
Education
Education
Education
7878
1
9
1
None
2
Primary
3
Secondary
4
Higher/High
9
Missing/DK
Mother’s/caretaker's ethnicity
Mother’s/caretaker's ethnicity
Mother’s/caretaker's ethnicity
Mother’s/caretaker's ethnicity
Mother’s/caretaker's ethnicity
7878
1
Moldovan/Romanian
2
Russian
3
Ukrainian
4
Roma(Gypsy)
5
Gagauz
6
Other ethnic group
9
Missing/DK
Birth order
Birth order
Birth order
Birth order
Birth order
7878
1
4
1
1
2
2-3
3
4-6
4
7+
Mother's age at birth
Mother's age at birth
Mother's age at birth
Mother's age at birth
Mother's age at birth
7878
1
3
1
<20
2
20-34
3
35+
Previous birth interval
Previous birth interval
Previous birth interval
Previous birth interval
Previous birth interval
7878
8286.285
4
First birth
1
<2 years
2
2 years
3
3 years
4
4+ years
Wealth index score
Wealth index score
Wealth index score
Wealth index score
Wealth index score
7878
-2.187
1.889
0.117
0.961
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
7878
1
Poorest
2
Second
3
Middle
4
Fourth
5
Richest
Women's sample weight
Women's sample weight
Women's sample weight
Women's sample weight
Women's sample weight
7878
0.221
3.133
1.052
0.451
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
Enter the cluster number as instructed by your supervisor.
1940
1
400
207.847
118.59
Household number
Household number
Household number
Household number
Household number
Enter the household number as instructed by your supervisor.
1940
1
56
17.84
10.34
Line number
Line number
Line number
Line number
Line number
1940
2
3
4
5
6
7
8
9
10
11
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
UF1-UF8 should be filled in before you start the interview.
Enter the cluster number from the Household Questionnaire, question HH1.
1940
1
400
207.847
118.59
Household number
Household number
Household number
Household number
Household number
UF1-UF8 should be filled in before you start the interview.
Enter the household number from the Household Questionnaire, question HH2.
1940
1
56
17.84
10.34
Child's line number
Child's line number
Child's line number
Child's line number
Child's line number
UF1-UF8 should be filled in before you start the interview.
Enter the child's line number from the Household Questionnaire, column HL1 of the Household Listing.
1940
2
3
4
5
6
7
8
9
10
11
Mother / Caretaker's line number
Mother / Caretaker's line number
Mother / Caretaker's line number
Mother / Caretaker's line number
Mother / Caretaker's line number
UF1-UF8 should be filled in before you start the interview.
Enter the mother's/primary caretaker's line number from the Household Questionnaire, column HL1 of the Household Listing.
1940
1
2
3
4
5
6
7
9
Interviewer number
Interviewer number
Interviewer number
Interviewer number
Interviewer number
UF1-UF8 should be filled in before you start the interview.
Enter your own name and identifying number. You will be provided with these identification numbers during training.
1940
3
108
53.621
16.193
Day of interview
Day of interview
Day of interview
Day of interview
Day of interview
UF1-UF8 should be filled in before you start the interview.
Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child.
1940
1
31
15.64
8.522
Month of interview
Month of interview
Month of interview
Month of interview
Month of interview
UF1-UF8 should be filled in before you start the interview.
Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child.
1940
4
5
6
Year of interview
Year of interview
Year of interview
Year of interview
Year of interview
UF1-UF8 should be filled in before you start the interview.
Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child.
1940
2012
Result of interview for children under 5
Result of interview for children under 5
Result of interview for children under 5
Result of interview for children under 5
Result of interview for children under 5
Complete this question once you have concluded the interview. Remember that the code refers to the mother or primary caretaker of the under-five child. Circle the code corresponding to the results of the interview. If the questionnaire is completed, circle '01' for 'Completed'. If you have not been able to contact the mother/primary caretaker after repeated visits, circle '02' for 'Not at home'. If the mother/primary caretaker refuses to be interviewed, circle '03' for 'Refused'. If you were able to only partly complete the questionnaire, circle '04' for 'Partly completed'. If the mother/primary caretaker is incapacitated, circle '05'. If you have not been able to complete this questionnaire for another reason, you should circle '96' for 'Other' and specify the reason in the space provided.
1940
1
Completed
2
Not at home
3
Refused
4
Partly completed
5
Incapacitated
96
Other
Field editor
Field editor
Field editor
Field editor
Field editor
Field edited by:
Leave this space blank. The field editor will later enter his/her name and number in the space provided when checking the completed questionnaires.
1940
1
30
22.625
4.891
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
Leave this space blank. The data clerk will enter his/her name and number in the space provided.
1940
1
2
3
4
5
6
7
8
9
10
11
12
13
14
18
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Record the time of the day you start the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute.
1869
71
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
99
Missing
Sysmiss
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Record the time of the day you start the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute.
1869
71
59
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
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
99
Missing
Sysmiss
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
Record the time of the day you finish the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the questionnaire for children under five, revise and enter starting (UF12) and ending times (UF13) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the questionnaire regarding this.
1869
71
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
99
Missing
Sysmiss
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
Record the time of the day you finish the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the questionnaire for children under five, revise and enter starting (UF12) and ending times (UF13) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the questionnaire regarding this.
1869
71
59
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
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
99
Missing
Sysmiss
Day of birth of child
Day of birth of child
Day of birth of child
Day of birth of child
Day of birth of child
Now I would like to ask you some questions about the health of (name).
In what day, month and year was (name) born?
Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately.
If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth.
Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child.
If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008.
If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct.
Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age.
1869
71
1
98
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
31
97
Inconsistent
98
DK
99
Missing
Sysmiss
Month of birth of child
Month of birth of child
Month of birth of child
Month of birth of child
Month of birth of child
Now I would like to ask you some questions about the health of (name).
In what day, month and year was (name) born?
Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately.
If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth.
Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child.
If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008.
If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct.
Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
98
DK
99
Missing
Sysmiss
Year of birth of child
Year of birth of child
Year of birth of child
Year of birth of child
Year of birth of child
Now I would like to ask you some questions about the health of (name).
In what day, month and year was (name) born?
Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately.
If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth.
Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child.
If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008.
If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct.
Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age.
1869
71
2007
2008
2009
2010
2011
2012
9997
Inconsistent
9999
Missing
Sysmiss
Age of child
Age of child
Age of child
Age of child
Age of child
How old is (name)?
After having obtained the child's date of birth, ask the child's age in completed years, and record in the space provided. Remember, ages must refer to the last birthday. Probe if necessary by asking “How old was (name) at his/her last birthday?”
If the mother/primary caretaker does not know the current age of the child, try asking “How many years ago was (name) born?” You may help the respondent by relating the child's age to that of other children or to some important event or to the season of birth, by asking, for example, “How many wet seasons ago was (name) born?”
Record age in completed years. Record '0' if the child is less than 1 year old.
Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age.
1869
71
1
2
3
4
Sysmiss
Birth certificate
Birth certificate
Birth certificate
Birth certificate
Birth certificate
Does (name) have a birth certificate?
This question aims to provide an estimate of the extent of birth registration in your country. Respondents must be assured that the information about individual families will never be given to authorities, and that they cannot be identified in any way.
If the answer is yes, ask “May I see it?” and circle the appropriate corresponding code, noting whether or not the certificate was seen. If the child has a birth certificate and it was seen, circle '1' and go to next module. If the child has a birth certificate but the mother/primary caretaker is unable to show you the certificate, circle '2' and go to next module. If the child does not have a birth certificate '3' or the respondent does not know '8' continue to the next question.
1869
71
1
Yes, seen
2
Yes, not seen
3
No
8
DK
9
Missing
Sysmiss
Birth registered
Birth registered
Birth registered
Birth registered
Birth registered
Has (name)'s birth been registered with the civil authorities?
Circle the code corresponding to the response. If the answer is 'Yes', go to next module. If the child's birth has not been registered with civil authorities or the respondent does not know, continue to the next question.
63
1877
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Know how to register birth
Know how to register birth
Know how to register birth
Know how to register birth
Know how to register birth
Do you know how to register your child’s birth?
The purpose of this question is to assess how important lack of knowledge (of the process of registering or, if applicable, the place to go to register) may be among the reasons for non-registration. This information can inform advocacy efforts and help in the formulation of education campaigns.
Circle the code corresponding to the response.
8
1932
1
Yes
2
No
9
Missing
Sysmiss
Costs too much
Costs too much
Costs too much
Costs too much
Costs too much
Why didn't you register your child at the civil authority?
A. It is expensive
A
Costs too much
Must travel too far
Must travel too far
Must travel too far
Must travel too far
Must travel too far
Why didn't you register your child at the civil authority?
B. It is too far
B
Must travel too far
Did not know it should be registered
Did not know it should be registered
Did not know it should be registered
Did not know it should be registered
Did not know it should be registered
Why didn't you register your child at the civil authority?
C. I didn’t know that I had to register my child
C
Did not know it should be registered
The child is more than 6 months and I don't want to pay fine for his/her delayed registration
The child is more than 6 months and I don't want to pay fine for his/her delayed registration
The child is more than 6 months and I don't want to pay fine for his/her delayed registration
The child is more than 6 months and I don't want to pay fine for his/her delayed registration
The child is more than 6 months and I don't want to pay fine for his/her delayed registration
Why didn't you register your child at the civil authority?
D. The child is over 6 months and I don’t want to pay a penalty for late registration
D
The child is more than 6 months and I don't want to pay fine
Does not know where to register
Does not know where to register
Does not know where to register
Does not know where to register
Does not know where to register
Why didn't you register your child at the civil authority?
E. I don’t know where registration is made
E
Does not know where to register
The baby is too young and I have enough time for his/her registration
The baby is too young and I have enough time for his/her registration
The baby is too young and I have enough time for his/her registration
The baby is too young and I have enough time for his/her registration
The baby is too young and I have enough time for his/her registration
Why didn't you register your child at the civil authority?
F. The child is too small and I do not have enough time to register him/her
3
F
The baby is too young and I have enough time for his/her reg
I don't have a name yet
I don't have a name yet
I don't have a name yet
I don't have a name yet
I don't have a name yet
Why didn't you register your child at the civil authority?
G. I don’t have a name yet
G
I don't have a name yet
I have no time
I have no time
I have no time
I have no time
I have no time
Why didn't you register your child at the civil authority?
H. I have no time
H
I have no time
I don't have other documents for registration
I don't have other documents for registration
I don't have other documents for registration
I don't have other documents for registration
I don't have other documents for registration
Why didn't you register your child at the civil authority?
I. I don’t have other documents for registration
4
I
I don't have other documents for registration
Other
Other
Other
Other
Other
Why didn't you register your child at the civil authority?
X. Other (specify)
2
X
Other
DK
DK
DK
DK
DK
Why didn't you register your child at the civil authority?
Z. DK
Z
DK
Number of children's books or picture books for child
Number of children's books or picture books for child
Number of children's books or picture books for child
Number of children's books or picture books for child
Number of children's books or picture books for child
How many children’s books or picture books do you have for (name)?
This question asks specifically about children's books or picture books for the child. This excludes schoolbooks (appropriate for or belonging to older children), as well as other books for adults that are present in the household.
Record the number of books in the space provided. There is no need to make an actual count of books yourself. Rely on the respondent's answer, and avoid asking to see and count the books yourself, since this is likely to require extra time. If the respondent is unsure about the number of children's books or picture books and is not able to provide an answer the first time you ask the question, ask her/him if there are more than 10 such books. If yes, circle '10'. If she/he says that there are less than 10 such books, probe further to get an exact number. If there are no such books in the household, record '00'.
1869
71
1
2
3
4
5
6
7
8
9
10
Ten or more books
99
Missing
Sysmiss
Homemade toys
Homemade toys
Homemade toys
Homemade toys
Homemade toys
I am interested in learning about the things that (name) plays with when he/she is at home.
Does he/she play with: homemade toys (such as dolls, cars or some other toys made at home)?
This question is used to learn about different types of playthings used by the child. We want to know if the child has objects to play with, and what these are, even if they do not include store-bought toys. We are interested in learning about other objects that are used as playthings, such as ordinary household objects and natural materials.
Extra care should be taken to ask this question and record the responses. Experience has shown that respondents find it very easy to give the same answer to a list of different playthings. Often they will answer 'Yes' to all items, whether or not it is true, perhaps because they think this is the 'correct' response or one that will please the interviewer.
Do not pause after reading the first sentence and continue by saying “Does he/she play with” and start asking whether the child plays with playthings from each of the categories listed. For example, ask: “Does he/she play with homemade toys (such as dolls, cars, or other toys made at home)?” and so on.
If the respondent answers 'Yes' to any of these prompted categories, then probe to learn specifically what the child plays with to ascertain the response. For example, probe by saying “What does he/she specifically play with?” or “Can you please give an example?” If you ascertain that the child uses playthings that would fall into each of the prompted categories, circle '1'. If the child doesn't play with items mentioned in a specific category, or the respondent doesn't know circle '2' or '8', for that specific category. Read each category aloud and circle the code corresponding to the response before proceeding to the next category.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Toys from shops
Toys from shops
Toys from shops
Toys from shops
Toys from shops
I am interested in learning about the things that (name) plays with when he/she is at home.
Does he/she play with: toys from a shop or manufactured toys?
This question is used to learn about different types of playthings used by the child. We want to know if the child has objects to play with, and what these are, even if they do not include store-bought toys. We are interested in learning about other objects that are used as playthings, such as ordinary household objects and natural materials.
Extra care should be taken to ask this question and record the responses. Experience has shown that respondents find it very easy to give the same answer to a list of different playthings. Often they will answer 'Yes' to all items, whether or not it is true, perhaps because they think this is the 'correct' response or one that will please the interviewer.
Do not pause after reading the first sentence and continue by saying “Does he/she play with” and start asking whether the child plays with playthings from each of the categories listed. For example, ask: “Does he/she play with homemade toys (such as dolls, cars, or other toys made at home)?” and so on.
If the respondent answers 'Yes' to any of these prompted categories, then probe to learn specifically what the child plays with to ascertain the response. For example, probe by saying “What does he/she specifically play with?” or “Can you please give an example?” If you ascertain that the child uses playthings that would fall into each of the prompted categories, circle '1'. If the child doesn't play with items mentioned in a specific category, or the respondent doesn't know circle '2' or '8', for that specific category. Read each category aloud and circle the code corresponding to the response before proceeding to the next category.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Household objects or outside objects
Household objects or outside objects
Household objects or outside objects
Household objects or outside objects
Household objects or outside objects
I am interested in learning about the things that (name) plays with when he/she is at home.
Does he/she play with: household objects (such as bowls or pots) or objects found outside (such as sticks, rocks, animal shells or leaves etc.)?
This question is used to learn about different types of playthings used by the child. We want to know if the child has objects to play with, and what these are, even if they do not include store-bought toys. We are interested in learning about other objects that are used as playthings, such as ordinary household objects and natural materials.
Extra care should be taken to ask this question and record the responses. Experience has shown that respondents find it very easy to give the same answer to a list of different playthings. Often they will answer 'Yes' to all items, whether or not it is true, perhaps because they think this is the 'correct' response or one that will please the interviewer.
Do not pause after reading the first sentence and continue by saying “Does he/she play with” and start asking whether the child plays with playthings from each of the categories listed. For example, ask: “Does he/she play with homemade toys (such as dolls, cars, or other toys made at home)?” and so on.
If the respondent answers 'Yes' to any of these prompted categories, then probe to learn specifically what the child plays with to ascertain the response. For example, probe by saying “What does he/she specifically play with?” or “Can you please give an example?” If you ascertain that the child uses playthings that would fall into each of the prompted categories, circle '1'. If the child doesn't play with items mentioned in a specific category, or the respondent doesn't know circle '2' or '8', for that specific category. Read each category aloud and circle the code corresponding to the response before proceeding to the next category.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
In past week, days left alone for more than 1 hour
In past week, days left alone for more than 1 hour
In past week, days left alone for more than 1 hour
In past week, days left alone for more than 1 hour
In past week, days left alone for more than 1 hour
Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children.
On how many days in the past week was (name):
Left alone for more than an hour?
This question is used to assess whether children are at increased risk, either because they are left alone or are left with a child as caregiver. These situations have been shown to be associated with higher risk for children.
The question sets up a hypothetical situation, one in which the mother/primary caretaker would be gone for more than just a moment - situations in which the child could be left alone for an hour or more. The question specifies that we want to know about situations in which the respondent actually leaves the premises, not simply going out of sight of the child, such as to another part or another room of the house.
Enter the response in the spaces provided. If the child was not left in the care of another child during this period, enter '0' for 'None'.If the answer is “don’t know“, enter “8“. Note that 'another child' is defined as a child less than 10 years old.
1869
71
None
1
2
3
4
7
8
DK
9
Missing
Sysmiss
In past week, days left with other child for more than 1 hour
In past week, days left with other child for more than 1 hour
In past week, days left with other child for more than 1 hour
In past week, days left with other child for more than 1 hour
In past week, days left with other child for more than 1 hour
Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children.
On how many days in the past week was (name):
Left in the care of another child, that is, someone less than 10 years old, for more than an hour?
This question is used to assess whether children are at increased risk, either because they are left alone or are left with a child as caregiver. These situations have been shown to be associated with higher risk for children.
The question sets up a hypothetical situation, one in which the mother/primary caretaker would be gone for more than just a moment - situations in which the child could be left alone for an hour or more. The question specifies that we want to know about situations in which the respondent actually leaves the premises, not simply going out of sight of the child, such as to another part or another room of the house.
Enter the response in the spaces provided. If the child was not left in the care of another child during this period, enter '0' for 'None'.If the answer is “don’t know“, enter “8“. Note that 'another child' is defined as a child less than 10 years old.
1869
71
None
1
2
3
4
5
6
7
8
DK
9
Missing
Sysmiss
Attends early childhood education programme
Attends early childhood education programme
Attends early childhood education programme
Attends early childhood education programme
Attends early childhood education programme
Does (name) attend any organized learning or early childhood education programme, such as a private or government facility, including kindergarten or community child care?
This question aims to find out if the child is participating in early learning activities. Baby-sitting or child-minding, even if done in a special place such as a day-care centre, does not qualify as such a programme unless it includes organized learning activities. You must ensure that the mother or primary caretaker understands the meaning of 'Early Childhood Education Programme', explaining it as instructed.
Circle the appropriate code. Skip to EC7 if the answer to this question is 'No' or 'DK'.
733
1207
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Within last 7 days, hours attended education
Within last 7 days, hours attended education
Within last 7 days, hours attended education
Within last 7 days, hours attended education
Within last 7 days, hours attended education
Within the last seven days, about how many hours did (name) attend?
This question is asked if the child is attending an early childhood education programme. Record the estimated number of hours the child attended any organized learning or early childhood education programme in the last 7 days (excluding the day of interview). Use a leading zero if necessary.
547
1393
99
1
4
5
7
8
9
10
12
13
15
16
17
18
19
20
21
24
25
27
28
29
30
32
35
36
40
43
45
46
48
49
50
53
54
55
56
60
99
Missing
Sysmiss
Books-Mother
Books-Mother
Books-Mother
Books-Mother
Books-Mother
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
474
?
Missing
A
Mother
Books-Father
Books-Father
Books-Father
Books-Father
Books-Father
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
131
?
Missing
B
Father
Books-Other
Books-Other
Books-Other
Books-Other
Books-Other
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
171
?
Missing
X
Other
Books-No one
Books-No one
Books-No one
Books-No one
Books-No one
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
160
?
Missing
Y
No one
Tell stories-Mother
Tell stories-Mother
Tell stories-Mother
Tell stories-Mother
Tell stories-Mother
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
494
?
Missing
A
Mother
Tell stories-Father
Tell stories-Father
Tell stories-Father
Tell stories-Father
Tell stories-Father
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
136
?
Missing
B
Father
Tell stories-Other
Tell stories-Other
Tell stories-Other
Tell stories-Other
Tell stories-Other
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
182
?
Missing
X
Other
Tell stories-No one
Tell stories-No one
Tell stories-No one
Tell stories-No one
Tell stories-No one
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
100
?
Missing
Y
No one
Sang songs-Mother
Sang songs-Mother
Sang songs-Mother
Sang songs-Mother
Sang songs-Mother
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabies?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
439
?
Missing
A
Mother
Sang songs-Father
Sang songs-Father
Sang songs-Father
Sang songs-Father
Sang songs-Father
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabies?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
65
?
Missing
B
Father
Sang songs-Other
Sang songs-Other
Sang songs-Other
Sang songs-Other
Sang songs-Other
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabies?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
140
?
Missing
X
Other
Sang songs-No one
Sang songs-No one
Sang songs-No one
Sang songs-No one
Sang songs-No one
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabies?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
198
?
Missing
Y
No one
Took outside-Mother
Took outside-Mother
Took outside-Mother
Took outside-Mother
Took outside-Mother
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
588
?
Missing
A
Mother
Took outside-Father
Took outside-Father
Took outside-Father
Took outside-Father
Took outside-Father
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
276
?
Missing
B
Father
Took outside-Other
Took outside-Other
Took outside-Other
Took outside-Other
Took outside-Other
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
204
?
Missing
X
Other
Took outside-No one
Took outside-No one
Took outside-No one
Took outside-No one
Took outside-No one
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
41
?
Missing
Y
No one
Played with-Mother
Played with-Mother
Played with-Mother
Played with-Mother
Played with-Mother
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
585
?
Missing
A
Mother
Played with-Father
Played with-Father
Played with-Father
Played with-Father
Played with-Father
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
310
?
Missing
B
Father
Played with-Other
Played with-Other
Played with-Other
Played with-Other
Played with-Other
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
259
?
Missing
X
Other
Played with-No one
Played with-No one
Played with-No one
Played with-No one
Played with-No one
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
35
?
Missing
Y
No one
Named/counted-Mother
Named/counted-Mother
Named/counted-Mother
Named/counted-Mother
Named/counted-Mother
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
552
?
Missing
A
Mother
Named/counted-Father
Named/counted-Father
Named/counted-Father
Named/counted-Father
Named/counted-Father
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
158
?
Missing
B
Father
Named/counted-Other
Named/counted-Other
Named/counted-Other
Named/counted-Other
Named/counted-Other
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
169
?
Missing
X
Other
Named/counted-No one
Named/counted-No one
Named/counted-No one
Named/counted-No one
Named/counted-No one
In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)?
Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?"
For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled.
Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here.
83
?
Missing
Y
No one
Child identifies at least ten letters of the alphabet
Child identifies at least ten letters of the alphabet
Child identifies at least ten letters of the alphabet
Child identifies at least ten letters of the alphabet
Child identifies at least ten letters of the alphabet
I would like to ask you some questions about the health and development of your child. Children do not all develop and learn at the same rate. For example, some walk earlier than others. These questions are related to several aspects of your child’s development.
Can (name) identify or name at least ten letters of the alphabet?
Circle the code corresponding to the response. A 'Yes' answer means that the child can name ten or more letters of the alphabet while a 'No' answer means that the child can name less than ten or none at all.
733
1207
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child reads at least four simple, popular words
Child reads at least four simple, popular words
Child reads at least four simple, popular words
Child reads at least four simple, popular words
Child reads at least four simple, popular words
Can (name) read at least four simple, popular words?
Circle the code corresponding to the response. A 'Yes' response means that the child can read at least four simple, popular words while a 'No' response means that the child can only read one or two, or none at all.
733
1207
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child knows name and recognizes symbol of all numbers from 1-10
Child knows name and recognizes symbol of all numbers from 1-10
Child knows name and recognizes symbol of all numbers from 1-10
Child knows name and recognizes symbol of all numbers from 1-10
Child knows name and recognizes symbol of all numbers from 1-10
Does (name) know the name and recognize the symbol of all numbers from 1 to 10?
Circle the code corresponding to the response. If parent seems hesitant, prompt with “does the child know '1'? Does the child know 2?” etc. A 'Yes' answer means that the child can recognize the symbol of all numbers from 1 to 10 while a 'No' answer means that the child can recognize less than ten or none at all.
733
1207
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child able to pick up small object with 2 fingers
Child able to pick up small object with 2 fingers
Child able to pick up small object with 2 fingers
Child able to pick up small object with 2 fingers
Child able to pick up small object with 2 fingers
Can (name) pick up a small object with two fingers, like a stick or a rock from the ground?
Circle the code corresponding to the response. If necessary, use the pen you are holding to demonstrate the grip. Consider the small objects mentioned before when asking about the items children play with (sticks, rocks, animal shells or leaves). A 'Yes' answer means that the child is able to pick up small objects without difficulty while a 'No' answer means that the child seems to have difficulty with small items.
733
1207
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child sometimes too sick to play
Child sometimes too sick to play
Child sometimes too sick to play
Child sometimes too sick to play
Child sometimes too sick to play
Is (name) sometimes too sick to play?
Circle the code corresponding to the response. A 'Yes' answer means that the child often gets sick and cannot play or do many physical activities, while a 'No' answer is in cases when the child is consistently ready to be active and play and only appears tired when it is appropriate for him/her to be so (e.g., in the evening; at the usual nap time).
733
1207
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child follows simple directions
Child follows simple directions
Child follows simple directions
Child follows simple directions
Child follows simple directions
Does (name) follow simple directions on how to do something correctly?
Circle the code corresponding to the response. A 'Yes' answer means that the child can do things easily and correctly when asked to do so while a 'No' answer means that the child usually does not accomplish the simple tasks she/he is given successfully. Do not concern yourself with the reasons why not.
733
1207
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child able to do something independently
Child able to do something independently
Child able to do something independently
Child able to do something independently
Child able to do something independently
When given something to do, is (name) able to do it independently?
Circle the code corresponding to the response. A 'Yes' answer means that the child is able to occupy herself/himself independently for an appropriate length of time, without constant asking for assistance or giving up quickly (e.g., colouring, building structures, etc.) while a 'No' answer means that the child cannot occupy herself/himself independently, asks for help or assistance, or gives up the work/play easily if not provided with help.
733
1207
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child gets along well with other children
Child gets along well with other children
Child gets along well with other children
Child gets along well with other children
Child gets along well with other children
Does (name) get along well with other children?
Circle the code corresponding to the response. A 'Yes' answer means that the child does well playing and interacting with other children while a 'No' answer means that the child is uncomfortable around other children, prefers to be alone, or gets into conflicts.
733
1207
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child kicks, bites or hits other children or adults
Child kicks, bites or hits other children or adults
Child kicks, bites or hits other children or adults
Child kicks, bites or hits other children or adults
Child kicks, bites or hits other children or adults
Does (name) kick, bite or hit other children or adults?
Circle the code corresponding to the response. A 'Yes' answer means that the parent has noticed that the child can physically hurt (kick, bite, hit) other children while a 'No' answer means that the child does not do it. Do not concern yourself with what may be the reason of such behaviour (e.g., if parent tries to explain the reasons, or excuse the child).
733
1207
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child gets distracted easily
Child gets distracted easily
Child gets distracted easily
Child gets distracted easily
Child gets distracted easily
Does (name) gets distracted easily?
Circle the code corresponding to the response. A 'Yes' answer means that the child has difficulty sticking with/continuing any activity for the necessary length of time, gets easily distracted by anything happening around her/him, or finds other activities before completing the one started while a 'No' answer means that the child doesn't get easily distracted.
733
1207
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child ever been breastfed
Child ever been breastfed
Child ever been breastfed
Child ever been breastfed
Child ever been breastfed
Has (name) ever been breastfed?
This question asks if the child has ever been breastfed. It includes any breastfeeding experience of the child - not necessarily by the mother/primary caretaker.
Circle the code corresponding to the response. Continue to the next question if the child was ever breastfed ('1'). If the child was never breastfed, circle 'No' and skip to BF3. Skip to BF3 in the case of a 'DK' response as well.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child still being breastfed
Child still being breastfed
Child still being breastfed
Child still being breastfed
Child still being breastfed
Is he/she still being breastfed?
'Being breastfed' is defined as putting the child to the breast at least once a day.
Circle the code corresponding to the response.
The questions BF3-BF18 asks about what the child was fed in the preceding 24 hours. The purpose of these questions is to determine what liquids or foods the child was given. Make sure that the respondent understands the question, particularly what is meant by 'yesterday, during the day or night'.
Circle the code corresponding to the response. If the mother/primary caretaker does not know the answer, repeat the question using other local words for the fluid or food. If the answer is still not known, circle '8' for 'DK'.
Note that for infant formula, milk, yogurt, and solid/semi-solid mushy food, the number of times the child had the food is also asked.
1771
169
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank plain water yesterday
Child drank plain water yesterday
Child drank plain water yesterday
Child drank plain water yesterday
Child drank plain water yesterday
I would like to ask you about liquids that (name) may have had yesterday during the day or the night. I am interested in whether (name) had the item even if it was combined with other foods.
Did (name) drink plain water yesterday, during the day or night?
Circle the code corresponding to the response.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank infant formula yesterday
Child drank infant formula yesterday
Child drank infant formula yesterday
Child drank infant formula yesterday
Child drank infant formula yesterday
Did (name) drink infant formula yesterday, during the day or night?
Circle the code corresponding to the response. If the answer is 'No' or 'DK,' skip to BF6.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Times child drank infant formula
Times child drank infant formula
Times child drank infant formula
Times child drank infant formula
Times child drank infant formula
How many times did (name) drink infant formula?
Record the number of times the child had infant formula.
245
1695
1
2
3
4
5
6
7
8
10
99
Missing
Sysmiss
Child drank milk yesterday
Child drank milk yesterday
Child drank milk yesterday
Child drank milk yesterday
Child drank milk yesterday
Did (name) drink milk, such as tinned, powdered or fresh animal milk yesterday, during the day or night?
Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF8.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Times child drank milk
Times child drank milk
Times child drank milk
Times child drank milk
Times child drank milk
How many times did (name) drink tinned, powdered or fresh animal milk?
Record the number of times the child had tinned, powdered or fresh animal milk.
807
1133
1
2
3
4
5
6
7
8
9
10
99
Missing
Sysmiss
Child drank juice or juice drinks yesterday
Child drank juice or juice drinks yesterday
Child drank juice or juice drinks yesterday
Child drank juice or juice drinks yesterday
Child drank juice or juice drinks yesterday
Did (name) drink juice or juice drinks yesterday, during the day or night?
Circle the code corresponding to the response.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank soup yesterday
Child drank soup yesterday
Child drank soup yesterday
Child drank soup yesterday
Child drank soup yesterday
Did (name) drink clear broth/clear soup yesterday, during the day or night?
Circle the code corresponding to the response.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank or ate vitamin or mineral supplements yesterday
Child drank or ate vitamin or mineral supplements yesterday
Child drank or ate vitamin or mineral supplements yesterday
Child drank or ate vitamin or mineral supplements yesterday
Child drank or ate vitamin or mineral supplements yesterday
Did (name) drink or eat vitamin or mineral supplements or any medicines yesterday, during the day or night?
Circle the code corresponding to the response.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank ORS yesterday
Child drank ORS yesterday
Child drank ORS yesterday
Child drank ORS yesterday
Child drank ORS yesterday
Did (name) drink ORS (oral rehydratation solution) yesterday, during the day or night?
Oral Rehydration Solution is a simple and inexpensive solution that can be prepared at home, consisting of sugar, salt, and water and can decrease fluid loss in children with diarrhoea.
Circle the code corresponding to the response.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank any other liquid yesterday
Child drank any other liquid yesterday
Child drank any other liquid yesterday
Child drank any other liquid yesterday
Child drank any other liquid yesterday
Did (name) drink any other liquids yesterday, during the day or night?
Circle the code corresponding to the response.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank or ate yogurt yesterday
Child drank or ate yogurt yesterday
Child drank or ate yogurt yesterday
Child drank or ate yogurt yesterday
Child drank or ate yogurt yesterday
Did (name) drink or eat yogurt yesterday, during the day or night?
Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF15.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Times drank or ate yogurt
Times drank or ate yogurt
Times drank or ate yogurt
Times drank or ate yogurt
Times drank or ate yogurt
How many times did (name) drink or eat yogurt yesterday, during the day or night?
Record the number of times the child had yogurt.
568
1372
1
2
3
4
8
10
99
Missing
Sysmiss
Child ate thin porridge yesterday
Child ate thin porridge yesterday
Child ate thin porridge yesterday
Child ate thin porridge yesterday
Child ate thin porridge yesterday
Did (name) eat thin porridge yesterday, during the day or night?
Circle the code corresponding to the response.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child ate solid or semi-solid food yesterday
Child ate solid or semi-solid food yesterday
Child ate solid or semi-solid food yesterday
Child ate solid or semi-solid food yesterday
Child ate solid or semi-solid food yesterday
Did (name) eat solid or semi-solid (soft, mushy) food yesterday, during the day or night?
Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF18.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Times child ate solid or semi-solid food
Times child ate solid or semi-solid food
Times child ate solid or semi-solid food
Times child ate solid or semi-solid food
Times child ate solid or semi-solid food
How many times did (name) eat solid or semi-solid (soft, mushy) food yesterday, during the day or night?
Record the number of times the child had solid or semi-solid food.
1416
524
1
2
3
4
5
6
7
8
20
99
Missing
Sysmiss
Child drank anything else from the bottle with a nipple yesterday
Child drank anything else from the bottle with a nipple yesterday
Child drank anything else from the bottle with a nipple yesterday
Child drank anything else from the bottle with a nipple yesterday
Child drank anything else from the bottle with a nipple yesterday
Yesterday, during the day or night, did (name) drink anything from a bottle with a nipple?
Circle the code corresponding to the response.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child had diarrhoea in last 2 weeks
Child had diarrhoea in last 2 weeks
Child had diarrhoea in last 2 weeks
Child had diarrhoea in last 2 weeks
Child had diarrhoea in last 2 weeks
In the last two weeks, has (name) had diarrhoea?
Diarrhoea is determined by the perception of the mother or caretaker, or by three or more loose or watery stools per day, or by blood in stool.
Record the mother's/primary caretaker's answer by circling the corresponding code. If a respondent is not sure what is meant by diarrhoea, tell her/him it means “three or more loose or watery stools per day, or blood in the stool.” Make sure the respondent understands what is meant by 'in the last 2 weeks'. If the child has not had diarrhoea in the last 2 weeks or the caretaker doesn't know, skip to CA7.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child drank less or more during illness
Child drank less or more during illness
Child drank less or more during illness
Child drank less or more during illness
Child drank less or more during illness
I would like to know how much (name) was given to drink during the diarrhoea (including breastmilk).
During the time (name) had diarrhoea, was he/she given less than usual to drink, about the same amount, or more than usual?
If dehydrated, a child may take more fluids than usual. We want to know if the pattern of fluid consumption changed during diarrhoea. The focus in this question is on how much fluid was actually consumed by the child.
Ask the question just as it is worded here. Read out the entire question and circle the appropriate code for the caretaker's response. Get the respondent's best judgement of the relative amount of total fluids actually consumed by the child. All fluids are included, not just special ones given during diarrhoea. For example, water, tea, fruit juice, breastmilk and formula are included as well as special fluids such as ORS.
If the child was given less drink than usual during the diarrhoea, probe: “Was he/she given much less than usual to drink, or somewhat less?”
Try to find out what actually happened, not what the respondent thinks ought to have happened. An answer such as, “A child with diarrhoea (or 'a child who is ill') needs more fluids” is not satisfactory. You would need to ask, “But how much did your child actually drink during this diarrhoea?”
It may be difficult to estimate the relative amount of breastmilk taken by the child. The respondent may make an estimate based on whether the child nursed longer or more frequently.
133
1807
1
Much less
2
Somewhat less
3
About the same
4
More
5
Nothing to drink
8
DK
9
Missing
Sysmiss
Child ate less or more during illness
Child ate less or more during illness
Child ate less or more during illness
Child ate less or more during illness
Child ate less or more during illness
During the time (name) had diarrhoea, was he/she given less than usual to eat, about the same amount, more than usual, or nothing to eat?
During an episode of diarrhoea or other illness, a child may change the amount usually eaten. The focus in this question is on how much food was actually consumed by the child.
Ask the question just as it is worded here. Read out the entire question and circle the code corresponding to the caretaker's response. Get the caretaker's best judgement of the relative amount of total food actually consumed by the child.
Try to find out what actually happened, not what the caretaker thinks ought to have happened. An answer such as, “A child with diarrhoea (or 'a child who is ill') needs more food” is not satisfactory. You would need to ask, “But how much did your child actually eat during this diarrhoea?”
If the caretaker replies that the child took only fluids (that is, the child did not 'eat'), circle '5' for 'Stopped food'. If the child was given less than usual to eat during the diarrhoea, probe: “Was he/she given much less than usual to eat, or somewhat less?”. Then circle the appropriate code. If the mother/primary caretaker offered more food than usual, but the child ate much less, the answer is 'much less'; circle '1'.
Make sure that the respondent understands that this includes breastmilk, if the child is still being breastfed. If the child is very young and the caretaker replies that he/she takes only fluids or breastmilk (that is, has not started 'eating' yet), there is no need to probe, since 'drinking' and 'eating' count as the same for this child. Circle the answer for this question (eating) that comes closest to the answer you circle for CA4 (drinking).
133
1807
1
Much less
2
Somewhat less
3
About the same
4
More
5
Stopped food
6
Never gave food
8
DK
9
Missing
Sysmiss
A FLUID MADE FROM A SPECIAL PACKET CALLED REHIDRON (REHIDOL, HIDOREG)?
A FLUID MADE FROM A SPECIAL PACKET CALLED REHIDRON (REHIDOL, HIDOREG)?
A FLUID MADE FROM A SPECIAL PACKET CALLED REHIDRON (REHIDOL, HIDOREG)?
A FLUID MADE FROM A SPECIAL PACKET CALLED REHIDRON (REHIDOL, HIDOREG)?
A FLUID MADE FROM A SPECIAL PACKET CALLED REHIDRON (REHIDOL, HIDOREG)?
During the episode of diarrhoea, was (name) given to drink any of the following:
A fluid made from a special packet called rehidron (rehidol, hidoreg)?
We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea.
Ask each question separately: “Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?” and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item.
133
1807
1
Yes
2
No
8
DK
9
Missing
Sysmiss
A PRE-PACKAGED ORS FLUID FOR DIARRHOEA?
A PRE-PACKAGED ORS FLUID FOR DIARRHOEA?
A PRE-PACKAGED ORS FLUID FOR DIARRHOEA?
A PRE-PACKAGED ORS FLUID FOR DIARRHOEA?
A PRE-PACKAGED ORS FLUID FOR DIARRHOEA?
During the episode of diarrhoea, was (name) given to drink any of the following:
A pre-packaged ORS fluid for diarrhoea?
We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea.
Ask each question separately: “Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?” and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item.
133
1807
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Anything else given to treat the diarrhoea
Anything else given to treat the diarrhoea
Anything else given to treat the diarrhoea
Anything else given to treat the diarrhoea
Anything else given to treat the diarrhoea
Was anything (else) given to treat diarrhoea?
This question asks the mother or caretaker whether the child received any (other) treatment for diarrhoea other than those mentioned in CA4 for this episode of diarrhoea. If in CA4 you learned that the child was given fluid from an ORS packet, sugar and salt solution, or pre-packaged ORS fluid, then phrase CA5 by saying, “Was anything else given to treat the diarrhoea?” If none of the liquids was given, ask CA5 by saying, “Was anything given to treat the diarrhoea?”
Circle the code corresponding to the answer given. If the response is 'Yes', continue to CA6 to learn the type of treatment given. If the child was not given anything (else) for the diarrhoea or the respondent doesn't know, skip to CA7.
133
1807
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Other treatment (pill or syrup): Antibiotic
Other treatment (pill or syrup): Antibiotic
Other treatment (pill or syrup): Antibiotic
Other treatment (pill or syrup): Antibiotic
Other treatment (pill or syrup): Antibiotic
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
19
?
Missing
A
Antibiotic pill or syrup
Other treatment (pill or syrup): Antimotility
Other treatment (pill or syrup): Antimotility
Other treatment (pill or syrup): Antimotility
Other treatment (pill or syrup): Antimotility
Other treatment (pill or syrup): Antimotility
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
16
?
Missing
B
Antimotility pill or syrup
Other treatment (pill or syrup): Zinc
Other treatment (pill or syrup): Zinc
Other treatment (pill or syrup): Zinc
Other treatment (pill or syrup): Zinc
Other treatment (pill or syrup): Zinc
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
?
Missing
C
Zinc pill or syrup
Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc)
Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc)
Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc)
Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc)
Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc)
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
23
?
Missing
G
Other pill or syrup
Other treatment (pill or syrup): Unknown
Other treatment (pill or syrup): Unknown
Other treatment (pill or syrup): Unknown
Other treatment (pill or syrup): Unknown
Other treatment (pill or syrup): Unknown
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
4
?
Missing
H
Unknown pill or syrup
Other treatment (injection): Antibiotic
Other treatment (injection): Antibiotic
Other treatment (injection): Antibiotic
Other treatment (injection): Antibiotic
Other treatment (injection): Antibiotic
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
2
?
Missing
L
Antibiotic injection
Other treatment (injection): Non-antibiotic
Other treatment (injection): Non-antibiotic
Other treatment (injection): Non-antibiotic
Other treatment (injection): Non-antibiotic
Other treatment (injection): Non-antibiotic
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
1
?
Missing
M
Non antibiotic injection
Other treatment (injection): Unknown
Other treatment (injection): Unknown
Other treatment (injection): Unknown
Other treatment (injection): Unknown
Other treatment (injection): Unknown
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
?
Missing
N
Unknown injection
Other treatment: Intravenous
Other treatment: Intravenous
Other treatment: Intravenous
Other treatment: Intravenous
Other treatment: Intravenous
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
?
Missing
O
Intravenous
Other treatment: Home remedy/Herbal medicine
Other treatment: Home remedy/Herbal medicine
Other treatment: Home remedy/Herbal medicine
Other treatment: Home remedy/Herbal medicine
Other treatment: Home remedy/Herbal medicine
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
16
?
Missing
Q
Home remedy/Herbal medicine
Other treatment: Other
Other treatment: Other
Other treatment: Other
Other treatment: Other
Other treatment: Other
What (else) was given to treat diarrhoea?
If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned.
Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine.
16
?
Missing
X
Other
Child ill with cough in last 2 weeks
Child ill with cough in last 2 weeks
Child ill with cough in last 2 weeks
Child ill with cough in last 2 weeks
Child ill with cough in last 2 weeks
At any time in the last two weeks, has (name) had an illness with a cough?
Illness with a cough means a cold or other acute respiratory illness with a cough.
Circle the code corresponding to the response given. If the respondent says “He coughs all the time,” or “She's been coughing for months,” do not count this as an 'illness with a cough' since it is a chronic problem. If the answer is 'No' or 'DK', circle the appropriate code and go to CA14. If the symptoms started before but continued into the 2-week period, this counts as 'Yes'.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Difficulty breathing during illness with cough
Difficulty breathing during illness with cough
Difficulty breathing during illness with cough
Difficulty breathing during illness with cough
Difficulty breathing during illness with cough
When the child had an illness with a cough, did he/she breathe faster than usual, with short, rapid breaths or have difficulty breathing?
The question aims to find out if the child has or had an illness requiring assessment by a health professional.
If the respondent asks “What do you mean by 'fast breathing'?” you may say “noticeably faster than normal when the child is rested.” If the respondent asks “What do you mean by 'difficulty breathing'?” you may say “The child sounded/looked as if he/she was having trouble breathing.” You may give other explanations that were developed and tested during the adaptation and pre-testing of the questionnaire. Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. Otherwise, skip to CA14.
465
1475
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Symptoms due to problem in chest or blocked nose
Symptoms due to problem in chest or blocked nose
Symptoms due to problem in chest or blocked nose
Symptoms due to problem in chest or blocked nose
Symptoms due to problem in chest or blocked nose
Was the fast or difficult breathing due to a problem in the chest or a blocked or runny nose?
This question aims to find out if the problem needs assessment by a health professional, which does not include a simple cold.
Circle the code corresponding to the caretaker's response. If the symptoms were from a 'Blocked or runny nose only', skip to CA14. If the symptoms were due to 'Other' reasons, write the respondent's description in the line provided, circle '6' and skip to CA14. Otherwise, continue to the next question.
225
1715
1
Problem in chest
2
Blocked or runny nose
3
Both
6
Other
8
DK
9
Missing
Sysmiss
Sought advice or treatment for illness
Sought advice or treatment for illness
Sought advice or treatment for illness
Sought advice or treatment for illness
Sought advice or treatment for illness
Did you seek any advice or treatment for the illness from any source?
'Seeking care outside the home' means going outside the family or household for advice or treatment. Seeking care could include anything from asking a neighbour for advice, to holding a religious ceremony on the child's behalf, to going to a hospital. If a physician or other provider visits the household to give care, this counts as seeking care outside the home. The child may or may not have accompanied the respondent when he/she sought care. For example, going to buy medicine without the child counts as seeking care.
Circle the code corresponding to the response given. If the answer is 'Yes', continue to the next question. Otherwise, skip to CA12.
59
1881
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Place sought care: (public sector) Government hospital
Place sought care: (public sector) Government hospital
Place sought care: (public sector) Government hospital
Place sought care: (public sector) Government hospital
Place sought care: (public sector) Government hospital
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities,
13
?
Missing
A
Government hospital
Health centre
Health centre
Health centre
Health centre
Health centre
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities,
8
S
Health centre
Centre of family doctor/family doctor post
Centre of family doctor/family doctor post
Centre of family doctor/family doctor post
Centre of family doctor/family doctor post
Centre of family doctor/family doctor post
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities,
30
T
Centre of family doctor/family doctor post
Place sought care: Other public
Place sought care: Other public
Place sought care: Other public
Place sought care: Other public
Place sought care: Other public
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities,
?
Missing
H
Other public
Place sought care: Private hospital / clinic
Place sought care: Private hospital / clinic
Place sought care: Private hospital / clinic
Place sought care: Private hospital / clinic
Place sought care: Private hospital / clinic
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities,
2
?
Missing
I
Private hospital / clinic
Place sought care: Private physician
Place sought care: Private physician
Place sought care: Private physician
Place sought care: Private physician
Place sought care: Private physician
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities,
1
?
Missing
J
Private doctor
Place sought care: Private pharmacy
Place sought care: Private pharmacy
Place sought care: Private pharmacy
Place sought care: Private pharmacy
Place sought care: Private pharmacy
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities,
1
?
Missing
K
Private pharmacy
Place sought care: Other private medical
Place sought care: Other private medical
Place sought care: Other private medical
Place sought care: Other private medical
Place sought care: Other private medical
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities,
?
Missing
O
Other private medical
Place sought care: Relative / Friend
Place sought care: Relative / Friend
Place sought care: Relative / Friend
Place sought care: Relative / Friend
Place sought care: Relative / Friend
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities,
1
?
Missing
P
Relative / Friend
Place sought care: Shop
Place sought care: Shop
Place sought care: Shop
Place sought care: Shop
Place sought care: Shop
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities,
?
Missing
Q
Shop
Place sought care: Traditional practitioner
Place sought care: Traditional practitioner
Place sought care: Traditional practitioner
Place sought care: Traditional practitioner
Place sought care: Traditional practitioner
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities,
?
Missing
R
Traditional healer
Place sought care: Other
Place sought care: Other
Place sought care: Other
Place sought care: Other
Place sought care: Other
From where did you seek advice or treatment?
After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned.
The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities,
1
?
Missing
X
Other
Given medicine to treat this illness
Given medicine to treat this illness
Given medicine to treat this illness
Given medicine to treat this illness
Given medicine to treat this illness
Was (name) given any medicine to treat this illness?
Circle the appropriate code. If the answer is 'Yes', continue to the next question. Otherwise, go to CA14.
59
1881
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Medicine: Antibiotic/Biseptol pill / syrup
Medicine: Antibiotic/Biseptol pill / syrup
Medicine: Antibiotic/Biseptol pill / syrup
Medicine: Antibiotic/Biseptol pill / syrup
Medicine: Antibiotic/Biseptol pill / syrup
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
42
?
Missing
A
Antibiotic pill / syrup
Medicine: Antibiotic injection
Medicine: Antibiotic injection
Medicine: Antibiotic injection
Medicine: Antibiotic injection
Medicine: Antibiotic injection
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
14
?
Missing
B
Antibiotic injection
Medicine: Paracetamol / Panadol / Acetaminophen
Medicine: Paracetamol / Panadol / Acetaminophen
Medicine: Paracetamol / Panadol / Acetaminophen
Medicine: Paracetamol / Panadol / Acetaminophen
Medicine: Paracetamol / Panadol / Acetaminophen
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
15
?
Missing
P
Paracetamol / Panadol / Acetaminophen
Medicine: Aspirin
Medicine: Aspirin
Medicine: Aspirin
Medicine: Aspirin
Medicine: Aspirin
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
1
?
Missing
Q
Aspirin
Medicine: Ibupropfen
Medicine: Ibupropfen
Medicine: Ibupropfen
Medicine: Ibupropfen
Medicine: Ibupropfen
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
8
?
Missing
R
Ibuprofen
Medicine: Other
Medicine: Other
Medicine: Other
Medicine: Other
Medicine: Other
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
19
?
Missing
X
Other
Medicine: DK
Medicine: DK
Medicine: DK
Medicine: DK
Medicine: DK
What medicine was (name) given?
This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given.
If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training.
If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided.
If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'.
?
Missing
Z
DK
What was done to dispose of the stools
What was done to dispose of the stools
What was done to dispose of the stools
What was done to dispose of the stools
What was done to dispose of the stools
The last time (name) passed stools, what was done to dispose of the stools?
The purpose of this question is to know what was done with the most recent stools passed by the child in the household. The safe disposal of children's stools is of particular importance because children's stools are the most likely cause of faecal contamination to the immediate household environment. Correct disposal of stools is linked with lower risks of diarrhoea.
Respondents are asked where they usually dispose of their children's stools if the child did not use the toilet facility. Circle the most appropriate code.
If the respondent states that diapers are used, then probe to establish how the diapers are disposed of.
1136
804
1
Child used toilet / latrine
2
Put / Rinsed into toilet or latrine
3
Put / Rinsed into drain or ditch
4
Thrown into garbage (solid waste)
5
Buried
6
Left in the open
96
Other
98
DK
99
Missing
Sysmiss
Vaccination card for child
Vaccination card for child
Vaccination card for child
Vaccination card for child
Vaccination card for child
Do you have a card/ handbook where (name)’s vaccinations are written down?
(If yes) May I see it please?
If the respondent reports that there is a vaccination card for the child, ask to see it. You should have obtained vaccination cards at the beginning of the interview. If you did not already obtain the card for the child, now is the time to ask for it again.
In some cases, the respondent may not be willing to take time to look for the vaccination card, thinking that you are in a hurry. Encourage the respondent to look for the vaccination card for the child. It is critical to obtain written documentation of the child's immunization history. Therefore, be patient if the respondent needs to search for the card.
If the respondent does not have a vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), ask to see it. If the card or other document is seen, circle '1' and skip to IM3. If the child has a vaccination card or other document but the respondent is unable to show you, circle '2' and skip to IM6 - you will be asking the respondent to recall the child's vaccinations. If the respondent does not have a vaccination card or any other document where the vaccine doses are registered for the child, circle '3' and continue to next question.
1869
71
1
Yes, seen
2
Yes, not seen
3
No
9
Missing
Sysmiss
Method of vacination
Method of vacination
Method of vacination
Method of vacination
Method of vacination
1869
71
1
M1
2
M2
Sysmiss
Ever had vaccination card
Ever had vaccination card
Ever had vaccination card
Ever had vaccination card
Ever had vaccination card
Did you ever have a vaccination card/ handbook for (name)?
Circle the code corresponding to the answer given and skip to IM6.
1098
842
1
Yes
2
No
9
Missing
Sysmiss
Day of BCG immunization
Day of BCG immunization
Day of BCG immunization
Day of BCG immunization
Day of BCG immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
440
1500
66
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of BCG immunization
Month of BCG immunization
Month of BCG immunization
Month of BCG immunization
Month of BCG immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
436
1504
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of BCG immunization
Year of BCG immunization
Year of BCG immunization
Year of BCG immunization
Year of BCG immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
436
1504
2007
2008
2009
2010
2011
2012
9998
9999
Missing
Sysmiss
Day of Polio1 immunization
Day of Polio1 immunization
Day of Polio1 immunization
Day of Polio1 immunization
Day of Polio1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
440
1500
66
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of Polio1 immunization
Month of Polio1 immunization
Month of Polio1 immunization
Month of Polio1 immunization
Month of Polio1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
345
1595
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of Polio1 immunization
Year of Polio1 immunization
Year of Polio1 immunization
Year of Polio1 immunization
Year of Polio1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
345
1595
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day of Polio2 immunization
Day of Polio2 immunization
Day of Polio2 immunization
Day of Polio2 immunization
Day of Polio2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
440
1500
98
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
98
99
Missing
Sysmiss
Month of Polio2 immunization
Month of Polio2 immunization
Month of Polio2 immunization
Month of Polio2 immunization
Month of Polio2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
320
1620
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of Polio2 immunization
Year of Polio2 immunization
Year of Polio2 immunization
Year of Polio2 immunization
Year of Polio2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
After you have completed transferring the information from the card to the questionnaire, proceed with question IM4.
320
1620
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day of Polio3 immunization
Day of Polio3 immunization
Day of Polio3 immunization
Day of Polio3 immunization
Day of Polio3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
440
1500
66
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of Polio3 immunization
Month of Polio3 immunization
Month of Polio3 immunization
Month of Polio3 immunization
Month of Polio3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
284
1656
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of Polio3 immunization
Year of Polio3 immunization
Year of Polio3 immunization
Year of Polio3 immunization
Year of Polio3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
284
1656
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
IM3P4D
IM3P4D
IM3P4D
IM3P4D
IM3P4D
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
440
1500
66
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
31
44
66
98
99
Sysmiss
IM3P4M
IM3P4M
IM3P4M
IM3P4M
IM3P4M
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
154
1786
1
2
3
4
5
6
7
8
9
10
11
12
98
99
Sysmiss
IM3P4Y
IM3P4Y
IM3P4Y
IM3P4Y
IM3P4Y
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
154
1786
2008
2009
2010
2011
2012
9998
9999
Sysmiss
Day of DPT1 immunization
Day of DPT1 immunization
Day of DPT1 immunization
Day of DPT1 immunization
Day of DPT1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
440
1500
66
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of DPT1 immunization
Month of DPT1 immunization
Month of DPT1 immunization
Month of DPT1 immunization
Month of DPT1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
334
1606
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of DPT1 immunization
Year of DPT1 immunization
Year of DPT1 immunization
Year of DPT1 immunization
Year of DPT1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
334
1606
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day of DPT2 immunization
Day of DPT2 immunization
Day of DPT2 immunization
Day of DPT2 immunization
Day of DPT2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
440
1500
98
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
98
99
Missing
Sysmiss
Month of DPT2 immunization
Month of DPT2 immunization
Month of DPT2 immunization
Month of DPT2 immunization
Month of DPT2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
312
1628
1
2
3
4
5
6
7
8
9
10
11
12
98
99
Missing
Sysmiss
Year of DPT2 immunization
Year of DPT2 immunization
Year of DPT2 immunization
Year of DPT2 immunization
Year of DPT2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
312
1628
2007
2008
2009
2010
2011
2012
9998
9999
Missing
Sysmiss
Day of DPT3 immunization
Day of DPT3 immunization
Day of DPT3 immunization
Day of DPT3 immunization
Day of DPT3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
440
1500
66
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of DPT3 immunization
Month of DPT3 immunization
Month of DPT3 immunization
Month of DPT3 immunization
Month of DPT3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
272
1668
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of DPT3 immunization
Year of DPT3 immunization
Year of DPT3 immunization
Year of DPT3 immunization
Year of DPT3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
272
1668
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
DPT4D
DPT4D
DPT4D
DPT4D
DPT4D
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
440
1500
99
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
31
44
66
98
99
Sysmiss
DPT4M
DPT4M
DPT4M
DPT4M
DPT4M
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
155
1785
1
2
3
4
5
6
7
8
9
10
11
12
98
99
Sysmiss
DPT4Y
DPT4Y
DPT4Y
DPT4Y
DPT4Y
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
155
1785
2008
2009
2010
2011
2012
9998
9999
Sysmiss
Day of HepB at birth immunization
Day of HepB at birth immunization
Day of HepB at birth immunization
Day of HepB at birth immunization
Day of HepB at birth immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
440
1500
66
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of HepB at birth immunization
Month of HepB at birth immunization
Month of HepB at birth immunization
Month of HepB at birth immunization
Month of HepB at birth immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
424
1516
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of HepB at birth immunization
Year of HepB at birth immunization
Year of HepB at birth immunization
Year of HepB at birth immunization
Year of HepB at birth immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
424
1516
2007
2008
2009
2010
2011
2012
9998
9999
Missing
Sysmiss
Day of HepB1 immunization
Day of HepB1 immunization
Day of HepB1 immunization
Day of HepB1 immunization
Day of HepB1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
440
1500
66
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of HepB1 immunization
Month of HepB1 immunization
Month of HepB1 immunization
Month of HepB1 immunization
Month of HepB1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
328
1612
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of HepB1 immunization
Year of HepB1 immunization
Year of HepB1 immunization
Year of HepB1 immunization
Year of HepB1 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
328
1612
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day of HepB2 immunization
Day of HepB2 immunization
Day of HepB2 immunization
Day of HepB2 immunization
Day of HepB2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
66
1874
66
Not given
1
2
3
4
5
6
8
9
10
12
13
14
15
16
17
18
19
20
21
23
24
25
26
28
29
30
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of HepB2 immunization
Month of HepB2 immunization
Month of HepB2 immunization
Month of HepB2 immunization
Month of HepB2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
44
1896
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of HepB2 immunization
Year of HepB2 immunization
Year of HepB2 immunization
Year of HepB2 immunization
Year of HepB2 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
44
1896
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day of HepB3 immunization
Day of HepB3 immunization
Day of HepB3 immunization
Day of HepB3 immunization
Day of HepB3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
440
1500
98
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
98
99
Missing
Sysmiss
Month of HepB3 immunization
Month of HepB3 immunization
Month of HepB3 immunization
Month of HepB3 immunization
Month of HepB3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
271
1669
1
2
3
4
5
6
7
8
9
10
11
12
98
99
Missing
Sysmiss
Year of HepB3 immunization
Year of HepB3 immunization
Year of HepB3 immunization
Year of HepB3 immunization
Year of HepB3 immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
271
1669
2007
2008
2009
2010
2011
2012
9998
9999
Missing
Sysmiss
Day measles or MMR immunization
Day measles or MMR immunization
Day measles or MMR immunization
Day measles or MMR immunization
Day measles or MMR immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
440
1500
66
Not given
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
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month Measles or MMR immunization
Month Measles or MMR immunization
Month Measles or MMR immunization
Month Measles or MMR immunization
Month Measles or MMR immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
230
1710
1
2
3
4
5
6
7
8
9
10
11
12
98
99
Missing
Sysmiss
Year of Measles or MMR immunization
Year of Measles or MMR immunization
Year of Measles or MMR immunization
Year of Measles or MMR immunization
Year of Measles or MMR immunization
You will complete question IM3 when respondents show you the vaccination card for the child:
· Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document.
· If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'.
· If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank.
· However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day.
· For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank.
Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly.
Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately.
230
1710
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Child received any other vaccinations
Child received any other vaccinations
Child received any other vaccinations
Child received any other vaccinations
Child received any other vaccinations
In addition to what is recorded on this card/handbook, did (name) receive any other vaccinations – including vaccinations received in campaigns or immunization days?
It is possible that some of the vaccinations received by the child were not recorded. For example, the respondent may have forgotten to bring the card to the health facility or the respondent may have taken the child to a National Immunization Day.
If the answer is 'Yes', circle '1' only if the respondent mentions vaccines included in the questionnaire. You can refer to the information already obtained from the vaccination card to make sure that the mother/primary caretaker is referring only to these vaccines. Write '66' in the corresponding 'Day' column for IM3, and leave the month and year columns blank. For example, if two doses of DPT were recorded on the card, and another dose was given but not recorded, there should be '66' in the 'Day' column.
Do not ask the respondent to supply dates from memory. Enter a date only if the card or other document is available and lists a date for the immunization dose.
Once you have probed for any other vaccination, skip to IM18.
273
1667
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child ever received any vaccinations
Child ever received any vaccinations
Child ever received any vaccinations
Child ever received any vaccinations
Child ever received any vaccinations
Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a campaign or immunization day?
Only ask IM6-IM17 to obtain the child's vaccination status if a vaccination card or other document is not available (that is, if the answer to IM1 was '2' for 'Yes, not seen' or '3' for 'No card'). Describe the vaccination techniques in detail to the caretaker and provide further explanations if needed. When mentioning the vaccines or the specific diseases, use local synonyms if needed. We are not interested in injections for treating a disease - antibiotics, anti-malarials, etc. - but only in vaccines.
Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question, to start asking about each of the vaccines. If the answer is 'No' or 'DK', skip to IM18.
1429
511
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child ever given BCG vaccination
Child ever given BCG vaccination
Child ever given BCG vaccination
Child ever given BCG vaccination
Child ever given BCG vaccination
Has (name) ever received a BCG vaccination against tuberculosis – that is, an injection in the upper arm that usually causes a scar?
Circle the code corresponding to the response.
1386
554
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child ever given Polio vaccination
Child ever given Polio vaccination
Child ever given Polio vaccination
Child ever given Polio vaccination
Child ever given Polio vaccination
Has (name) ever received any “vaccination drops in the mouth” to protect him/her from getting diseases – that is, polio?
Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If the answer is 'No' or 'DK', skip to IM11.
1386
554
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Times child given Polio vaccination
Times child given Polio vaccination
Times child given Polio vaccination
Times child given Polio vaccination
Times child given Polio vaccination
How many times was the polio vaccine received?
Fill in the number in the space provided.
1273
667
1
2
3
4
5
9
Missing
Sysmiss
Child ever given DPT vaccination
Child ever given DPT vaccination
Child ever given DPT vaccination
Child ever given DPT vaccination
Child ever given DPT vaccination
Has (name) ever received a DPT vaccination – that is, an injection in the thigh or buttocks – to prevent him/her from getting tetanus, whooping cough, or diphtheria?
Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If 'No' or 'DK', skip to IM13.
1386
554
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Times child given DPT vaccination
Times child given DPT vaccination
Times child given DPT vaccination
Times child given DPT vaccination
Times child given DPT vaccination
How many times was a DPT vaccine received?
Fill in the number in the space provided.
1230
710
1
2
3
4
5
9
Missing
Sysmiss
Child ever given Hepatitis B vaccination
Child ever given Hepatitis B vaccination
Child ever given Hepatitis B vaccination
Child ever given Hepatitis B vaccination
Child ever given Hepatitis B vaccination
Has (name) ever been given a Hepatitis B vaccination – that is, an injection in the thigh or buttocks – to prevent him/her from getting Hepatitis B?
Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If 'No' or 'DK', skip to IM16.
1386
554
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Hepatitis B first given within 24 h after birth or later
Hepatitis B first given within 24 h after birth or later
Hepatitis B first given within 24 h after birth or later
Hepatitis B first given within 24 h after birth or later
Hepatitis B first given within 24 h after birth or later
Was the first Hepatitis B vaccine received within 24 hours after birth, or later?
Ask if the first hepatitis B vaccine was received within 24 hours after birth or later. Circle the code corresponding to the response.
1277
663
1
Within 24 hours
2
Later
9
Missing
Sysmiss
Times child given Hepatitis B vaccination
Times child given Hepatitis B vaccination
Times child given Hepatitis B vaccination
Times child given Hepatitis B vaccination
Times child given Hepatitis B vaccination
How many times was a Hepatitis B vaccine received?
Fill in the number in the space provided.
1277
663
1
2
3
4
9
Missing
Sysmiss
Child ever given Measles or MMR vaccination
Child ever given Measles or MMR vaccination
Child ever given Measles or MMR vaccination
Child ever given Measles or MMR vaccination
Child ever given Measles or MMR vaccination
Has (name) ever received a measles, mumps, rubella injection or an MMR injection – that is, a shot in the arm at the age of 12 months or older - to prevent him/her from getting measles, mumps, rubella?
Circle the code corresponding to the response. If the caretaker specifically mentions measles vaccine but refers to an injection in the thigh, accept the answer as valid and circle '1' for 'Yes'.
1386
554
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Child given Vitamin A dose within last 6 months
Child given Vitamin A dose within last 6 months
Child given Vitamin A dose within last 6 months
Child given Vitamin A dose within last 6 months
Child given Vitamin A dose within last 6 months
Has (name) received a Vitamin A dose like (this/any of these) within the last 6 months?
This question asks if the child has received a vitamin A supplement.
Show the capsule or dispenser you were given to help the caretaker remember. You may be instructed to show different capsules, 100,000 IU for children 6-11 months old and 200,000 IU for children 12-59 months old, asking the caretaker to identify the correct one. Circle the code corresponding to the response. If the child has never received a vitamin A supplement or the mother/caretaker does not know if he/she has ever received one, continue with the next question.
1869
71
1
Yes
2
No
8
DK
9
Missing
Sysmiss
HAS (name) EVER RECEIVED IRON PILLS, SPRINKLES WITH IRON, OR IRON SYRUP (LIKE THIS/ ANY OF THESE)?
HAS (name) EVER RECEIVED IRON PILLS, SPRINKLES WITH IRON, OR IRON SYRUP (LIKE THIS/ ANY OF THESE)?
HAS (name) EVER RECEIVED IRON PILLS, SPRINKLES WITH IRON, OR IRON SYRUP (LIKE THIS/ ANY OF THESE)?
HAS (name) EVER RECEIVED IRON PILLS, SPRINKLES WITH IRON, OR IRON SYRUP (LIKE THIS/ ANY OF THESE)?
HAS (name) EVER RECEIVED IRON PILLS, SPRINKLES WITH IRON, OR IRON SYRUP (LIKE THIS/ ANY OF THESE)?
Has (name) ever received pills, drops or syrup with iron?
1869
71
1
Yes
2
No
8
D/K
9
Missing
Sysmiss
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
1869
71
1
400
207.745
118.723
Household number
Household number
Household number
Household number
Household number
1869
71
1
54
17.713
10.262
Child's line number
Child's line number
Child's line number
Child's line number
Child's line number
1869
71
1
2
3
4
5
6
7
8
9
10
11
Sysmiss
Mother / Caretaker's line number
Mother / Caretaker's line number
Mother / Caretaker's line number
Mother / Caretaker's line number
Mother / Caretaker's line number
1869
71
1
2
3
4
5
6
7
9
Sysmiss
Interviewer number
Interviewer number
Interviewer number
Interviewer number
Interviewer number
1869
71
1
108
48.446
21.822
Day of interview
Day of interview
Day of interview
Day of interview
Day of interview
1869
71
1
31
16.029
8.46
Month of interview
Month of interview
Month of interview
Month of interview
Month of interview
1869
71
2
3
4
5
6
7
8
10
Sysmiss
Year of interview
Year of interview
Year of interview
Year of interview
Year of interview
1869
71
2012
Sysmiss
Day of birth
Day of birth
Day of birth
Day of birth
Day of birth
1869
71
1
99
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
31
97
Inconsistent
98
DK
99
Missing
Sysmiss
Month of birth
Month of birth
Month of birth
Month of birth
Month of birth
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
98
DK
99
Missing
Sysmiss
Year of birth
Year of birth
Year of birth
Year of birth
Year of birth
1869
71
2007
2008
2009
2010
2011
2012
9997
Inconsistent
9999
Missing
Sysmiss
Result of health facility visit
Result of health facility visit
Result of health facility visit
Result of health facility visit
Result of health facility visit
1869
71
1
Vaccination record seen
2
Vaccination record not seen
6
Other
Sysmiss
Day of birth as written on vaccination record
Day of birth as written on vaccination record
Day of birth as written on vaccination record
Day of birth as written on vaccination record
Day of birth as written on vaccination record
Record day, month and year of birth as written on vaccination record
1869
71
1
99
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
31
97
Inconsistent
98
DK
99
Missing
Sysmiss
Month of birth as written on vaccination record
Month of birth as written on vaccination record
Month of birth as written on vaccination record
Month of birth as written on vaccination record
Month of birth as written on vaccination record
Record day, month and year of birth as written on vaccination record
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
98
DK
99
Missing
Sysmiss
Year of birth as written on vaccination record
Year of birth as written on vaccination record
Year of birth as written on vaccination record
Year of birth as written on vaccination record
Year of birth as written on vaccination record
Record day, month and year of birth as written on vaccination record
1869
71
2007
2008
2009
2010
2011
2012
9997
Inconsistent
9999
Missing
Sysmiss
Day of BCG immunization
Day of BCG immunization
Day of BCG immunization
Day of BCG immunization
Day of BCG immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of BCG immunization
Month of BCG immunization
Month of BCG immunization
Month of BCG immunization
Month of BCG immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of BCG immunization
Year of BCG immunization
Year of BCG immunization
Year of BCG immunization
Year of BCG immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day of Polio1 immunization
Day of Polio1 immunization
Day of Polio1 immunization
Day of Polio1 immunization
Day of Polio1 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of Polio1 immunization
Month of Polio1 immunization
Month of Polio1 immunization
Month of Polio1 immunization
Month of Polio1 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of Polio1 immunization
Year of Polio1 immunization
Year of Polio1 immunization
Year of Polio1 immunization
Year of Polio1 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day of Polio2 immunization
Day of Polio2 immunization
Day of Polio2 immunization
Day of Polio2 immunization
Day of Polio2 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of Polio2 immunization
Month of Polio2 immunization
Month of Polio2 immunization
Month of Polio2 immunization
Month of Polio2 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of Polio2 immunization
Year of Polio2 immunization
Year of Polio2 immunization
Year of Polio2 immunization
Year of Polio2 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day of Polio3 immunization
Day of Polio3 immunization
Day of Polio3 immunization
Day of Polio3 immunization
Day of Polio3 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of Polio3 immunization
Month of Polio3 immunization
Month of Polio3 immunization
Month of Polio3 immunization
Month of Polio3 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of Polio3 immunization
Year of Polio3 immunization
Year of Polio3 immunization
Year of Polio3 immunization
Year of Polio3 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
HF13P4D
HF13P4D
HF13P4D
HF13P4D
HF13P4D
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
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
31
98
99
Sysmiss
HF13P4M
HF13P4M
HF13P4M
HF13P4M
HF13P4M
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
98
99
Sysmiss
HF13P4Y
HF13P4Y
HF13P4Y
HF13P4Y
HF13P4Y
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2008
2009
2010
2011
2012
9998
9999
Sysmiss
Day of DPT1 immunization
Day of DPT1 immunization
Day of DPT1 immunization
Day of DPT1 immunization
Day of DPT1 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of DPT1 immunization
Month of DPT1 immunization
Month of DPT1 immunization
Month of DPT1 immunization
Month of DPT1 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of DPT1 immunization
Year of DPT1 immunization
Year of DPT1 immunization
Year of DPT1 immunization
Year of DPT1 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day of DPT2 immunization
Day of DPT2 immunization
Day of DPT2 immunization
Day of DPT2 immunization
Day of DPT2 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of DPT2 immunization
Month of DPT2 immunization
Month of DPT2 immunization
Month of DPT2 immunization
Month of DPT2 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of DPT2 immunization
Year of DPT2 immunization
Year of DPT2 immunization
Year of DPT2 immunization
Year of DPT2 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day of DPT3 immunization
Day of DPT3 immunization
Day of DPT3 immunization
Day of DPT3 immunization
Day of DPT3 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of DPT3 immunization
Month of DPT3 immunization
Month of DPT3 immunization
Month of DPT3 immunization
Month of DPT3 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of DPT3 immunization
Year of DPT3 immunization
Year of DPT3 immunization
Year of DPT3 immunization
Year of DPT3 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
HF13D4D
HF13D4D
HF13D4D
HF13D4D
HF13D4D
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
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
31
98
99
Sysmiss
HF13D4M
HF13D4M
HF13D4M
HF13D4M
HF13D4M
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
98
99
Sysmiss
HF13D4Y
HF13D4Y
HF13D4Y
HF13D4Y
HF13D4Y
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2007
2008
2009
2010
2011
2012
9998
9999
Sysmiss
Day of HepB at birth immunization
Day of HepB at birth immunization
Day of HepB at birth immunization
Day of HepB at birth immunization
Day of HepB at birth immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of HepB at birth immunization
Month of HepB at birth immunization
Month of HepB at birth immunization
Month of HepB at birth immunization
Month of HepB at birth immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of HepB at birth immunization
Year of HepB at birth immunization
Year of HepB at birth immunization
Year of HepB at birth immunization
Year of HepB at birth immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day of HepB1 immunization
Day of HepB1 immunization
Day of HepB1 immunization
Day of HepB1 immunization
Day of HepB1 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of HepB1 immunization
Month of HepB1 immunization
Month of HepB1 immunization
Month of HepB1 immunization
Month of HepB1 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of HepB1 immunization
Year of HepB1 immunization
Year of HepB1 immunization
Year of HepB1 immunization
Year of HepB1 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day of HepB2 immunization
Day of HepB2 immunization
Day of HepB2 immunization
Day of HepB2 immunization
Day of HepB2 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of HepB2 immunization
Month of HepB2 immunization
Month of HepB2 immunization
Month of HepB2 immunization
Month of HepB2 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of HepB2 immunization
Year of HepB2 immunization
Year of HepB2 immunization
Year of HepB2 immunization
Year of HepB2 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day of HepB3 immunization
Day of HepB3 immunization
Day of HepB3 immunization
Day of HepB3 immunization
Day of HepB3 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month of HepB3 immunization
Month of HepB3 immunization
Month of HepB3 immunization
Month of HepB3 immunization
Month of HepB3 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of HepB3 immunization
Year of HepB3 immunization
Year of HepB3 immunization
Year of HepB3 immunization
Year of HepB3 immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Day measles or MMR immunization
Day measles or MMR immunization
Day measles or MMR immunization
Day measles or MMR immunization
Day measles or MMR immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
99
Not given
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
31
44
Marked on card - no date given
66
Reported by mother
99
Missing
Sysmiss
Month Measles or MMR immunization
Month Measles or MMR immunization
Month Measles or MMR immunization
Month Measles or MMR immunization
Month Measles or MMR immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
1
2
3
4
5
6
7
8
9
10
11
12
99
Missing
Sysmiss
Year of Measles or MMR immunization
Year of Measles or MMR immunization
Year of Measles or MMR immunization
Year of Measles or MMR immunization
Year of Measles or MMR immunization
Copy dates for each vaccination from the card.
Write "44" in day column if card shows that vaccination was given but no date recorded.
1869
71
2007
2008
2009
2010
2011
2012
9999
Missing
Sysmiss
Measurer's identification code
Measurer's identification code
Measurer's identification code
Measurer's identification code
Measurer's identification code
Measurer’s name and number:
You should enter the name and two-digit identification number of the person who performed the measurements in the space provided. This would normally be the measurer.
1869
71
10
194
95.06
14.98
Result of height/length and weight measurement
Result of height/length and weight measurement
Result of height/length and weight measurement
Result of height/length and weight measurement
Result of height/length and weight measurement
Result of height/length and weight measurement
Circle the appropriate code corresponding to the result of the measurement. If the reason is 'Other', write a description in the line provided and circle '6'.
1869
71
1
Either or both measured
2
Child not present
3
Child or caretaker refused
6
Other
7
Inconsistent
9
Missing
Sysmiss
Child's weight (kilograms)
Child's weight (kilograms)
Child's weight (kilograms)
Child's weight (kilograms)
Child's weight (kilograms)
The child should be weighed according to the instructions given during training. Record exactly as is shown on the scale, in kilograms with one decimal point. Place the kilograms to the left of the decimal point and grams to the right of the decimal point. Use a leading zero if the number of kilograms is one digit. If the weight is not measured circle '99.9'.
1696
244
1.9
99.9
1.9
2.2
2.4
3
3.1
3.2
3.3
3.5
3.7
3.8
3.9
4
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
5
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9
6
6.1
6.2
6.3
6.4
6.5
6.6
6.7
6.8
6.9
7
7.1
7.2
7.3
7.4
7.5
7.6
7.7
7.8
7.9
8
8.1
8.2
8.3
8.4
8.5
8.6
8.7
8.8
8.9
9
9.1
9.2
9.3
9.4
9.5
9.6
9.7
9.8
9.9
10
10.1
10.2
10.3
10.4
10.5
10.6
10.7
10.8
10.9
11
11.1
11.2
11.3
11.4
11.5
11.6
11.7
11.8
11.9
12
12.1
12.2
12.3
12.4
12.5
12.6
12.7
12.8
12.9
13
13.1
13.2
13.3
13.4
13.5
13.6
13.7
13.8
13.9
14
14.1
14.2
14.3
14.4
14.5
14.6
14.7
14.8
14.9
15
15.1
15.2
15.3
15.4
15.5
15.6
15.7
15.8
15.9
16
16.1
16.2
16.3
16.4
16.5
16.6
16.7
16.8
16.9
17
17.1
17.2
17.3
17.4
17.5
17.6
17.7
17.8
17.9
18
18.1
18.2
18.3
18.4
18.5
18.7
18.8
18.9
19
19.1
19.2
19.3
19.4
19.5
19.6
19.8
19.9
20
20.1
20.2
20.3
20.4
20.5
20.6
20.7
20.9
21
21.1
21.4
21.7
21.8
21.9
22
22.8
22.9
23.1
23.3
23.5
25
26.8
28
28.1
28.2
28.4
31
99.9
Missing
Sysmiss
Child measured lying or standing
Child measured lying or standing
Child measured lying or standing
Child measured lying or standing
Child measured lying or standing
Check the age of the child in AG2. If the child is under 2 years old, check the appropriate box, circle '1' and then measure and record recumbent length (that is, lying down), to the nearest tenth of a centimetre. If the child is age two or older, check the corresponding box, circle '2', and then measure and record standing height. Write a zero first if the number of centimetres is two digits.
1696
244
1
Lying down
2
Standing up
9
Missing
Sysmiss
Child's length or height (centimetres)
Child's length or height (centimetres)
Child's length or height (centimetres)
Child's length or height (centimetres)
Child's length or height (centimetres)
Check the age of the child in AG2. If the child is under 2 years old, check the appropriate box, circle '1' and then measure and record recumbent length (that is, lying down), to the nearest tenth of a centimetre. If the child is age two or older, check the corresponding box, circle '2', and then measure and record standing height. Write a zero first if the number of centimetres is two digits.
1696
244
46.2
999.9
46.2
47.5
49
49.6
49.7
50
51
51.3
51.5
52
53
53.3
53.5
53.7
53.8
54
54.1
54.4
54.5
55
55.5
56
56.1
56.8
57
57.2
57.3
57.5
57.9
58
58.1
58.5
58.7
59
59.6
59.7
60
60.2
60.4
60.5
60.7
60.8
61
61.1
61.5
61.6
61.9
62
62.1
62.3
62.5
62.7
62.8
62.9
63
63.1
63.2
63.4
63.5
63.8
64
64.1
64.4
64.5
64.9
65
65.1
65.2
65.4
65.5
65.6
65.7
66
66.1
66.2
66.3
66.5
66.6
66.7
67
67.1
67.2
67.3
67.4
67.5
67.9
68
68.1
68.2
68.4
68.5
68.6
68.7
69
69.2
69.3
69.5
69.6
69.7
69.8
69.9
70
70.1
70.2
70.4
70.5
70.6
70.7
70.8
70.9
71
71.1
71.2
71.4
71.5
71.6
71.7
71.8
72
72.1
72.2
72.3
72.5
72.6
72.7
72.9
73
73.1
73.2
73.3
73.4
73.5
73.6
73.7
73.8
74
74.2
74.3
74.4
74.5
74.6
74.7
74.8
74.9
75
75.1
75.2
75.3
75.4
75.5
75.6
75.7
75.9
76
76.1
76.3
76.5
76.6
76.7
76.8
76.9
77
77.2
77.3
77.5
77.6
77.7
77.8
77.9
78
78.1
78.2
78.3
78.5
78.6
78.7
79
79.1
79.2
79.3
79.5
79.6
79.7
79.9
80
80.1
80.2
80.5
80.6
80.8
80.9
81
81.2
81.3
81.4
81.5
81.6
81.7
81.9
82
82.1
82.2
82.3
82.4
82.5
82.6
82.8
83
83.2
83.3
83.4
83.5
83.6
83.7
83.8
83.9
84
84.1
84.2
84.3
84.4
84.5
84.6
84.7
84.8
84.9
85
85.1
85.2
85.3
85.5
85.6
85.7
85.9
86
86.1
86.2
86.3
86.5
86.6
86.7
86.8
87
87.1
87.2
87.4
87.5
87.6
87.7
87.8
87.9
88
88.1
88.2
88.3
88.4
88.5
88.6
88.7
88.8
88.9
89
89.1
89.2
89.3
89.5
89.6
89.7
89.8
89.9
90
90.1
90.2
90.3
90.4
90.5
90.6
90.8
90.9
91
91.1
91.2
91.3
91.4
91.5
91.7
91.9
92
92.1
92.2
92.3
92.4
92.5
92.6
92.7
92.8
92.9
93
93.1
93.2
93.3
93.4
93.5
93.6
93.7
93.8
93.9
94
94.2
94.3
94.4
94.5
94.6
94.8
94.9
95
95.1
95.2
95.3
95.5
95.6
95.7
95.8
95.9
96
96.1
96.2
96.3
96.4
96.5
96.6
96.7
96.8
96.9
97
97.1
97.2
97.3
97.4
97.5
97.6
97.7
97.8
97.9
98
98.1
98.2
98.3
98.4
98.5
98.6
98.7
98.8
98.9
99
99.1
99.2
99.3
99.4
99.5
99.6
99.7
99.8
99.9
100
100.1
100.2
100.3
100.4
100.5
100.6
100.7
100.8
100.9
101
101.1
101.2
101.3
101.4
101.5
101.6
101.7
101.8
101.9
102
102.1
102.2
102.3
102.5
102.6
102.7
102.8
102.9
103
103.1
103.2
103.3
103.4
103.5
103.6
103.7
103.8
103.9
104
104.1
104.2
104.3
104.4
104.5
104.6
104.8
104.9
105
105.1
105.2
105.3
105.4
105.5
105.6
105.7
105.9
106
106.1
106.2
106.3
106.4
106.5
106.6
106.7
106.8
107
107.1
107.2
107.3
107.4
107.5
107.6
107.7
107.8
107.9
108
108.1
108.2
108.3
108.4
108.5
108.6
108.7
108.8
109
109.1
109.6
109.7
109.8
109.9
110
110.2
110.3
110.4
110.5
110.8
111
111.3
111.4
111.5
111.9
112
112.6
113
113.1
113.3
113.7
113.8
114
114.1
114.5
115
115.3
115.6
116
117.6
118.1
123.3
999.9
Missing
Sysmiss
Measurer's name and number
Measurer's name and number
Measurer's name and number
Measurer's name and number
Measurer's name and number
Measurer's name and number
1810
130
1
370
52.254
20
Cheek the line no. of mother/caretaker in HL1
Cheek the line no. of mother/caretaker in HL1
Cheek the line no. of mother/caretaker in HL1
Cheek the line no. of mother/caretaker in HL1
Cheek the line no. of mother/caretaker in HL1
Check the line number of the parent/caretaker from the household listing form, HL1.
Record “00”, if not included in the household listing form and specify who is the caretaker.
1653
287
1
2
3
4
5
6
7
9
11
Sysmiss
Circle the appropriate code and ask mother/primary caretaker to sign theirs name.
Circle the appropriate code and ask mother/primary caretaker to sign theirs name.
Circle the appropriate code and ask mother/primary caretaker to sign theirs name.
Circle the appropriate code and ask mother/primary caretaker to sign theirs name.
Circle the appropriate code and ask mother/primary caretaker to sign theirs name.
Circle the respective code and ask the parent/caretaker to sign.
1712
228
1
Granted
2
Mother / Primary caretaker refused
3
Mother / Primary caretaker not present
4
Child not present
Sysmiss
Hemoglobin level (g/dl)
Hemoglobin level (g/dl)
Hemoglobin level (g/dl)
Hemoglobin level (g/dl)
Hemoglobin level (g/dl)
Register the haemoglobin level (g/dl).
1383
557
4
99.6
4
6.7
7.2
7.5
8.1
8.2
8.3
8.5
8.7
8.8
8.9
9
9.2
9.3
9.4
9.5
9.6
9.7
9.8
9.9
10
10.1
10.2
10.3
10.4
10.5
10.6
10.7
10.8
10.9
11
11.1
11.2
11.3
11.4
11.5
11.6
11.7
11.8
11.9
12
12.1
12.2
12.3
12.4
12.5
12.6
12.7
12.8
12.9
13
13.1
13.2
13.3
13.4
13.5
13.6
13.7
13.8
13.9
14
14.2
14.3
14.4
14.5
14.7
14.9
15.1
25.1
83
84
85
89
90
91
92
93
94
96.6
99.6
Not measured for other reasons
Sysmiss
Height for age percentile NCHS
Height for age percentile NCHS
Height for age percentile NCHS
Height for age percentile NCHS
Height for age percentile NCHS
Recoded variable
1869
71
99.9
53.731
32.607
Height for age z-score NCHS
Height for age z-score NCHS
Height for age z-score NCHS
Height for age z-score NCHS
Height for age z-score NCHS
Recoded variable
1869
71
-6.64
9.99
0.987
3.269
Height for age percent of reference median NCHS
Height for age percent of reference median NCHS
Height for age percent of reference median NCHS
Height for age percent of reference median NCHS
Height for age percent of reference median NCHS
Recoded variable
1869
71
73.9
999.9
192.769
274.012
Weight for age percentile NCHS
Weight for age percentile NCHS
Weight for age percentile NCHS
Weight for age percentile NCHS
Weight for age percentile NCHS
Recoded variable
1869
71
99.9
52.642
32.377
Weight for age z-score NCHS
Weight for age z-score NCHS
Weight for age z-score NCHS
Weight for age z-score NCHS
Weight for age z-score NCHS
Recoded variable
1869
71
-8.22
9.99
0.905
3.138
Weight for age percent of reference median NCHS
Weight for age percent of reference median NCHS
Weight for age percent of reference median NCHS
Weight for age percent of reference median NCHS
Weight for age percent of reference median NCHS
Recoded variable
1869
71
18
999.9
184.709
262.543
Weight for height percentile NCHS
Weight for height percentile NCHS
Weight for height percentile NCHS
Weight for height percentile NCHS
Weight for height percentile NCHS
Recoded variable
1869
71
99.9
55.606
30.389
Weight for height z-score NCHS
Weight for height z-score NCHS
Weight for height z-score NCHS
Weight for height z-score NCHS
Weight for height z-score NCHS
Recoded variable
1869
71
-9.98
9.99
1.108
3.239
Weight for height percent of reference median NCHS
Weight for height percent of reference median NCHS
Weight for height percent of reference median NCHS
Weight for height percent of reference median NCHS
Weight for height percent of reference median NCHS
Recoded variable
1869
71
18.2
999.9
195.887
276.259
Flag for anthropometric indicators
Flag for anthropometric indicators
Flag for anthropometric indicators
Flag for anthropometric indicators
Flag for anthropometric indicators
1869
71
No flag
1
Height for age
2
Weight for height
3
Weight for height, Height for age
4
Weight for age
5
Weight for age, Height for age
6
Weight for age, Weight for height
7
Weight for age, Weight for height, Height for age
Sysmiss
Body Mass Index WHO
Body Mass Index WHO
Body Mass Index WHO
Body Mass Index WHO
Body Mass Index WHO
1869
71
3.14
99.99
3.14
5.51
8.46
10.51
10.64
11.26
11.62
11.98
12.04
12.16
12.22
12.25
12.36
12.52
12.53
12.54
12.57
12.6
12.62
12.64
12.65
12.75
12.81
12.9
12.94
12.96
13.02
13.04
13.07
13.08
13.14
13.15
13.16
13.18
13.23
13.26
13.27
13.28
13.3
13.33
13.35
13.36
13.39
13.4
13.43
13.45
13.47
13.52
13.53
13.54
13.55
13.57
13.62
13.63
13.64
13.65
13.68
13.69
13.72
13.74
13.75
13.76
13.79
13.81
13.82
13.83
13.84
13.85
13.86
13.87
13.88
13.89
13.93
13.94
13.95
13.96
13.97
13.98
14
14.01
14.02
14.03
14.04
14.05
14.06
14.07
14.08
14.1
14.11
14.12
14.14
14.17
14.18
14.19
14.2
14.21
14.23
14.26
14.27
14.28
14.29
14.3
14.31
14.32
14.33
14.35
14.36
14.37
14.38
14.39
14.4
14.41
14.43
14.44
14.45
14.46
14.47
14.48
14.49
14.5
14.51
14.52
14.53
14.55
14.56
14.57
14.58
14.59
14.6
14.61
14.62
14.63
14.64
14.65
14.66
14.67
14.69
14.7
14.71
14.72
14.73
14.74
14.75
14.76
14.77
14.78
14.79
14.8
14.81
14.82
14.84
14.85
14.87
14.88
14.89
14.9
14.91
14.92
14.93
14.94
14.95
14.96
14.97
14.98
14.99
15
15.01
15.02
15.03
15.04
15.05
15.06
15.07
15.08
15.09
15.1
15.11
15.12
15.13
15.15
15.16
15.17
15.18
15.19
15.2
15.21
15.22
15.23
15.24
15.25
15.26
15.27
15.28
15.29
15.3
15.31
15.33
15.34
15.36
15.37
15.38
15.39
15.4
15.41
15.42
15.43
15.44
15.45
15.46
15.47
15.48
15.49
15.5
15.51
15.52
15.53
15.54
15.55
15.56
15.57
15.58
15.59
15.6
15.61
15.62
15.63
15.64
15.65
15.66
15.67
15.68
15.69
15.7
15.71
15.72
15.73
15.74
15.75
15.76
15.77
15.78
15.79
15.8
15.81
15.82
15.83
15.84
15.85
15.86
15.87
15.88
15.89
15.9
15.91
15.92
15.93
15.94
15.95
15.96
15.97
15.98
15.99
16
16.01
16.04
16.05
16.06
16.07
16.08
16.09
16.1
16.11
16.12
16.13
16.14
16.15
16.16
16.17
16.18
16.19
16.2
16.21
16.22
16.23
16.24
16.25
16.26
16.27
16.28
16.29
16.3
16.31
16.33
16.34
16.35
16.36
16.37
16.38
16.39
16.4
16.41
16.42
16.43
16.44
16.45
16.46
16.47
16.48
16.49
16.5
16.51
16.52
16.53
16.54
16.55
16.56
16.57
16.58
16.59
16.6
16.61
16.62
16.63
16.64
16.65
16.66
16.67
16.68
16.69
16.7
16.71
16.72
16.73
16.74
16.75
16.76
16.77
16.78
16.79
16.8
16.81
16.82
16.83
16.84
16.85
16.86
16.87
16.88
16.89
16.9
16.91
16.92
16.93
16.94
16.95
16.96
16.97
16.98
16.99
17
17.01
17.02
17.03
17.04
17.05
17.06
17.07
17.08
17.09
17.1
17.11
17.12
17.13
17.14
17.15
17.16
17.17
17.18
17.2
17.21
17.22
17.23
17.24
17.25
17.26
17.27
17.29
17.3
17.31
17.32
17.33
17.34
17.35
17.36
17.38
17.39
17.4
17.41
17.42
17.43
17.44
17.45
17.46
17.47
17.48
17.49
17.5
17.51
17.52
17.53
17.54
17.55
17.56
17.57
17.58
17.59
17.6
17.62
17.63
17.64
17.65
17.66
17.67
17.68
17.69
17.7
17.71
17.72
17.73
17.74
17.75
17.76
17.78
17.79
17.8
17.81
17.83
17.84
17.85
17.86
17.87
17.88
17.89
17.9
17.91
17.94
17.95
17.97
17.98
17.99
18
18.01
18.02
18.03
18.04
18.05
18.06
18.07
18.08
18.09
18.1
18.11
18.12
18.13
18.14
18.15
18.16
18.17
18.18
18.2
18.21
18.22
18.23
18.26
18.27
18.28
18.29
18.31
18.32
18.33
18.34
18.35
18.37
18.38
18.43
18.44
18.45
18.47
18.5
18.51
18.52
18.54
18.55
18.59
18.6
18.61
18.63
18.65
18.69
18.7
18.71
18.72
18.74
18.75
18.77
18.78
18.79
18.81
18.82
18.87
18.88
18.89
18.9
18.94
18.98
18.99
19.01
19.03
19.04
19.05
19.06
19.08
19.09
19.1
19.11
19.12
19.13
19.14
19.16
19.17
19.2
19.23
19.24
19.25
19.27
19.28
19.29
19.34
19.37
19.4
19.44
19.47
19.51
19.53
19.54
19.57
19.59
19.6
19.61
19.71
19.74
19.84
19.87
19.95
20
20.02
20.03
20.08
20.09
20.11
20.12
20.15
20.16
20.2
20.22
20.34
20.36
20.4
20.42
20.43
20.5
20.51
20.61
20.66
20.7
20.78
20.83
20.96
20.99
21.07
21.12
21.16
21.2
21.21
21.26
21.36
21.74
21.93
22.21
22.52
22.89
22.93
23.15
23.44
23.66
23.89
24.07
24.8
24.95
24.99
25.24
25.53
25.54
26.77
28.26
29.14
30.17
99.9
99.97
Measurement out of range
99.99
Not measured
Sysmiss
Body Mass Index z-score WHO
Body Mass Index z-score WHO
Body Mass Index z-score WHO
Body Mass Index z-score WHO
Body Mass Index z-score WHO
1869
71
-4.49
99.99
-4.49
-3.96
-3.73
-3.69
-3.62
-3.45
-3.35
-3.22
-3.16
-3.06
-3.03
-2.98
-2.76
-2.71
-2.61
-2.55
-2.52
-2.51
-2.43
-2.31
-2.28
-2.25
-2.18
-2.16
-2.15
-2.14
-2.08
-2.07
-2.04
-2.03
-2.01
-1.94
-1.88
-1.85
-1.84
-1.82
-1.81
-1.8
-1.78
-1.77
-1.74
-1.72
-1.71
-1.68
-1.67
-1.66
-1.64
-1.63
-1.61
-1.58
-1.55
-1.54
-1.52
-1.51
-1.5
-1.49
-1.48
-1.46
-1.45
-1.41
-1.38
-1.36
-1.35
-1.34
-1.33
-1.32
-1.3
-1.29
-1.28
-1.27
-1.26
-1.25
-1.24
-1.23
-1.22
-1.21
-1.2
-1.19
-1.18
-1.17
-1.16
-1.14
-1.13
-1.12
-1.11
-1.1
-1.08
-1.06
-1.05
-1.04
-1.03
-1.02
-1.01
-0.99
-0.98
-0.97
-0.96
-0.95
-0.94
-0.93
-0.92
-0.91
-0.9
-0.89
-0.88
-0.87
-0.86
-0.85
-0.84
-0.83
-0.82
-0.81
-0.8
-0.79
-0.78
-0.77
-0.76
-0.75
-0.74
-0.73
-0.72
-0.71
-0.7
-0.69
-0.68
-0.67
-0.66
-0.65
-0.64
-0.63
-0.62
-0.61
-0.6
-0.59
-0.58
-0.57
-0.56
-0.55
-0.54
-0.53
-0.52
-0.51
-0.5
-0.49
-0.48
-0.47
-0.46
-0.45
-0.44
-0.43
-0.42
-0.41
-0.4
-0.39
-0.38
-0.37
-0.36
-0.35
-0.34
-0.33
-0.32
-0.31
-0.3
-0.29
-0.28
-0.27
-0.26
-0.25
-0.24
-0.23
-0.22
-0.21
-0.2
-0.19
-0.18
-0.17
-0.16
-0.15
-0.14
-0.13
-0.12
-0.11
-0.1
-0.09
-0.08
-0.07
-0.06
-0.05
-0.04
-0.03
-0.02
-0.01
0.01
0.02
0.03
0.04
0.05
0.06
0.07
0.08
0.09
0.1
0.11
0.12
0.13
0.14
0.15
0.16
0.17
0.18
0.19
0.2
0.21
0.22
0.23
0.24
0.25
0.26
0.27
0.28
0.29
0.3
0.31
0.32
0.33
0.34
0.35
0.36
0.37
0.38
0.39
0.4
0.41
0.42
0.43
0.44
0.45
0.46
0.47
0.48
0.49
0.5
0.51
0.52
0.53
0.54
0.55
0.56
0.57
0.58
0.59
0.6
0.61
0.62
0.63
0.64
0.65
0.66
0.67
0.68
0.69
0.7
0.71
0.72
0.73
0.74
0.75
0.76
0.77
0.78
0.79
0.8
0.81
0.82
0.83
0.84
0.85
0.86
0.87
0.88
0.89
0.9
0.91
0.92
0.93
0.94
0.95
0.96
0.97
0.98
0.99
1
1.01
1.02
1.03
1.04
1.05
1.06
1.07
1.08
1.09
1.1
1.11
1.12
1.13
1.14
1.15
1.17
1.18
1.19
1.2
1.21
1.22
1.23
1.24
1.25
1.26
1.27
1.28
1.29
1.3
1.31
1.32
1.33
1.34
1.35
1.36
1.37
1.38
1.39
1.4
1.41
1.42
1.43
1.44
1.45
1.46
1.47
1.48
1.49
1.5
1.51
1.52
1.54
1.55
1.56
1.57
1.58
1.59
1.6
1.62
1.63
1.64
1.65
1.66
1.67
1.68
1.71
1.73
1.74
1.75
1.76
1.77
1.78
1.79
1.81
1.82
1.83
1.84
1.85
1.86
1.87
1.88
1.9
1.91
1.93
1.94
1.95
1.97
1.98
2.03
2.04
2.05
2.06
2.07
2.08
2.1
2.12
2.14
2.15
2.17
2.18
2.19
2.2
2.22
2.23
2.27
2.29
2.31
2.32
2.33
2.34
2.35
2.36
2.37
2.39
2.41
2.43
2.45
2.48
2.49
2.5
2.52
2.56
2.62
2.63
2.67
2.69
2.72
2.75
2.86
2.88
2.94
2.95
2.96
3.28
3.34
3.35
3.38
3.46
3.55
3.6
3.78
3.81
3.84
3.97
4
4.12
4.38
4.41
4.43
4.59
4.76
4.81
4.83
99.97
Measurement out of range
99.98
Z-score out of range
99.99
Not measured
Sysmiss
Height for age z-score WHO
Height for age z-score WHO
Height for age z-score WHO
Height for age z-score WHO
Height for age z-score WHO
Recoded variable
1869
71
-5.35
99.99
-5.35
-5.13
-5.09
-4.59
-4.5
-4.26
-3.97
-3.9
-3.86
-3.82
-3.53
-3.51
-3.43
-3.31
-3.18
-3.11
-3.1
-3.08
-3.05
-2.97
-2.93
-2.91
-2.87
-2.86
-2.83
-2.8
-2.76
-2.73
-2.66
-2.63
-2.62
-2.6
-2.59
-2.58
-2.56
-2.55
-2.53
-2.52
-2.48
-2.47
-2.45
-2.44
-2.42
-2.38
-2.37
-2.36
-2.35
-2.34
-2.32
-2.29
-2.27
-2.26
-2.25
-2.24
-2.23
-2.21
-2.18
-2.17
-2.16
-2.15
-2.13
-2.12
-2.11
-2.09
-2.08
-2.07
-2.05
-2.04
-2.03
-2.01
-2
-1.99
-1.98
-1.97
-1.95
-1.94
-1.93
-1.92
-1.91
-1.89
-1.87
-1.86
-1.85
-1.84
-1.83
-1.82
-1.81
-1.8
-1.79
-1.78
-1.76
-1.75
-1.73
-1.72
-1.71
-1.7
-1.69
-1.68
-1.67
-1.65
-1.63
-1.62
-1.61
-1.6
-1.59
-1.58
-1.57
-1.56
-1.55
-1.54
-1.53
-1.52
-1.51
-1.5
-1.49
-1.48
-1.47
-1.46
-1.45
-1.44
-1.43
-1.42
-1.41
-1.4
-1.39
-1.38
-1.37
-1.36
-1.35
-1.34
-1.33
-1.32
-1.31
-1.3
-1.29
-1.28
-1.27
-1.26
-1.25
-1.24
-1.23
-1.22
-1.21
-1.2
-1.19
-1.18
-1.17
-1.16
-1.15
-1.14
-1.13
-1.12
-1.11
-1.1
-1.09
-1.08
-1.07
-1.06
-1.05
-1.04
-1.03
-1.02
-1.01
-1
-0.99
-0.98
-0.97
-0.96
-0.95
-0.94
-0.93
-0.92
-0.91
-0.9
-0.89
-0.88
-0.87
-0.86
-0.85
-0.84
-0.83
-0.82
-0.81
-0.8
-0.79
-0.78
-0.77
-0.76
-0.75
-0.74
-0.73
-0.72
-0.71
-0.7
-0.69
-0.68
-0.67
-0.66
-0.65
-0.64
-0.63
-0.62
-0.61
-0.6
-0.59
-0.58
-0.57
-0.56
-0.55
-0.54
-0.53
-0.52
-0.51
-0.5
-0.49
-0.48
-0.47
-0.46
-0.45
-0.44
-0.43
-0.42
-0.41
-0.4
-0.39
-0.38
-0.37
-0.36
-0.35
-0.34
-0.33
-0.32
-0.31
-0.3
-0.29
-0.28
-0.27
-0.26
-0.25
-0.24
-0.23
-0.22
-0.21
-0.2
-0.19
-0.18
-0.17
-0.16
-0.15
-0.14
-0.13
-0.12
-0.11
-0.1
-0.09
-0.08
-0.07
-0.06
-0.05
-0.04
-0.03
-0.02
-0.01
0.01
0.02
0.03
0.04
0.05
0.06
0.07
0.08
0.09
0.1
0.11
0.12
0.13
0.14
0.15
0.16
0.17
0.18
0.19
0.2
0.21
0.22
0.23
0.24
0.25
0.26
0.27
0.28
0.29
0.3
0.31
0.32
0.33
0.34
0.35
0.36
0.37
0.38
0.39
0.4
0.41
0.42
0.43
0.44
0.45
0.46
0.47
0.48
0.49
0.5
0.51
0.52
0.53
0.54
0.55
0.56
0.57
0.58
0.59
0.6
0.61
0.62
0.63
0.64
0.65
0.66
0.67
0.68
0.69
0.7
0.71
0.72
0.73
0.74
0.75
0.76
0.77
0.78
0.79
0.8
0.81
0.82
0.83
0.84
0.85
0.86
0.88
0.89
0.9
0.91
0.92
0.93
0.94
0.95
0.96
0.97
0.98
0.99
1
1.01
1.02
1.03
1.04
1.05
1.06
1.07
1.08
1.09
1.1
1.11
1.12
1.13
1.14
1.15
1.16
1.17
1.18
1.19
1.2
1.21
1.22
1.23
1.24
1.25
1.26
1.27
1.28
1.29
1.31
1.32
1.33
1.34
1.36
1.37
1.38
1.39
1.4
1.41
1.42
1.43
1.45
1.46
1.47
1.48
1.49
1.5
1.51
1.52
1.53
1.54
1.55
1.56
1.57
1.58
1.59
1.6
1.61
1.62
1.63
1.64
1.67
1.69
1.7
1.72
1.73
1.74
1.75
1.76
1.77
1.78
1.79
1.8
1.83
1.84
1.85
1.86
1.87
1.89
1.9
1.91
1.92
1.95
1.96
1.99
2
2.02
2.05
2.06
2.07
2.08
2.09
2.11
2.17
2.18
2.19
2.23
2.25
2.27
2.28
2.29
2.3
2.38
2.39
2.41
2.42
2.43
2.45
2.46
2.49
2.5
2.52
2.53
2.56
2.57
2.65
2.68
2.69
2.75
2.79
2.86
2.9
2.96
3.08
3.09
3.28
3.38
3.5
3.52
3.54
3.61
3.78
3.84
3.89
4
4.34
4.58
5.33
99.97
Measurement out of range
99.98
Z-score out of range
99.99
Not measured
Sysmiss
Weight for age z-score WHO
Weight for age z-score WHO
Weight for age z-score WHO
Weight for age z-score WHO
Weight for age z-score WHO
Recoded variable
1869
71
-5.39
99.99
-5.39
-4.65
-4.23
-3.9
-2.97
-2.87
-2.81
-2.76
-2.69
-2.6
-2.49
-2.48
-2.47
-2.4
-2.35
-2.3
-2.29
-2.27
-2.25
-2.2
-2.16
-2.15
-2.12
-2.1
-2.09
-2.07
-2.03
-1.99
-1.97
-1.96
-1.95
-1.94
-1.92
-1.91
-1.89
-1.86
-1.83
-1.82
-1.81
-1.8
-1.79
-1.75
-1.74
-1.73
-1.72
-1.7
-1.69
-1.68
-1.67
-1.66
-1.64
-1.63
-1.61
-1.59
-1.57
-1.56
-1.55
-1.54
-1.53
-1.51
-1.5
-1.49
-1.48
-1.47
-1.46
-1.45
-1.43
-1.42
-1.4
-1.38
-1.37
-1.36
-1.35
-1.34
-1.33
-1.32
-1.31
-1.3
-1.29
-1.28
-1.27
-1.26
-1.24
-1.23
-1.22
-1.21
-1.2
-1.19
-1.18
-1.17
-1.16
-1.15
-1.14
-1.13
-1.12
-1.11
-1.1
-1.09
-1.08
-1.07
-1.06
-1.05
-1.04
-1.03
-1.02
-1.01
-1
-0.99
-0.98
-0.97
-0.95
-0.94
-0.93
-0.92
-0.91
-0.9
-0.89
-0.88
-0.87
-0.86
-0.85
-0.84
-0.83
-0.82
-0.81
-0.8
-0.79
-0.78
-0.77
-0.76
-0.75
-0.74
-0.73
-0.72
-0.71
-0.7
-0.69
-0.68
-0.67
-0.66
-0.65
-0.64
-0.63
-0.62
-0.61
-0.6
-0.59
-0.58
-0.57
-0.56
-0.55
-0.54
-0.53
-0.52
-0.51
-0.5
-0.49
-0.48
-0.47
-0.46
-0.45
-0.44
-0.43
-0.42
-0.41
-0.4
-0.39
-0.38
-0.37
-0.36
-0.35
-0.34
-0.33
-0.32
-0.31
-0.3
-0.29
-0.28
-0.27
-0.26
-0.25
-0.24
-0.23
-0.22
-0.21
-0.2
-0.19
-0.18
-0.17
-0.16
-0.15
-0.14
-0.13
-0.12
-0.11
-0.1
-0.09
-0.08
-0.07
-0.06
-0.05
-0.04
-0.03
-0.02
-0.01
0.01
0.02
0.03
0.04
0.05
0.06
0.07
0.08
0.09
0.1
0.11
0.12
0.13
0.14
0.15
0.16
0.17
0.18
0.19
0.2
0.21
0.22
0.23
0.24
0.25
0.26
0.27
0.28
0.29
0.3
0.31
0.32
0.33
0.34
0.36
0.37
0.38
0.39
0.4
0.41
0.42
0.43
0.44
0.45
0.46
0.47
0.48
0.49
0.5
0.51
0.52
0.53
0.54
0.55
0.56
0.57
0.58
0.59
0.6
0.61
0.62
0.63
0.64
0.65
0.66
0.67
0.68
0.69
0.7
0.71
0.72
0.73
0.74
0.75
0.76
0.77
0.78
0.79
0.8
0.81
0.82
0.83
0.84
0.85
0.86
0.87
0.88
0.89
0.9
0.91
0.92
0.93
0.94
0.95
0.96
0.97
0.98
0.99
1
1.02
1.03
1.04
1.05
1.06
1.07
1.08
1.09
1.1
1.11
1.12
1.13
1.14
1.15
1.16
1.17
1.18
1.19
1.2
1.21
1.22
1.23
1.24
1.25
1.26
1.27
1.28
1.29
1.3
1.31
1.32
1.33
1.34
1.35
1.36
1.37
1.38
1.39
1.4
1.41
1.42
1.43
1.44
1.45
1.47
1.48
1.49
1.5
1.51
1.52
1.53
1.54
1.55
1.56
1.57
1.59
1.6
1.61
1.62
1.64
1.65
1.66
1.67
1.68
1.69
1.7
1.71
1.72
1.73
1.74
1.75
1.77
1.78
1.8
1.82
1.83
1.85
1.86
1.88
1.93
1.94
1.95
1.96
1.98
2
2.01
2.03
2.04
2.05
2.06
2.08
2.1
2.12
2.13
2.15
2.16
2.19
2.2
2.23
2.27
2.28
2.32
2.34
2.35
2.37
2.38
2.4
2.42
2.43
2.44
2.47
2.51
2.6
2.62
2.63
2.65
2.66
2.7
2.75
2.81
2.86
2.93
3.19
3.23
3.42
3.43
3.56
3.65
3.84
3.93
4.4
4.95
4.99
99.97
Measurement out of range
99.98
Z-score out of range
99.99
Not measured
Sysmiss
Weight for height z-score WHO
Weight for height z-score WHO
Weight for height z-score WHO
Weight for height z-score WHO
Weight for height z-score WHO
Recoded variable
1869
71
-4.36
99.99
-4.36
-4.32
-3.41
-3.29
-3.24
-3.15
-3.1
-2.99
-2.9
-2.89
-2.86
-2.75
-2.73
-2.7
-2.63
-2.46
-2.36
-2.26
-2.24
-2.23
-2.19
-2.16
-2.15
-2.13
-2.1
-2.07
-2.04
-2.03
-2.02
-2.01
-2
-1.97
-1.95
-1.87
-1.86
-1.8
-1.79
-1.77
-1.76
-1.75
-1.73
-1.7
-1.69
-1.67
-1.65
-1.64
-1.63
-1.61
-1.6
-1.59
-1.58
-1.57
-1.56
-1.55
-1.54
-1.52
-1.51
-1.5
-1.48
-1.47
-1.45
-1.42
-1.41
-1.38
-1.37
-1.36
-1.35
-1.34
-1.32
-1.3
-1.29
-1.28
-1.26
-1.25
-1.23
-1.22
-1.21
-1.2
-1.19
-1.17
-1.16
-1.15
-1.14
-1.13
-1.12
-1.11
-1.1
-1.09
-1.08
-1.07
-1.06
-1.05
-1.04
-1.03
-1.02
-1.01
-1
-0.99
-0.98
-0.97
-0.96
-0.95
-0.94
-0.93
-0.92
-0.91
-0.9
-0.89
-0.88
-0.87
-0.86
-0.85
-0.84
-0.83
-0.82
-0.81
-0.8
-0.79
-0.78
-0.77
-0.76
-0.75
-0.74
-0.73
-0.72
-0.71
-0.7
-0.69
-0.68
-0.66
-0.65
-0.64
-0.63
-0.62
-0.61
-0.6
-0.59
-0.58
-0.57
-0.56
-0.55
-0.54
-0.53
-0.52
-0.51
-0.5
-0.49
-0.48
-0.47
-0.46
-0.45
-0.44
-0.43
-0.42
-0.41
-0.4
-0.39
-0.38
-0.37
-0.36
-0.35
-0.34
-0.33
-0.32
-0.31
-0.3
-0.29
-0.28
-0.27
-0.26
-0.25
-0.24
-0.23
-0.22
-0.21
-0.2
-0.19
-0.18
-0.17
-0.16
-0.15
-0.14
-0.13
-0.12
-0.11
-0.1
-0.09
-0.08
-0.07
-0.06
-0.05
-0.04
-0.03
-0.02
-0.01
0.01
0.02
0.03
0.04
0.05
0.06
0.07
0.08
0.09
0.1
0.11
0.12
0.13
0.14
0.15
0.16
0.17
0.18
0.19
0.2
0.21
0.22
0.23
0.24
0.25
0.26
0.27
0.28
0.29
0.3
0.31
0.32
0.33
0.34
0.35
0.36
0.37
0.38
0.39
0.4
0.41
0.42
0.43
0.44
0.45
0.46
0.47
0.48
0.49
0.5
0.51
0.52
0.53
0.54
0.55
0.56
0.57
0.58
0.59
0.6
0.61
0.62
0.63
0.64
0.65
0.66
0.67
0.68
0.7
0.71
0.72
0.73
0.74
0.75
0.76
0.78
0.79
0.8
0.81
0.82
0.83
0.84
0.85
0.86
0.87
0.88
0.89
0.9
0.91
0.92
0.93
0.94
0.95
0.96
0.97
0.98
0.99
1
1.01
1.02
1.03
1.04
1.05
1.06
1.07
1.08
1.09
1.1
1.11
1.12
1.13
1.14
1.15
1.16
1.17
1.18
1.19
1.2
1.21
1.22
1.23
1.24
1.25
1.26
1.27
1.28
1.29
1.3
1.31
1.32
1.33
1.34
1.35
1.36
1.37
1.38
1.39
1.4
1.41
1.42
1.43
1.44
1.45
1.46
1.47
1.48
1.49
1.5
1.51
1.52
1.53
1.55
1.56
1.57
1.59
1.6
1.61
1.62
1.63
1.64
1.65
1.66
1.67
1.68
1.69
1.7
1.71
1.72
1.73
1.74
1.75
1.76
1.77
1.78
1.79
1.8
1.81
1.82
1.84
1.85
1.86
1.87
1.89
1.92
1.93
1.94
1.95
1.96
1.97
1.98
1.99
2
2.01
2.03
2.04
2.07
2.08
2.1
2.13
2.14
2.16
2.18
2.22
2.23
2.24
2.25
2.27
2.28
2.3
2.31
2.35
2.36
2.38
2.4
2.41
2.45
2.46
2.47
2.5
2.51
2.55
2.58
2.59
2.6
2.63
2.72
2.73
2.75
2.77
2.78
2.79
2.8
2.82
2.92
2.98
3.18
3.21
3.26
3.28
3.43
3.46
3.64
3.66
3.81
3.83
3.98
4.01
4.22
4.23
4.32
4.42
4.47
4.49
4.56
4.58
99.97
Measurement out of range
99.98
Z-score out of range
99.99
Not measured
Sysmiss
Height for age flag WHO
Height for age flag WHO
Height for age flag WHO
Height for age flag WHO
Height for age flag WHO
Recoded variable
1869
71
No error
1
Error flag
Sysmiss
Weight for age flag WHO
Weight for age flag WHO
Weight for age flag WHO
Weight for age flag WHO
Weight for age flag WHO
Recoded variable
1869
71
No error
1
Error flag
Sysmiss
Weight for height flag WHO
Weight for height flag WHO
Weight for height flag WHO
Weight for height flag WHO
Weight for height flag WHO
Recoded variable
1869
71
No error
1
Error flag
Sysmiss
BMI flag WHO
BMI flag WHO
BMI flag WHO
BMI flag WHO
BMI flag WHO
1869
71
No error
1
Error flag
Sysmiss
Weight for height - Age flag WHO
Weight for height - Age flag WHO
Weight for height - Age flag WHO
Weight for height - Age flag WHO
Weight for height - Age flag WHO
Recoded variable
1869
71
Age given - all measurements calculated
1
No age - only weight for height calculated
Sysmiss
Area
Area
Area
Area
Area
Type of settlement:
Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area.
1940
1
Urban
2
Rural
Region
Region
Region
Region
Region
Circle the code for region as instructed/provided by your supervisor.
1940
1
Red River Delta
2
Northen Midlands and Mountain area
3
North Central and Central Coastal area
4
Central Highlands
5
South East
6
Mekong River Delta
Sex
Sex
Sex
Sex
Sex
Is (name) male or female?
Circle '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. When the respondent is listing everyone in the household, he/she may indicate the sex of the person at the same time, by saying “My sister Mary,” for instance. In this case, you do not need to ask the sex of the household member again, since it is already obvious that the person is a female. However, when a name is mentioned that can be used for both males and females, never use your judgement. Even in cases when you think that the name would most likely be a male's (or a female's) name, have the respondent confirm the sex. This column should never be left blank.
1940
1
Male
2
Female
9
Missing
Highest level of education attended
Highest level of education attended
Highest level of education attended
Highest level of education attended
Highest level of education attended
What is the highest level of school (name) attended?
For household members age 5 and above, ask ED1-ED8:
If the person has been to school, record the highest level of schooling attended by circling the code for the response. You may need to probe for the type of school attended. Circle '8' if the respondent 'Doesn't know'. If the highest level of school the child has attended is preschool (Level=0), skip to ED5.
1923
17
Preschool
1
Primary
2
Lower Secondary
3
Upper Secondary
4
Professional School
5
College/University and above
6
8
DK
9
Missing
Sysmiss
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
What is the highest grade (name) completed at this level?
For household members age 5 and above, ask ED1-ED8:
Enter the highest grade completed or '98' for 'DK' ('Doesn't know'). If less than one grade, enter '00'. For instance, if a person has attended primary school but did not complete the first grade, then the level for this person will be circled as '1' in ED4A, and the grade will be entered as '00' in ED4B.
Similarly, for a child who is attending grade 5 in primary school at the time of the interview, the level will be coded as '1' and the grade as '04', since this person has not yet completed grade 5.
Note that if the level of schooling is given as preschool in ED4A, the grade should be left blank.
For someone not at school anymore, the highest level attended is the one he/she went to before leaving the education system, even if it was for a few weeks. For someone still at school, the highest level is the one he/she is currently attending (or was attending if we are conducting the interview during a long school break period).
1923
17
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
98
DK
99
Missing
Sysmiss
Date of interview child (CMC)
Date of interview child (CMC)
Date of interview child (CMC)
Date of interview child (CMC)
Date of interview child (CMC)
1940
1348
1349
1350
Date of birth of child (CMC)
Date of birth of child (CMC)
Date of birth of child (CMC)
Date of birth of child (CMC)
Date of birth of child (CMC)
1869
71
1289
1350
1319.415
17.189
Age (months)
Age (months)
Age (months)
Age (months)
Age (months)
1869
71
59
29.246
17.213
Age
Age
Age
Age
Age
1869
71
1
0-5
2
6-11
3
12-23
4
24-35
5
36-47
6
48-59
Sysmiss
Age
Age
Age
Age
Age
1869
71
1
0-11
2
12-23
3
24-35
4
36-47
5
48-59
Sysmiss
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
1940
1
6
1
Kinh
2
Non-Kinh
3
4
5
6
9
Missing/DK
Mother’s/caretaker's ethnicity
Mother’s/caretaker's ethnicity
Mother’s/caretaker's ethnicity
Mother’s/caretaker's ethnicity
Mother’s/caretaker's ethnicity
1940
1
Moldovan/Romanian
2
Russian
3
Ukrainian
4
Roma(Gypsy)
5
Gagauz
6
Other ethnic group
9
Missing/DK
Mother's education
Mother's education
Mother's education
Mother's education
Mother's education
1940
1
9
None
1
Primary
2
Lower Secondary
3
Upper Secondary
4
Tertiary
9
Missing/DK
Wealth index score
Wealth index score
Wealth index score
Wealth index score
Wealth index score
1940
1869
-2.187
1.889
0.192
-0.0565
0.978
0.967
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
1940
1
Poorest
2
Second
3
Middle
4
Fourth
5
Richest
Children's sample weight
Children's sample weight
Children's sample weight
Children's sample weight
Children's sample weight
1940
3.097
0.963
0.503
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
Enter the cluster number as instructed by your supervisor.
6718
1
400
197.731
115.31
Household number
Household number
Household number
Household number
Household number
Enter the household number as instructed by your supervisor.
6718
1
63
16.603
9.948
Line number
Line number
Line number
Line number
Line number
6718
1
2
3
4
5
6
7
8
9
10
11
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
WM1-WM6 should be filled in before you start the interview.
Enter the cluster number from the Household Questionnaire, question HH1.
6718
1
400
197.731
115.31
Household number
Household number
Household number
Household number
Household number
WM1-WM6 should be filled in before you start the interview.
Enter the household number from the Household Questionnaire, question HH2.
6718
1
63
16.603
9.948
Woman's line number
Woman's line number
Woman's line number
Woman's line number
Woman's line number
WM1-WM6 should be filled in before you start the interview.
Enter the woman's line number from the Household Questionnaire, column HL1 of the Household Listing.
6718
1
2
3
4
5
6
7
8
9
10
11
Interviewer number
Interviewer number
Interviewer number
Interviewer number
Interviewer number
Interviewer’s name and number:
WM1-WM6 should be filled in before you start the interview.
Enter your own name and identifying number. You will be provided with these identification numbers at the time of training.
6718
1
370
53.095
16.61
Day of interview
Day of interview
Day of interview
Day of interview
Day of interview
WM1-WM6 should be filled in before you start the interview.
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman.
6718
1
31
15.45
8.54
Month of interview
Month of interview
Month of interview
Month of interview
Month of interview
WM1-WM6 should be filled in before you start the interview.
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman.
6718
4
5
6
Year of interview
Year of interview
Year of interview
Year of interview
Year of interview
WM1-WM6 should be filled in before you start the interview.
Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman.
6718
2012
Result of woman's interview
Result of woman's interview
Result of woman's interview
Result of woman's interview
Result of woman's interview
Complete this question once you have concluded the interview with the woman. Circle the code corresponding to the result of the interview. If the questionnaire is completed, circle '01' for 'Completed'. If you have not been able to contact the woman after repeated visits, circle '02' for 'Not at home'. If the woman refuses to be interviewed, circle '03' for 'Refused'. If you were able to only partly complete the questionnaire, circle '04' for 'Partly completed'. If the woman is incapacitated (mentally or physically incapacitated), circle '05'. If you have not been able to complete this interview for another reason, you should circle '96' for 'Other' and specify the reason in the space provided.
6718
1
Completed
2
Not at home
3
Refused
4
Partly completed
5
Incapacitated
96
Other
Field editor
Field editor
Field editor
Field editor
Field editor
Field edited by:
Leave this space blank. The field editor will later enter his/her name and number in the space provided when checking the completed questionnaires.
6718
1
72
22.738
5.135
11
21
31
41
51
61
71
81
91
101
111
121
131
141
151
161
171
181
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
Leave this space blank. The data clerk will enter his/her name and number in the space provided.
6718
1
2
3
4
5
6
7
8
9
10
11
12
19
103
121
122
134
140
152
192
202
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Record the time of the day you start the interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute.
6000
718
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
99
Missing
Sysmiss
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Record the time of the day you start the interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute.
6000
718
59
99
Missing
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
Record the time of the day you finish the woman's interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the individual interview, revise and enter starting (WM10) and ending times (WM11) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the individual questionnaire regarding this.
6000
718
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
99
Missing
Sysmiss
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
Record the time of the day you finish the woman's interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the individual interview, revise and enter starting (WM10) and ending times (WM11) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the individual questionnaire regarding this.
6000
718
59
99
Missing
Month of birth of woman
Month of birth of woman
Month of birth of woman
Month of birth of woman
Month of birth of woman
In what month and year were you born?
If the respondent knows her date of birth, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', etc. If the month or day contains only one digit, use a leading zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know her month of birth, circle '98' for 'DK month' and ask her for the year of her birth. If she knows the year, write it in the spaces for 'Year'. Try under all circumstances to obtain at least the year of birth. If the respondent is unable to provide this information, ask whether she has any documentation such as an identification card, horoscope, or a birth or baptismal certificate that might give her date of birth. If such documentation is available, ask the woman if the information on the document(s) is correct. Only when it is absolutely impossible to even estimate the year of birth should you circle '9998' for 'DK year'.
6000
718
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
98
DK
99
Missing
Sysmiss
Year of birth of woman
Year of birth of woman
Year of birth of woman
Year of birth of woman
Year of birth of woman
In what month and year were you born?
If the respondent knows her date of birth, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', etc. If the month or day contains only one digit, use a leading zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know her month of birth, circle '98' for 'DK month' and ask her for the year of her birth. If she knows the year, write it in the spaces for 'Year'. Try under all circumstances to obtain at least the year of birth. If the respondent is unable to provide this information, ask whether she has any documentation such as an identification card, horoscope, or a birth or baptismal certificate that might give her date of birth. If such documentation is available, ask the woman if the information on the document(s) is correct. Only when it is absolutely impossible to even estimate the year of birth should you circle '9998' for 'DK year'.
6000
718
1962
9997
9997
Inconsistent
9998
DK
9999
Missing
Age of woman
Age of woman
Age of woman
Age of woman
Age of woman
How old are you?
Enter her age in completed years, that is, her age at her last birthday. If she knows her age, write it in the space provided.
Probe: “How old were you at your last birthday?”
Compare and correct WB1 and/or WB2 if inconsistent.
If she does not know the answer to either of these two questions, probe for clues that might indicate her age. Ask how old she was when she was first married or first gave birth. Try to find out how long ago she got married or had her first child. (You may be able to find out the age of her oldest child if the child is still living. You may be able to relate her age to someone else in the household whose age is known. You may be able to determine her age based on how old she was when an important event occurred, and the number of years that have elapsed since.) You MUST fill in this information. Do not leave this blank. Compare and correct WB1 and WB2 if inconsistent.
Finally, before moving on to the next question, verify that the respondent is indeed eligible. If the woman is younger than 15 or older than 49, you have to terminate the interview. Do this tactfully by asking two or three more questions and then thank the respondent for her cooperation; write 'INELIGIBLE' on the cover page of the questionnaire, and correct the age and eligibility information for this woman on the cover page and in Columns HL6 and HL7 of the Household Questionnaire.
6000
718
15
49
31.489
10.016
Women's ethnicity
Women's ethnicity
Women's ethnicity
Women's ethnicity
Women's ethnicity
To what ethnic group do you belong?
6000
718
1
Moldovan/Romanian
2
Russian
3
Ukrainian
4
Roma(Gypsy)
5
Gagauz
6
Other ethnic group
9
Missing/DK
Sysmiss
Ever attended school
Ever attended school
Ever attended school
Ever attended school
Ever attended school
Have you ever attended school or preschool?
Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions.
Circle the code corresponding to the response given. If 'No', skip to WB7. Otherwise, continue on to the next question.
The term 'school' includes primary, secondary and post-secondary schooling, as well as any other intermediate levels of schooling in the formal school system. It also includes technical or vocational training beyond the primary-school level, such as long-term courses in mechanics or secretarial work.
Schools that carry out non-standard curriculum (non-formal education) are not included here. A non-standard curriculum includes religious schools, such as Koranic schools, that do not teach a full, standard school curriculum. If a school teaches religious courses but also includes the standard curriculum - such as many Catholic schools - it would be coded as a standard (formal) school.
6000
718
1
Yes
2
No
Sysmiss
Highest level of school attended
Highest level of school attended
Highest level of school attended
Highest level of school attended
Highest level of school attended
What is the highest level of school you attended?
Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions.
Circle the code corresponding to the highest level ever attended, regardless of whether or not the year was completed. For example, if she attended Form/Year 1 of secondary school for only 2 weeks, record 'Secondary'.
5973
745
Preschool
1
Primary
2
Secondary
3
Higher
4
5
6
Sysmiss
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
What is the highest grade you completed at that level?
Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions.
For this question, record the number of years that the respondent successfully completed at that level recorded in WB4. For example, if a woman was attending grade 3 of secondary school and left school before completing that year, record '02'. Although grade 3 was the highest year she attended, she completed 2 years of secondary school. If less than 1 year, record '00' for completed years. For example, if she attended only 2 weeks of grade 1 of secondary school, record '00' for completed years.
5973
745
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
98
DK
99
Missing
Sysmiss
Can read part of the sentence
Can read part of the sentence
Can read part of the sentence
Can read part of the sentence
Can read part of the sentence
Now I would like you to read this sentence to me.
Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions.
To ascertain whether women are literate or not, you will be showing women you interview cards with pre-printed sentences on them, and asking women to read them. Note that this question will be asked only to women who have not attended school, or did not attend school beyond the primary level. We assume that women who have attended secondary school or higher are literate. However, it is also known that some women who have attended or even completed primary school may be functionally illiterate. Therefore, we need to ask this question to such women.
Based on your knowledge of the respondent, choose the card with the language in which the respondent is likely to be able to read if she is literate. Show the first sentence on the card to the respondent. Give the respondent enough time to read the sentence; do not rush her. If the respondent cannot read the whole sentence, probe: “Can you read part of the sentence to me?”
Record whether the respondent was not able to read the sentence at all, was able to read only parts of the sentence, or was able to read the whole sentence. If the respondent asks for the sentences in another language and you were provided a card with sentences in that language, show the respondent the appropriate card. If there is no card with sentences in the language required, circle '4', and specify the language. If the respondent is blind or visually impaired, circle '5'.
It is important to avoid the problem of having other respondents in the household overhear the sentence being read. Subsequent respondents in the household might be able to repeat the sentence when they are interviewed, even if they are unable to read. If there is a second eligible woman in the household, show her the second sentence on the card. Show the third respondent the third sentence on the card, and the fourth respondent the fourth sentence. If there are more than five respondents, start again with the first sentence on the card.
53
6665
1
Cannot read at all
2
Able to read only parts of sentence
3
Able to read whole sentence
4
No sentence in required language
5
Blind / mute, visually / speech impaired
9
Missing
Sysmiss
Frequency of reading newspaper or magazine
Frequency of reading newspaper or magazine
Frequency of reading newspaper or magazine
Frequency of reading newspaper or magazine
Frequency of reading newspaper or magazine
How often do you read newspapers or magazines:
Almost every day, at least once a week, less than once a week or not at all?
The purpose of this question is to find out whether the respondent is exposed to influences outside her local community by means of reading newspapers or magazines. It does not matter what type of articles she reads, what language she reads in, or who buys the newspapers or magazines she reads. The question is simply about how often she reads them. Make sure that you read the entire question. It is important that the respondent hears all the four categories embodied in the question.
If the respondent tells you that she is reading newspapers on the internet, this should still be considered as exposure to newspapers. The objective is to collect information on whether respondents are accessing newspapers, and if so, how frequently.
Circle '1' if the respondent reads a newspaper or magazine almost every day, '2' if she reads it at least once a week, '3' if less than once a week and '4' if she does not read at all.
5973
745
1
Almost every day
2
At least once a week
3
Less than once a week
4
Not at all
9
Missing
Sysmiss
Frequency of listening to the radio
Frequency of listening to the radio
Frequency of listening to the radio
Frequency of listening to the radio
Frequency of listening to the radio
Do you listen to the radio almost every day, at least once a week, less than once a week or not at all?
A radio is a device capable of receiving broadcast radio signals, using popular frequencies, such as FM, AM, LW and SW. Accessing the radio through the internet or cable services, or other means is also included here. We need to establish whether the respondent is exposed to radio broadcasts, by whatever means.
Circle the code corresponding to the response given. If there is any doubt as to whether the respondent listens to the radio almost every day, probe. For example, after probing, if she says “I listen almost every day, but during the planting season, I'm away and I don't listen at all,” record “Almost every day”, since she normally listens almost every day. It does not matter who owns the radio or what program(s) she listens to. It also does not matter whether the radio is a transistor radio, part of a music set or a movie theatre. We need to ascertain whether the respondent is exposed to radio broadcasts. Again, make sure to read the entire question.
6000
718
1
Almost every day
2
At least once a week
3
Less than once a week
4
Not at all
9
Missing
Sysmiss
Frequency of watching TV
Frequency of watching TV
Frequency of watching TV
Frequency of watching TV
Frequency of watching TV
How often do you watch television: would you say that you watch almost every day, at least once a week, less than once a week or not at all?
A television (TV) is a stand-alone device capable of receiving broadcast television signals, using popular access means such as over-the-air, cable and satellite. However, a respondent watching television broadcasts via the internet or with other means should still be considered as watching television, like other respondents who may be using regular TV sets, as long as she is accessing TV broadcasts.
Circle the code corresponding to the response given. As with MT2 and MT3, the purpose is to get an idea of how much exposure the respondent has to influences outside her place of residence, this time through television broadcasts. It does not matter who owns the television or what program she watches. Read the entire question. If the respondent watches television on a computer, for instance, this would still count as watching television, since the intention is to capture exposure to television broadcasts.
6000
718
1
Almost every day
2
At least once a week
3
Less than once a week
4
Not at all
9
Missing
Sysmiss
Ever used a computer
Ever used a computer
Ever used a computer
Ever used a computer
Ever used a computer
Have you ever used a computer?
Questions starts from MT5 are only for those respondents who are 15-24 years of age. Therefore, we begin with the skip instruction MT5, to filter out those respondents who are above age 24.
A computer refers to a desktop or a laptop computer. It does not include equipment with some embedded computing abilities such as mobile cellular phones, personal digital assistants (PDAs) or TV sets.
Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to MT9. It does not matter who owns the computer and if the computer that the respondent may be using is in the household or elsewhere.
1790
4928
1
Yes
2
No
Sysmiss
Computer usage in the last 12 months
Computer usage in the last 12 months
Computer usage in the last 12 months
Computer usage in the last 12 months
Computer usage in the last 12 months
Have you used a computer from any location in the last 12 months?
Questions starts from MT5 are only for those respondents who are 15-24 years of age. Therefore, we begin with the skip instruction MT5, to filter out those respondents who are above age 24.
Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to MT9. Again, it does not matter who owns the computer and if the computer is in the household or elsewhere.
1695
5023
1
Yes
2
No
Sysmiss
Frequency of computer usage in the last month
Frequency of computer usage in the last month
Frequency of computer usage in the last month
Frequency of computer usage in the last month
Frequency of computer usage in the last month
During the last one month, how often did you use a computer: almost every day, at least once a week, less than once a week or not at all?
Questions starts from MT5 are only for those respondents who are 15-24 years of age. Therefore, we begin with the skip instruction MT5, to filter out those respondents who are above age 24.
Circle the code corresponding to the response given. See explanations above for response categories.
Note that a respondent who has used a computer during the last 12 months (MT7 = 1) may respond as “Not at all” to this question, when the use of a computer was prior to the last one month, but within the last 12 months.
1566
5152
1
Almost every day
2
At least once a week
3
Less than once a week
4
Not at all
9
Missing
Sysmiss
Ever used internet
Ever used internet
Ever used internet
Ever used internet
Ever used internet
Have you ever used the Internet?
Questions starts from MT5 are only for those respondents who are 15-24 years of age. Therefore, we begin with the skip instruction MT5, to filter out those respondents who are above age 24.
The Internet is a world-wide public computer network. It provides access to a number of communication services including the World Wide Web and carries e-mail, news, entertainment and data files, irrespective of the device used (not assumed to be only via a computer - it may also be by mobile phone, PDA, games machine, digital TV etc.). Access can be via a fixed or mobile network.
Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to the next module. It does not matter if the use of internet is in the household the respondent is living or elsewhere.
Note that for those who have said that they have never used a computer or have not used a computer recently, we still ask the questions on internet use, since the respondent may have used the internet by mobile phone, PDA, games machine, digital TV and the like.
1790
4928
1
Yes
2
No
Sysmiss
Internet usage in the last 12 months
Internet usage in the last 12 months
Internet usage in the last 12 months
Internet usage in the last 12 months
Internet usage in the last 12 months
In the last 12 months, have you used the Internet?
Questions starts from MT5 are only for those respondents who are 15-24 years of age. Therefore, we begin with the skip instruction MT5, to filter out those respondents who are above age 24.
Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to the next module. If necessary, probe for use from any location, with any device.
1686
5032
1
Yes
2
No
Sysmiss
Frequency of Internet usage in the past month
Frequency of Internet usage in the past month
Frequency of Internet usage in the past month
Frequency of Internet usage in the past month
Frequency of Internet usage in the past month
During the last one month, how often did you use the Internet: almost every day, at least once a week, less than once a week or not at all?
Questions starts from MT5 are only for those respondents who are 15-24 years of age. Therefore, we begin with the skip instruction MT5, to filter out those respondents who are above age 24.
Circle the code corresponding to the response given.
Note that a respondent who has used the internet during the last 12 months (MT10 = 1) may respond as “Not at all” to this question, when the last use of the internet was prior to the last one month, but within the last 12 months.
1653
5065
1
Almost every day
2
At least once a week
3
Less than once a week
4
Not at all
9
Missing
Sysmiss
Ever given birth
Ever given birth
Ever given birth
Ever given birth
Ever given birth
Now I would like to ask about all the births you have had during your life. Have you ever given birth?
The first question of the module is used to determine if the rest of the module and several subsequent modules should be administered to this woman. If the answer is 'Yes', circle '1', and continue with the next question. If the woman says she has never given birth, circle '2' and skip to CM8.
6000
718
1
Yes
2
No
Sysmiss
Any sons or daughters living with you
Any sons or daughters living with you
Any sons or daughters living with you
Any sons or daughters living with you
Any sons or daughters living with you
Do you have any sons or daughters to whom you have given birth who are now living with you?
Read the question slowly. The sons and daughters being considered are those who live with her in her household (these children should have been listed in the Household Listing). Circle the code corresponding to the response. If she answers 'No', skip to CM6.
4123
2595
1
Yes
2
No
Sysmiss
Sons living with you
Sons living with you
Sons living with you
Sons living with you
Sons living with you
How many sons live with you?
If the answer to CM4 is 'Yes', record the number of sons and daughters living with the woman in the space provided. If the answer is 'None' for sons (or if she does not have any sons), record '00' in the space provided for sons. Similarly, if she has no daughters now living with her (or if she does not have any daughters), record '00' in the space for daughters. Do not leave either of the spaces blank. Since the question is asked only to women who have children living with them in the same household, at least one of the spaces should have a value higher than 00.
Remember, we are interested only in the respondent's OWN children - not foster children, children of her husband by another woman, children of another relative, or children for whom she is the caretaker.
3723
2995
1
2
3
4
5
6
7
Sysmiss
Daughters living with you
Daughters living with you
Daughters living with you
Daughters living with you
Daughters living with you
How many daughters live with you?
If the answer to CM4 is 'Yes', record the number of sons and daughters living with the woman in the space provided. If the answer is 'None' for sons (or if she does not have any sons), record '00' in the space provided for sons. Similarly, if she has no daughters now living with her (or if she does not have any daughters), record '00' in the space for daughters. Do not leave either of the spaces blank. Since the question is asked only to women who have children living with them in the same household, at least one of the spaces should have a value higher than 00.
Remember, we are interested only in the respondent's OWN children - not foster children, children of her husband by another woman, children of another relative, or children for whom she is the caretaker.
3723
2995
1
2
3
4
5
6
Sysmiss
Any sons or daughters not living with you
Any sons or daughters not living with you
Any sons or daughters not living with you
Any sons or daughters not living with you
Any sons or daughters not living with you
Do you have any sons or daughters to whom you have given birth who are alive but do not live with you?
This refers to sons and daughters who are alive but not living with the woman. For example, one or more of her children may be living with a relative, staying in a boarding school, been given up for adoption, or may be grown-up children who have left home.
Make sure the respondent is not reporting dead children in this question. Circle the code corresponding to the response. If she answers 'No', skip to CM8.
4123
2595
1
Yes
2
No
Sysmiss
Sons living elsewhere
Sons living elsewhere
Sons living elsewhere
Sons living elsewhere
Sons living elsewhere
How many sons are alive but do not live with you?
If the answer to CM6 is 'Yes', record the number of sons and daughters who are alive but not living with the respondent in the space provided. If the answer is 'None' for sons (or if she does not have any sons who are alive), record '00' in the space provided for sons. If the answer is 'None' for daughters (or if she does not have any daughters who are alive), record '00' in the space provided for daughters.
Since this question is asked only to women who have children alive who are not living with them, at least one of the spaces should have a value higher than 00. For women who have been asked this question, the spaces should not be left blank.
992
5726
1
2
3
4
Sysmiss
Daughters living elsewhere
Daughters living elsewhere
Daughters living elsewhere
Daughters living elsewhere
Daughters living elsewhere
How many daughters are alive but do not live with you?
If the answer to CM6 is 'Yes', record the number of sons and daughters who are alive but not living with the respondent in the space provided. If the answer is 'None' for sons (or if she does not have any sons who are alive), record '00' in the space provided for sons. If the answer is 'None' for daughters (or if she does not have any daughters who are alive), record '00' in the space provided for daughters.
Since this question is asked only to women who have children alive who are not living with them, at least one of the spaces should have a value higher than 00. For women who have been asked this question, the spaces should not be left blank.
992
5726
1
2
3
4
Sysmiss
Ever had child who later died
Ever had child who later died
Ever had child who later died
Ever had child who later died
Ever had child who later died
Have you ever given birth to boy or girl who was born alive but later died?
This question is extremely important.
Circle the code corresponding to the response. Some respondents may fail to mention children who died very young, so if she answers 'No', it is important to probe by asking “I mean, to a child who ever breathed, cried or showed signs of life - even if he or she lived only a few minutes or hours?” If the answer is still 'No', skip to CM10.
Some respondents may be reluctant to talk about this subject and may become sad or upset that you are asking such questions. Be sympathetic and tactful in such situations. Say that you know the subject is painful, but the information is important.
6000
718
1
Yes
2
No
Sysmiss
Boys dead
Boys dead
Boys dead
Boys dead
Boys dead
How many boys died?
If the answer to CM8 is 'Yes', record the number of sons and daughters who were born alive but later died in the spaces provided. Do not leave either of the spaces blank. For women who have been asked this question, at least one of the spaces should have a value higher than 00.
223
6495
1
2
3
Sysmiss
Girls dead
Girls dead
Girls dead
Girls dead
Girls dead
How many girls died?
If the answer to CM8 is 'Yes', record the number of sons and daughters who were born alive but later died in the spaces provided. Do not leave either of the spaces blank. For women who have been asked this question, at least one of the spaces should have a value higher than 00.
223
6495
1
2
Sysmiss
Children ever born
Children ever born
Children ever born
Children ever born
Children ever born
Sum answers to CM5, CM7, and CM9.
6000
718
1
2
3
4
5
6
7
8
9
Sysmiss
PREGNANCIES THAT WERE MISCARRIED, ENDED IN A STILLBIRTH, OR ABORTED
PREGNANCIES THAT WERE MISCARRIED, ENDED IN A STILLBIRTH, OR ABORTED
PREGNANCIES THAT WERE MISCARRIED, ENDED IN A STILLBIRTH, OR ABORTED
PREGNANCIES THAT WERE MISCARRIED, ENDED IN A STILLBIRTH, OR ABORTED
PREGNANCIES THAT WERE MISCARRIED, ENDED IN A STILLBIRTH, OR ABORTED
Sometimes women have pregnancies that might not end with a live birth.
Have you ever had any pregnancy that was miscarried, ended in a stillbirth, or that was terminated early (aborted)?
6000
718
1
Yes
2
No
9
Missing
Sysmiss
NUMBER OF MISCARRIAGES
NUMBER OF MISCARRIAGES
NUMBER OF MISCARRIAGES
NUMBER OF MISCARRIAGES
NUMBER OF MISCARRIAGES
How many miscarriages have you had during your lifetime?
By miscarriage, i mean an early and involuntary end of pregnancy within the first 5th month of pregnancy.
2299
4419
1
2
3
4
5
6
7
8
11
99
Missing
Sysmiss
NUMBER OF STILLBIRTH
NUMBER OF STILLBIRTH
NUMBER OF STILLBIRTH
NUMBER OF STILLBIRTH
NUMBER OF STILLBIRTH
In how many cases have your pregnancies ended with a stillbirth?
by stillbirth, i mean a birth that took place after the 5th month of pregnancy, but the child did not show any signs of life.
2299
4419
1
2
3
99
Missing
Sysmiss
NUMBER OF ABORTIONS
NUMBER OF ABORTIONS
NUMBER OF ABORTIONS
NUMBER OF ABORTIONS
NUMBER OF ABORTIONS
And how many early terminations of pregnancy (abortions) have you had during your lifetime?
by early termination of pregnancy (abortion), i mean a pregnancy that was voluntarily terminated within the first 5 months of pregnancy.
This question is used to ascertain the woman's eligibility for the subsequent two modules.
Enter the date of the woman's most recent birth, even if the child is no longer alive, in the space provided. If the child has died, take special care when referring to this child by name in the following modules.
If the woman does not remember the day of birth, you may enter '98' to the space provided for 'Day'. Note that you MUST obtain exact information on the month and year of the last birth; '98' is not allowed for month and year.
2299
4419
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
18
97
Inconsistent
98
DK
99
Missing
Sysmiss
DATE OF ABORTION, MONTH
DATE OF ABORTION, MONTH
DATE OF ABORTION, MONTH
DATE OF ABORTION, MONTH
DATE OF ABORTION, MONTH
When did your (last) early termination of pregnancy (abortion) take place?
Month and year must be recorded.
1791
4927
1
2
3
4
5
6
7
8
9
10
11
12
98
DK
99
MISSING
Sysmiss
DATE OF ABORTION, YEAR
DATE OF ABORTION, YEAR
DATE OF ABORTION, YEAR
DATE OF ABORTION, YEAR
DATE OF ABORTION, YEAR
When did your (last) early termination of pregnancy (abortion) take place?
Month and year must be recorded.
1791
4927
1980
9999
9999
MISSING
DATE OF LAST ABORTION,MONTH
DATE OF LAST ABORTION,MONTH
DATE OF LAST ABORTION,MONTH
DATE OF LAST ABORTION,MONTH
DATE OF LAST ABORTION,MONTH
What month and year did your (last) early termination (abortion) take place?
Don’t ask, it is given in CM12E
20
6698
4
5
6
7
8
9
10
12
98
DK
99
MISSING
Sysmiss
DATE OF LAST ABORTION, YEAR
DATE OF LAST ABORTION, YEAR
DATE OF LAST ABORTION, YEAR
DATE OF LAST ABORTION, YEAR
DATE OF LAST ABORTION, YEAR
What month and year did your (last) early termination (abortion) take place?
Don’t ask, it is given in CM12E
20
6698
1996
1998
2000
2002
2007
2009
2010
2011
9999
MISSING
Sysmiss
DATE OF PREVIOUS TO THE LAST ABORTION, MONTH
DATE OF PREVIOUS TO THE LAST ABORTION, MONTH
DATE OF PREVIOUS TO THE LAST ABORTION, MONTH
DATE OF PREVIOUS TO THE LAST ABORTION, MONTH
DATE OF PREVIOUS TO THE LAST ABORTION, MONTH
What month and year did your (last) early termination (abortion) take place?
3
6715
3
6
7
98
DK
99
MISSING
Sysmiss
DATE OF PREVIOUS TO THE LAST ABORTION, YEAR
DATE OF PREVIOUS TO THE LAST ABORTION, YEAR
DATE OF PREVIOUS TO THE LAST ABORTION, YEAR
DATE OF PREVIOUS TO THE LAST ABORTION, YEAR
DATE OF PREVIOUS TO THE LAST ABORTION, YEAR
What month and year did your (last) early termination (abortion) take place?
3
6715
2000
2005
2010
9999
MISSING
Sysmiss
DATE OF SECOND LAST FROM THE LAST ABORTIN, MONTH
DATE OF SECOND LAST FROM THE LAST ABORTIN, MONTH
DATE OF SECOND LAST FROM THE LAST ABORTIN, MONTH
DATE OF SECOND LAST FROM THE LAST ABORTIN, MONTH
DATE OF SECOND LAST FROM THE LAST ABORTIN, MONTH
What month and year did your (last) early termination (abortion) take place?
2
6716
2
5
98
DK
99
MISSING
Sysmiss
DATE OF SECOND LAST FROM THE LAST ABORTIN,YEAR
DATE OF SECOND LAST FROM THE LAST ABORTIN,YEAR
DATE OF SECOND LAST FROM THE LAST ABORTIN,YEAR
DATE OF SECOND LAST FROM THE LAST ABORTIN,YEAR
DATE OF SECOND LAST FROM THE LAST ABORTIN,YEAR
What month and year did your (last) early termination (abortion) take place?
2
6716
1999
2004
9999
MISSING
Sysmiss
TERM OF PREGNANCY, LAST ABORTION, UNITS
TERM OF PREGNANCY, LAST ABORTION, UNITS
TERM OF PREGNANCY, LAST ABORTION, UNITS
TERM OF PREGNANCY, LAST ABORTION, UNITS
TERM OF PREGNANCY, LAST ABORTION, UNITS
How many months (weeks) were you pregnant when your pregnancy was aborted?
If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months.
191
6527
1
2
9
MISSING
Sysmiss
TERM OF PREGNANCY, LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, LAST ABORTION, NUMBER OF UNITS
How many months (weeks) were you pregnant when your pregnancy was aborted?
If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months.
191
6527
1
2
3
4
5
6
7
8
9
10
11
13
16
99
MISSING
Sysmiss
TERM OF PREGNANCY, PREVIOUS TO THE LAST ABORTION, UNITS
TERM OF PREGNANCY, PREVIOUS TO THE LAST ABORTION, UNITS
TERM OF PREGNANCY, PREVIOUS TO THE LAST ABORTION, UNITS
TERM OF PREGNANCY, PREVIOUS TO THE LAST ABORTION, UNITS
TERM OF PREGNANCY, PREVIOUS TO THE LAST ABORTION, UNITS
How many months (weeks) were you pregnant when your pregnancy was aborted?
If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months.
20
6698
1
2
9
MISSING
Sysmiss
TERM OF PREGNANCY, PREVIOUS TO THE LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, PREVIOUS TO THE LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, PREVIOUS TO THE LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, PREVIOUS TO THE LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, PREVIOUS TO THE LAST ABORTION, NUMBER OF UNITS
How many months (weeks) were you pregnant when your pregnancy was aborted?
If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months.
20
6698
1
2
3
4
6
7
8
10
99
MISSING
Sysmiss
TERM OF PREGNANCY, SECOND LAST FROM THE LAST ABORTION, UNITS
TERM OF PREGNANCY, SECOND LAST FROM THE LAST ABORTION, UNITS
TERM OF PREGNANCY, SECOND LAST FROM THE LAST ABORTION, UNITS
TERM OF PREGNANCY, SECOND LAST FROM THE LAST ABORTION, UNITS
TERM OF PREGNANCY, SECOND LAST FROM THE LAST ABORTION, UNITS
How many months (weeks) were you pregnant when your pregnancy was aborted?
If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months.
3
6715
1
2
9
MISSING
Sysmiss
TERM OF PREGNANCY, SECOND LAST FROM THE LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, SECOND LAST FROM THE LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, SECOND LAST FROM THE LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, SECOND LAST FROM THE LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, SECOND LAST FROM THE LAST ABORTION, NUMBER OF UNITS
How many months (weeks) were you pregnant when your pregnancy was aborted?
If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months.
3
6715
1
14
99
MISSING
Sysmiss
TERM OF PREGNANCY, THIRD LAST FROM THE LAST ABORTION, UNITS
TERM OF PREGNANCY, THIRD LAST FROM THE LAST ABORTION, UNITS
TERM OF PREGNANCY, THIRD LAST FROM THE LAST ABORTION, UNITS
TERM OF PREGNANCY, THIRD LAST FROM THE LAST ABORTION, UNITS
TERM OF PREGNANCY, THIRD LAST FROM THE LAST ABORTION, UNITS
How many months (weeks) were you pregnant when your pregnancy was aborted?
If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months.
2
6716
2
9
MISSING
Sysmiss
TERM OF PREGNANCY, THIRD LAST FROM THE LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, THIRD LAST FROM THE LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, THIRD LAST FROM THE LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, THIRD LAST FROM THE LAST ABORTION, NUMBER OF UNITS
TERM OF PREGNANCY, THIRD LAST FROM THE LAST ABORTION, NUMBER OF UNITS
How many months (weeks) were you pregnant when your pregnancy was aborted?
If the respondent answers in weeks, write down on the appropriate line for weeks, otherwise just record the given months.
2
6716
2
3
99
MISSING
Sysmiss
NUMBER OF ABORTIONS IN THE LAST TWO YEARS
NUMBER OF ABORTIONS IN THE LAST TWO YEARS
NUMBER OF ABORTIONS IN THE LAST TWO YEARS
NUMBER OF ABORTIONS IN THE LAST TWO YEARS
NUMBER OF ABORTIONS IN THE LAST TWO YEARS
If the respondent has mentioned more than one early termination (abortion), i.e. CM12D is higher than 1, then ask her for the exact month and year of each mentioned early termination (abortion) that took place during the last 2 years, i.e. since (the month of interviewing) 2010. Write down month and year for each early termination (abortion) in CM12H, starting from the last, and for each recorded early termination (abortion) ask the respondent to tell you how many weeks/months she was pregnant when she had the early termination (abortion) and record this appropriately.
276
6442
1
2
3
4
9
MISSING
Sysmiss
Last birth in last two years
Last birth in last two years
Last birth in last two years
Last birth in last two years
Last birth in last two years
Check BH4 in BIRTH HISTORY: Last birth occurred within the last 2 years, that is, since (day and month of interview) in 2010
- No live birth in last 2 years or no live birth in general. ? Go to ILLNESS SYMPTOMS Module.
- One or more live births in last 2 years. ? Record name of last live born child (Name of child_______________________)
If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.
6000
N
No
Y
Yes
Wanted last child then
Wanted last child then
Wanted last child then
Wanted last child then
Wanted last child then
When you got pregnant with (name), did you want to get pregnant at that time?
This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated.
Circle the code corresponding to the response given. If the response is 'Yes' (wanted to get pregnant), circle '1' and go to next module.
724
5994
1
Yes
2
No
9
Missing
Sysmiss
Wanted child later or did not want more children
Wanted child later or did not want more children
Wanted child later or did not want more children
Wanted child later or did not want more children
Wanted child later or did not want more children
Did you want to have a baby later on, or did you not want any (more) children?
This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated.
Circle the code corresponding to the response given. If the respondent says she wanted no more, circle '2' and go to next module.
70
6648
1
Later
2
No more
9
Missing
Sysmiss
Desired waiting time (units)
Desired waiting time (units)
Desired waiting time (units)
Desired waiting time (units)
Desired waiting time (units)
How much longer did you want to wait?
This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated.
If the response is given in months, circle '1' and record the number of months. If the response is given in years, circle '2' and record the number of years.
60
6658
1
Months
2
Years
9
Special
Sysmiss
Desired waiting time (number)
Desired waiting time (number)
Desired waiting time (number)
Desired waiting time (number)
Desired waiting time (number)
How much longer did you want to wait?
This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated.
If the response is given in months, circle '1' and record the number of months. If the response is given in years, circle '2' and record the number of years.
60
6658
1
2
3
4
5
6
7
98
DK
99
Missing
Sysmiss
Received antenatal care
Received antenatal care
Received antenatal care
Received antenatal care
Received antenatal care
Did you see anyone for antenatal care during your pregnancy with (name)?
Circle the code for the person seen for antenatal care. Probe: “Anyone else?” and circle the codes for any other persons seen for antenatal care during this pregnancy.
Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons.
In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'.
Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained.
If the woman gives the name of a health facility, ask her to tell you who she saw there.
724
5994
1
Yes
2
No
9
Missing
Sysmiss
WHY YOU DID NOT SEE ANYONE FOR ANTENATAL CARE DURING YOUR PREGNANCY WITH (name)?
WHY YOU DID NOT SEE ANYONE FOR ANTENATAL CARE DURING YOUR PREGNANCY WITH (name)?
WHY YOU DID NOT SEE ANYONE FOR ANTENATAL CARE DURING YOUR PREGNANCY WITH (name)?
WHY YOU DID NOT SEE ANYONE FOR ANTENATAL CARE DURING YOUR PREGNANCY WITH (name)?
WHY YOU DID NOT SEE ANYONE FOR ANTENATAL CARE DURING YOUR PREGNANCY WITH (name)?
Why you did not see anyone for antenatal care during your pregnancy with (name)?
8
6710
1
I was out of the country throughout pregnancy
2
I did not think it was necessary
3
I do not trust physicians
4
I did not have money
5
The insurance does not cover the full costs of antenatal car
6
Other
9
Missing
Sysmiss
Antenatal care: Doctor
Antenatal care: Doctor
Antenatal care: Doctor
Antenatal care: Doctor
Antenatal care: Doctor
Whom did you see?
Circle the code for the person seen for antenatal care. Probe: “Anyone else?” and circle the codes for any other persons seen for antenatal care during this pregnancy.
Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons.
In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'.
Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained.
If the woman gives the name of a health facility, ask her to tell you who she saw there.
710
?
Missing
A
Doctor
Antenatal care: Nurse / Midwife
Antenatal care: Nurse / Midwife
Antenatal care: Nurse / Midwife
Antenatal care: Nurse / Midwife
Antenatal care: Nurse / Midwife
Whom did you see?
Circle the code for the person seen for antenatal care. Probe: “Anyone else?” and circle the codes for any other persons seen for antenatal care during this pregnancy.
Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons.
In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'.
Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained.
If the woman gives the name of a health facility, ask her to tell you who she saw there.
134
?
Missing
B
Nurse / Midwife
Antenatal care: Traditional birth attendant
Antenatal care: Traditional birth attendant
Antenatal care: Traditional birth attendant
Antenatal care: Traditional birth attendant
Antenatal care: Traditional birth attendant
Whom did you see?
Circle the code for the person seen for antenatal care. Probe: “Anyone else?” and circle the codes for any other persons seen for antenatal care during this pregnancy.
Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons.
In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'.
Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained.
If the woman gives the name of a health facility, ask her to tell you who she saw there.
1
?
Missing
F
Traditional birth attendant
Antenatal care: Other
Antenatal care: Other
Antenatal care: Other
Antenatal care: Other
Antenatal care: Other
Whom did you see?
Circle the code for the person seen for antenatal care. Probe: “Anyone else?” and circle the codes for any other persons seen for antenatal care during this pregnancy.
Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons.
In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'.
Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained.
If the woman gives the name of a health facility, ask her to tell you who she saw there.
2
?
Missing
X
Other
Times received antenatal care
Times received antenatal care
Times received antenatal care
Times received antenatal care
Times received antenatal care
How many times did you receive antenatal care during this pregnancy?
Ask the respondent how many times she saw someone for antenatal care during her last pregnancy (i.e., she was pregnant with her last child). This refers to care related to her pregnancy and would not include seeing a doctor or nurse for other reasons.
716
6002
2
3
4
5
6
7
8
9
10
11
12
14
15
16
18
20
21
25
27
28
30
36
98
DK
99
Missing
Sysmiss
Blood pressure
Blood pressure
Blood pressure
Blood pressure
Blood pressure
As part of your antenatal care during this pregnancy, were any of the following done at least once: Was your blood pressure measured?
Ask about each procedure and record the response before asking about the next one. Circle '1' for 'Yes', or '2' for 'No' in each case. It may be necessary to explain some of the procedures. We want to know whether each of the procedures listed was performed during any of the antenatal check-ups during her last pregnancy. It does not matter if they were performed only once or more than once, or performed in the same visit or spread over several visits.
Blood pressure is measured with a medical instrument. A rubber cuff is wrapped around a person's upper arm and is inflated. While slowly releasing air from the cuff, the person measuring the blood pressure listens to the pulsing of the blood vessels with a stethoscope to determine the pressure.
716
6002
1
Yes
2
No
9
Missing
Sysmiss
Urine sample
Urine sample
Urine sample
Urine sample
Urine sample
As part of your antenatal care during this pregnancy, were any of the following done at least once:Did you give a urine sample?
Ask about each procedure and record the response before asking about the next one. Circle '1' for 'Yes', or '2' for 'No' in each case. It may be necessary to explain some of the procedures. We want to know whether each of the procedures listed was performed during any of the antenatal check-ups during her last pregnancy. It does not matter if they were performed only once or more than once, or performed in the same visit or spread over several visits.
716
6002
1
Yes
2
No
9
Missing
Sysmiss
Blood sample
Blood sample
Blood sample
Blood sample
Blood sample
As part of your antenatal care during this pregnancy, were any of the following done at least once:Did you give a blood sample?
Ask about each procedure and record the response before asking about the next one. Circle '1' for 'Yes', or '2' for 'No' in each case. It may be necessary to explain some of the procedures. We want to know whether each of the procedures listed was performed during any of the antenatal check-ups during her last pregnancy. It does not matter if they were performed only once or more than once, or performed in the same visit or spread over several visits.
A blood sample may be taken from the woman's fingertip or from a vein (usually from a vein near the elbow or on the wrist). The blood sample is used to test for various diseases, such as anaemia, parasite infestations or infectious diseases.
716
6002
1
Yes
2
No
9
Missing
Sysmiss
HAVE YOU EVER HEARD OF IRON TABLETS, OR SIROP, THAT WOMEN ARE RECOMMENDED TO TAKE
HAVE YOU EVER HEARD OF IRON TABLETS, OR SIROP, THAT WOMEN ARE RECOMMENDED TO TAKE
HAVE YOU EVER HEARD OF IRON TABLETS, OR SIROP, THAT WOMEN ARE RECOMMENDED TO TAKE
HAVE YOU EVER HEARD OF IRON TABLETS, OR SIROP, THAT WOMEN ARE RECOMMENDED TO TAKE
HAVE YOU EVER HEARD OF IRON TABLETS, OR SIROP, THAT WOMEN ARE RECOMMENDED TO TAKE
Have you heard about pills or syrup with iron recommended for women?
724
5994
1
Yes
2
No
9
Missing
Sysmiss
DURING THIS PREGNANCY, WERE YOU GIVEN OR DID YOU BUY ANY IRON TABLETS OR SIROP
DURING THIS PREGNANCY, WERE YOU GIVEN OR DID YOU BUY ANY IRON TABLETS OR SIROP
DURING THIS PREGNANCY, WERE YOU GIVEN OR DID YOU BUY ANY IRON TABLETS OR SIROP
DURING THIS PREGNANCY, WERE YOU GIVEN OR DID YOU BUY ANY IRON TABLETS OR SIROP
DURING THIS PREGNANCY, WERE YOU GIVEN OR DID YOU BUY ANY IRON TABLETS OR SIROP
During this pregnancy have you been given or have you purchased pills or syrup with iron?
Show the pills or syrup.
680
6038
1
Yes/ Was given
2
Yes, bought
3
No
8
DK
9
Missing
Sysmiss
DURING THE WHOLE PREGNANCY, FOR HOW MANY DAYS DID YOU TAKE THE IRON TABLETS OR SIROP
DURING THE WHOLE PREGNANCY, FOR HOW MANY DAYS DID YOU TAKE THE IRON TABLETS OR SIROP
DURING THE WHOLE PREGNANCY, FOR HOW MANY DAYS DID YOU TAKE THE IRON TABLETS OR SIROP
DURING THE WHOLE PREGNANCY, FOR HOW MANY DAYS DID YOU TAKE THE IRON TABLETS OR SIROP
DURING THE WHOLE PREGNANCY, FOR HOW MANY DAYS DID YOU TAKE THE IRON TABLETS OR SIROP
During your pregnancy, for how many days did you take iron pills or syrup?
If the answer is not numeric, ask the approximate number of days.
642
6076
1
999
998
DK
999
Missing
WHO RECOMMENDED THAT YOU TAKE THE IRON TABLETS/SIROP
WHO RECOMMENDED THAT YOU TAKE THE IRON TABLETS/SIROP
WHO RECOMMENDED THAT YOU TAKE THE IRON TABLETS/SIROP
WHO RECOMMENDED THAT YOU TAKE THE IRON TABLETS/SIROP
WHO RECOMMENDED THAT YOU TAKE THE IRON TABLETS/SIROP
Who recommended you to take the iron pills or syrup?
642
6076
1
Doctor/Medical assistant
2
Pharmacist
6
Other
9
Missing
Sysmiss
STRENGTHEN BONES
STRENGTHEN BONES
STRENGTHEN BONES
STRENGTHEN BONES
STRENGTHEN BONES
Do you think the iron supplements: (a) strengthen the bones?
680
6038
1
Yes
2
No
8
DK
9
Missing
Sysmiss
PREVENT CONGENTIAL ALFORMATIONS
PREVENT CONGENTIAL ALFORMATIONS
PREVENT CONGENTIAL ALFORMATIONS
PREVENT CONGENTIAL ALFORMATIONS
PREVENT CONGENTIAL ALFORMATIONS
Do you think the iron supplements: (b) prevent congenital anomalies?
680
6038
1
Yes
2
No
8
DK
9
Missing
Sysmiss
PREVENT HYPER TENSION
PREVENT HYPER TENSION
PREVENT HYPER TENSION
PREVENT HYPER TENSION
PREVENT HYPER TENSION
Do you think the iron supplements: (c) prevent blood pressure?
680
6038
1
Yes
2
No
8
DK
9
Missing
Sysmiss
PREVENT ANEMIA
PREVENT ANEMIA
PREVENT ANEMIA
PREVENT ANEMIA
PREVENT ANEMIA
Do you think the iron supplements: (d) prevent anaemia?
680
6038
1
Yes
2
No
8
DK
9
Missing
Sysmiss
HAVE YOU EVER HEARD OF FOLIC ACID
HAVE YOU EVER HEARD OF FOLIC ACID
HAVE YOU EVER HEARD OF FOLIC ACID
HAVE YOU EVER HEARD OF FOLIC ACID
HAVE YOU EVER HEARD OF FOLIC ACID
Have you heard about folic acid?
724
5994
1
Yes
2
No
9
Missing
Sysmiss
DURING THIS PREGNANCY, WERE YOU GIVEN OR DID YOU BUY ANY FOLIC ACID TABLETS OR SIROP
DURING THIS PREGNANCY, WERE YOU GIVEN OR DID YOU BUY ANY FOLIC ACID TABLETS OR SIROP
DURING THIS PREGNANCY, WERE YOU GIVEN OR DID YOU BUY ANY FOLIC ACID TABLETS OR SIROP
DURING THIS PREGNANCY, WERE YOU GIVEN OR DID YOU BUY ANY FOLIC ACID TABLETS OR SIROP
DURING THIS PREGNANCY, WERE YOU GIVEN OR DID YOU BUY ANY FOLIC ACID TABLETS OR SIROP
During this pregnancy have you been given or have you purchased pills or syrup with folic acid?
Show the pills or syrup.
602
6116
1
Yes/ Was given
2
Yes, bought
3
No
8
DK
9
Missing
Sysmiss
DID YOU TAKE FOLIC ACID AT ANY TIME DURING THE FIRST THREE MONTHS OF YOUR PREGNANCY
DID YOU TAKE FOLIC ACID AT ANY TIME DURING THE FIRST THREE MONTHS OF YOUR PREGNANCY
DID YOU TAKE FOLIC ACID AT ANY TIME DURING THE FIRST THREE MONTHS OF YOUR PREGNANCY
DID YOU TAKE FOLIC ACID AT ANY TIME DURING THE FIRST THREE MONTHS OF YOUR PREGNANCY
DID YOU TAKE FOLIC ACID AT ANY TIME DURING THE FIRST THREE MONTHS OF YOUR PREGNANCY
Have you received folic acid during the first three months of your pregnancy?
480
6238
1
Yes
2
No
9
Missing
Sysmiss
DID YOU TAKE FOLIC ACID FOR AT LEAST 45 DAYS WITHIN THE FIRST TRIMESTER OF YOUR PREGNACY
DID YOU TAKE FOLIC ACID FOR AT LEAST 45 DAYS WITHIN THE FIRST TRIMESTER OF YOUR PREGNACY
DID YOU TAKE FOLIC ACID FOR AT LEAST 45 DAYS WITHIN THE FIRST TRIMESTER OF YOUR PREGNACY
DID YOU TAKE FOLIC ACID FOR AT LEAST 45 DAYS WITHIN THE FIRST TRIMESTER OF YOUR PREGNACY
DID YOU TAKE FOLIC ACID FOR AT LEAST 45 DAYS WITHIN THE FIRST TRIMESTER OF YOUR PREGNACY
Have you received folic acid during at least 45 days during the first quarter of your pregnancy?
429
6289
1
Yes
2
No
8
DK
9
Missing
Sysmiss
WHO RECOMMENDED THAT YOU TAKE THE FOLIC ACID DURING PREGNANCY
WHO RECOMMENDED THAT YOU TAKE THE FOLIC ACID DURING PREGNANCY
WHO RECOMMENDED THAT YOU TAKE THE FOLIC ACID DURING PREGNANCY
WHO RECOMMENDED THAT YOU TAKE THE FOLIC ACID DURING PREGNANCY
WHO RECOMMENDED THAT YOU TAKE THE FOLIC ACID DURING PREGNANCY
Who recommended you to take the folic acid during pregnancy?
480
6238
1
Doctor/Medical assistant
2
Pharmacist
6
Other
9
Missing
Sysmiss
STRENGTHEN BONES
STRENGTHEN BONES
STRENGTHEN BONES
STRENGTHEN BONES
STRENGTHEN BONES
Do you think the folic acid supplements: (a) strengthen the bones?
602
6116
1
Yes
2
No
8
DK
9
Missing
Sysmiss
PREVENT CONGENTIAL ALFORMATIONS
PREVENT CONGENTIAL ALFORMATIONS
PREVENT CONGENTIAL ALFORMATIONS
PREVENT CONGENTIAL ALFORMATIONS
PREVENT CONGENTIAL ALFORMATIONS
Do you think the folic acid supplements: (b) prevent congential alformations?
602
6116
1
Yes
2
No
8
DK
9
Missing
Sysmiss
PREVENT HYPER TENSION
PREVENT HYPER TENSION
PREVENT HYPER TENSION
PREVENT HYPER TENSION
PREVENT HYPER TENSION
Do you think the folic acid supplements: (g) prevent hyper tension?
602
6116
1
Yes
2
No
8
DK
9
Missing
Sysmiss
PREVENT ANEMIA
PREVENT ANEMIA
PREVENT ANEMIA
PREVENT ANEMIA
PREVENT ANEMIA
Do you think the folic acid supplements: (h) prevent anaemia?
602
6116
1
Yes
2
No
8
DK
9
Missing
Sysmiss
DURING THIS PREGNANCY, DID YO HAVE DIFFICULTY WITH YOUR VISION DURING DAYLIGHT
DURING THIS PREGNANCY, DID YO HAVE DIFFICULTY WITH YOUR VISION DURING DAYLIGHT
DURING THIS PREGNANCY, DID YO HAVE DIFFICULTY WITH YOUR VISION DURING DAYLIGHT
DURING THIS PREGNANCY, DID YO HAVE DIFFICULTY WITH YOUR VISION DURING DAYLIGHT
DURING THIS PREGNANCY, DID YO HAVE DIFFICULTY WITH YOUR VISION DURING DAYLIGHT
During this pregnancy, have you had problems with the daytime vision?
724
5994
1
Yes
2
No
8
DK
9
Missing
Sysmiss
DURING THIS PREGNANCY, DID YOU SUFFER FROM NIGHT BLINDNESS
DURING THIS PREGNANCY, DID YOU SUFFER FROM NIGHT BLINDNESS
DURING THIS PREGNANCY, DID YOU SUFFER FROM NIGHT BLINDNESS
DURING THIS PREGNANCY, DID YOU SUFFER FROM NIGHT BLINDNESS
DURING THIS PREGNANCY, DID YOU SUFFER FROM NIGHT BLINDNESS
During this pregnancy, have you had problems with the night vision?
724
5994
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Assistance at delivery: Doctor
Assistance at delivery: Doctor
Assistance at delivery: Doctor
Assistance at delivery: Doctor
Assistance at delivery: Doctor
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
695
?
Missing
A
Doctor
Assistance at delivery: Nurse / Midwife
Assistance at delivery: Nurse / Midwife
Assistance at delivery: Nurse / Midwife
Assistance at delivery: Nurse / Midwife
Assistance at delivery: Nurse / Midwife
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
618
?
Missing
B
Nurse / Midwife
Assistance at delivery: Traditional birth attendant
Assistance at delivery: Traditional birth attendant
Assistance at delivery: Traditional birth attendant
Assistance at delivery: Traditional birth attendant
Assistance at delivery: Traditional birth attendant
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
4
?
Missing
F
Traditional birth attendant
Assistance at delivery: Relative / Friend
Assistance at delivery: Relative / Friend
Assistance at delivery: Relative / Friend
Assistance at delivery: Relative / Friend
Assistance at delivery: Relative / Friend
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
18
?
Missing
H
Relative / Friend
Assistance at delivery: Other
Assistance at delivery: Other
Assistance at delivery: Other
Assistance at delivery: Other
Assistance at delivery: Other
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
39
?
Missing
X
Other
Assistance at delivery: No one
Assistance at delivery: No one
Assistance at delivery: No one
Assistance at delivery: No one
Assistance at delivery: No one
Who assisted with the delivery of (name)?
Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child.
When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion.
Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'.
4
?
Missing
Y
No one
Place of delivery
Place of delivery
Place of delivery
Place of delivery
Place of delivery
Where did you give birth to (name)?
The intent of this question is to identify births delivered in a health facility. If the woman gave birth in a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the place is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle '26'. Similarly, if the place is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle '36'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response.
If the respondent answers that she delivered in another place not listed, write the description of the place in the space provided for 'Other' and circle '96'. Places that are not health facilities, other than home, should also be coded as 'Other' and described.
724
5994
11
Respondent's home
12
Other home
21
Government hospital
22
Government clinic / health centre
23
Government health post
24
25
26
Other public
31
Private hospital
32
Private clinic
33
Private maternity home
36
Other private medical
96
Other
99
Missing
Sysmiss
Delivery by caesarean section
Delivery by caesarean section
Delivery by caesarean section
Delivery by caesarean section
Delivery by caesarean section
Was (name) delivered by caesaeran section, i.e. did they cut your belly open to take the baby out?
A caesarean section is a delivery of a baby through an incision in the woman's abdomen and womb, rather than through the birth canal. Such a delivery is necessary for some women due to pregnancy complications. Find out whether the baby was delivered by an operation and not through the birth canal.
715
6003
1
Yes
2
No
9
Missing
Sysmiss
Size of child at birth
Size of child at birth
Size of child at birth
Size of child at birth
Size of child at birth
When (name) was born, was he/she very large, larger than average, average, smaller than average or very small?
Low-birthweight babies are at higher risk of serious illness or death than other babies. Mothers are asked to give the baby's birthweight, but since some babies are not weighed at birth, a mother's subjective assessment of the baby's size at birth is important. When the information from women who answer these questions is analysed, we can obtain an indication of what women mean by these subjective categories. This information can provide an estimate of the average birthweight.
Read the entire question exactly as written before accepting an answer. This is the woman's own opinion about the size of her baby. Even if she knows the child's birthweight, tell her that you want to know her own idea of whether the baby was very large, larger than average, average, smaller than average or very small. If the respondent is unable to tell you, do not try to guess the answer based on the birthweight information or the appearance of the baby; circle '8' for 'DK'. In cases when the woman knows the birthweight of the baby and tells you the exact weight, do not use your judgement to influence her response in MN20. In other words, even if the woman tells you that her baby was smaller than average while the birthweight she is stating is quite large in your opinion, do not probe further to 'correct' the woman's perception of the size of the baby.
724
5994
1
Very large
2
Larger than average
3
Average
4
Smaller than average
5
Very small
8
DK
9
Missing
Sysmiss
Child weighed at birth
Child weighed at birth
Child weighed at birth
Child weighed at birth
Child weighed at birth
Was (name) weighed at birth?
Circle the code corresponding to the response given. If the baby was not weighed at birth or the mother doesn't know, skip to MN23.
724
5994
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Weight from card or recall
Weight from card or recall
Weight from card or recall
Weight from card or recall
Weight from card or recall
How much did (name) weigh?
Ask the woman to show you her (or the child's) health card, if available. Record the birthweight in kilograms. If the weight is 'From card' or is recorded on another written document (such as a vaccination card, antenatal card or birth certificate), circle '1' and record the weight in the corresponding space. If the birthweight is reported by the mother, but no card or document is available, circle '2' for 'From recall' and record the weight in the corresponding space. Fill in the weight only once. Use zeros to fill in all digits if necessary. For example, if the woman tells you that the baby was 3.5 kilograms at birth; enter the information as '3.500'. Always record the birthweight from the card when possible.
If there is no card, and the mother cannot remember the exact weight, record her best estimate. Only circle '99998' for 'DK' if she absolutely cannot remember even the approximate weight.
719
5999
1
Card
2
Recall
9
Missing
Sysmiss
Weight at birth (Kilograms)
Weight at birth (Kilograms)
Weight at birth (Kilograms)
Weight at birth (Kilograms)
Weight at birth (Kilograms)
How much did (name) weigh?
Ask the woman to show you her (or the child's) health card, if available. Record the birthweight in kilograms. If the weight is 'From card' or is recorded on another written document (such as a vaccination card, antenatal card or birth certificate), circle '1' and record the weight in the corresponding space. If the birthweight is reported by the mother, but no card or document is available, circle '2' for 'From recall' and record the weight in the corresponding space. Fill in the weight only once. Use zeros to fill in all digits if necessary. For example, if the woman tells you that the baby was 3.5 kilograms at birth; enter the information as '3.500'. Always record the birthweight from the card when possible.
If there is no card, and the mother cannot remember the exact weight, record her best estimate. Only circle '99998' for 'DK' if she absolutely cannot remember even the approximate weight.
719
5999
0.77
9.998
9.998
DK
9.999
Missing
Menstrual period returned since the birth of child
Menstrual period returned since the birth of child
Menstrual period returned since the birth of child
Menstrual period returned since the birth of child
Menstrual period returned since the birth of child
Has your menstrual period returned since the birth of (name)?
After a woman has given birth, there is a length of time when she will not have her monthly menstrual periods. This question asks about whether her period has resumed following the last birth. Circle the code corresponding to the response given.
724
5994
1
Yes
2
No
9
Missing
Sysmiss
Ever breastfeed
Ever breastfeed
Ever breastfeed
Ever breastfeed
Ever breastfeed
Did you ever breastfed (name)?
Breastfeeding is important for a child's health and it prevents pregnancy during the period when the mother is breastfeeding. For this question, it does not matter how long the respondent breastfed the child, only whether or not she ever gave the child the breast, even if the baby died very young.
Circle the code corresponding to the response given. If the response is 'No' (she never breastfed the child), go to next module.
724
5994
1
Yes
2
No
9
Missing
Sysmiss
Time baby put to breast (unit)
Time baby put to breast (unit)
Time baby put to breast (unit)
Time baby put to breast (unit)
Time baby put to breast (unit)
How long after birth did you first put (name) to the breast?
If the mother reports that the baby was put to the breast immediately after birth, circle '000'. Otherwise, record the time in completed hours or days.
If less than 1 hour, circle '1' for 'Hours' and record '00' in the space provided. For example, if the woman said she began breastfeeding within 10 minutes of the birth, circle '1' and record '00' hours.
If the mother began breastfeeding within 24 hours of the birth, circle '1' and record the number of hours that passed before the baby was put to the breast.
If she began breastfeeding 24 hours or more after the birth, circle '2' and record the number of days. Record in completed number of days. For example, if the baby was first breastfed 30 hours after delivery, circle '2' and record '01' days.
If the woman does not know or does not remember how long after birth she put the baby to the breast, circle '998'.
702
6016
Immediately
1
Hours
2
Days
9
Special
Sysmiss
Time baby put to breast (number)
Time baby put to breast (number)
Time baby put to breast (number)
Time baby put to breast (number)
Time baby put to breast (number)
How long after birth did you first put (name) to the breast?
If the mother reports that the baby was put to the breast immediately after birth, circle '000'. Otherwise, record the time in completed hours or days.
If less than 1 hour, circle '1' for 'Hours' and record '00' in the space provided. For example, if the woman said she began breastfeeding within 10 minutes of the birth, circle '1' and record '00' hours.
If the mother began breastfeeding within 24 hours of the birth, circle '1' and record the number of hours that passed before the baby was put to the breast.
If she began breastfeeding 24 hours or more after the birth, circle '2' and record the number of days. Record in completed number of days. For example, if the baby was first breastfed 30 hours after delivery, circle '2' and record '01' days.
If the woman does not know or does not remember how long after birth she put the baby to the breast, circle '998'.
702
6016
1
2
3
4
5
6
7
8
9
10
12
17
20
21
23
98
DK
99
Missing
Sysmiss
Within first 3 days after delivery, child given anything to drink other than breast milk
Within first 3 days after delivery, child given anything to drink other than breast milk
Within first 3 days after delivery, child given anything to drink other than breast milk
Within first 3 days after delivery, child given anything to drink other than breast milk
Within first 3 days after delivery, child given anything to drink other than breast milk
In the first three days after delivery, was (name) given anything to drink other than breast milk?
If the child was given anything to drink other than breast milk, then circle code '1' for 'Yes' and otherwise '2' for 'No' and go to next module.
702
6016
1
Yes
2
No
9
Missing
Sysmiss
Child given to drink - Milk (other than breast milk)
Child given to drink - Milk (other than breast milk)
Child given to drink - Milk (other than breast milk)
Child given to drink - Milk (other than breast milk)
Child given to drink - Milk (other than breast milk)
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
27
?
Missing
A
Milk (other than breast milk)
Child given to drink - Plain water
Child given to drink - Plain water
Child given to drink - Plain water
Child given to drink - Plain water
Child given to drink - Plain water
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
6
?
Missing
B
Plain water
Child given to drink - Sugar or glucose water
Child given to drink - Sugar or glucose water
Child given to drink - Sugar or glucose water
Child given to drink - Sugar or glucose water
Child given to drink - Sugar or glucose water
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
5
?
Missing
C
Sugar or glucose water
Child given to drink - Gripe water
Child given to drink - Gripe water
Child given to drink - Gripe water
Child given to drink - Gripe water
Child given to drink - Gripe water
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
4
?
Missing
D
Anti-colic (cramps medicine)
Child given to drink - Sugar - salt - water solution
Child given to drink - Sugar - salt - water solution
Child given to drink - Sugar - salt - water solution
Child given to drink - Sugar - salt - water solution
Child given to drink - Sugar - salt - water solution
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
1
?
Missing
E
Sugar-salt-water solution
Child given to drink - Fruit juice
Child given to drink - Fruit juice
Child given to drink - Fruit juice
Child given to drink - Fruit juice
Child given to drink - Fruit juice
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
?
Missing
F
Fruit juice
Child given to drink - Infant formula
Child given to drink - Infant formula
Child given to drink - Infant formula
Child given to drink - Infant formula
Child given to drink - Infant formula
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
119
?
Missing
G
Infant formula
Child given to drink - Tea / Infusions
Child given to drink - Tea / Infusions
Child given to drink - Tea / Infusions
Child given to drink - Tea / Infusions
Child given to drink - Tea / Infusions
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
3
?
Missing
H
Tea / Infusions
Child given to drink - Honey
Child given to drink - Honey
Child given to drink - Honey
Child given to drink - Honey
Child given to drink - Honey
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
?
Missing
I
Honey
Child given to drink - Other
Child given to drink - Other
Child given to drink - Other
Child given to drink - Other
Child given to drink - Other
What was (name) given to drink?
Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink. If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'.
24
?
Missing
X
Other
Duration of staying in the health facility (unit)
Duration of staying in the health facility (unit)
Duration of staying in the health facility (unit)
Duration of staying in the health facility (unit)
Duration of staying in the health facility (unit)
Now I would like to ask you some questions about what happened in the hours and days after the birth of (name).
You have said that you gave birth in (name or type of facility in mn18). how long did you stay there after the delivery?
If less than one day, record hours.
If less than one week, record days.
Otherwise, record weeks.
717
6001
1
Hours
2
Days
3
Weeks
9
Special
Sysmiss
Duration of staying in the health facility (number)
Duration of staying in the health facility (number)
Duration of staying in the health facility (number)
Duration of staying in the health facility (number)
Duration of staying in the health facility (number)
Now I would like to ask you some questions about what happened in the hours and days after the birth of (name).
You have said that you gave birth in (name or type of facility in mn18). how long did you stay there after the delivery?
If less than one day, record hours.
If less than one week, record days.
Otherwise, record weeks.
717
6001
1
2
3
4
5
6
7
8
9
10
11
13
14
15
98
DK
99
Missing
Sysmiss
Baby's health checked before leaving health facility
Baby's health checked before leaving health facility
Baby's health checked before leaving health facility
Baby's health checked before leaving health facility
Baby's health checked before leaving health facility
I would like to talk to you about checks on (name)’s health after delivery – for example, someone examining (name), checking the cord, or seeing if (name) is ok.
Before you left the (name or type of facility in MN18), did anyone check on (name)’s health?
717
6001
1
Yes
2
No
9
Missing
Sysmiss
Mother's health checked before leaving health facility
Mother's health checked before leaving health facility
Mother's health checked before leaving health facility
Mother's health checked before leaving health facility
Mother's health checked before leaving health facility
And what about checks on your health – i mean, someone assessing your health, for example asking questions about your health or examining you.
did anyone check on your health before you left (name or type or facility in MN18)?
717
6001
1
Yes
2
No
9
Missing
Sysmiss
Baby's health checked after leaving health facility
Baby's health checked after leaving health facility
Baby's health checked after leaving health facility
Baby's health checked after leaving health facility
Baby's health checked after leaving health facility
Now I would like to talk to you about what happened after you left (name or type of facility in MN18).
Did anyone check on (name)’s health after you left (name or type of facility in MN18)?
717
6001
1
Yes
2
No
9
Missing
Sysmiss
Baby checked after the delivery was over
Baby checked after the delivery was over
Baby checked after the delivery was over
Baby checked after the delivery was over
Baby checked after the delivery was over
You have already said that (person or persons in MN17) assisted with the birth. Now I would like to talk to you about checks on (name)’s health after delivery, for example examining (name), checking the cord, or seeing if (name) is ok.
After the delivery was over and before (person or persons in MN17) left you, did (person or persons in MN17) check on (name)’s health?
2
6716
1
Yes
2
No
9
Missing
Sysmiss
Mother checked after the delivery was over
Mother checked after the delivery was over
Mother checked after the delivery was over
Mother checked after the delivery was over
Mother checked after the delivery was over
And did (person or persons in mn17) check on your health before leaving?
By check on your health, I mean assessing your health, for example asking questions about your health or examining you.
2
6716
1
Yes
2
No
9
Missing
Sysmiss
Additional baby check after the delivery
Additional baby check after the delivery
Additional baby check after the delivery
Additional baby check after the delivery
Additional baby check after the delivery
After the (person or persons in MN17)
Left you, did anyone check on the health of (name)?
2
6716
1
Yes
2
No
9
Missing
Sysmiss
Baby checked after the delivery
Baby checked after the delivery
Baby checked after the delivery
Baby checked after the delivery
Baby checked after the delivery
I would like to talk to you about checks on (name)’s health after delivery – for example, someone examining (name), checking the cord, or seeing if the baby is ok.
After (name) was delivered, did anyone check on his/her health?
5
6713
1
Yes
2
No
9
Missing
Sysmiss
Number of times baby was checked
Number of times baby was checked
Number of times baby was checked
Number of times baby was checked
Number of times baby was checked
Did such a check happen only once, or more than once?
701
6017
1
Once
2
More than once
9
Missing
Sysmiss
How long after delivery did the first check of baby happen (unit)
How long after delivery did the first check of baby happen (unit)
How long after delivery did the first check of baby happen (unit)
How long after delivery did the first check of baby happen (unit)
How long after delivery did the first check of baby happen (unit)
How long after delivery did the first of these checks happen?
If less than one day, record hours.
If less than one week, record days.
Otherwise, record weeks.
701
6017
1
Hours
2
Days
3
Weeks
9
Special
Sysmiss
How long after delivery did the first check of baby happen (number)
How long after delivery did the first check of baby happen (number)
How long after delivery did the first check of baby happen (number)
How long after delivery did the first check of baby happen (number)
How long after delivery did the first check of baby happen (number)
How long after delivery did the first of these checks happen?
If less than one day, record hours.
If less than one week, record days.
Otherwise, record weeks.
701
6017
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
20
24
30
98
DK
99
Missing
Sysmiss
Person checking on baby's health: Doctor
Person checking on baby's health: Doctor
Person checking on baby's health: Doctor
Person checking on baby's health: Doctor
Person checking on baby's health: Doctor
Who checked on (name)’s health at that time?
574
?
Missing
A
Doctor
Person checking on baby's health: Nurse / Midwife
Person checking on baby's health: Nurse / Midwife
Person checking on baby's health: Nurse / Midwife
Person checking on baby's health: Nurse / Midwife
Person checking on baby's health: Nurse / Midwife
Who checked on (name)’s health at that time?
360
?
Missing
B
Nurse / Midwife
Person checking on baby's health: Traditional birth attendant
Person checking on baby's health: Traditional birth attendant
Person checking on baby's health: Traditional birth attendant
Person checking on baby's health: Traditional birth attendant
Person checking on baby's health: Traditional birth attendant
Who checked on (name)’s health at that time?
?
Missing
F
Traditional birth attendant
Person checking on baby's health: Relative / Friend
Person checking on baby's health: Relative / Friend
Person checking on baby's health: Relative / Friend
Person checking on baby's health: Relative / Friend
Person checking on baby's health: Relative / Friend
Who checked on (name)’s health at that time?
1
?
MISSING
H
Relative / Friend
Person checking on baby's health: Other
Person checking on baby's health: Other
Person checking on baby's health: Other
Person checking on baby's health: Other
Person checking on baby's health: Other
Who checked on (name)’s health at that time?
?
Missing
X
Other
Place where baby's health was checked
Place where baby's health was checked
Place where baby's health was checked
Place where baby's health was checked
Place where baby's health was checked
Where did this check take place?
Probe to identify the type of source.
If unable to determine whether public or private, write the name of the place.
(Name of place)
701
6017
11
Respondent's home
12
Other home
21
Government hospital
24
The Health Centre
25
Office of Family Doctor/Health Office
26
Other public
31
Private hospital
32
Private clinic
33
Private maternity home
36
Other private medical
96
Other
99
Missing
Sysmiss
Mother's health checked after leaving health facility
Mother's health checked after leaving health facility
Mother's health checked after leaving health facility
Mother's health checked after leaving health facility
Mother's health checked after leaving health facility
After you left (name or type of facility in MN18), did anyone check on your health?
717
6001
1
Yes
2
No
9
Missing
Sysmiss
Mother's health checked after the delivery was over
Mother's health checked after the delivery was over
Mother's health checked after the delivery was over
Mother's health checked after the delivery was over
Mother's health checked after the delivery was over
After the delivery was over and (person or persons in MN17) left, did anyone check on your health?
2
6716
1
Yes
2
No
9
Missing
Sysmiss
Mother's health checked after the birth of the baby
Mother's health checked after the birth of the baby
Mother's health checked after the birth of the baby
Mother's health checked after the birth of the baby
Mother's health checked after the birth of the baby
After the birth of (name), did anyone check on your health?
I mean someone assessing your health, for example asking questions about your health or examining you.
5
6713
1
Yes
2
No
9
Missing
Sysmiss
Number of times mother's health was checked after the birth
Number of times mother's health was checked after the birth
Number of times mother's health was checked after the birth
Number of times mother's health was checked after the birth
Number of times mother's health was checked after the birth
Did such a check happen only once, or more than once?
421
6297
1
Once
2
More than once
9
Missing
Sysmiss
How long after delivery did the first check of mother happen (unit)
How long after delivery did the first check of mother happen (unit)
How long after delivery did the first check of mother happen (unit)
How long after delivery did the first check of mother happen (unit)
How long after delivery did the first check of mother happen (unit)
How long after delivery did the first of these checks happen?
If less than one day, record hours.
If less than one week, record days.
Otherwise, record weeks.
421
6297
1
Hours
2
Days
3
Weeks
9
Special
Sysmiss
How long after delivery did the first check of mother happen (number)
How long after delivery did the first check of mother happen (number)
How long after delivery did the first check of mother happen (number)
How long after delivery did the first check of mother happen (number)
How long after delivery did the first check of mother happen (number)
How long after delivery did the first of these checks happen?
If less than one day, record hours.
If less than one week, record days.
Otherwise, record weeks.
421
6297
1
2
3
4
5
6
7
8
9
10
11
12
13
14
16
20
26
30
40
98
DK
99
Missing
Sysmiss
Person checking on mother's health: Doctor
Person checking on mother's health: Doctor
Person checking on mother's health: Doctor
Person checking on mother's health: Doctor
Person checking on mother's health: Doctor
Who checked on your health at that time?
371
?
Missing
A
Doctor
Person checking on mother's health: Nurse / Midwife
Person checking on mother's health: Nurse / Midwife
Person checking on mother's health: Nurse / Midwife
Person checking on mother's health: Nurse / Midwife
Person checking on mother's health: Nurse / Midwife
Who checked on your health at that time?
157
?
Missing
B
Nurse / Midwife
Person checking on mother's health: Traditional birth attendant
Person checking on mother's health: Traditional birth attendant
Person checking on mother's health: Traditional birth attendant
Person checking on mother's health: Traditional birth attendant
Person checking on mother's health: Traditional birth attendant
Who checked on your health at that time?
?
Missing
F
Traditional birth attendant
Person checking on mother's health: Relative / Friend
Person checking on mother's health: Relative / Friend
Person checking on mother's health: Relative / Friend
Person checking on mother's health: Relative / Friend
Person checking on mother's health: Relative / Friend
Who checked on your health at that time?
?
MISSING
H
Relative / Friend
Person checking on mother's health: Other
Person checking on mother's health: Other
Person checking on mother's health: Other
Person checking on mother's health: Other
Person checking on mother's health: Other
Who checked on your health at that time?
?
Missing
X
Other
Place where mother's health was checked
Place where mother's health was checked
Place where mother's health was checked
Place where mother's health was checked
Place where mother's health was checked
Where did this check take place?
Probe to identify the type of source.
If unable to determine whether public or private, write the name of the place.
(Name of place)
421
6297
11
Respondent's home
12
Other home
21
Government hospital
24
The Health Center
25
Office of Family Doctor/Health Office
26
Other public
31
Private hospital
32
Private clinic
33
Private maternity home
36
Other private medical
96
Other
99
Missing
Sysmiss
Symptoms: Child not able to drink or breastfeed
Symptoms: Child not able to drink or breastfeed
Symptoms: Child not able to drink or breastfeed
Symptoms: Child not able to drink or breastfeed
Symptoms: Child not able to drink or breastfeed
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
92
?
Missing
A
Cannot drink or breastfeed
Symptoms: Child becomes sicker
Symptoms: Child becomes sicker
Symptoms: Child becomes sicker
Symptoms: Child becomes sicker
Symptoms: Child becomes sicker
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
257
?
Missing
B
Condition getting worse
Symptoms: Child develops a fever
Symptoms: Child develops a fever
Symptoms: Child develops a fever
Symptoms: Child develops a fever
Symptoms: Child develops a fever
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
1405
?
Missing
C
Fever
Symptoms: Child has fast breathing
Symptoms: Child has fast breathing
Symptoms: Child has fast breathing
Symptoms: Child has fast breathing
Symptoms: Child has fast breathing
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
112
?
Missing
D
Faster breathing
Symptoms: Child has difficult breathing
Symptoms: Child has difficult breathing
Symptoms: Child has difficult breathing
Symptoms: Child has difficult breathing
Symptoms: Child has difficult breathing
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
257
?
Missing
E
Difficult breathing
Symptoms: Child has blood in stools
Symptoms: Child has blood in stools
Symptoms: Child has blood in stools
Symptoms: Child has blood in stools
Symptoms: Child has blood in stools
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
139
?
Missing
F
Blood in the stool
Symptoms: Child is drinking poorly
Symptoms: Child is drinking poorly
Symptoms: Child is drinking poorly
Symptoms: Child is drinking poorly
Symptoms: Child is drinking poorly
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
64
?
Missing
G
Difficult drinking
Symptoms: Child is restless
Symptoms: Child is restless
Symptoms: Child is restless
Symptoms: Child is restless
Symptoms: Child is restless
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
259
?
Missing
H
Child is restless
Symptoms: Child is crying
Symptoms: Child is crying
Symptoms: Child is crying
Symptoms: Child is crying
Symptoms: Child is crying
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
379
?
Missing
I
Child is crying
Symtoms: Child is sleeping bad
Symtoms: Child is sleeping bad
Symtoms: Child is sleeping bad
Symtoms: Child is sleeping bad
Symtoms: Child is sleeping bad
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
117
?
Missing
J
Child is sleeping bad
Symptoms: Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
984
?
Missing
X
Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
504
?
Missing
Y
Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Symptoms: Other
Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away?
This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms.
Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later.
If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed).
174
?
Missing
Z
Other
FEMALE STERILIZATION
FEMALE STERILIZATION
FEMALE STERILIZATION
FEMALE STERILIZATION
FEMALE STERILIZATION
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[a] Female sterilization?
Probe: an operation women undertake in order to avoid pregnancy.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
MALE STERILIZATION
MALE STERILIZATION
MALE STERILIZATION
MALE STERILIZATION
MALE STERILIZATION
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[b] Male sterilization?
Probe: an operation men undertake in order to avoid pregnancy.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
IUD
IUD
IUD
IUD
IUD
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[c] IUD?
Probe: women can have a coil placed inside the uterus by a doctor.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
INJECTIBLES
INJECTIBLES
INJECTIBLES
INJECTIBLES
INJECTIBLES
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[d] Injectables?
Probe: women can receive injections that have an effect on their hormones and prevent pregnancy over a period of a few months.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
IMPLANTS
IMPLANTS
IMPLANTS
IMPLANTS
IMPLANTS
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[e] Implants?
Probe: women can have one or more small implants (rods) implanted in their upper arm by a doctor that prevent pregnancy for a number of years.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
PILL
PILL
PILL
PILL
PILL
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[f] Pill?
Probe: women can take pills on an everyday basis to avoid getting pregnant.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
MALE CONDOM
MALE CONDOM
MALE CONDOM
MALE CONDOM
MALE CONDOM
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[g] Male condom?
Probe: men can put a rubber cover on their penis before or during sexual intercourse.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
FEMALE CONDOM
FEMALE CONDOM
FEMALE CONDOM
FEMALE CONDOM
FEMALE CONDOM
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[h] female condom?
Probe: women can put a cover inside their vagina before sexual intercourse.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
DIAPHRAGM
DIAPHRAGM
DIAPHRAGM
DIAPHRAGM
DIAPHRAGM
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[i] Diaphragm?
Probe: women can insert a soft rubber cup in their vagina to block the sperm from entering their uterus or fallopian tubes.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
FOAM / JELLY
FOAM / JELLY
FOAM / JELLY
FOAM / JELLY
FOAM / JELLY
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[j] Foam / jelly?
Probe: women may use spermicidal products (e.g. foam, jelly, cream) that can kill or prevent the sperm from moving and reaching the egg.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
LACTATIONAL AMENORRHOEA METHOD
LACTATIONAL AMENORRHOEA METHOD
LACTATIONAL AMENORRHOEA METHOD
LACTATIONAL AMENORRHOEA METHOD
LACTATIONAL AMENORRHOEA METHOD
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[k] Lactational amenorrhoea method (LAM)?
6000
718
1
Yes
2
No
9
Missing
Sysmiss
PERIODIC ABSTINENCE / RHYTHM METHOD
PERIODIC ABSTINENCE / RHYTHM METHOD
PERIODIC ABSTINENCE / RHYTHM METHOD
PERIODIC ABSTINENCE / RHYTHM METHOD
PERIODIC ABSTINENCE / RHYTHM METHOD
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[l] Periodic abstinence / rhythm method?
Probe: the woman can avoid pregnancy by not having sexual intercourse during fertile days in the month, i.e. days she is most likely to get pregnant.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
WITHDRAWAL
WITHDRAWAL
WITHDRAWAL
WITHDRAWAL
WITHDRAWAL
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[m] Withdrawal?
Probe: men can pull out directly before ejaculating.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
EMERGENCY / POSTCOITAL CONTRACEPTION
EMERGENCY / POSTCOITAL CONTRACEPTION
EMERGENCY / POSTCOITAL CONTRACEPTION
EMERGENCY / POSTCOITAL CONTRACEPTION
EMERGENCY / POSTCOITAL CONTRACEPTION
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[n] Emergency/postcoital Contraception?
Probe: as an emergency measure, within a period of 3 days, after having unprotected sexual intercourse, women can take special pills to prevent pregnancy.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
HAVE YOU HEARD OF ANY OTHER WAYS OR METHODS THAT MEN OR WOMEN CAN UTILISE IN ORDER TO AVOID PREGNANCY
HAVE YOU HEARD OF ANY OTHER WAYS OR METHODS THAT MEN OR WOMEN CAN UTILISE IN ORDER TO AVOID PREGNANCY
HAVE YOU HEARD OF ANY OTHER WAYS OR METHODS THAT MEN OR WOMEN CAN UTILISE IN ORDER TO AVOID PREGNANCY
HAVE YOU HEARD OF ANY OTHER WAYS OR METHODS THAT MEN OR WOMEN CAN UTILISE IN ORDER TO AVOID PREGNANCY
HAVE YOU HEARD OF ANY OTHER WAYS OR METHODS THAT MEN OR WOMEN CAN UTILISE IN ORDER TO AVOID PREGNANCY
I would like to talk with you about another subject - family planning.
Couples use different ways or methods in order to postpone or avoid pregnancy.
Have you heard of:
[x] Have you heard of any other ways or methods that men or women can utilise in order to avoid pregnancy?
6000
718
1
Yes
2
No
9
Missing
Sysmiss
Currently pregnant
Currently pregnant
Currently pregnant
Currently pregnant
Currently pregnant
Are you pregnant now?
This question is important because later questions in this module will not need to be asked of pregnant women. A woman who is pregnant does not need to use contraception!
Circle the code corresponding to the response given. If she is pregnant, circle '1' and go to the next module. If the woman is unsure or does not know for certain if she is pregnant, circle '8' for 'Unsure or DK'.
6000
718
1
Yes, currently pregnant
2
No
8
Unsure or DK
9
Missing
Sysmiss
Currently using a method to avoid pregnancy
Currently using a method to avoid pregnancy
Currently using a method to avoid pregnancy
Currently using a method to avoid pregnancy
Currently using a method to avoid pregnancy
Are you currently doing something or using any method to delay or avoid pregnancy?
5807
911
1
Yes
2
No
9
Missing
Sysmiss
Current method: Female sterilization
Current method: Female sterilization
Current method: Female sterilization
Current method: Female sterilization
Current method: Female sterilization
What are you doing to delay or avoid a pregnancy?
Female Sterilization:Women can have an operation to avoid having any more children.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
180
?
Missing
A
Female sterilization
Current method: Male sterilization
Current method: Male sterilization
Current method: Male sterilization
Current method: Male sterilization
Current method: Male sterilization
What are you doing to delay or avoid a pregnancy?
Male Sterilization: Men can have an operation to avoid having any more children.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
1
?
Missing
B
Male sterilization
Current method: IUD
Current method: IUD
Current method: IUD
Current method: IUD
Current method: IUD
What are you doing to delay or avoid a pregnancy?
IUD: Women can have a loop or coil placed inside them by a doctor or a nurse.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
794
?
Missing
C
IUD
Current method: Injectables
Current method: Injectables
Current method: Injectables
Current method: Injectables
Current method: Injectables
What are you doing to delay or avoid a pregnancy?
Injectables:Women can have an injection by a health provider, that stops her from becoming pregnant for one or more months.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
4
?
Missing
D
Injectables
Current method: Implants
Current method: Implants
Current method: Implants
Current method: Implants
Current method: Implants
What are you doing to delay or avoid a pregnancy?
Implants: Women can have one or more small implants placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
1
?
Missing
E
Implants
Current method: Pill
Current method: Pill
Current method: Pill
Current method: Pill
Current method: Pill
What are you doing to delay or avoid a pregnancy?
Pill: Women have to take a pill every day to avoid becoming pregnant.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
300
?
Missing
F
Pill
Current method: Male condom
Current method: Male condom
Current method: Male condom
Current method: Male condom
Current method: Male condom
What are you doing to delay or avoid a pregnancy?
Male Condom: Men can put a rubber condom on their penis before or during the sexual intercourse.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
824
?
Missing
G
Male condom
Current method: Female condom
Current method: Female condom
Current method: Female condom
Current method: Female condom
Current method: Female condom
What are you doing to delay or avoid a pregnancy?
Female Condom: Women can place a sheath in their vagina before sexual intercourse.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
1
?
Missing
H
Female condom
Current method: Diaphragm
Current method: Diaphragm
Current method: Diaphragm
Current method: Diaphragm
Current method: Diaphragm
What are you doing to delay or avoid a pregnancy?
Diaphragm: Women can place a soft rubber cup in their vagina to block sperm from entering uterus or tubes.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
5
?
Missing
I
Diaphragm
Current method: Foam / Jelly
Current method: Foam / Jelly
Current method: Foam / Jelly
Current method: Foam / Jelly
Current method: Foam / Jelly
What are you doing to delay or avoid a pregnancy?
Foam, Jelly: Women may be using spermicides such as foam, jelly, cream that are used to kill supreme or make sperm unable to move to the egg.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
26
?
Missing
J
Foam / Jelly
Current method: Lactational amenorrhoea method
Current method: Lactational amenorrhoea method
Current method: Lactational amenorrhoea method
Current method: Lactational amenorrhoea method
Current method: Lactational amenorrhoea method
What are you doing to delay or avoid a pregnancy?
Lactational Amenorrhoea Method (LAM)
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
35
?
Missing
K
Lactational amenorrhoea method (LAM)
Current method: Periodic abstinence / Rhythm
Current method: Periodic abstinence / Rhythm
Current method: Periodic abstinence / Rhythm
Current method: Periodic abstinence / Rhythm
Current method: Periodic abstinence / Rhythm
What are you doing to delay or avoid a pregnancy?
Rhythm Method: Woman can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
174
?
Missing
L
Periodic abstinence / Rhythm
Current method: Withdrawal
Current method: Withdrawal
Current method: Withdrawal
Current method: Withdrawal
Current method: Withdrawal
What are you doing to delay or avoid a pregnancy?
Withdrawal: Men can be careful and pull out before climax.
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
719
?
Missing
M
Withdrawal
Current method: Other
Current method: Other
Current method: Other
Current method: Other
Current method: Other
What are you doing to delay or avoid a pregnancy?
Other
Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'.
Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse.
Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled.
If needed, consider the last 1 month as 'current use'.
If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding.
56
?
Missing
X
Other
HAVE YOU EVER DONE SOMETHING OR USED ANY METHOD TO DELAY OR AVOID GETTING PREGNANT?
HAVE YOU EVER DONE SOMETHING OR USED ANY METHOD TO DELAY OR AVOID GETTING PREGNANT?
HAVE YOU EVER DONE SOMETHING OR USED ANY METHOD TO DELAY OR AVOID GETTING PREGNANT?
HAVE YOU EVER DONE SOMETHING OR USED ANY METHOD TO DELAY OR AVOID GETTING PREGNANT?
HAVE YOU EVER DONE SOMETHING OR USED ANY METHOD TO DELAY OR AVOID GETTING PREGNANT?
Have you ever done anything or used a method to delay or avoid a pregnancy?
3015
3703
1
Yes
2
No
9
Sysmiss
Wanted to get pregnant at the time
Wanted to get pregnant at the time
Wanted to get pregnant at the time
Wanted to get pregnant at the time
Wanted to get pregnant at the time
Now, I would like to talk to you about your current pregnancy. When you got pregnant, did yu want to get pregnant at that time?
Circle the code corresponding to the answer given. Skip to UN4 if 'Yes'. Otherwise, continue to the next question.
193
6525
1
Yes
2
No
9
Missing
Sysmiss
Wanted baby later or did not want more children
Wanted baby later or did not want more children
Wanted baby later or did not want more children
Wanted baby later or did not want more children
Wanted baby later or did not want more children
Did you want to have a baby later on or did you not want any (more) children?
Circle the code corresponding to the answer given.
25
6693
1
Later
2
Not wanted more children
9
Missing
Sysmiss
Would like to have another child (currently pregnant)
Would like to have another child (currently pregnant)
Would like to have another child (currently pregnant)
Would like to have another child (currently pregnant)
Would like to have another child (currently pregnant)
Now I would like to ask some questions about the future.
After the child you are now expecting, would you like to have another child, or would you prefer not to have any more children?
Note that we want to make sure that pregnant women do not think that we are asking them if they want the child they are pregnant with now. Circle the code corresponding to the response given. If the woman wants to have another child, you should circle '1' and continue with UN7. If she wants no more children or does not want to have children at all, you should circle '2' and skip to UN13. If she is undecided or does not know, circle '8' and skip to UN13.
193
6525
1
Have another child
2
No more / None
8
Undecided / Don't know
9
Missing
Sysmiss
Would like to have another child (not currently pregnant)
Would like to have another child (not currently pregnant)
Would like to have another child (not currently pregnant)
Would like to have another child (not currently pregnant)
Would like to have another child (not currently pregnant)
Now I would like to ask you some questions about the future. Would you like to have (a/another) child, or would you prefer not to have any (more) children?
Circle the code corresponding to the response given. If the woman wants to have a/another child, you should circle '1'. If she wants no more children or does not want to have children at all, you should circle '2' and skip to UN9. If she says she cannot get pregnant, circle '3' and skip to UN11. If she is undecided or does not know, circle '8' and skip to UN9.
5628
1090
1
Have (a/another) child
2
No more / None
3
Says she cannot get pregnant
8
Undecided / Don't know
9
Missing
Sysmiss
Desired waiting time (unit)
Desired waiting time (unit)
Desired waiting time (unit)
Desired waiting time (unit)
Desired waiting time (unit)
How long would you like to wait before the birth of (a/another) child?
Here, you will also need to choose the appropriate phrasing for the question, based on what you already know about the respondent. This question should be asked of all women (pregnant or not pregnant) who say that they want to have another child.
Note that the answer can be given in months or years. Circle '1' if the response is in months or '2' if in years, and record the answer in the appropriate spaces. If she says she does not want to wait and would like to have a baby right away, record 993 for 'Soon/Now'. If the woman says she cannot get pregnant, circle '994'. If the woman tells you she would like to wait until after she is married to have a child, record '995' for 'After marriage'. If she gives a different answer, circle '996' for 'Other'. If she says she does not know, circle '998'. For women who say that they cannot get pregnant, you should skip to UN11.
3190
3528
1
Months
2
Years
9
Special
Sysmiss
Desired waiting time (number)
Desired waiting time (number)
Desired waiting time (number)
Desired waiting time (number)
Desired waiting time (number)
How long would you like to wait before the birth of (a/another) child?
Here, you will also need to choose the appropriate phrasing for the question, based on what you already know about the respondent. This question should be asked of all women (pregnant or not pregnant) who say that they want to have another child.
Note that the answer can be given in months or years. Circle '1' if the response is in months or '2' if in years, and record the answer in the appropriate spaces. If she says she does not want to wait and would like to have a baby right away, record 993 for 'Soon/Now'. If the woman says she cannot get pregnant, circle '994'. If the woman tells you she would like to wait until after she is married to have a child, record '995' for 'After marriage'. If she gives a different answer, circle '996' for 'Other'. If she says she does not know, circle '998'. For women who say that they cannot get pregnant, you should skip to UN11.
3190
3528
1
2
3
4
5
6
7
8
9
10
11
12
14
15
25
93
Soon / Now
94
Says she cannot get pregnant
95
After marriage
96
Other
98
Don't know
99
Missing
Sysmiss
Able to get pregnant
Able to get pregnant
Able to get pregnant
Able to get pregnant
Able to get pregnant
Do you think you are physically able to get pregnant at this time?
A woman who believes that she is incapable of becoming pregnant cannot be considered to have 'unmet need' for contraception. This question aims to learn whether the woman thinks she can conceive a child. Circle the code corresponding to the response given.
Make sure that the woman does not relate her current physical ability to get pregnant with her current marital status. It is important to emphasize to the woman, if necessary, that we are interested in her current physical ability - she may be physically able to get pregnant, but may think that this is not possible because she currently does not have a partner. In such cases, the woman should obviously be coded as 'Yes'.
2858
3860
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Reason: Infrequent sex / No sex
Reason: Infrequent sex / No sex
Reason: Infrequent sex / No sex
Reason: Infrequent sex / No sex
Reason: Infrequent sex / No sex
Why do you think you are not physically able to get pregnant?
If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.
494
?
Missing
A
Sporadic or no sexual activity
Reason: Menopausal
Reason: Menopausal
Reason: Menopausal
Reason: Menopausal
Reason: Menopausal
Why do you think you are not physically able to get pregnant?
If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.
196
?
Missing
B
Menopause
Reason: Never menstruated
Reason: Never menstruated
Reason: Never menstruated
Reason: Never menstruated
Reason: Never menstruated
Why do you think you are not physically able to get pregnant?
If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.
3
?
Missing
C
Never menstruated
Reason: Hysterectomy
Reason: Hysterectomy
Reason: Hysterectomy
Reason: Hysterectomy
Reason: Hysterectomy
Why do you think you are not physically able to get pregnant?
If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.
78
?
Missing
D
Hysterectomy
Reason: Trying to get pregnant for 2 years without result
Reason: Trying to get pregnant for 2 years without result
Reason: Trying to get pregnant for 2 years without result
Reason: Trying to get pregnant for 2 years without result
Reason: Trying to get pregnant for 2 years without result
Why do you think you are not physically able to get pregnant?
If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.
98
?
Missing
E
Tried to get pregnant for 2 years without result
Reason: Postpartum amenorrheic
Reason: Postpartum amenorrheic
Reason: Postpartum amenorrheic
Reason: Postpartum amenorrheic
Reason: Postpartum amenorrheic
Why do you think you are not physically able to get pregnant?
If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.
10
?
Missing
F
Postpartum cessation
Reason: Breastfeeding
Reason: Breastfeeding
Reason: Breastfeeding
Reason: Breastfeeding
Reason: Breastfeeding
Why do you think you are not physically able to get pregnant?
If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.
20
?
Missing
G
Breastfeeding
Reason: Too old
Reason: Too old
Reason: Too old
Reason: Too old
Reason: Too old
Why do you think you are not physically able to get pregnant?
If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.
95
?
Missing
H
Overage
Reason: Fatalistic
Reason: Fatalistic
Reason: Fatalistic
Reason: Fatalistic
Reason: Fatalistic
Why do you think you are not physically able to get pregnant?
If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.
11
?
Missing
I
Destiny
Reason: Other
Reason: Other
Reason: Other
Reason: Other
Reason: Other
Why do you think you are not physically able to get pregnant?
If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.
168
?
Missing
X
Other
Reason: Don't know
Reason: Don't know
Reason: Don't know
Reason: Don't know
Reason: Don't know
Why do you think you are not physically able to get pregnant?
If the woman does not believe that she is physically capable of becoming pregnant, we ask the reason(s) why. Circle the code corresponding to the answer. If more than one reason is given, circle all the codes for these responses.
14
?
Missing
Z
Don't know
Start of last menstrual period (unit)
Start of last menstrual period (unit)
Start of last menstrual period (unit)
Start of last menstrual period (unit)
Start of last menstrual period (unit)
When did your last menstrual period start?
The answers to this question will help to determine whether any of the respondents are actually
menopausal or infecund because they have not had their periods in a long time. Record the respondent's answer in the units that she uses. Note that the answer can be given in months or years. Circle '1' if the response is in days, '2' if in weeks, '3' if in months, 4' if in years and record the answer in the appropriate spaces.
In some cases, the respondent may give you the date that her last menstrual period began. If that happens, write the date on the questionnaire, calculate the length of time since that date, and record it in the appropriate units. Note that it is not necessary to obtain a date.
If she says she is in menopause or has had hysterectomy, record 994. A woman who is too old to menstruate or become pregnant is described as being in menopause. A hysterectomy is an operation to remove the uterus. If the woman tells you she had her last menstrual period before her last birth, record '995'. If she says she has never menstruated, circle '996'.
5998
720
1
Days ago
2
Weeks ago
3
Months ago
4
Years ago
9
Special
Sysmiss
Start of last menstrual period (number)
Start of last menstrual period (number)
Start of last menstrual period (number)
Start of last menstrual period (number)
Start of last menstrual period (number)
When did your last menstrual period start?
The answers to this question will help to determine whether any of the respondents are actually
menopausal or infecund because they have not had their periods in a long time. Record the respondent's answer in the units that she uses. Note that the answer can be given in months or years. Circle '1' if the response is in days, '2' if in weeks, '3' if in months, 4' if in years and record the answer in the appropriate spaces.
In some cases, the respondent may give you the date that her last menstrual period began. If that happens, write the date on the questionnaire, calculate the length of time since that date, and record it in the appropriate units. Note that it is not necessary to obtain a date.
If she says she is in menopause or has had hysterectomy, record 994. A woman who is too old to menstruate or become pregnant is described as being in menopause. A hysterectomy is an operation to remove the uterus. If the woman tells you she had her last menstrual period before her last birth, record '995'. If she says she has never menstruated, circle '996'.
5998
720
99
94
In menopause/had hysterectomy
95
Before last birth
96
Never menstruated
99
Missing
If she goes out with out telling husband: wife beating justified
If she goes out with out telling husband: wife beating justified
If she goes out with out telling husband: wife beating justified
If she goes out with out telling husband: wife beating justified
If she goes out with out telling husband: wife beating justified
Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she goes out without telling him?
Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion.
6000
718
1
Yes
2
No
8
DK
9
Missing
Sysmiss
If she neglects the children: wife beating justified
If she neglects the children: wife beating justified
If she neglects the children: wife beating justified
If she neglects the children: wife beating justified
If she neglects the children: wife beating justified
Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she neglects the chidlren?
Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion.
6000
718
1
Yes
2
No
8
DK
9
Missing
Sysmiss
If she argues with husband: wife beating justified
If she argues with husband: wife beating justified
If she argues with husband: wife beating justified
If she argues with husband: wife beating justified
If she argues with husband: wife beating justified
Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she argues with him?
Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion.
6000
718
1
Yes
2
No
8
DK
9
Missing
Sysmiss
If she refuses sex with husband: wife beating justified
If she refuses sex with husband: wife beating justified
If she refuses sex with husband: wife beating justified
If she refuses sex with husband: wife beating justified
If she refuses sex with husband: wife beating justified
Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she refuses to have sex with him?
Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion.
6000
718
1
Yes
2
No
8
DK
9
Missing
Sysmiss
If she burns the food: wife beating justified
If she burns the food: wife beating justified
If she burns the food: wife beating justified
If she burns the food: wife beating justified
If she burns the food: wife beating justified
Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she burns the food?
Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion.
6000
718
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Currently married or living with a man
Currently married or living with a man
Currently married or living with a man
Currently married or living with a man
Currently married or living with a man
Are you currently married or living together with a man as if married?
The options here are currently married, living with a man, or not in union (the woman is neither married nor living with a man). Circle the code corresponding to the respondent's status at the time of the interview. If the woman is currently neither married or in a union, skip to MA5.
6000
718
1
Yes, currently married
2
Yes, living with a man
3
No, not in union
Sysmiss
Age of husband/partner
Age of husband/partner
Age of husband/partner
Age of husband/partner
Age of husband/partner
How old is your husband/partner?
Probe: How old was your husband/partner on his last birthday? If she knows the age of her current partner on his last birthday, enter his age in the space provided. If she does not know his age, circle '98'.
4009
2709
18
99
98
DK
99
Missing
Ever married or lived with a man
Ever married or lived with a man
Ever married or lived with a man
Ever married or lived with a man
Ever married or lived with a man
Have you ever been married or lived together with a man as if married?
For women who are not currently married or living with a man, ask whether they have ever been married or lived with a man. Remember that 'married' refers to both formal and informal unions.
Circle the code corresponding to the response given. Notice that there are two different response categories for a 'Yes' response: 'Yes, formerly married' and 'Yes, formerly lived with a man'. Be sure to make the distinction between the two categories. If the respondent just answers 'Yes', probe by asking, “Were you formerly married or did you live with a man?” If she was formerly married and also reports living with a man, circle the code for 'Yes, formerly married'.
If she was never married and never lived with a man circle '3' for 'No' and go to the next module. Otherwise, continue on to MA6.
1991
4727
1
Yes, formerly married
2
Yes, formerly lived with a man
3
No
9
Missing
Sysmiss
Marital status
Marital status
Marital status
Marital status
Marital status
What is your marital status now: are you widowed, divorced or separated?
Circle the code corresponding to the response given. For a woman who is not currently married and not currently living with someone but who was formerly in a union, record her current marital status at the time of the interview. Since she was in a union at one time, but is not on the day you are interviewing her, she will be either widowed, divorced or separated.
You should use 'widowed' (a) for women who were married and their husband died, and (b) for women who were in an informal union and their partner died. 'Divorced' should be used for women who were formally married and whose marriage formally ended. 'Separated' should be used (a) for women who were married, but are no longer continuing the marriage with their husband, and (b) for women who were in an informal union and are no longer continuing the union with their partner.
663
6055
1
Widowed
2
Divorced
3
Separated
Sysmiss
Married or lived with a man once or more than once
Married or lived with a man once or more than once
Married or lived with a man once or more than once
Married or lived with a man once or more than once
Married or lived with a man once or more than once
Have you been married or lived with a man only once or more than once?
As with MA1, we are interested in formal marriages as well as informal arrangements. If a woman was married or lived with a man and then was widowed, divorced, or separated from her husband or partner and is now either married to or living with someone else, record 'More than once'. If a woman is not currently married or in an informal union but was previously married or living with someone else two or more times, record 'More than once' by circling '2'. If she has married or lived with someone else only once, circle '1.'
Note that the question refers to periods of marriage or informal unions, and not to numbers of husbands or partners. If a woman was married to a man and divorced him, and then married the same person again, she should be considered as having married 'More than once'. The same applies to informal unions with the same person.
4672
2046
1
Only once
2
More than once
9
Missing
Sysmiss
Month of first union
Month of first union
Month of first union
Month of first union
Month of first union
In what month and year did you first marry or start living with a man as if married?
If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc.
If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'.
4672
2046
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
98
DK
99
Missing
Sysmiss
Year of first union
Year of first union
Year of first union
Year of first union
Year of first union
In what month and year did you first marry or start living with a man as if married?
If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc.
If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'.
4672
2046
1977
9999
9997
Inconsistent
9998
DK
9999
Missing
Age at first union
Age at first union
Age at first union
Age at first union
Age at first union
How old were you when you started living with your first husband/partner?
As with other age questions, if she does not know, probe. For instance, ask how old she was when her first child was born and then ask how long before or after giving birth she began living with her first husband or partner. Do not leave this question blank.
69
6649
14
15
16
17
18
19
20
21
22
23
24
25
26
35
97
Inconsistent
99
Missing
Sysmiss
Age at first sexual intercourse
Age at first sexual intercourse
Age at first sexual intercourse
Age at first sexual intercourse
Age at first sexual intercourse
Now, I would like to ask you some questions about sexual activity in order to gain a better understanding of some important life issues.
The information you supply will remain strictly confidential.
How old were you when you had sexual intercourse for the very first time?
It is very important that you read the first sentence, and to emphasize to the respondent that her responses will remain strictly confidential. If necessary, explain to her once again that the information she shares with you will only be used for statistical purposes; that her name will never be revealed; and her responses will not be shared with others in the community or elsewhere.
The age we are asking about is the age of the respondent the very first time she had sexual intercourse. It does not matter whether the woman continued to have a relationship with this person. We are not asking about the first time with her current partner, but rather, the first experience of sexual intercourse in her entire life.
If the response is 'Never had intercourse', circle '00' and skip to the next module. Otherwise, enter the age in years on the line provided. If she was less than 10 years old, use a zero to fill in the first space.
If the respondent tells you that her first time was when she started living with her first husband, record her response by circling '95'. You will have collected this information in the Marriage/Union module. If the respondent says that her first time was with her first husband, but it was before they began living together, probe for the respondent's age at the time.
If the respondent says she does not know how old she was when she first had intercourse, probe by relating it to how old she was when she first married or had her first child. However, when doing this probing, be certain not to assume that the first time she had sex was at the time of her first marriage. If she has never married and/or never had children, you can probe by relating the timing of the first intercourse to whether she was going to school at the time, or to places that she might have lived. The respondent should feel comfortable in taking her time to think about her response to remember correctly.
6000
718
99
Never had intercourse
95
First time when started living with partner
97
Inconsistent
99
Missing
Condom used during first sexual intercourse
Condom used during first sexual intercourse
Condom used during first sexual intercourse
Condom used during first sexual intercourse
Condom used during first sexual intercourse
The first time you had sexual intercourse, was a condom used?
If used correctly, condoms can reduce the risk of transmission of AIDS and other sexually transmitted infections. We do not mention this fact to the respondent, because we do not want to influence her answer here. In this question we are referring to the first occasion the respondent had sexual intercourse.
Circle the code for the response given.
5164
1554
1
Yes
2
No
8
DK / Don't remember
9
Missing
Sysmiss
Time since last sexual intercourse (unit)
Time since last sexual intercourse (unit)
Time since last sexual intercourse (unit)
Time since last sexual intercourse (unit)
Time since last sexual intercourse (unit)
When was the last time you had sexual intercourse?
By 'the last time you had sexual intercourse' we are referring to the respondent's most recent act of sexual intercourse.
In most cases you will record the respondent's answer by using the same units of measure she used in her response. For example, if she says '3 weeks ago', circle '2' and write '03' in the boxes next to 'Weeks ago'. If she says "4 days ago," circle '1' and write '04' next to 'Days ago'. If the respondent says "last night," circle '1' and write '00' for 'Days ago'. If the respondent answers with a month, for example, if she says "it was in December," count the number of months and record months. It may be helpful to write the name of the month in the questionnaire. All responses within less than 12 months will be recorded in months, weeks or days. Record 'year ago' only if last intercourse was one or more years ago.
If 12 months or more the answer must be recorded in years.
If the response is 12 months or more, circle '4' and record the answer in years. The 'Years ago' row should be used only if the last intercourse was more than 1 year ago. There should never be a response recorded '00' 'Years Ago'. If the response is 12 months or more, go to the SB13.
While this question is a simple one, respondents who have not had sexual intercourse recently are likely to round off their answers, and it will be up to you to learn from respondents whether they last had sex more or less than a year ago. For example, a woman with no regular sexual relationships may engage in sexual intercourse on an irregular basis. Perhaps the last time she had sexual intercourse was during a trip she took 10 months ago; she will be more likely to respond "about a year ago," rather than count how many months ago it was. Therefore, you will need to probe all responses of 'a year ago' with: "Do you remember which month it was?" In this way, we will be able to determine whether the respondent actually had intercourse within the last year or more than a year ago. Respondents who last had sexual intercourse, 10, 11, 12, 13, 14 or 15 months ago may all give responses of 'a year ago'; it will be up to you to clarify when it actually was. Asking the respondent "Was it more or less than a year ago" is not a very good probe for this question; it would be best to ask, "Do you remember what month it was?"
If a woman has not yet resumed intercourse since she had her last child, check CM12 for the month and year of birth of her last child, and ask how long before the birth of that child she had sex the last time.
5164
1554
1
Days ago
2
Weeks ago
3
Months ago
4
Years ago
9
Special
Sysmiss
Time since last sexual intercourse (number)
Time since last sexual intercourse (number)
Time since last sexual intercourse (number)
Time since last sexual intercourse (number)
Time since last sexual intercourse (number)
When was the last time you had sexual intercourse?
By 'the last time you had sexual intercourse' we are referring to the respondent's most recent act of sexual intercourse.
In most cases you will record the respondent's answer by using the same units of measure she used in her response. For example, if she says '3 weeks ago', circle '2' and write '03' in the boxes next to 'Weeks ago'. If she says "4 days ago," circle '1' and write '04' next to 'Days ago'. If the respondent says "last night," circle '1' and write '00' for 'Days ago'. If the respondent answers with a month, for example, if she says "it was in December," count the number of months and record months. It may be helpful to write the name of the month in the questionnaire. All responses within less than 12 months will be recorded in months, weeks or days. Record 'year ago' only if last intercourse was one or more years ago.
If 12 months or more the answer must be recorded in years.
If the response is 12 months or more, circle '4' and record the answer in years. The 'Years ago' row should be used only if the last intercourse was more than 1 year ago. There should never be a response recorded '00' 'Years Ago'. If the response is 12 months or more, go to the SB13.
While this question is a simple one, respondents who have not had sexual intercourse recently are likely to round off their answers, and it will be up to you to learn from respondents whether they last had sex more or less than a year ago. For example, a woman with no regular sexual relationships may engage in sexual intercourse on an irregular basis. Perhaps the last time she had sexual intercourse was during a trip she took 10 months ago; she will be more likely to respond "about a year ago," rather than count how many months ago it was. Therefore, you will need to probe all responses of 'a year ago' with: "Do you remember which month it was?" In this way, we will be able to determine whether the respondent actually had intercourse within the last year or more than a year ago. Respondents who last had sexual intercourse, 10, 11, 12, 13, 14 or 15 months ago may all give responses of 'a year ago'; it will be up to you to clarify when it actually was. Asking the respondent "Was it more or less than a year ago" is not a very good probe for this question; it would be best to ask, "Do you remember what month it was?"
If a woman has not yet resumed intercourse since she had her last child, check CM12 for the month and year of birth of her last child, and ask how long before the birth of that child she had sex the last time.
5126
1592
1
2
3
4
5
6
7
8
9
10
11
12
14
15
16
18
20
21
23
24
97
Inconsistent
99
Missing
Sysmiss
Condom used at last sexual intercourse
Condom used at last sexual intercourse
Condom used at last sexual intercourse
Condom used at last sexual intercourse
Condom used at last sexual intercourse
The last time you had sexual intrecourse, was a condom used?
In this question, this time, we are referring only to the last occasion the respondent had sexual intercourse.
Circle the code for the response given.
4750
1968
1
Yes
2
No
9
Missing
Sysmiss
Relationship to last sexual partner
Relationship to last sexual partner
Relationship to last sexual partner
Relationship to last sexual partner
Relationship to last sexual partner
What was your relationship to this person with whom you last had sexual intercourse?
Probe to ensure that the response refers to the relationship at the time of sexual intercourse. If the person is 'boyfriend', ask: “Were you living together as if married?” If 'Yes', circle '2' for 'Cohabiting partner'. If 'No', circle '3' for 'Boyfriend' and skip to SB7.
Note that we are interested in the relationship of the woman with the person mentioned at the time they last engaged in sexual intercourse. For example, if a woman's last partner was a boyfriend she was living with at the time, you would record 'Cohabiting partner' even though they are no longer living together. They were living together at the time of the sexual encounter. Record the status of the relationship that existed at the time the two people last had sexual intercourse. It is most important to determine whether or not the sexual partner was someone the respondent was living with at the time they last had sexual intercourse.
4750
1968
1
Husband
2
Cohabiting partner
3
Boyfriend
4
Acquaintance
6
Other
9
Missing
Sysmiss
Age of last sexual partner
Age of last sexual partner
Age of last sexual partner
Age of last sexual partner
Age of last sexual partner
How old is this person?
Sometimes young women have sexual partners who are significantly older than they are; this can put them at higher risk of HIV infection. In this question we ask young women to tell us the age of their sexual partners.
Record the age in the space provided. If she does not know, ask her to estimate the age of this person. If the respondent is unable to estimate the partner's age, probe by asking “About how old is this person?”. If she still says she does not know, circle '98' and continue to the next question.
806
5912
15
99
98
DK
99
Missing
Sex with any other man in the last 12 month
Sex with any other man in the last 12 month
Sex with any other man in the last 12 month
Sex with any other man in the last 12 month
Sex with any other man in the last 12 month
Have you had sexual intercourse with any other person in the last 12 months?
We are interested in finding out whether the respondent had sexual intercourse with anyone else within the past 12 months. We want the respondent to take their time in answering because we are asking about a fairly long period of time - the entire year preceding the date of interview. Continue to the next question if 'Yes'. If 'No', skip to SB15.
4750
1968
1
Yes
2
No
9
Missing
Sysmiss
Condom used with prior sexual partner
Condom used with prior sexual partner
Condom used with prior sexual partner
Condom used with prior sexual partner
Condom used with prior sexual partner
The last time you had sexual intercourse with this other person was a condom used?
This question asks about condom use with 'this other person'. This is the person she had intercourse with during the last 12 months, but not the person she had her last intercourse with.
Circle the code for the response given.
135
6583
1
Yes
2
No
9
Missing
Sysmiss
Relationship to prior sexual partner
Relationship to prior sexual partner
Relationship to prior sexual partner
Relationship to prior sexual partner
Relationship to prior sexual partner
What was your relationship to this person?
This question asks about the relationship she had with this other person. It should refer to the relationship she had with the person at the time of intercourse.
The questions should be asked, probed and recorded the same way as SB5. If the person is 'boyfriend', ask: “Were you living together as if married?” If 'Yes', circle '2' for 'Cohabiting partner'. If 'No', circle '3' for 'Boyfriend' and skip to SB12.
135
6583
1
Husband
2
Cohabiting partner
3
Boyfriend
4
Acquaintance
6
Other
9
Missing
Sysmiss
Age of prior sexual partner
Age of prior sexual partner
Age of prior sexual partner
Age of prior sexual partner
Age of prior sexual partner
How old is this person?
Again, we are looking for the age of the person she had sexual intercourse with at the time of the sexual encounter.
Record the age in the space provided. If she does not know, ask her to estimate the age of this person. If the respondent is unable to estimate the sexual partner's age, probe by asking “About how old is this person?”. If she still says she does not know, circle '98' and continue to the next question.
109
6609
19
98
98
DK
99
Missing
Sex with any other man in the last 12 months
Sex with any other man in the last 12 months
Sex with any other man in the last 12 months
Sex with any other man in the last 12 months
Sex with any other man in the last 12 months
Other than these two persons, have you had sexual intercourse with any other person in the last 12 months?
Circle the code corresponding to response given. Continue to the next question if the response if 'Yes'. If 'No', skip to SB15.
135
6583
1
Yes
2
No
9
Missing
Sysmiss
Number of sex partners in last 12 months
Number of sex partners in last 12 months
Number of sex partners in last 12 months
Number of sex partners in last 12 months
Number of sex partners in last 12 months
In total, with how many different people have you had sexual intercourse in the last 12 months?
This is the total number of different partners the respondent has had sexual intercourse with in the last 12 months, including the ones already mentioned.
Enter the total in the space provided. If her response is less than 10, use a leading zero. Since this question is asked only if the respondent has had sexual intercourse with at least three partners in the last 12 months, the answer should never be '00', '01' or '02'.
20
6698
3
4
5
7
8
99
Missing
Sysmiss
Number of sex partners in lifetime
Number of sex partners in lifetime
Number of sex partners in lifetime
Number of sex partners in lifetime
Number of sex partners in lifetime
In total, with how many different people have you had sexual intercourse in your lifetime?
This is the total number of different partners the respondent has had sexual intercourse in her lifetime.
Enter the total in the space provided. If her response is less than 10, use a leading zero. If a non-numeric answer is given, probe to get an estimate. If number of partners is 95 or more, write '95'.
5164
1554
1
2
3
4
5
6
7
8
9
10
11
12
15
18
20
25
30
32
50
98
DK
99
Missing
Sysmiss
Ever heard of AIDS
Ever heard of AIDS
Ever heard of AIDS
Ever heard of AIDS
Ever heard of AIDS
Now I would like to talk with you about something else.
Have you ever heard of an illness called HIV/AIDS?
This question serves as an introduction and allows us to verify whether a respondent has heard of AIDS. If there is a local term for AIDS, use the local term in addition to 'AIDS'.
If a respondent has never heard of the AIDS, skip to next module.
6000
718
1
Yes
2
No
9
Missing
Sysmiss
Can avoid AIDS virus by having one uninfected partner
Can avoid AIDS virus by having one uninfected partner
Can avoid AIDS virus by having one uninfected partner
Can avoid AIDS virus by having one uninfected partner
Can avoid AIDS virus by having one uninfected partner
Can people reduce their chance of getting the AIDS virus by having just one uninfected sex partner who has no other sex partners?
For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.
5953
765
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Can get AIDS virus through supernatural means
Can get AIDS virus through supernatural means
Can get AIDS virus through supernatural means
Can get AIDS virus through supernatural means
Can get AIDS virus through supernatural means
Can people get the AIDS virus because of witchcraft or other supernatural means?
For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.
5953
765
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Can avoid AIDS virus by using a condom correctly every time
Can avoid AIDS virus by using a condom correctly every time
Can avoid AIDS virus by using a condom correctly every time
Can avoid AIDS virus by using a condom correctly every time
Can avoid AIDS virus by using a condom correctly every time
Can people reduce their chance of getting the AIDS virus by using a condom every time they have sex?
For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.
5953
765
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Can get AIDS virus from mosquito bites
Can get AIDS virus from mosquito bites
Can get AIDS virus from mosquito bites
Can get AIDS virus from mosquito bites
Can get AIDS virus from mosquito bites
Can people get the HIV/AIDS virus from mosquito bites?
For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.
5953
765
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Can get AIDS virus by sharing food with a person who has AIDS
Can get AIDS virus by sharing food with a person who has AIDS
Can get AIDS virus by sharing food with a person who has AIDS
Can get AIDS virus by sharing food with a person who has AIDS
Can get AIDS virus by sharing food with a person who has AIDS
Can people get the AIDS virus by sharing food with a person who has the HIV/AIDS virus?
For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.
5953
765
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Healthy-looking person may have AIDS virus
Healthy-looking person may have AIDS virus
Healthy-looking person may have AIDS virus
Healthy-looking person may have AIDS virus
Healthy-looking person may have AIDS virus
Is it possible for a healthy-looking person to have the HIV/AIDS virus?
For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way.
5953
765
1
Yes
2
No
8
DK
9
Missing
Sysmiss
CAN A PERSON GET HIV/AIDS BY HUGGING OR SHAKING HANDS WITH A PERSON WHO IS INFECTED
CAN A PERSON GET HIV/AIDS BY HUGGING OR SHAKING HANDS WITH A PERSON WHO IS INFECTED
CAN A PERSON GET HIV/AIDS BY HUGGING OR SHAKING HANDS WITH A PERSON WHO IS INFECTED
CAN A PERSON GET HIV/AIDS BY HUGGING OR SHAKING HANDS WITH A PERSON WHO IS INFECTED
CAN A PERSON GET HIV/AIDS BY HUGGING OR SHAKING HANDS WITH A PERSON WHO IS INFECTED
Can a person get HIV/AIDS by hugging or shaking with a person who is infected?
5953
765
1
Yes
2
No
8
DK
9
Missing
Sysmiss
AIDS virus from mother to child during pregnancy
AIDS virus from mother to child during pregnancy
AIDS virus from mother to child during pregnancy
AIDS virus from mother to child during pregnancy
AIDS virus from mother to child during pregnancy
Can the virus that causes HIV/AIDS be transmitted from a mother to her baby: During pregnancy?
An understanding of more in-depth AIDS-related knowledge is obtained with this question, which aims to determine whether the woman knows that a mother who has AIDS can pass on the disease to her baby.
Ask each item one at a time and circle the code for the response given. The items ask whether the respondent thinks that a mother with AIDS can transfer the disease to her baby 'During pregnancy', 'During delivery' or 'By breastfeeding' him/her. Circle '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, circle '8'.
The following four questions are meant to ascertain the respondent's personal opinion and accepting attitude towards people with HIV/AIDS. We present a situation to the respondent, asking her to imagine a particular scenario. Then we ask her to tell us how she would react to the situation.
Circle the code for the response given. Once again, do not prompt the respondent or indicate the 'correct' answer in any way. If a respondent says she doesn't know, is unsure, or that it depends, circle '8' for 'DK/not sure/depends'.
5953
765
1
Yes
2
No
8
DK
9
Missing
Sysmiss
AIDS virus from mother to child during delivery
AIDS virus from mother to child during delivery
AIDS virus from mother to child during delivery
AIDS virus from mother to child during delivery
AIDS virus from mother to child during delivery
Can the virus that causes HIV/AIDS be transmitted from a mother to her baby: During delivery?
An understanding of more in-depth AIDS-related knowledge is obtained with this question, which aims to determine whether the woman knows that a mother who has AIDS can pass on the disease to her baby.
Ask each item one at a time and circle the code for the response given. The items ask whether the respondent thinks that a mother with AIDS can transfer the disease to her baby 'During pregnancy', 'During delivery' or 'By breastfeeding' him/her. Circle '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, circle '8'.
The following four questions are meant to ascertain the respondent's personal opinion and accepting attitude towards people with HIV/AIDS. We present a situation to the respondent, asking her to imagine a particular scenario. Then we ask her to tell us how she would react to the situation.
Circle the code for the response given. Once again, do not prompt the respondent or indicate the 'correct' answer in any way. If a respondent says she doesn't know, is unsure, or that it depends, circle '8' for 'DK/not sure/depends'.
5953
765
1
Yes
2
No
8
DK
9
Missing
Sysmiss
AIDS virus from mother to child through breastfeeding
AIDS virus from mother to child through breastfeeding
AIDS virus from mother to child through breastfeeding
AIDS virus from mother to child through breastfeeding
AIDS virus from mother to child through breastfeeding
Can the virus that causes HIV/AIDS be transmitted from a mother to her baby: By breasfeeding?
An understanding of more in-depth AIDS-related knowledge is obtained with this question, which aims to determine whether the woman knows that a mother who has AIDS can pass on the disease to her baby.
Ask each item one at a time and circle the code for the response given. The items ask whether the respondent thinks that a mother with AIDS can transfer the disease to her baby 'During pregnancy', 'During delivery' or 'By breastfeeding' him/her. Circle '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, circle '8'.
The following four questions are meant to ascertain the respondent's personal opinion and accepting attitude towards people with HIV/AIDS. We present a situation to the respondent, asking her to imagine a particular scenario. Then we ask her to tell us how she would react to the situation.
Circle the code for the response given. Once again, do not prompt the respondent or indicate the 'correct' answer in any way. If a respondent says she doesn't know, is unsure, or that it depends, circle '8' for 'DK/not sure/depends'.
5953
765
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Should female teacher with AIDS virus be allowed to teach in school
Should female teacher with AIDS virus be allowed to teach in school
Should female teacher with AIDS virus be allowed to teach in school
Should female teacher with AIDS virus be allowed to teach in school
Should female teacher with AIDS virus be allowed to teach in school
In your opinion, if a female teacher has the HIV/AIDS virus but is not sick, should she be allowed to continue teaching in school?
If a school learns that a female teacher has the AIDS virus, but she is not sick, how should the school handle this information? Should the female teacher be allowed to continue teaching at the school, or should she be removed from her teaching position? We are not asking about whether or not a female teacher has actually been asked to leave a teaching position, but rather, what is the respondent's opinion about how such a case should be handled; should the female teacher be allowed to continue teaching?
5953
765
1
Yes
2
No
8
DK / Not sure / Depends
9
Missing
Sysmiss
Would buy fresh vegetables from shopkeeper with AIDS virus
Would buy fresh vegetables from shopkeeper with AIDS virus
Would buy fresh vegetables from shopkeeper with AIDS virus
Would buy fresh vegetables from shopkeeper with AIDS virus
Would buy fresh vegetables from shopkeeper with AIDS virus
Would you buy fresh vegetables from a shopkeeper or vendor if you knew that this person had the HIV/AIDS virus?
5953
765
1
Yes
2
No
8
DK / Not sure / Depends
9
Missing
Sysmiss
If HH member became infected with AIDS virus, would want it to remain a secret
If HH member became infected with AIDS virus, would want it to remain a secret
If HH member became infected with AIDS virus, would want it to remain a secret
If HH member became infected with AIDS virus, would want it to remain a secret
If HH member became infected with AIDS virus, would want it to remain a secret
If a member of your family got infected with the HIV/AIDS virus, would you want it to remain a secret?
5953
765
1
Yes
2
No
8
DK / Not sure / Depends
9
Missing
Sysmiss
Willing to care for person with AIDS in household
Willing to care for person with AIDS in household
Willing to care for person with AIDS in household
Willing to care for person with AIDS in household
Willing to care for person with AIDS in household
If a member of your family became sick with HIV/AIDS, would you be willing to care for him or her in your household?
5953
765
1
Yes
2
No
8
DK / Not sure / Depends
9
Missing
Sysmiss
BABIES GETTING THE HIV/AIDS VIRUS FROM THEIR MOTHER?
BABIES GETTING THE HIV/AIDS VIRUS FROM THEIR MOTHER?
BABIES GETTING THE HIV/AIDS VIRUS FROM THEIR MOTHER?
BABIES GETTING THE HIV/AIDS VIRUS FROM THEIR MOTHER?
BABIES GETTING THE HIV/AIDS VIRUS FROM THEIR MOTHER?
During any of the antenatal visits for your pregnancy with (name), were you given any information about: Babies getting the HIV/AIDS virus from their mother?
We want to know if someone spoke with the respondent about AIDS or the AIDS virus during any of her antenatal care visits during this pregnancy. This covers topics such as babies getting the AIDS virus, things that you can do to prevent getting the AIDS virus, or getting tests for the AIDS virus. It does not matter whether the topic was discussed only once or more than once, or discussed in one visit or over several visits.
712
6006
1
Yes
2
No
8
DK
9
Missing
Sysmiss
THINGS THAT YOU CAN DO TO PREVENT GETTING THE HIV/AIDS VIRU
THINGS THAT YOU CAN DO TO PREVENT GETTING THE HIV/AIDS VIRU
THINGS THAT YOU CAN DO TO PREVENT GETTING THE HIV/AIDS VIRU
THINGS THAT YOU CAN DO TO PREVENT GETTING THE HIV/AIDS VIRU
THINGS THAT YOU CAN DO TO PREVENT GETTING THE HIV/AIDS VIRU
During any of the antenatal visits for your pregnancy with (name), were you given any information about: Things that you can do to prevent geting the HIV/AIDS virus?
We want to know if someone spoke with the respondent about AIDS or the AIDS virus during any of her antenatal care visits during this pregnancy. This covers topics such as babies getting the AIDS virus, things that you can do to prevent getting the AIDS virus, or getting tests for the AIDS virus. It does not matter whether the topic was discussed only once or more than once, or discussed in one visit or over several visits.
712
6006
1
Yes
2
No
8
DK
9
Missing
Sysmiss
GETTING TESTED FOR THE HIV/AIDS VIRUS?
GETTING TESTED FOR THE HIV/AIDS VIRUS?
GETTING TESTED FOR THE HIV/AIDS VIRUS?
GETTING TESTED FOR THE HIV/AIDS VIRUS?
GETTING TESTED FOR THE HIV/AIDS VIRUS?
During any of the antenatal visits for your pregnancy with (name), were you given any information about: Getting tested for the HIV/AIDS virus?
We want to know if someone spoke with the respondent about AIDS or the AIDS virus during any of her antenatal care visits during this pregnancy. This covers topics such as babies getting the AIDS virus, things that you can do to prevent getting the AIDS virus, or getting tests for the AIDS virus. It does not matter whether the topic was discussed only once or more than once, or discussed in one visit or over several visits.
712
6006
1
Yes
2
No
8
DK
9
Missing
Sysmiss
OFFERED A TEST FOR THE HIV/AIDS VIRUS?
OFFERED A TEST FOR THE HIV/AIDS VIRUS?
OFFERED A TEST FOR THE HIV/AIDS VIRUS?
OFFERED A TEST FOR THE HIV/AIDS VIRUS?
OFFERED A TEST FOR THE HIV/AIDS VIRUS?
During any of the antenatal visits for your pregnancy with (name), were you: Offered a test for the HIV/AIDS virus?
We want to know if someone spoke with the respondent about AIDS or the AIDS virus during any of her antenatal care visits during this pregnancy. This covers topics such as babies getting the AIDS virus, things that you can do to prevent getting the AIDS virus, or getting tests for the AIDS virus. It does not matter whether the topic was discussed only once or more than once, or discussed in one visit or over several visits.
712
6006
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Tested for AIDS virus as part of antenatal care
Tested for AIDS virus as part of antenatal care
Tested for AIDS virus as part of antenatal care
Tested for AIDS virus as part of antenatal care
Tested for AIDS virus as part of antenatal care
I don’t want to know the results, but were you tested for the HIV/AIDS virus as part of your antenatal care?
Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she was tested. Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to HA19.
712
6006
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Received results from test during antenatal care
Received results from test during antenatal care
Received results from test during antenatal care
Received results from test during antenatal care
Received results from test during antenatal care
I don’t want to know the results, but did you get the results of the test?
Sometimes people are tested for the AIDS virus but are not told whether or not they have the virus, or do not go to get the results.
Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she knows the results of the test. Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to HA22.
680
6038
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Received consultation after testing during antenatal care
Received consultation after testing during antenatal care
Received consultation after testing during antenatal care
Received consultation after testing during antenatal care
Received consultation after testing during antenatal care
Regardless of the result, all women who are tested are supposed to receive counselling after getting test result.
After you were tested, did you receive counselling?
Circle the code corresponding to the response.
All answers should skip to HA22
662
6056
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Tested for AIDS virus during delivery
Tested for AIDS virus during delivery
Tested for AIDS virus during delivery
Tested for AIDS virus during delivery
Tested for AIDS virus during delivery
I don’t want to know the results, but were you tested for the AIDS virus between the time you went for delivery but before the baby was born?
Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she was tested. Circle the code corresponding to the response. If the answer is 'No', skip to HA24.
32
6686
1
Yes
2
No
9
Missing
Sysmiss
Received results from test during delivery
Received results from test during delivery
Received results from test during delivery
Received results from test during delivery
Received results from test during delivery
I don’t want to know the results, but did you get the results of the test?
Sometimes people are tested for the AIDS virus but are not told whether or not they have the virus, or do not go to get the results.
Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she knows the results of the test. Circle the code corresponding to the response.
11
6707
1
Yes
2
No
9
Missing
Sysmiss
Tested for AIDS virus since test during pregnancy
Tested for AIDS virus since test during pregnancy
Tested for AIDS virus since test during pregnancy
Tested for AIDS virus since test during pregnancy
Tested for AIDS virus since test during pregnancy
Have you been tested for the AIDS virus after this pregnancy?
Be clear to the respondent that you are not asking to know the results of the test, simply whether or not she was tested. Circle the code corresponding to the response. If the answer is 'Yes', skip to HA25. If the answer is 'No', continue with HA23.
691
6027
1
Yes
2
No
9
Missing
Sysmiss
Most recent time of testing for AIDS virus
Most recent time of testing for AIDS virus
Most recent time of testing for AIDS virus
Most recent time of testing for AIDS virus
Most recent time of testing for AIDS virus
When was the most recent time you were tested for the AIDS virus?
Circle the code corresponding to the response.
All answers should skip to next module.
542
6176
1
Less than 12 months ago
2
12-23 months ago
3
2 or more years ago
9
Missing
Sysmiss
Ever been tested for AIDS virus
Ever been tested for AIDS virus
Ever been tested for AIDS virus
Ever been tested for AIDS virus
Ever been tested for AIDS virus
I don’t want to know the results, but have you ever been tested to see if you have the AIDS virus?
Ask the respondent if she was tested for the HIV. Be clear to the respondent that you are not asking to know the results of the test. Circle the code for the response given. If her answer is 'No', skip to HA27.
5262
1456
1
Yes
2
No
9
Missing
Sysmiss
Most recent time of testing for AIDS virus
Most recent time of testing for AIDS virus
Most recent time of testing for AIDS virus
Most recent time of testing for AIDS virus
Most recent time of testing for AIDS virus
When was the most recent time you were tested?
Circle the code corresponding to the response.
3254
3464
1
Less than 12 months ago
2
12-23 months ago
3
2 or more years ago
9
Missing
Sysmiss
Received results of AIDS virus test
Received results of AIDS virus test
Received results of AIDS virus test
Received results of AIDS virus test
Received results of AIDS virus test
I don’t want to know the results, but did you get the results of the test?
Sometimes people are tested for the AIDS virus but are not told whether or not they have the virus, or do not go to get the results.
It is important that you do not attempt to find out the HIV status of any respondent who has been tested, or simply that you have any interest in knowing her HIV status. Ask the question, ensuring that the respondent knows that you are not interested in learning the results of any test she may have undergone. Circle the code corresponding to her response.
All answers should skip to next module.
3254
3464
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Know a place to get AIDS virus test
Know a place to get AIDS virus test
Know a place to get AIDS virus test
Know a place to get AIDS virus test
Know a place to get AIDS virus test
Do you know of a place where people can go to get tested for the AIDS virus?
Circle the code corresponding to the response.
2157
4561
1
Yes
2
No
9
Missing
Sysmiss
Number of births to natural mother
Number of births to natural mother
Number of births to natural mother
Number of births to natural mother
Number of births to natural mother
6718
99
Missing
Sysmiss
Number of preceding births
Number of preceding births
Number of preceding births
Number of preceding births
Number of preceding births
6718
99
Missing
Sysmiss
HAVE YOU EVER HEARD OF AN ILLNESS CALLED TUBERCULOSIS OR TB?
HAVE YOU EVER HEARD OF AN ILLNESS CALLED TUBERCULOSIS OR TB?
HAVE YOU EVER HEARD OF AN ILLNESS CALLED TUBERCULOSIS OR TB?
HAVE YOU EVER HEARD OF AN ILLNESS CALLED TUBERCULOSIS OR TB?
HAVE YOU EVER HEARD OF AN ILLNESS CALLED TUBERCULOSIS OR TB?
Now I would like to ask you about something else.
Have you ever heard about a disease named tuberculosis or TBC?
6000
718
1
Yes
2
No
9
Missing
Sysmiss
Through the air when coughing or sneezing
Through the air when coughing or sneezing
Through the air when coughing or sneezing
Through the air when coughing or sneezing
Through the air when coughing or sneezing
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
5153
?
Missing
A
Through the air when coughing or sneezing
Through sharing utensils
Through sharing utensils
Through sharing utensils
Through sharing utensils
Through sharing utensils
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
3159
?
Missing
B
Through sharing utensils
Through touching a person with TB
Through touching a person with TB
Through touching a person with TB
Through touching a person with TB
Through touching a person with TB
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
909
?
Missing
C
Through touching a person with TB
Through food
Through food
Through food
Through food
Through food
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
1532
?
Missing
D
Through food
Through sexual contact
Through sexual contact
Through sexual contact
Through sexual contact
Through sexual contact
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
371
?
Missing
E
Through sexual contact
Through mosquito bites
Through mosquito bites
Through mosquito bites
Through mosquito bites
Through mosquito bites
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
52
?
Missing
F
Through mosquito bites
Other
Other
Other
Other
Other
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
908
?
Missing
X
Other
DK
DK
DK
DK
DK
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
288
?
Missing
Z
DK
Coughing
Coughing
Coughing
Coughing
Coughing
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
4874
?
Missing
A
Coughing
Coughing with sputum
Coughing with sputum
Coughing with sputum
Coughing with sputum
Coughing with sputum
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
1365
?
Missing
B
Coughing with sputum
Coughing for several weeks
Coughing for several weeks
Coughing for several weeks
Coughing for several weeks
Coughing for several weeks
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
1232
?
Missing
C
Coughing for several weeks
Fever
Fever
Fever
Fever
Fever
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
1416
?
Missing
D
Fever
Blood in sputum
Blood in sputum
Blood in sputum
Blood in sputum
Blood in sputum
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
723
?
Missing
E
Blood in sputum
Loss of appetite
Loss of appetite
Loss of appetite
Loss of appetite
Loss of appetite
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
438
?
Missing
F
Loss of appetite
Night sweating
Night sweating
Night sweating
Night sweating
Night sweating
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
314
?
Missing
G
Night sweating
Pain in cheats
Pain in cheats
Pain in cheats
Pain in cheats
Pain in cheats
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
486
?
Missing
H
Pain in cheats
Tiredness/Fatigue
Tiredness/Fatigue
Tiredness/Fatigue
Tiredness/Fatigue
Tiredness/Fatigue
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
751
?
Missing
I
Tiredness/Fatigue
Weight loss
Weight loss
Weight loss
Weight loss
Weight loss
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
1673
?
Missing
J
Weight loss
Lethargy
Lethargy
Lethargy
Lethargy
Lethargy
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
1497
?
Missing
K
Lethargy
Other
Other
Other
Other
Other
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
1285
?
Missing
X
Other
DK
DK
DK
DK
DK
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
236
?
Missing
Z
DK
CAN TUBERCULOSIS BE CURED
CAN TUBERCULOSIS BE CURED
CAN TUBERCULOSIS BE CURED
CAN TUBERCULOSIS BE CURED
CAN TUBERCULOSIS BE CURED
Can tuberculosis be cured?
5969
749
1
Yes
2
No
8
DK
Sysmiss
A MEMBER OF YOUR FAMILY GOT TUBERCULOSIS, WOULD YOU WANT IT TO REMAIN A SECRET OR NOT
A MEMBER OF YOUR FAMILY GOT TUBERCULOSIS, WOULD YOU WANT IT TO REMAIN A SECRET OR NOT
A MEMBER OF YOUR FAMILY GOT TUBERCULOSIS, WOULD YOU WANT IT TO REMAIN A SECRET OR NOT
A MEMBER OF YOUR FAMILY GOT TUBERCULOSIS, WOULD YOU WANT IT TO REMAIN A SECRET OR NOT
A MEMBER OF YOUR FAMILY GOT TUBERCULOSIS, WOULD YOU WANT IT TO REMAIN A SECRET OR NOT
If a member of your family became sick of tuberculosis, would you want it to remain a secret?
5969
749
1
Yes
2
No
8
DK
Sysmiss
Ever tried cigarette smoking
Ever tried cigarette smoking
Ever tried cigarette smoking
Ever tried cigarette smoking
Ever tried cigarette smoking
Have you ever tried cigarette smoking, even one or two puffs?
6000
718
1
Yes
2
No
9
Missing
Sysmiss
Age when cigarette was smoked for the first time
Age when cigarette was smoked for the first time
Age when cigarette was smoked for the first time
Age when cigarette was smoked for the first time
Age when cigarette was smoked for the first time
How old were you when you smoked awhole cigarette for the first time?
2389
4329
99
Never smoked a whole cigarette
99
Missing
Currently smoking cigarettes
Currently smoking cigarettes
Currently smoking cigarettes
Currently smoking cigarettes
Currently smoking cigarettes
Do you currently smoke cigarettes?
1880
4838
1
Yes
2
No
9
Missing
Sysmiss
Number of cigarettes smoked in the last 24 hours
Number of cigarettes smoked in the last 24 hours
Number of cigarettes smoked in the last 24 hours
Number of cigarettes smoked in the last 24 hours
Number of cigarettes smoked in the last 24 hours
In the last 24 hours, how many cigarettes did you smoke?
555
6163
1
2
3
4
5
6
7
8
9
10
12
14
15
16
17
20
30
40
99
Missing
Sysmiss
Number of days when cigarettes were smoked in past month
Number of days when cigarettes were smoked in past month
Number of days when cigarettes were smoked in past month
Number of days when cigarettes were smoked in past month
Number of days when cigarettes were smoked in past month
During the last one month, on how many days did you smoke cigarettes?
If less than 10 days, record the number of days.
If 10 days or more but less than a month, circle “10”.
If “everyday” or “almost every day”, circle “30”.
555
6163
1
2
3
4
5
6
7
8
9
10
10 or more days
30
Everyday/Almost every day
99
Missing
Sysmiss
Ever tried any smoked tobacco products other than cigarettes
Ever tried any smoked tobacco products other than cigarettes
Ever tried any smoked tobacco products other than cigarettes
Ever tried any smoked tobacco products other than cigarettes
Ever tried any smoked tobacco products other than cigarettes
Have you ever tried any smoked tobacco products other than cigarettes, such as cigars, water pipe, cigarillos or pipe?
6000
718
1
Yes
2
No
9
Missing
Sysmiss
Used any smoked tobacco products during the last month
Used any smoked tobacco products during the last month
Used any smoked tobacco products during the last month
Used any smoked tobacco products during the last month
Used any smoked tobacco products during the last month
During the last one month, did you use any smoked tobacco products?
690
6028
1
Yes
2
No
9
Missing
Sysmiss
Type of smoked tobacco product: Cigars
Type of smoked tobacco product: Cigars
Type of smoked tobacco product: Cigars
Type of smoked tobacco product: Cigars
Type of smoked tobacco product: Cigars
What type of smoked tobacco product did you use or smoke during the last one month?
Circle all mentioned.
8
?
Missing
A
Cigars
Type of smoked tobacco product: Water pipe
Type of smoked tobacco product: Water pipe
Type of smoked tobacco product: Water pipe
Type of smoked tobacco product: Water pipe
Type of smoked tobacco product: Water pipe
What type of smoked tobacco product did you use or smoke during the last one month?
Circle all mentioned.
62
?
Missing
B
Water pipe
Type of smoked tobacco product: Cigarillos
Type of smoked tobacco product: Cigarillos
Type of smoked tobacco product: Cigarillos
Type of smoked tobacco product: Cigarillos
Type of smoked tobacco product: Cigarillos
What type of smoked tobacco product did you use or smoke during the last one month?
Circle all mentioned.
6
?
Missing
C
Cigarillos
Type of smoked tobacco product: Pipe
Type of smoked tobacco product: Pipe
Type of smoked tobacco product: Pipe
Type of smoked tobacco product: Pipe
Type of smoked tobacco product: Pipe
What type of smoked tobacco product did you use or smoke during the last one month?
Circle all mentioned.
2
?
Missing
D
Pipe
Type of smoked tobacco product: Other
Type of smoked tobacco product: Other
Type of smoked tobacco product: Other
Type of smoked tobacco product: Other
Type of smoked tobacco product: Other
What type of smoked tobacco product did you use or smoke during the last one month?
Circle all mentioned.
?
Missing
X
Other
Number of days when tobacco products where smoked in past month
Number of days when tobacco products where smoked in past month
Number of days when tobacco products where smoked in past month
Number of days when tobacco products where smoked in past month
Number of days when tobacco products where smoked in past month
During the last one month, on how many days did you use smoked tobacco products?
If less than 10 days, record the number of days.
If 10 days or more but less than a month, circle “10”.
If “everyday” or “almost every day”, circle “30”
71
6647
1
2
3
4
5
7
9
10
10 or more days
30
Everyday/Almost every day
99
Missing
Sysmiss
Ever tried any form of smokeless tobacco products
Ever tried any form of smokeless tobacco products
Ever tried any form of smokeless tobacco products
Ever tried any form of smokeless tobacco products
Ever tried any form of smokeless tobacco products
Have you ever tried any form of smokeless tobacco products, such as chewing tobacco, snuff, or dip?
6000
718
1
Yes
2
No
9
Missing
Sysmiss
Used any smokeless tobacco products during the last month
Used any smokeless tobacco products during the last month
Used any smokeless tobacco products during the last month
Used any smokeless tobacco products during the last month
Used any smokeless tobacco products during the last month
During the last one month, did you use any smokeless tobacco products?
25
6693
1
Yes
2
No
9
Missing
Sysmiss
Type of smokeless tobacco product used: Chewing tobacco
Type of smokeless tobacco product used: Chewing tobacco
Type of smokeless tobacco product used: Chewing tobacco
Type of smokeless tobacco product used: Chewing tobacco
Type of smokeless tobacco product used: Chewing tobacco
What type of smokeless tobacco product did you use during the last one month?
Circle all mentioned.
Type of smokeless tobacco product used: Snuff
Type of smokeless tobacco product used: Snuff
Type of smokeless tobacco product used: Snuff
Type of smokeless tobacco product used: Snuff
Type of smokeless tobacco product used: Snuff
What type of smokeless tobacco product did you use during the last one month?
Circle all mentioned.
Type of smokeless tobacco product used: Dip
Type of smokeless tobacco product used: Dip
Type of smokeless tobacco product used: Dip
Type of smokeless tobacco product used: Dip
Type of smokeless tobacco product used: Dip
What type of smokeless tobacco product did you use during the last one month?
Circle all mentioned.
Type of smokeless tobacco product used: Other
Type of smokeless tobacco product used: Other
Type of smokeless tobacco product used: Other
Type of smokeless tobacco product used: Other
Type of smokeless tobacco product used: Other
What type of smokeless tobacco product did you use during the last one month?
Circle all mentioned.
Number of days when smokeless tobacco products where used in past month
Number of days when smokeless tobacco products where used in past month
Number of days when smokeless tobacco products where used in past month
Number of days when smokeless tobacco products where used in past month
Number of days when smokeless tobacco products where used in past month
During the last one month, on how many days did you use smokeless tobacco products?
If less than 10 days, record the number of days.
If 10 days or more but less than a month, circle “10”.
If “everyday” or “almost every day”, circle “30”
6718
10
10 or more days
30
Everyday/Almost every day
99
Missing
Sysmiss
Ever drunk alcohol
Ever drunk alcohol
Ever drunk alcohol
Ever drunk alcohol
Ever drunk alcohol
Now I would like to ask you some questions about drinking alcohol.
Have you ever drunk alcohol?
6000
718
1
Yes
2
No
9
Missing
Sysmiss
Age when alcohol was used for the first time
Age when alcohol was used for the first time
Age when alcohol was used for the first time
Age when alcohol was used for the first time
Age when alcohol was used for the first time
We count one drink of alcohol as one can or bottle of beer, one glass of wine, or one shot of cognac, vodka, whiskey or rum.
How old were you when you had your first drink of alcohol, other than a few sips?
5654
1064
99
Never had one drink of alcohol
99
Missing
Number of days when at least one drink of alcohol was used in past month
Number of days when at least one drink of alcohol was used in past month
Number of days when at least one drink of alcohol was used in past month
Number of days when at least one drink of alcohol was used in past month
Number of days when at least one drink of alcohol was used in past month
During the last one month, on how many days did you have at least one drink of alcohol?
If respondent did not drink, circle “00”.
If less than 10 days, record the number of days.
If 10 days or more but less than a month, circle “10”.
If “everyday” or “almost every day”, circle “30”.
5594
1124
1
2
3
4
5
6
7
8
9
10
10 or more days
30
Everyday/Almost every day
99
Missing
Sysmiss
Number of drinks usually consumed
Number of drinks usually consumed
Number of drinks usually consumed
Number of drinks usually consumed
Number of drinks usually consumed
In the last one month, on the days that you drank alcohol, how many drinks did you usually have?
3508
3210
1
2
3
4
5
6
7
8
9
10
12
14
15
20
99
Missing
Sysmiss
Estimation of overall happiness
Estimation of overall happiness
Estimation of overall happiness
Estimation of overall happiness
Estimation of overall happiness
I would like to ask you some simple questions on happiness and satisfaction.
First, taking all things together, would you say you are very happy, somewhat happy, neither happy nor unhappy, somewhat unhappy or very unhappy?
You can also look at these pictures to help you with your response.
Show side 1 of response card and explain what each symbol represents. Circle the response code pointed by the respondent.
With this question, we will first try to learn whether the respondent is happy at the time of interview, before we go and talk about levels of satisfaction in various domains.
1790
4928
1
Very happy
2
Somewhat happy
3
Neither happy nor unhappy
4
Somewhat unhappy
5
Very unhappy
9
Missing
Sysmiss
Satisfaction with family life
Satisfaction with family life
Satisfaction with family life
Satisfaction with family life
Satisfaction with family life
Now I will ask you questions about your level of satisfaction in different areas.
In each case, we have five possible responses. Please tell me, for each question, whether you are very satisfied, somewhat satisfied, neither satisfied nor unsatisfied, somewhat unsatisfied or very unsatisfied.
Again, you can look at these pictures to help you with your response.
How satisfied are you with your family life?
Show side 2 of response card and explain what each symbol represents. Circle the response code shown by the respondent, for questions LS3 to LS13.
If the respondent says that she does not have a family, circle “0”. Otherwise, circle the code corresponding to the response given or to the smiling face pointed at by the respondent.
We have to leave it to the respondent's perception as to what she refers to as “family life”. Note that the question is not about “family”, but rather about “family life”. In other words, we are not asking the respondent to think about family members individually. At hearing this question, some respondents will think of their immediate family, or members of family that she is living together with. Depending on the living arrangements or relationship patterns between immediate and extended family members, some respondents will automatically think of the extended family. Do not try to explain what is meant by the “family”, unless the respondent asks you to. If that happens, tell the respondent that we are interested in their family experiences, immediate or extended family, whichever they spend more time with.
1790
4928
No family
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with friendships
Satisfaction with friendships
Satisfaction with friendships
Satisfaction with friendships
Satisfaction with friendships
How satisfied are you with your friendships?
Show side 2 of response card and explain what each symbol represents. Circle the response code shown by the respondent, for questions LS3 to LS13.
If the respondent says that she does not have any friends, circle “0”. Otherwise, circle the code corresponding to the response given or to the smiling face pointed at by the respondent.
1790
4928
No friends
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
School attendance during the current school year
School attendance during the current school year
School attendance during the current school year
School attendance during the current school year
School attendance during the current school year
During the current (2011-2012) school year, did you attend school at any time?
Show side 2 of response card and explain what each symbol represents. Circle the response code shown by the respondent, for questions LS3 to LS13.
With this question, we would like to establish whether the respondent has attended school at any time during the current school year.
1790
4928
1
Yes
2
No
Sysmiss
Satisfaction with school
Satisfaction with school
Satisfaction with school
Satisfaction with school
Satisfaction with school
How satisfied are/were you with your school?
Circle the code corresponding to the response given or to the smiling face pointed at by the respondent.
1116
5602
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with current job
Satisfaction with current job
Satisfaction with current job
Satisfaction with current job
Satisfaction with current job
How satisfied are you with your current job?
Note that you will be leaving the definition of “job” to the perception of the respondent. When answering this question, she might be referring to a full-time job, irregular or seasonal work, family business, paid work or unpaid work, and the like. It is important that you ask the question as it is and ask the respondent to answer. You are not expected to define what a “job” is.
If the respondent says that she does not have a job, circle “0” and continue with the next question. Do not probe to find out how she feels about not having a job, unless she tells you herself. For example, if she says that she does not have a job and she is very unsatisfied, circle “5” and continue with the next question.
1790
4928
No job
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with health
Satisfaction with health
Satisfaction with health
Satisfaction with health
Satisfaction with health
How satisfied are you with your health?
Circle the code corresponding to the response given or to the smiling face pointed at by the respondent.
1790
4928
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with current residence
Satisfaction with current residence
Satisfaction with current residence
Satisfaction with current residence
Satisfaction with current residence
How satisfied are you with where you live?
If necessary, explain that the question refers to the living environment, including the neighbourhood and the dwelling.
Circle the code corresponding to the response given or to the smiling face pointed at by the respondent.
“Where you live” might be understood in different ways by different respondents. The intention here is to get the respondent's satisfaction from the neighbourhood she is living in, her neighbours and the characteristics of the dwelling (if they like it or if they wish they lived in a different house etc.). We are not interested in the level of satisfaction of the respondent with the city or country they are living in.
1790
4928
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with treatment by other people
Satisfaction with treatment by other people
Satisfaction with treatment by other people
Satisfaction with treatment by other people
Satisfaction with treatment by other people
How satisfied are you with how people around you generally treat you?
Circle the code corresponding to the response given or to the smiling face pointed out by the respondent.
1790
4928
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with appearance
Satisfaction with appearance
Satisfaction with appearance
Satisfaction with appearance
Satisfaction with appearance
How satisfied are you with the way you look?
Circle the code corresponding to the response given or to the smiling face pointed out by the respondent.
1790
4928
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with life overall
Satisfaction with life overall
Satisfaction with life overall
Satisfaction with life overall
Satisfaction with life overall
How satisfied are you with your life, overall?
Circle the code corresponding to the response given or to the smiling face pointed at by the respondent.
The question is intended to elicit the evaluation of positivity of a respondent's life as a whole, without making reference to a specific domain. This is the overall level of satisfaction of the respondent, considering all aspects of her life.
1790
4928
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with current income
Satisfaction with current income
Satisfaction with current income
Satisfaction with current income
Satisfaction with current income
How satisfied are you with your current income?
Circle the code corresponding to the response given or to the smiling face pointed at by the respondent.
This question is asked after the general question on life satisfaction (LS12) deliberately, so as to avoid having the respondent to condition her other responses to her level of satisfaction in other non-income domains.
If the respondent says that she does not have any income, circle “0” and continue with the next question. Do not probe to find out how she feels about not having any income, unless she tells you herself. For example, if she says that she does not have any income and she is very unsatisfied with this situation, circle “5” and continue with the next question.
1790
4928
No income
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Life satisfaction in comparison with last year
Life satisfaction in comparison with last year
Life satisfaction in comparison with last year
Life satisfaction in comparison with last year
Life satisfaction in comparison with last year
Compared to this time last year, would you say that your life has improved, stayed more or less the same, or worsened, overall?
Make sure that the respondent understands the reference to the last one year of her life, and that we are referring to the overall improvement or worsening.
1790
4928
1
Better
2
More or less the same
3
Worse
9
Missing
Sysmiss
Life satisfaction expectation one year from now
Life satisfaction expectation one year from now
Life satisfaction expectation one year from now
Life satisfaction expectation one year from now
Life satisfaction expectation one year from now
And in one year from now, do you expect that your life will be better, will be more or less the same, or will be worse, overall?
Note that this question is about the respondent's expectations about her life course during the next one year, and that the sentence here is designed as a continuation of the previous question, by beginning with “And…”. This question is also about overall improvement or worsening.
1790
4928
1
Better
2
More or less the same
3
Worse
9
Missing
Sysmiss
Measurer's number
Measurer's number
Measurer's number
Measurer's number
Measurer's number
Measurer?s name and number:
6000
718
1
621
51.42
21.465
Line number of mother
Line number of mother
Line number of mother
Line number of mother
Line number of mother
Check the line number of the mother/caretaker in HL8 from the household listing form.
429
6289
1
2
3
4
6
7
11
Sysmiss
YOU ALLOW (name of adolescent) TO TAKE THE ANEMIA TEST
YOU ALLOW (name of adolescent) TO TAKE THE ANEMIA TEST
YOU ALLOW (name of adolescent) TO TAKE THE ANEMIA TEST
YOU ALLOW (name of adolescent) TO TAKE THE ANEMIA TEST
YOU ALLOW (name of adolescent) TO TAKE THE ANEMIA TEST
Circle the respective code and ask the mother/caretaker to sign.
429
6289
1
Granted
2
Mother / Primary caretaker refused
3
Mother / Primary caretaker not present
Sysmiss
YOU CAN SAY YES TO THE TEST, OR YOU CAN SAY NO. IT IS UP TO YOU TO DECIDE. WILL YOU TAKE THE ANEMIA TEST?
YOU CAN SAY YES TO THE TEST, OR YOU CAN SAY NO. IT IS UP TO YOU TO DECIDE. WILL YOU TAKE THE ANEMIA TEST?
YOU CAN SAY YES TO THE TEST, OR YOU CAN SAY NO. IT IS UP TO YOU TO DECIDE. WILL YOU TAKE THE ANEMIA TEST?
YOU CAN SAY YES TO THE TEST, OR YOU CAN SAY NO. IT IS UP TO YOU TO DECIDE. WILL YOU TAKE THE ANEMIA TEST?
YOU CAN SAY YES TO THE TEST, OR YOU CAN SAY NO. IT IS UP TO YOU TO DECIDE. WILL YOU TAKE THE ANEMIA TEST?
Circle the respective code and ask the respondent to sign.
5571
1147
1
Granted
2
Respondent refused
Sysmiss
Hemoglobin level (g/dl)
Hemoglobin level (g/dl)
Hemoglobin level (g/dl)
Hemoglobin level (g/dl)
Hemoglobin level (g/dl)
Register the haemoglobin level (g/dl).
5264
1454
2.8
99.6
12.826
4.04
Area
Area
Area
Area
Area
Type of settlement:
Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area.
6718
1
Urban
2
Rural
Region
Region
Region
Region
Region
Circle the code for region as instructed/provided by your supervisor.
After the HH1-HH7 has been filled out, begin by saying the following to the respondent:
We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now?
You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate.
6718
1
Central Serbia without Belgrade
2
City of Belgrade
3
AP Vojvodina
4
Date of interview women (CMC)
Date of interview women (CMC)
Date of interview women (CMC)
Date of interview women (CMC)
Date of interview women (CMC)
6718
1348
1349
1350
Date of birth of woman (CMC)
Date of birth of woman (CMC)
Date of birth of woman (CMC)
Date of birth of woman (CMC)
Date of birth of woman (CMC)
6000
718
749
1170
965.295
120.203
Age
Age
Age
Age
Age
6000
718
1
15-19
2
20-24
3
25-29
4
30-34
5
35-39
6
40-44
7
45-49
Sysmiss
Date of marriage (CMC)
Date of marriage (CMC)
Date of marriage (CMC)
Date of marriage (CMC)
Date of marriage (CMC)
4672
2046
934
1353
1175.845
106.182
Age at first marriage/union
Age at first marriage/union
Age at first marriage/union
Age at first marriage/union
Age at first marriage/union
4672
2046
10
42
20.364
3.317
Date of birth of first child (CMC)
Date of birth of first child (CMC)
Date of birth of first child (CMC)
Date of birth of first child (CMC)
Date of birth of first child (CMC)
4123
2595
948
1349
1182.052
103.718
Date of birth of last child (CMC)
Date of birth of last child (CMC)
Date of birth of last child (CMC)
Date of birth of last child (CMC)
Date of birth of last child (CMC)
2624
4094
983
1349
1220.564
91.083
Marital/Union status
Marital/Union status
Marital/Union status
Marital/Union status
Marital/Union status
6000
718
1
Currently married/in union
2
Formerly married/in union
3
Never married/in union
Sysmiss
Children ever born
Children ever born
Children ever born
Children ever born
Children ever born
6000
718
1
2
3
4
5
6
7
8
9
Sysmiss
Children surviving
Children surviving
Children surviving
Children surviving
Children surviving
6000
718
1
2
3
4
5
6
7
8
9
Sysmiss
Children dead
Children dead
Children dead
Children dead
Children dead
6000
718
1
2
3
Sysmiss
Education
Education
Education
Education
Education
6000
718
1
9
1
None
2
Primary
3
Secondary
4
Higher/High
9
Missing/DK
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
6718
6000
1
6
1
Serbian
2
Hungarian
3
Bosnian
4
Roma
6
Other
7
Doesn't want to declare
9
Missing/DK
Wealth index score
Wealth index score
Wealth index score
Wealth index score
Wealth index score
6718
-2.637
1.889
0.263
0.869
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
6718
1
Poorest
2
Second
3
Middle
4
Fourth
5
Richest
Women's sample weight
Women's sample weight
Women's sample weight
Women's sample weight
Women's sample weight
6718
3.133
0.893
0.526
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
Enter the cluster number as instructed by your supervisor.
2007
1
400
206.019
114.973
Household number
Household number
Household number
Household number
Household number
Enter the household number as instructed by your supervisor.
2007
2
59
16.307
9.839
Line number
Line number
Line number
Line number
Line number
2007
1
2
3
4
5
6
7
8
Cluster number
Cluster number
Cluster number
Cluster number
Cluster number
2007
1
400
206.019
114.973
Household number
Household number
Household number
Household number
Household number
2007
2
59
16.307
9.839
Man's line number
Man's line number
Man's line number
Man's line number
Man's line number
2007
1
2
3
4
5
6
7
8
Interviewer number
Interviewer number
Interviewer number
Interviewer number
Interviewer number
2007
1
89
80.708
9.428
Day of interview
Day of interview
Day of interview
Day of interview
Day of interview
2007
1
31
15.286
8.581
Month of interview
Month of interview
Month of interview
Month of interview
Month of interview
2007
4
5
6
Year of interview
Year of interview
Year of interview
Year of interview
Year of interview
2007
2011
2012
Result of man's interview
Result of man's interview
Result of man's interview
Result of man's interview
Result of man's interview
2007
1
Completed
2
Not at home
3
Refused
4
Partly completed
5
Incapacitated
96
Other
Field editor
Field editor
Field editor
Field editor
Field editor
2007
1
52
23.057
4.35
12
22
32
42
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
Data entry clerk
2007
1
2
3
4
5
6
7
8
9
10
11
12
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
Start of interview - Hour
1545
462
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
99
Missing
Sysmiss
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
Start of interview - Minutes
1545
462
59
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
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
99
Missing
Sysmiss
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
End of interview - Hour
1545
462
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
99
Missing
Sysmiss
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
End of interview - Minutes
1545
462
59
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
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
99
Missing
Sysmiss
Month of birth of man
Month of birth of man
Month of birth of man
Month of birth of man
Month of birth of man
In what month and year were you born?
1545
462
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
98
DK
99
Missing
Sysmiss
Year of birth of man
Year of birth of man
Year of birth of man
Year of birth of man
Year of birth of man
In what month and year were you born?
1545
462
1962
9997
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
9997
Inconsistent
9998
DK
9999
Missing
Sysmiss
Age of man
Age of man
Age of man
Age of man
Age of man
How old are you?
Probe: How old were you on your last birthday?
Compare MWB1 and/or MWB2 and correct if inconsistent.
1545
462
15
49
31.161
10.256
Men's ethnicity
Men's ethnicity
Men's ethnicity
Men's ethnicity
Men's ethnicity
To what ethnic group do you belong?
1545
462
1
Moldovan/Romanian
2
Russian
3
Ukrainian
4
Roma(Gypsy)
5
Gagauz
6
Other ethnic group
9
Missing/DK
Sysmiss
Ever attended school
Ever attended school
Ever attended school
Ever attended school
Ever attended school
Have you ever attended school or preschool?
1545
462
1
Yes
2
No
Sysmiss
Highest level of school attended
Highest level of school attended
Highest level of school attended
Highest level of school attended
Highest level of school attended
What is the highest level of school you attended?
1536
471
Preschool
1
SD
2
SMP
3
SM
4
University
5
6
Sysmiss
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
Highest grade completed at that level
What is the highest grade you completed at that level?
If less than 1 grade, enter ‘00’.
1536
471
1
2
3
4
5
6
7
8
DK
9
Missing
10
11
12
97
Sysmiss
Can read part of the sentence
Can read part of the sentence
Can read part of the sentence
Can read part of the sentence
Can read part of the sentence
Now I would like you to read this sentence to me.
Show the sentence on the card to the respondent. If the respondent cannot read the whole sentence, probe:
Can you read part of the sentence to me?
16
1991
1
Cannot read at all
2
Able to read only parts of sentence
3
Able to read whole sentence
4
No sentence in required language
5
Blind / mute, visually / speech impaired
9
Missing
Sysmiss
Frequency of reading newspaper or magazine
Frequency of reading newspaper or magazine
Frequency of reading newspaper or magazine
Frequency of reading newspaper or magazine
Frequency of reading newspaper or magazine
How often do you read a newspaper or magazine: almost every day, at least once a week, less than once a week or not at all?
1539
468
1
Almost every day
2
At least once a week
3
Less than once a week
4
Not at all
9
Missing
Sysmiss
Frequency of listening to the radio
Frequency of listening to the radio
Frequency of listening to the radio
Frequency of listening to the radio
Frequency of listening to the radio
Do you listen to the radio almost every day, at least once a week, less than once a week or not at all?
1545
462
1
Almost every day
2
At least once a week
3
Less than once a week
4
Not at all
9
Missing
Sysmiss
Frequency of watching TV
Frequency of watching TV
Frequency of watching TV
Frequency of watching TV
Frequency of watching TV
How often do you watch television: would you say that you watch almost every day, at least once a week, less than once a week or not at all?
1545
462
1
Almost every day
2
At least once a week
3
Less than once a week
4
Not at all
9
Missing
Sysmiss
Ever used a computer
Ever used a computer
Ever used a computer
Ever used a computer
Ever used a computer
Have you ever used a computer?
500
1507
1
Yes
2
No
9
Missing
Sysmiss
Computer usage in the last 12 months
Computer usage in the last 12 months
Computer usage in the last 12 months
Computer usage in the last 12 months
Computer usage in the last 12 months
Have you used a computer from any location in the last 12 months?
475
1532
1
Yes
2
No
9
Missing
Sysmiss
Frequency of computer usage in the last month
Frequency of computer usage in the last month
Frequency of computer usage in the last month
Frequency of computer usage in the last month
Frequency of computer usage in the last month
During the last one month, how often did you use a computer: almost every day, at least once a week, less than once a week or not at all?
456
1551
1
Almost every day
2
At least once a week
3
Less than once a week
4
Not at all
9
Missing
Sysmiss
Ever used internet
Ever used internet
Ever used internet
Ever used internet
Ever used internet
Have you ever used the internet?
500
1507
1
Yes
2
No
9
Missing
Sysmiss
Internet usage in the last 12 months
Internet usage in the last 12 months
Internet usage in the last 12 months
Internet usage in the last 12 months
Internet usage in the last 12 months
In the last 12 months, have you used the internet?
If necessary, probe for use from any location, with any device.
466
1541
1
Yes
2
No
9
Missing
Sysmiss
Frequency of Internet usage in the past month
Frequency of Internet usage in the past month
Frequency of Internet usage in the past month
Frequency of Internet usage in the past month
Frequency of Internet usage in the past month
During the last one month, how often did you use the internet: almost every day, at least once a week, less than once a week or not at all?
455
1552
1
Almost every day
2
At least once a week
3
Less than once a week
4
Not at all
9
Missing
Sysmiss
Ever fathered any children with any women
Ever fathered any children with any women
Ever fathered any children with any women
Ever fathered any children with any women
Ever fathered any children with any women
All questions refer only to LIVE births.
Now I would like to ask about all the children you have had in your life. I am interested in all of the children that are biologically yours, even if they are not legally yours or do not have your last name.
Have you ever fathered any children with any woman?
1545
462
1
Yes
2
No
8
Dont know
9
Missing
Sysmiss
Age when first child was born
Age when first child was born
Age when first child was born
Age when first child was born
Age when first child was born
All questions refer only to LIVE births.
How old were you when your (first) child was born?
829
1178
17
45
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
40
45
97
Inconsistent
99
Missing
Sysmiss
Any sons or daughters living with you
Any sons or daughters living with you
Any sons or daughters living with you
Any sons or daughters living with you
Any sons or daughters living with you
All questions refer only to LIVE births.
Do you have any sons or daughters that you have fathered who are now living with you?
829
1178
1
Yes
2
No
Sysmiss
Sons living with you
Sons living with you
Sons living with you
Sons living with you
Sons living with you
All questions refer only to LIVE births.
How many sons live with you?
If none, record "00".
690
1317
1
2
3
5
Sysmiss
Daughters living with you
Daughters living with you
Daughters living with you
Daughters living with you
Daughters living with you
All questions refer only to LIVE births.
How many daughters live with you?
If none, record "00".
690
1317
1
2
3
4
Sysmiss
Any sons or daughters not living with you
Any sons or daughters not living with you
Any sons or daughters not living with you
Any sons or daughters not living with you
Any sons or daughters not living with you
All questions refer only to LIVE births.
Do you have any sons or daughters that you have fathered who are alive but do not live with you?
829
1178
1
Yes
2
No
Sysmiss
Sons living elsewhere
Sons living elsewhere
Sons living elsewhere
Sons living elsewhere
Sons living elsewhere
All questions refer only to LIVE births.
How many sons are alive but do not live with you?
If none, record "00".
273
1734
1
2
3
Sysmiss
Daughters living elsewhere
Daughters living elsewhere
Daughters living elsewhere
Daughters living elsewhere
Daughters living elsewhere
All questions refer only to LIVE births.
How many daughters are alive but do not live with you?
If none, record "00".
273
1734
1
2
3
4
Sysmiss
Ever had child who later died
Ever had child who later died
Ever had child who later died
Ever had child who later died
Ever had child who later died
All questions refer only to LIVE births.
Have you ever fathered a son or daughter who was born alive but later died?
If “no” probe by asking:
I mean, a child who ever breathed or cried or showed other signs of life – even if he or she lived only a few minutes or hours?
1545
462
1
Yes
2
No
Sysmiss
Boys dead
Boys dead
Boys dead
Boys dead
Boys dead
All questions refer only to LIVE births.
How many boys have died?
If none, record "00".
44
1963
1
2
Sysmiss
Girls dead
Girls dead
Girls dead
Girls dead
Girls dead
All questions refer only to LIVE births.
How many girls have died?
If none, record "00".
44
1963
1
2
Sysmiss
Children ever born
Children ever born
Children ever born
Children ever born
Children ever born
All questions refer only to LIVE births.
Sum answers to MCM5, MCM7, and MCM9.
1545
462
1
2
3
4
5
6
7
9
Sysmiss
Same biological mother
Same biological mother
Same biological mother
Same biological mother
Same biological mother
All questions refer only to LIVE births.
Did all the children you have fathered have the same biological mother?
829
1178
1
Yes
2
No
9
Missing
Sysmiss
Number of women respondent fathered children with
Number of women respondent fathered children with
Number of women respondent fathered children with
Number of women respondent fathered children with
Number of women respondent fathered children with
All questions refer only to LIVE births.
In all, how many women have you fathered children with?
59
1948
1
2
3
4
99
Missing
Sysmiss
Day of last birth
Day of last birth
Day of last birth
Day of last birth
Day of last birth
All questions refer only to LIVE births.
Of these (total number in MCM10) births you have fathered, when was the last one born (even if he or she has died)?
Month and year must be recorded.
829
1178
1
98
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
31
97
Inconsistent
98
DK
99
Missing
Sysmiss
Month of last birth
Month of last birth
Month of last birth
Month of last birth
Month of last birth
All questions refer only to LIVE births.
Of these (total number in MCM10) births you have fathered, when was the last one born (even if he or she has died)?
Month and year must be recorded.
829
1178
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
99
Missing
Sysmiss
Year of last birth
Year of last birth
Year of last birth
Year of last birth
Year of last birth
All questions refer only to LIVE births.
Of these (total number in MCM10) births you have fathered, when was the last one born (even if he or she has died)?
Month and year must be recorded.
829
1178
1976
9999
1976
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
9997
Inconsistent
9999
Missing
Sysmiss
If she goes out with out telling husband: wife beating justified
If she goes out with out telling husband: wife beating justified
If she goes out with out telling husband: wife beating justified
If she goes out with out telling husband: wife beating justified
If she goes out with out telling husband: wife beating justified
Sometimes a husband becomes annoyed or gets angry at things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: [A] If she goes out without telling him?
1545
462
1
Yes
2
No
8
DK
9
Missing
Sysmiss
If she neglects the children: wife beating justified
If she neglects the children: wife beating justified
If she neglects the children: wife beating justified
If she neglects the children: wife beating justified
If she neglects the children: wife beating justified
Sometimes a husband becomes annoyed or gets angry at things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: [B] If she neglects the children?
1545
462
1
Yes
2
No
8
DK
9
Missing
Sysmiss
If she argues with husband: wife beating justified
If she argues with husband: wife beating justified
If she argues with husband: wife beating justified
If she argues with husband: wife beating justified
If she argues with husband: wife beating justified
Sometimes a husband becomes annoyed or gets angry at things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: [C] If she argues with him?
1545
462
1
Yes
2
No
8
DK
9
Missing
Sysmiss
If she refuses sex with husband: wife beating justified
If she refuses sex with husband: wife beating justified
If she refuses sex with husband: wife beating justified
If she refuses sex with husband: wife beating justified
If she refuses sex with husband: wife beating justified
Sometimes a husband becomes annoyed or gets angry at things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: [D] If she refuses to have sex with him?
1545
462
1
Yes
2
No
8
DK
9
Missing
Sysmiss
If she burns the food: wife beating justified
If she burns the food: wife beating justified
If she burns the food: wife beating justified
If she burns the food: wife beating justified
If she burns the food: wife beating justified
Sometimes a husband becomes annoyed or gets angry at things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: [E] If she burns the food?
1545
462
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Currently married or living with a women
Currently married or living with a women
Currently married or living with a women
Currently married or living with a women
Currently married or living with a women
Are you currently married or living together with a woman as if married?
1545
462
1
Yes, currently married
2
Yes, living with a woman
3
No, not in union
Sysmiss
Age of wife/partner
Age of wife/partner
Age of wife/partner
Age of wife/partner
Age of wife/partner
How old is your wife/partner?
Probe: How old was your wife/partner on her last birthday?
875
1132
16
98
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
56
57
61
98
DK
99
Missing
Sysmiss
Ever married or lived with a women
Ever married or lived with a women
Ever married or lived with a women
Ever married or lived with a women
Ever married or lived with a women
Have you ever been married or lived together with a woman as if married?
670
1337
1
Yes, formerly married
2
Yes, formerly lived with a woman
3
No
9
Missing
Sysmiss
Marital status
Marital status
Marital status
Marital status
Marital status
What is your marital status now: are you widowed, divorced or separated?
102
1905
1
Widowed
2
Divorced
3
Separated
Sysmiss
Married or lived with a man once or more than once
Married or lived with a man once or more than once
Married or lived with a man once or more than once
Married or lived with a man once or more than once
Married or lived with a man once or more than once
Have you been married or lived with a woman only once or more than once?
977
1030
1
Only once
2
More than once
9
Missing
Sysmiss
Month of first union
Month of first union
Month of first union
Month of first union
Month of first union
In what month and year did you first marry or start living with a woman as if married?
977
1030
1
2
3
4
5
6
7
8
9
10
11
12
97
Inconsistent
98
DK
99
Missing
Sysmiss
Year of first union
Year of first union
Year of first union
Year of first union
Year of first union
In what month and year did you first marry or start living with a woman as if married?
977
1030
1980
9998
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
9997
Inconsistent
9998
DK
9999
Missing
Sysmiss
Age at first union
Age at first union
Age at first union
Age at first union
Age at first union
How old were you when you started living with your first wife/partner?
15
1992
16
19
20
21
22
25
28
97
Inconsistent
99
Missing
Sysmiss
Age at first sexual intercourse
Age at first sexual intercourse
Age at first sexual intercourse
Age at first sexual intercourse
Age at first sexual intercourse
Now I would like to ask you some questions about sexual activity in order to get a better understanding of some important life issues.
The information you provide will remain strictly confidential. How old were you when you had sexual intercourse for the very first time?
1545
462
99
Never had intercourse
8
9
10
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
95
First time when started living with partner
97
Inconsistent
99
Missing
Sysmiss
Condom used during first sexual intercourse
Condom used during first sexual intercourse
Condom used during first sexual intercourse
Condom used during first sexual intercourse
Condom used during first sexual intercourse
The first time you had sexual intercourse, was a condom used?
1388
619
1
Yes
2
No
8
DK / Don't remember
9
Missing
Sysmiss
Time since last sexual intercourse (unit)
Time since last sexual intercourse (unit)
Time since last sexual intercourse (unit)
Time since last sexual intercourse (unit)
Time since last sexual intercourse (unit)
When was the last time you had sexual intercourse?
Record 'years ago' only if last intercourse was one or more years ago. If 12 months or more the answer must be recorded in years.
1388
619
1
Days ago
2
Weeks ago
3
Months ago
4
Year ago
9
Special
Sysmiss
Time since last sexual intercourse (number)
Time since last sexual intercourse (number)
Time since last sexual intercourse (number)
Time since last sexual intercourse (number)
Time since last sexual intercourse (number)
When was the last time you had sexual intercourse?
Record 'years ago' only if last intercourse was one or more years ago. If 12 months or more the answer must be recorded in years.
1388
619
1
2
3
4
5
6
7
8
9
11
14
15
97
Inconsistent
99
Missing
Sysmiss
Condom used at last sexual intercourse
Condom used at last sexual intercourse
Condom used at last sexual intercourse
Condom used at last sexual intercourse
Condom used at last sexual intercourse
The last time you had sexual intercourse, was a condom used?
1317
690
1
Yes
2
No
9
Missing
Sysmiss
Relationship to last sexual partner
Relationship to last sexual partner
Relationship to last sexual partner
Relationship to last sexual partner
Relationship to last sexual partner
What was your relationship to this person with whom you last had sexual intercourse?
.Probe to ensure that the response refers to the relationship at the time of sexual intercourse.
If “girlfriend”, then ask:
Were you living together as if married?
If response is “yes”, circle ‘2’.
If response is “no”, circle‘3’.
1317
690
1
Wife
2
Cohabiting partner
3
Girlfriend
4
Casual acquaintance
5
Prostitute
6
Other
9
Missing
Sysmiss
Age of last sexual partner
Age of last sexual partner
Age of last sexual partner
Age of last sexual partner
Age of last sexual partner
How old is this person?
If response is DK, probe:
About how old is this person?
452
1555
11
99
11
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
43
45
48
49
98
DK
99
Missing
Sysmiss
Sex with any other person in the last 12 month
Sex with any other person in the last 12 month
Sex with any other person in the last 12 month
Sex with any other person in the last 12 month
Sex with any other person in the last 12 month
Have you had sexual intercourse with any other person in the last 12 months?
1317
690
1
Yes
2
No
9
Missing
Sysmiss
Condom used with prior sexual partner
Condom used with prior sexual partner
Condom used with prior sexual partner
Condom used with prior sexual partner
Condom used with prior sexual partner
The last time you had sexual intercourse with this other person, was a condom used?
242
1765
1
Yes
2
No
9
Missing
Sysmiss
Relationship to prior sexual partner
Relationship to prior sexual partner
Relationship to prior sexual partner
Relationship to prior sexual partner
Relationship to prior sexual partner
What was your relationship to this person?
Probe to ensure that the response refers to the relationship at the time of sexual intercourse
If “girlfriend” then ask:
Were you living together as if married?
If “yes”, circle ‘2’. If “no”, circle ‘3’.
242
1765
1
Wife
2
Cohabiting partner
3
Girlfriend
4
Casual acquaintance
5
Prostitute
6
Other
9
Missing
Sysmiss
Age of prior sexual partner
Age of prior sexual partner
Age of prior sexual partner
Age of prior sexual partner
Age of prior sexual partner
How old is this person?
If response is DK, probe:
About how old is this person?
187
1820
12
99
12
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
32
33
35
36
39
40
41
42
44
46
98
DK
99
Missing
Sysmiss
Sex with any other man in the last 12 months
Sex with any other man in the last 12 months
Sex with any other man in the last 12 months
Sex with any other man in the last 12 months
Sex with any other man in the last 12 months
Other than these two persons, have you had sexual intercourse with any other person in the last 12 months?
242
1765
1
Yes
2
No
9
Missing
Sysmiss
Number of sex partners in last 12 months
Number of sex partners in last 12 months
Number of sex partners in last 12 months
Number of sex partners in last 12 months
Number of sex partners in last 12 months
In total, with how many different people have you had sexual intercourse in the last 12 months?
107
1900
3
4
5
6
7
8
9
10
12
15
17
20
99
Missing
Sysmiss
Number of sex partners in lifetime
Number of sex partners in lifetime
Number of sex partners in lifetime
Number of sex partners in lifetime
Number of sex partners in lifetime
In total, with how many different people have you had sexual intercourse in your lifetime?
If a non-numeric answer is given, probe to get an estimate.
If number of partners is 95 or more, write ‘95’.
1388
619
1
99
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
19
20
25
30
33
35
40
45
50
53
55
56
57
60
62
70
80
90
98
DK
99
Missing
Sysmiss
Ever heard of AIDS
Ever heard of AIDS
Ever heard of AIDS
Ever heard of AIDS
Ever heard of AIDS
Now i would like to talk with you about something else.
Have you ever heard of the HIV virus or an illness called AIDS?
1545
462
1
Yes
2
No
9
Missing
Sysmiss
Can avoid AIDS virus by having one uninfected partner
Can avoid AIDS virus by having one uninfected partner
Can avoid AIDS virus by having one uninfected partner
Can avoid AIDS virus by having one uninfected partner
Can avoid AIDS virus by having one uninfected partner
Can people reduce their chance of getting the virus that causes AIDS by having just one uninfected sex partner who has no other sex partners?
1523
484
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Can get AIDS virus through supernatural means
Can get AIDS virus through supernatural means
Can get AIDS virus through supernatural means
Can get AIDS virus through supernatural means
Can get AIDS virus through supernatural means
Can people get the virus that causes AIDS because of witchcraft or other supernatural means?
1523
484
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Can avoid AIDS virus by using a condom correctly every time
Can avoid AIDS virus by using a condom correctly every time
Can avoid AIDS virus by using a condom correctly every time
Can avoid AIDS virus by using a condom correctly every time
Can avoid AIDS virus by using a condom correctly every time
Can people reduce their chance of getting the virus that causes AIDS by using a condom every time they have sex?
1523
484
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Can get AIDS virus from mosquito bites
Can get AIDS virus from mosquito bites
Can get AIDS virus from mosquito bites
Can get AIDS virus from mosquito bites
Can get AIDS virus from mosquito bites
Can people get the virus that causes AIDS from mosquito bites?
1523
484
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Can get AIDS virus by sharing food with a person who has AIDS
Can get AIDS virus by sharing food with a person who has AIDS
Can get AIDS virus by sharing food with a person who has AIDS
Can get AIDS virus by sharing food with a person who has AIDS
Can get AIDS virus by sharing food with a person who has AIDS
Can people get the virus that causes AIDS by sharing food with a person who has AIDS virus?
1523
484
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Healthy-looking person may have AIDS virus
Healthy-looking person may have AIDS virus
Healthy-looking person may have AIDS virus
Healthy-looking person may have AIDS virus
Healthy-looking person may have AIDS virus
Is it possible for a healthy-looking person to have the virus that causes AIDS?
1523
484
1
Yes
2
No
8
DK
9
Missing
Sysmiss
CAN A PERSON GET HIV/AIDS BY HUGGING OR SHAKING HANDS WITH A PERSON WHO IS INFECTED?
CAN A PERSON GET HIV/AIDS BY HUGGING OR SHAKING HANDS WITH A PERSON WHO IS INFECTED?
CAN A PERSON GET HIV/AIDS BY HUGGING OR SHAKING HANDS WITH A PERSON WHO IS INFECTED?
CAN A PERSON GET HIV/AIDS BY HUGGING OR SHAKING HANDS WITH A PERSON WHO IS INFECTED?
CAN A PERSON GET HIV/AIDS BY HUGGING OR SHAKING HANDS WITH A PERSON WHO IS INFECTED?
Can a person get hiv/aids by hugging or shaking with a person who is infected?
1523
484
1
2
8
Sysmiss
AIDS virus from mother to child during pregnancy
AIDS virus from mother to child during pregnancy
AIDS virus from mother to child during pregnancy
AIDS virus from mother to child during pregnancy
AIDS virus from mother to child during pregnancy
Can the virus that causes AIDS be transmitted from a mother to her baby: [A] During pregnancy?
1523
484
1
Yes
2
No
8
DK
9
Missing
Sysmiss
AIDS virus from mother to child during delivery
AIDS virus from mother to child during delivery
AIDS virus from mother to child during delivery
AIDS virus from mother to child during delivery
AIDS virus from mother to child during delivery
Can the virus that causes AIDS be transmitted from a mother to her baby: [B] During delivery?
1523
484
1
Yes
2
No
8
DK
9
Missing
Sysmiss
AIDS virus from mother to child through breastfeeding
AIDS virus from mother to child through breastfeeding
AIDS virus from mother to child through breastfeeding
AIDS virus from mother to child through breastfeeding
AIDS virus from mother to child through breastfeeding
Can the virus that causes AIDS be transmitted from a mother to her baby: [C] By breastfeeding?
1523
484
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Should female teacher with AIDS virus be allowed to teach in school
Should female teacher with AIDS virus be allowed to teach in school
Should female teacher with AIDS virus be allowed to teach in school
Should female teacher with AIDS virus be allowed to teach in school
Should female teacher with AIDS virus be allowed to teach in school
In your opinion, if a female teacher has the virus that causes AIDS but is not sick, should she be allowed to continue teaching in school?
1523
484
1
Yes
2
No
8
DK / Not sure / Depends
9
Missing
Sysmiss
Would buy fresh vegetables from shopkeeper with AIDS virus
Would buy fresh vegetables from shopkeeper with AIDS virus
Would buy fresh vegetables from shopkeeper with AIDS virus
Would buy fresh vegetables from shopkeeper with AIDS virus
Would buy fresh vegetables from shopkeeper with AIDS virus
Would you buy fresh vegetables from a shopkeeper or salesperson if you knew that this person had the virus that causes AIDS?
1523
484
1
Yes
2
No
8
DK / Not sure / Depends
9
Missing
Sysmiss
If HH member became infected with AIDS virus, would want it to remain a secret
If HH member became infected with AIDS virus, would want it to remain a secret
If HH member became infected with AIDS virus, would want it to remain a secret
If HH member became infected with AIDS virus, would want it to remain a secret
If HH member became infected with AIDS virus, would want it to remain a secret
If a member of your family got infected with the virus that causes AIDS, would you want it to remain a secret?
1523
484
1
Yes
2
No
8
DK / Not sure / Depends
9
Missing
Sysmiss
Willing to care for person with AIDS in household
Willing to care for person with AIDS in household
Willing to care for person with AIDS in household
Willing to care for person with AIDS in household
Willing to care for person with AIDS in household
If a member of your family became sick with AIDS, would you be willing to care for him or her in your own household?
1523
484
1
Yes
2
No
8
DK / Not sure / Depends
9
Missing
Sysmiss
Ever been tested for AIDS virus
Ever been tested for AIDS virus
Ever been tested for AIDS virus
Ever been tested for AIDS virus
Ever been tested for AIDS virus
I don’t want to know the results, but have you ever been tested to see if you have the virus that causes AIDS?
1523
484
1
Yes
2
No
9
Missing
Sysmiss
Most recent time of testing for AIDS virus
Most recent time of testing for AIDS virus
Most recent time of testing for AIDS virus
Most recent time of testing for AIDS virus
Most recent time of testing for AIDS virus
When was the most recent time you were tested?
660
1347
1
Less than 12 months ago
2
12-23 months ago
3
2 or more years ago
9
Missing
Sysmiss
Received results of AIDS virus test
Received results of AIDS virus test
Received results of AIDS virus test
Received results of AIDS virus test
Received results of AIDS virus test
I don’t want to know the results, but did you get the results of this test?
660
1347
1
Yes
2
No
8
DK
9
Missing
Sysmiss
Know a place to get AIDS virus test
Know a place to get AIDS virus test
Know a place to get AIDS virus test
Know a place to get AIDS virus test
Know a place to get AIDS virus test
Do you know of a place where people can go to get tested for the virus that causes AIDS?
863
1144
1
Yes
2
No
9
Missing
Sysmiss
HAVE YOU EVER HEARD OF AN ILLNESS CALLED TUBERCULOSIS OR TB?
HAVE YOU EVER HEARD OF AN ILLNESS CALLED TUBERCULOSIS OR TB?
HAVE YOU EVER HEARD OF AN ILLNESS CALLED TUBERCULOSIS OR TB?
HAVE YOU EVER HEARD OF AN ILLNESS CALLED TUBERCULOSIS OR TB?
HAVE YOU EVER HEARD OF AN ILLNESS CALLED TUBERCULOSIS OR TB?
Now I would like to ask you about something else.
Have you ever heard about a disease named tuberculosis or TBC?
1545
462
1
Yes
2
No
9
Missing
Sysmiss
Through the air when coughing or sneezing
Through the air when coughing or sneezing
Through the air when coughing or sneezing
Through the air when coughing or sneezing
Through the air when coughing or sneezing
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
1239
A
Through the air when coughing or sneezing
Through sharing utensils
Through sharing utensils
Through sharing utensils
Through sharing utensils
Through sharing utensils
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
555
B
Through sharing utensils
Through touching a person with TB
Through touching a person with TB
Through touching a person with TB
Through touching a person with TB
Through touching a person with TB
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
170
C
Through touching a person with TB
Through food
Through food
Through food
Through food
Through food
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
485
D
Through food
Through sexual contact
Through sexual contact
Through sexual contact
Through sexual contact
Through sexual contact
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
209
E
Through sexual contact
Through mosquito bites
Through mosquito bites
Through mosquito bites
Through mosquito bites
Through mosquito bites
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
20
F
Through mosquito bites
Other
Other
Other
Other
Other
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
172
X
Other
DK
DK
DK
DK
DK
How do you think is tuberculosis transmitted from one person to another?
Probe: in which ways?
Record all the mentioned variants.
96
Z
DK
Coughing
Coughing
Coughing
Coughing
Coughing
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
1117
A
Coughing
Coughing with sputum
Coughing with sputum
Coughing with sputum
Coughing with sputum
Coughing with sputum
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
337
B
Coughing with sputum
Coughing for several weeks
Coughing for several weeks
Coughing for several weeks
Coughing for several weeks
Coughing for several weeks
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
139
C
Coughing for several weeks
Fever
Fever
Fever
Fever
Fever
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
173
D
Fever
Blood in sputum
Blood in sputum
Blood in sputum
Blood in sputum
Blood in sputum
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
182
E
Blood in sputum
Loss of appetite
Loss of appetite
Loss of appetite
Loss of appetite
Loss of appetite
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
103
F
Loss of appetite
Night sweating
Night sweating
Night sweating
Night sweating
Night sweating
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
48
G
Night sweating
Pain in cheats
Pain in cheats
Pain in cheats
Pain in cheats
Pain in cheats
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
78
H
Pain in cheats
Tiredness/Fatigue
Tiredness/Fatigue
Tiredness/Fatigue
Tiredness/Fatigue
Tiredness/Fatigue
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
182
I
Tiredness/Fatigue
Weight loss
Weight loss
Weight loss
Weight loss
Weight loss
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
348
J
Weight loss
Lethargy
Lethargy
Lethargy
Lethargy
Lethargy
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
386
K
Lethargy
Other
Other
Other
Other
Other
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
228
X
Other
DK
DK
DK
DK
DK
What are the signs or symptoms indicating that a person has TB?
Other?
Record all the mentioned variants.
89
Z
DK
CAN TUBERCULOSIS BE CURED?
CAN TUBERCULOSIS BE CURED?
CAN TUBERCULOSIS BE CURED?
CAN TUBERCULOSIS BE CURED?
CAN TUBERCULOSIS BE CURED?
Can tuberculosis be cured?
1532
475
1
Yes
2
No
8
D/K
Sysmiss
A MEMBER OF YOUR FAMILY GOT TUBERCULOSIS, WOULD YOU WANT IT TO REMAIN A SECRET OR NOT?
A MEMBER OF YOUR FAMILY GOT TUBERCULOSIS, WOULD YOU WANT IT TO REMAIN A SECRET OR NOT?
A MEMBER OF YOUR FAMILY GOT TUBERCULOSIS, WOULD YOU WANT IT TO REMAIN A SECRET OR NOT?
A MEMBER OF YOUR FAMILY GOT TUBERCULOSIS, WOULD YOU WANT IT TO REMAIN A SECRET OR NOT?
A MEMBER OF YOUR FAMILY GOT TUBERCULOSIS, WOULD YOU WANT IT TO REMAIN A SECRET OR NOT?
If a member of your family became sick of tuberculosis, would you want it to remain a secret?
1532
475
1
Yes, remain a secret
2
No
8
D/K
Sysmiss
Ever tried cigarette smoking
Ever tried cigarette smoking
Ever tried cigarette smoking
Ever tried cigarette smoking
Ever tried cigarette smoking
Have you ever tried cigarette smoking, even one or two puffs?
1545
462
1
Yes
2
No
9
Missing
Sysmiss
Age when cigarette was smoked for the first time
Age when cigarette was smoked for the first time
Age when cigarette was smoked for the first time
Age when cigarette was smoked for the first time
Age when cigarette was smoked for the first time
How old were you when you smoked a whole cigarette for the first time?
1354
653
41
Never smoked a whole cigarette
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
30
35
36
40
41
99
Missing
Sysmiss
Currently smoking cigarettes
Currently smoking cigarettes
Currently smoking cigarettes
Currently smoking cigarettes
Currently smoking cigarettes
Do you currently smoke cigarettes?
1269
738
1
Yes
2
No
9
Missing
Sysmiss
Number of cigarettes smoked in the last 24 hours
Number of cigarettes smoked in the last 24 hours
Number of cigarettes smoked in the last 24 hours
Number of cigarettes smoked in the last 24 hours
Number of cigarettes smoked in the last 24 hours
In the last 24 hours, how many cigarettes did you smoke?
706
1301
60
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
29
30
33
36
40
50
60
99
Missing
Sysmiss
Number of days when cigarettes were smoked in past month
Number of days when cigarettes were smoked in past month
Number of days when cigarettes were smoked in past month
Number of days when cigarettes were smoked in past month
Number of days when cigarettes were smoked in past month
During the last one month, on how many days did you smoke cigarettes?
If less than 10 days, record the number of days.
If 10 days or more but less than a month, circle “10”.
If “everyday” or “almost every day”, circle “30”.
706
1301
1
2
3
4
5
6
7
8
9
10
10 or more days
30
Everyday/Almost every day
99
Missing
Sysmiss
Ever tried any smoked tobacco products other than cigarettes
Ever tried any smoked tobacco products other than cigarettes
Ever tried any smoked tobacco products other than cigarettes
Ever tried any smoked tobacco products other than cigarettes
Ever tried any smoked tobacco products other than cigarettes
Have you ever tried any smoked tobacco products other than cigarettes, such as cigars, water pipe, cigarillos or pipe?
1545
462
1
Yes
2
No
9
Missing
Sysmiss
Used any smoked tobacco products during the last month
Used any smoked tobacco products during the last month
Used any smoked tobacco products during the last month
Used any smoked tobacco products during the last month
Used any smoked tobacco products during the last month
During the last one month, did you use any smoked tobacco products?
394
1613
1
Yes
2
No
9
Missing
Sysmiss
Type of smoked tobacco product: Cigars
Type of smoked tobacco product: Cigars
Type of smoked tobacco product: Cigars
Type of smoked tobacco product: Cigars
Type of smoked tobacco product: Cigars
What type of smoked tobacco product did you use or smoke during the last one month?
Circle all mentioned.
13
?
Missing
A
Cigars
Type of smoked tobacco product: Water pipe
Type of smoked tobacco product: Water pipe
Type of smoked tobacco product: Water pipe
Type of smoked tobacco product: Water pipe
Type of smoked tobacco product: Water pipe
What type of smoked tobacco product did you use or smoke during the last one month?
Circle all mentioned.
36
?
Missing
B
Water pipe
Type of smoked tobacco product: Cigarillos
Type of smoked tobacco product: Cigarillos
Type of smoked tobacco product: Cigarillos
Type of smoked tobacco product: Cigarillos
Type of smoked tobacco product: Cigarillos
What type of smoked tobacco product did you use or smoke during the last one month?
Circle all mentioned.
7
?
Missing
C
Cigarillos
Type of smoked tobacco product: Pipe
Type of smoked tobacco product: Pipe
Type of smoked tobacco product: Pipe
Type of smoked tobacco product: Pipe
Type of smoked tobacco product: Pipe
What type of smoked tobacco product did you use or smoke during the last one month?
Circle all mentioned.
2
?
Missing
D
Pipe
Type of smoked tobacco product: Other
Type of smoked tobacco product: Other
Type of smoked tobacco product: Other
Type of smoked tobacco product: Other
Type of smoked tobacco product: Other
What type of smoked tobacco product did you use or smoke during the last one month?
Circle all mentioned.
?
Missing
X
Other
Number of days when tobacco products where smoked in past month
Number of days when tobacco products where smoked in past month
Number of days when tobacco products where smoked in past month
Number of days when tobacco products where smoked in past month
Number of days when tobacco products where smoked in past month
During the last one month, on how many days did you use smoked tobacco products?
If less than 10 days, record the number of days.
If 10 days or more but less than a month, circle “10”.
If “everyday” or “almost every day”, circle “30”.
54
1953
1
2
3
4
5
6
8
10
10 or more days
30
Everyday/Almost every day
99
Missing
Sysmiss
Ever tried any form of smokeless tobacco products
Ever tried any form of smokeless tobacco products
Ever tried any form of smokeless tobacco products
Ever tried any form of smokeless tobacco products
Ever tried any form of smokeless tobacco products
Have you ever tried any form of smokeless tobacco products, such as chewing tobacco, snuff, or dip?
1545
462
1
Yes
2
No
9
Missing
Sysmiss
Used any smokeless tobacco products during the last month
Used any smokeless tobacco products during the last month
Used any smokeless tobacco products during the last month
Used any smokeless tobacco products during the last month
Used any smokeless tobacco products during the last month
During the last one month, did you use any smokeless tobacco products?
34
1973
1
Yes
2
No
9
Missing
Sysmiss
Type of smokeless tobacco product used: Chewing tobacco
Type of smokeless tobacco product used: Chewing tobacco
Type of smokeless tobacco product used: Chewing tobacco
Type of smokeless tobacco product used: Chewing tobacco
Type of smokeless tobacco product used: Chewing tobacco
What type of smokeless tobacco product did you use during the last one month?
Circle all mentioned.
Type of smokeless tobacco product used: Snuff
Type of smokeless tobacco product used: Snuff
Type of smokeless tobacco product used: Snuff
Type of smokeless tobacco product used: Snuff
Type of smokeless tobacco product used: Snuff
What type of smokeless tobacco product did you use during the last one month?
Circle all mentioned.
2
B
Type of smokeless tobacco product used: Dip
Type of smokeless tobacco product used: Dip
Type of smokeless tobacco product used: Dip
Type of smokeless tobacco product used: Dip
Type of smokeless tobacco product used: Dip
What type of smokeless tobacco product did you use during the last one month?
Circle all mentioned.
Type of smokeless tobacco product used: Other
Type of smokeless tobacco product used: Other
Type of smokeless tobacco product used: Other
Type of smokeless tobacco product used: Other
Type of smokeless tobacco product used: Other
What type of smokeless tobacco product did you use during the last one month?
Circle all mentioned.
Number of days when smokeless tobacco products where used in past month
Number of days when smokeless tobacco products where used in past month
Number of days when smokeless tobacco products where used in past month
Number of days when smokeless tobacco products where used in past month
Number of days when smokeless tobacco products where used in past month
During the last one month, on how many days did you use smokeless tobacco products?
If less than 10 days, record the number of days.
If 10 days or more but less than a month, circle “10”.
If “everyday” or “almost every day”, circle “30”.
2
2005
1
10
10 or more days
30
Everyday/Almost every day
99
Missing
Sysmiss
Ever drunk alcohol
Ever drunk alcohol
Ever drunk alcohol
Ever drunk alcohol
Ever drunk alcohol
Now I would like to ask you some questions about drinking alcohol.
Have you ever drunk alcohol?
1545
462
1
Yes
2
No
9
Missing
Sysmiss
Age when alcohol was used for the first time
Age when alcohol was used for the first time
Age when alcohol was used for the first time
Age when alcohol was used for the first time
Age when alcohol was used for the first time
We count one drink of alcohol as one can or bottle of beer, one glass of wine, or one shot of cognac, vodka, whiskey or rum.
How old were you when you had you first drink of alcohol, other than a few sips?
1507
500
99
Never had one drink of alcohol
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
30
34
40
99
Missing
Sysmiss
Number of days when at least one drink of alcohol was used in past month
Number of days when at least one drink of alcohol was used in past month
Number of days when at least one drink of alcohol was used in past month
Number of days when at least one drink of alcohol was used in past month
Number of days when at least one drink of alcohol was used in past month
During the last month, on how many days did you have at least one drink of alcohol?
If respondent did not drink, circle ‘00’.
If less than 10 days, record the number of days.
If 10 days or more but less than a month, circle ‘10’.
If “everyday” or “almost every day”, circle ‘30’.
1506
501
No drink in last one month
1
2
3
4
5
6
7
8
9
10
10 days or more
30
Everyday or almost everyday
99
Missing
Sysmiss
Number of drinks usually consumed
Number of drinks usually consumed
Number of drinks usually consumed
Number of drinks usually consumed
Number of drinks usually consumed
In the last one month, on the days that you drank alcohol, how many can/bottle/glass/shot of drinks did you usually have?
1222
785
1
2
3
4
5
6
7
8
10
15
16
99
Missing
Sysmiss
Estimation of overall happiness
Estimation of overall happiness
Estimation of overall happiness
Estimation of overall happiness
Estimation of overall happiness
I would like to ask you some simple questions on happiness and satisfaction.
First, taking all things together, would you say you are very happy, somewhat happy, neither happy nor unhappy, somewhat unhappy or very unhappy?
You can also look at these pictures to help you with your response.
Show side 1 of response card and explain what each symbol represents. Circle the response code pointed by the respondent.
500
1507
1
Very happy
2
Somewhat happy
3
Neither happy nor unhappy
4
Somewhat unhappy
5
Very unhappy
9
Missing
Sysmiss
Satisfaction with family life
Satisfaction with family life
Satisfaction with family life
Satisfaction with family life
Satisfaction with family life
Now I will ask you questions about your level of satisfaction in different areas.
In each case, we have five possible responses: please tell me, for each question, whether you are very satisfied, somewhat satisfied, neither satisfied nor unsatisfied, somewhat unsatisfied or very unsatisfied.
Again, you can look at these pictures to help you with your response.
Show side 2 of response card and explain what each symbol represents. Circle the response code shown by the respondent, for questions MLS3 to MLS13.
HOW SATISFIED ARE YOU WITH YOUR FAMILY LIFE?
500
1507
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with friendships
Satisfaction with friendships
Satisfaction with friendships
Satisfaction with friendships
Satisfaction with friendships
How satisfied are you with your friendships?
500
1507
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
School attendance during the current school year
School attendance during the current school year
School attendance during the current school year
School attendance during the current school year
School attendance during the current school year
During the (current / 2011-2012) school year, did you attend school at any time?
500
1507
1
Yes
2
No
9
Missing
Sysmiss
Satisfaction with school
Satisfaction with school
Satisfaction with school
Satisfaction with school
Satisfaction with school
How satisfied (are/were) you with your school?
302
1705
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with current job
Satisfaction with current job
Satisfaction with current job
Satisfaction with current job
Satisfaction with current job
How satisfied are you with your current job?
If the respondent says that he/she does not have a job, circle “0” and continue with the next question. Do not probe to find out how she feels about not having a job, unless she tells you herself.
500
1507
Does not have a job
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with health
Satisfaction with health
Satisfaction with health
Satisfaction with health
Satisfaction with health
How satisfied are you with your health?
500
1507
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with current residence
Satisfaction with current residence
Satisfaction with current residence
Satisfaction with current residence
Satisfaction with current residence
How satisfied are you with where you live?
If necessary, explain that the question refers to the living environment, including the neighbourhood and the dwelling.
500
1507
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with treatment by other people
Satisfaction with treatment by other people
Satisfaction with treatment by other people
Satisfaction with treatment by other people
Satisfaction with treatment by other people
How satisfied are you with how people around you generally treat you?
500
1507
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with appearance
Satisfaction with appearance
Satisfaction with appearance
Satisfaction with appearance
Satisfaction with appearance
How satisfied are you with the way you look?
500
1507
1
Very satisfied
2
Somewhat satisfied
3
Neither satisfied nor unsatisfied
4
Somewhat unsatisfied
5
Very unsatisfied
9
Missing
Sysmiss
Satisfaction with life overall
Satisfaction with life overall
Satisfaction with life overall
Satisfaction with life overall
Satisfaction with life overall
How satisfied are you with your life, overall?
500
1507
1
Very happy
2
Somewhat happy
3
Neither happy nor unhappy
4
Somewhat unhappy
5
Very unhappy
Sysmiss
Satisfaction with current income
Satisfaction with current income
Satisfaction with current income
Satisfaction with current income
Satisfaction with current income
How satisfied are you with your current income?
If the respondent responds that he/she does not have any income, circle “0” and continue with the next question. Do not probe to find out how she feels about not having any income, unless she tells you herself.
500
1507
Does not have any income
1
Very happy
2
Somewhat happy
3
Neither happy nor unhappy
4
Somewhat unhappy
5
Very unhappy
Sysmiss
Life satisfaction in comparison with last year
Life satisfaction in comparison with last year
Life satisfaction in comparison with last year
Life satisfaction in comparison with last year
Life satisfaction in comparison with last year
Compared to this time last year, would you say that your life has improved, stayed more or less the same, or worsened, overall?
500
1507
1
Improved
2
More or less the same
3
Worsened
Sysmiss
Life satisfaction expectation one year from now
Life satisfaction expectation one year from now
Life satisfaction expectation one year from now
Life satisfaction expectation one year from now
Life satisfaction expectation one year from now
And in one year from now, do you expect that your life will be better, will be more or less the same, or will be worse, overall?
500
1507
1
Better
2
More or less the same
3
Worse
Sysmiss
Area
Area
Area
Area
Area
Type of settlement:
Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area.
2007
1
Urban
2
Rural
Region
Region
Region
Region
Region
Circle the code for region as instructed/provided by your supervisor.
2007
1
2
3
4
91
Papua Barat
94
Papua
Date of interview men
Date of interview men
Date of interview men
Date of interview men
Date of interview men
2007
1348
1349
1350
Date of birth of men
Date of birth of men
Date of birth of men
Date of birth of men
Date of birth of men
1545
462
750
1170
969.186
123.04
Age (men)
Age (men)
Age (men)
Age (men)
Age (men)
1545
462
1
15-19
2
20-24
3
25-29
4
30-34
5
35-39
6
40-44
7
45-49
Sysmiss
Date of marriage (men)
Date of marriage (men)
Date of marriage (men)
Date of marriage (men)
Date of marriage (men)
977
1030
961
1349
1185.988
99.594
Age at first marriage/union (men)
Age at first marriage/union (men)
Age at first marriage/union (men)
Age at first marriage/union (men)
Age at first marriage/union (men)
977
977.741
1030
567.259
13
43
22.993
22.86
3.698
3.647
Marital/Union status (men)
Marital/Union status (men)
Marital/Union status (men)
Marital/Union status (men)
Marital/Union status (men)
1545
462
1
Currently married/in union
2
Formerly married/in union
3
Never married/in union
Sysmiss
Education
Education
Education
Education
Education
1545
462
1
9
1
None/primary
2
Secondary
3
Professional education
4
Higher
9
Missing/DK
Sysmiss
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
Ethnicity of household head
2007
1
6
1
Papua
2
Jawa
3
Sumatra
4
Sulawesi
5
Maluku
6
Others
9
Missing/DK
Wealth index score
Wealth index score
Wealth index score
Wealth index score
Wealth index score
2007
-2.359
1.889
0.174
0.84
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
Wealth index quintiles
2007
1
Poorest
2
Second
3
Middle
4
Fourth
5
Richest
Men's sample weight
Men's sample weight
Men's sample weight
Men's sample weight
Men's sample weight
2007
3.12
0.77
0.571