DDI_KEN_2007_KAIS_v02_M Kenya National Bureau of Statistics Accelerated Data Program 2013-05-31 NADA Version 02 (October 2013). Edited version based on Version 01 DDI that was done by Kenya National Bureau of Statistics and reviewed by Accelerated Data Program, International Household Survey Network. AIDS Indicator Survey 2007 KAIS 2007 KEN_2007_KAIS_v01_M Kenya National Bureau of Statistics Ministry of Health NADA KEMRI/CDC University of California San Francisco Liverpool VCT U.S. President’s Emergency Plan for AIDS Relief United Nations Joint Programme on HIV/AIDS World Health Organization Director General Other Household Survey [hh/oth] HIV/AIDS Health The 2007 Kenya AIDS Indicator Survey (KAIS) is Kenya's first survey of its type and provides comprehensive information on HIV and other sexually transmitted infections (STIs). These data provide the information needed for advocacy and for planning appropriate interventions for HIV prevention, treatment and care. The 2007 KAIS builds upon previous national-level HIV estimates from the first population-based survey with HIV testing, the 2003 Kenya Demographic and Health Survey (KDHS); this allows us to compare prevalence estimates and important behavioural indicators between 2003 and 2007. Kenya The survey covered all the districts in Kenya. The data representativeness are at the following levels: national, urban/rural, provincial, district. Person aged 15-64 All women and men aged 15-64 years in selected households who were either usual residents or visitors present the night before the survey were eligible to participate in the individual interview and blood draw, provided they gave informed consent. For minors aged 15-17 years, parental consent and minor assent were both required for participation. Participants could consent to the interview and blood draw or to the interview alone. The inclusion criteria may have captured non-Kenyans living as usual residents or visitors in a sampled household. Military personnel and the institutionalized population (e.g. imprisoned) are typically not captured in household-based surveys, but may have been included in the 2007 KAIS if at home during the survey. Sample survey data [ssd] The 2007 Kenya AIDS Indicator Survey covered the following topics: HOUSEHOLD LEVEL · Household census · Parental survivorship · Household characteristics · Mosquito net use · Support to households for sick and recently deceased adults, and OVCs INDIVIDUAL LEVEL · Socio-demographic characteristics · HIV/STI knowledge and attitudes · Marriage and sexual partnerships · Fertility and family planning · Uptake of HIV prevention, care and treatment services Kenya National Bureau of Statistics Administratively, Kenya is divided into eight provinces. Each province is divided into districts, each district into divisions, each division into locations, each location into sub-locations, and each sublocation into villages. For the 1999 Population and Household Census, the Kenya National Bureau of Statistics (KNBS) delineated sub-locations into small units called Enumeration Areas (EAs) that constituted a village, a part of a village, or a combination of villages. The primary sampling unit for Kenya's master sampling frame, and for the 2007 KAIS, is a cluster, which is constituted as one or more EAs, with an average of 100 households per cluster. The master sampling frame for the 2007 KAIS was the National Sample Survey and Evaluation Programme IV (NASSEP IV) created and maintained by KNBS. The NASSEP IV frame was developed in 2002 based on the 1999 Census. The frame has 1800 clusters, comprised of 1,260 rural and 540 urban clusters. Of these, 294 (23%) rural and 121 (22%) urban clusters were selected for KAIS. The 2007 KAIS was conducted among a representative sample of households selected from all eight provinces in the country, covering both rural and urban areas. A household was defined as a person or group of people related or unrelated to each other who live together in the same dwelling unit or compound (a group of dwelling units), share similar cooking arrangements, and identify the same person as the head of household. The household questionnaire was administered to consenting heads of sampled, occupied households. All women and men aged 15-64 years in selected households who were either usual residents or visitors present the night before the survey were eligible to participate in the individual interview and blood draw, provided they gave informed consent. For minors aged 15-17 years, parental consent and minor assent were both required for participation. Participants could consent to the interview and blood draw or to the interview alone. The inclusion criteria may have captured non-Kenyans living as usual residents or visitors in a sampled household. Military personnel and the institutionalized population (e.g. imprisoned) are typically not captured in household-based surveys, but may have been included in the 2007 KAIS if at home during the survey. The overall design for the 2007 KAIS was a stratified, two-stage cluster sample for comparability to the 2003 KDHS. The first stage involved selecting 415 clusters from NASSEP IV and the second stage involved the selection of households per cluster with equal probability of selection in the rural-urban strata within each district. The target of the 2007 KAIS sample was to obtain approximately 9,000 completed household interviews. Based on the level of household nonresponse reported in the 2003 KDHS (13.2% of selected households), 10,375 households in 415 clusters were selected for potential participation in the 2007 KAIS. Table 1.4 shows the provincial distribution of households and clusters originally sampled for the 2007 KAIS. Of the original 415 clusters, 402 were accessed and surveyed. Thirteen clusters were inaccessible due to impassable roads or tenuous security situations. All reported estimates and design weights for households, individual interviews, and blood draws are based on data from the 402 clusters. Face-to-face [f2f] Two questionnaires were used: a household questionnaire and an individual questionnaire. The content of the questionnaires was adapted from standard AIDS Indicator Survey questionnaires developed by ORC Macro, the 2003 KDHS HIV Module and previous surveys conducted in Africa. Various stakeholders in NACC, the National AIDS and STI Control Programme (NASCOP) and other HIV/AIDS organizations working in Kenya met to determine the key HIV program information needs and gaps. The KAIS Technical Working Group (TWG) modified existing questions and designed new questions to reflect current and emerging issues in HIV/AIDS in the country. The final questionnaires were translated from English into Kiswahili and 11 vernacular languages and back-translated into English to ensure accuracy. The questionnaires were further refined after a pilot study prior to distribution of the final versions to field staff. The household questionnaire gathered basic information from the head of the household on usual members and visitors in the household, including age, sex, education, relationship to the head of household, and orphanhood among children. Information was collected on characteristics of the household’s dwelling unit, such as the source of water, type of toilet facilities, materials used for the floor of the house, property ownership, and mosquito nets. Heads of household were also asked whether the household had received specific types of care and support in the 12 months prior to the survey for any chronically ill adults, any household members who died, and any orphans and vulnerable children (OVC). The household questionnaire was also used to record the respondents’ consent for blood collection and testing. The individual questionnaire collected information from eligible women and men aged 15-64 years on basic demographic characteristics, marriage, sexual activity, fertility, and family planning. In addition, the tool included questions regarding HIV and STI knowledge, attitudes and behaviours, HIV testing, HIV care and treatment uptake, and other health issues, such as tuberculosis, blood donation and medical injections. In July 2007, 204 skilled interviewers, laboratorytechnicians, laboratory scientists and field supervisors were recruited and trained for two weeks in the 2007 KAIS procedures. The training involved didactic presentations, small group discussions and practical sessions, such as mock interviews and blood draws. Interviewers were trained to identify eligible households and individuals, seek informed consent, educate participants about HIV, HSV-2 and syphilis, and administer questionnaires using objective interview techniques. Field laboratory technicians and scientists were trained in preparing respondents for the blood draw and in specimen collection, processing, storage and transportation to the central laboratory in Nairobi. Laboratory training emphasized ways to minimise risks in handling biological specimens. Laboratory technicians were trained to process and analyse specimens in the laboratory and to issue return of results vouchers for participants to retrieve their test results. Six teams of supervisors representing different KAIS collaborating institutions routinely visited field teams during data collection. Supervision teams travelled throughout the country to assess mobilisation efforts, perform quality checks on questionnaires and field laboratory procedures, deliver additional survey supplies, troubleshoot challenges and provide psychosocial support to field teams. Supervision reports were disseminated among the KAIS leadership and key issues were addressed immediately. The final weights were derived from the design weights of the NASSEP IV sampling frame and subsequently adjusted for non-response. Three weights were calculated for analyses: a household weight, an individual interview weight and a blood draw weight. Data processing included a number of steps to prepare data collected in the field for analysis. The initial steps included editing questionnaires, both in the field and at KNBS, and double-data entry of all questionnaire responses to minimise errors. Data were entered using Census and Survey Processing System (CSPro) version 3.3.3 Once all survey responses were transferred to electronic format, the next step was to ensure full concordance between the two data entry databases, using paper questionnaires to resolve any discrepancies in transcription. A series of internal consistency and range checks helped to identify any illogical responses and to verify that responses adhered to skip patterns in the questionnaire. Data validation programs for data cleaning were written in Stata version 8.04 and corrections were entered directly in CSPro at KNBS. A concurrent process of cleaning the raw laboratory data was conducted at the NHRL. The final, cleaned questionnaire database at KNBS was merged with the laboratory results database at the NHRL using unique survey identification numbers to ensure accurate matches (>99.9% of identification numbers were matched). After successfully merging the questionnaire and laboratory results databases, cluster and household identification numbers were serialized from 1-402 and from 1-25, respectively. Original cluster and household numbers, barcodes, and individual survey identification numbers were stripped from the database prior to weighting and analysis to ensure anonymity of survey participants. Overall, participation rates in the 2007 KAIS were high. We calculated household response rate as the number of households consenting to the household interview divided by the total number of sampled households that were located and occupied. The individual interview response rate was calculated as the number of individuals who completed interviews divided by the number of individuals eligible for the individual interview based on the household census. Only those participating in the individual interview were eligible to participate in the blood draw. We calculated blood draw coverage as the number of blood draws divided by the number of all individuals eligible for the individual interview; the blood draw response rate reflects the number of successful blood draws divided by the number of individuals who completed individual interviews. Kenya National Bureau of Statistics "Kenya National Bureau of Statistics, Kenya Aids Indicator Survey 2007, Version 01 of KNBS dataset, provided by the National Data Archive of Kenya. http://statistics.knbs.or.ke" The data users shall acknowledge that any available intellectual property rights, including copyright in the data are owned by the KNBS. The data user or client is encouraged to provide KNBS with a copy of such report, paper or article. Household Characteristics Data about household characteristics, health practices, and health incidents 0 57 Household Roster Data about characteristics for individual holders, their household members, their health, and the health of their household members. 0 94 Individual Questionnire Data about individual characteristics, household characteristics, individual and household AIDS information, individual sexual practices, and lab results. 0 553 Mosquito Nets Mosquito net abundance, characteristics, and usage. 0 29 Sexual Partners Sexual partners' characteristics and sexual practices. 0 36 Support for the Dead Deaths in the household and support received due to those deaths. 0 30 Provincial Code Provincial Code Provincial Code Provincial Code Provincial Code 1 Nairobi 2 Central 3 Coast 4 Eastern 5 North Eastern 6 Nyanza 7 Rift Valley 8 Western Residential Code Residential Code Residential Code Residential Code Residential Code 1 Rural 2 Urban District District District District District 101 Nairobi 201 Kiambu 202 Kirinyaga 203 Muranga 204 Nyandarua 205 Nyeri 206 Thika 207 Maragua 301 Kilifi 302 Kwale 303 Lamu 304 Mombasa 305 Taita Taveta 306 Tana River 307 Malindi 401 Embu 402 Isiolo 403 Kitui 404 Makueni 405 Machakos 406 Marsabit 407 Mbeere 408 Meru Central 409 Moyale 410 Mwingi 411 Meru North 412 Tharaka 413 Meru South 501 Garissa 502 Mandera 503 Wajir 601 Gucha 602 Homa Bay 603 Central Kisii 604 Kisumu 605 Kuria 606 Migori 607 Kisii North 608 Rachuonyo 609 Siaya 610 Suba 611 Bondo 612 Nyando 701 Baringo 702 Bomet 703 Keiyo 704 Kajiado 705 Kericho 706 Koibatek 707 Laikipia 708 Marakwet 709 Nakuru 710 Nandi 711 Narok 712 Samburu 713 Trans Mara 714 Trans Nzoia 715 Turkana 716 Uasin Gishu 717 West Pokot 718 Buret 801 Bungoma 802 Busia 803 Mt. Elgon 804 Kakamega 805 Lugari 806 Teso 807 Vihiga 808 Butere Mumias Cluster Number Cluster Number Cluster Number Cluster Number Cluster Number Household Number Household Number Household Number Household Number Household Number City\Town\Countryside City\Town\Countryside City\Town\Countryside City\Town\Countryside City\Town\Countryside 1 Nairobi/Mombasa/Kisumu 2 Nakuru/Eldoret/Thika/Nyeri 3 Small town 4 Rural Day of interview Day of interview Day of interview Day of interview Day of interview Month of interview Month of interview Month of interview Month of interview Month of interview Year of interview Year of interview Year of interview Year of interview Year of interview Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number 1 Sarah Kanyangi 2 Charles Omondi 3 Jane Nduta Gachanja 4 Martyn M. Ayaka 5 Consolata Muthembwa 6 Barnadette J. Achieng 7 Mark Luta buyu 8 Kevin Nyongesa Wafula 9 Linda f. Mutinda 10 Gladys Ngeno 11 Jirm Karani Elle 12 Asugo George Omondi 13 Agnes Mwikali 14 Rosemary A. Obilo 15 Kevin O. Aloo 16 Dominic Wambake 17 Betty Njeri Njiru 18 Moses Macharia Kariuki 19 Scolastica W. Mwangi 20 Fredrick Njoronge Kimani 21 Susan M. Mungai 22 Sylvia Muthoni 23 Boniface Macharia Gichemi 24 Karugumi Peter Mucira 25 Anne Wangeci Muthigani 26 Samuel Mwangi 27 Loise Mathenge 28 Timothy Mwaniki Mwangi 29 Tabitha Nyaguthi Wambugu 30 Charity Wangari 31 Robert Nga'ng'a Waweru 32 Patrick Kamau 33 Doris Muthuri Mwendwa 34 Alfred Mwangi 35 Florence Kirimi 36 Njeru kimathi Sammy 37 Roseline Nthiga 38 Bernard Njeru 39 Dorcas Mumbi 40 Henry Kuria 41 Fatuma Bashir 42 Welli Hussein Mohammed 43 Fatuma Mohammed Garati 44 Hassan mohammed Daud 45 Mohammed Ahmed Osman 46 Abdikarim Mohammed 47 Malyun Abbas 48 Mulki Salat Onle 49 Margaret Musee 50 Joseph Mayoli 51 Joshua K. Musya 52 Purity Nyamai 53 Reuben M. Nzonzi 54 Shireen Nzaumi 55 Valentinah Mumbua Kilonzo 56 Justus Ndambuki 57 Munir Abubakar 58 Winnie Mapenzi Mgute 59 James Dudah 60 Josephine Wali 61 Irene Furaha Mwariga 62 Francis Ruwa 63 Jerita J. Mwambi 64 Lawrence Chea 65 Kadzo N. Mumba 66 Grace Sanda Ponda 67 Shongoro Musha 68 Peter Baya 69 Anne Serea Seketo 70 Alex Mooke 71 Joesephine Nasieku Otui 72 William K. Sipai 73 Julie Jepkosgei Rop 74 Mike Yegon 75 Changmasa Kipkemoi Titus 76 Caroline Koima 77 Chris Kipkoech Tuitoek 78 Christopher Yator 79 Roselyne Cherugut 80 Maureen Jemtai 81 Carolyne Onyancha 82 Cleophas Nyasinga 83 Okari Nyaoko John 84 Lucy Nyakango 85 Robert Momanyi 86 Henry Onsore 87 Vera Moraa Gekonge 88 Nyagwaka Getrude 89 Jessika Achieng Okello 90 Vincent Oduor 91 Bunde Aggrey Otieno 92 Everlyn Otieno 93 Calleb Kolla Owuor 94 George Omondi 95 Caroline Odongo 96 Lorna Okatch 97 Dan Collins Omondi Obonyo 98 Capistran Gak 99 Elizabeth Akelo Okumu 100 Maurine Omiti 101 Nipher Akalongo 102 Geoffrey S. Khirachili 103 Hagai Wanyungu 104 Amboko A. Yvonne 105 Indeche Sore 106 Lawrence Mugeni Wandera 107 Wakasiakah Patricia 108 Zaynab Maebe 109 Kevin Shikuku 110 Jenifer N. Mukhongo 111 Joseph Alusa 112 Pauline Libaisi 113 Victor Ambani 114 Sylia Kareha 115 Aggrey Kayobio 116 Cecilia Asaji Result of household interview Result of household interview Result of household interview Result of household interview Result of household interview 1 Completed 2 HH present, no resp 3 HH absent 4 Postponed 5 Refused 6 Dwelling vacant 7 Dwelling destroyed 8 Dwelling not found 9 Other Number of household visits Number of household visits Number of household visits Number of household visits Number of household visits Total members in household Total members in household Total members in household Total members in household Total members in household Eligible women in household Eligible women in household Eligible women in household Eligible women in household Eligible women in household Eligible men in household Eligible men in household Eligible men in household Eligible men in household Eligible men in household Line of household respondent Line of household respondent Line of household respondent Line of household respondent Line of household respondent Supervisor Supervisor Supervisor Supervisor Supervisor 1 Mary Karimi 2 Rosemary Chepkoech 3 Moses Okelo 4 Benjamin T. Otieno 5 Tabitha Mwangi 6 Elias Nyagah 7 Leah Wambugu 8 Peter K. Kamau 9 Patrick Nzivo 10 Lilian Kayaro 11 Ibrahim Mohmmed 12 Ahmed Sheikh 13 Esther Kasyoka Muthui 14 Kathini Mitau 15 John Otiato 16 Rodgers Kazungu 17 Pauline Musila 18 Norman Mwasigwa 19 Reuben Tanui 20 S. M. T. Wambua 21 Henry Osoro 22 Julius Nyakaka 23 Peter Ochiel 24 Grephus Ogwang' 25 George Kosida 26 Javan Amoi 27 Justus Wawire 28 Rose Malova 29 Benjamin Avusevwa Office editor Office editor Office editor Office editor Office editor 21 Fridah Katua 22 Maxwel Oyier 23 Sharon Juma 24 Linda Gondi 25 Dominic Oduge Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk 1 Christopher Ndayara 2 Samuel Kipruto 3 Benard Obasi (Supervisor) 4 Paul Waweru (Supervisor) 5 Redempta K. Muyuma 6 Margaret Nyamuok 7 Domitilla M. Kivuvo 8 Eunice Maina 9 Christine Waga 10 Daniel Mutembei Marete 11 Dorcas Kioko 12 Priscilla Mueni 13 Naomi Wangui Ngure 14 Esther Wangui Kinyanjui 15 Rhoda K. Mulei 16 Caren Adongo Okumu 17 Pamela A. Ojok 18 Winfred M. Githinji 19 Robert Kahonge 20 Grace Mukira Mubira Total Eligible Total Eligible Total Eligible Total Eligible Total Eligible Total Children Aged 0-17 Total Children Aged 0-17 Total Children Aged 0-17 Total Children Aged 0-17 Total Children Aged 0-17 Source of drinking water Source of drinking water Source of drinking water Source of drinking water Source of drinking water What is the main source of drinking water for members of your household? 11 Piped into dwelling 12 Piped into compound/plot 13 Public tap/Stand pipe 21 Open well in compound/plot 31 Dug well-Protected well 32 Dug well -Unprotected well 41 Water from Spring-Protected Spring 42 Water from Spring-Unprocted spring 51 Rainwater 61 Tank truck 71 Cart with small tank 81 Surface water(River/Dam/Lake/Pond/Stream/Canal/Irrigation Ch 91 Bottled water 96 Other What do you do to make water safe for drinking What do you do to make water safe for drinking What do you do to make water safe for drinking What do you do to make water safe for drinking What do you do to make water safe for drinking What do you do to make your water safe for drinking? 1 Boiling 2 Filtration 3 Sedimentation 4 Disinfection 5 Used bottled water 6 Do not treat water 96 Other Type of toilet facility Type of toilet facility Type of toilet facility Type of toilet facility Type of toilet facility What kind of toilet facility do members of your household usually use? 11 Flush toilet 21 Traditional pit toilet 22 Ventilated improved pit latrine 61 No facility, bush, field 96 Other Share facilities with other households Share facilities with other households Share facilities with other households Share facilities with other households Share facilities with other households Do you share this toilet facility with other households? 1 Yes 2 No Electricity Electricity Electricity Electricity Electricity Does your household have: Electricity? A radio? A television? A telephone/mobile telephone? A refrigerator? 1 Yes 2 No Radio Radio Radio Radio Radio Does your household have: Electricity? A radio? A television? A telephone/mobile telephone? A refrigerator? 1 Yes 2 No Television Television Television Television Television Does your household have: Electricity? A radio? A television? A telephone/mobile telephone? A refrigerator? 1 Yes 2 No Telephone/Mobile phone Telephone/Mobile phone Telephone/Mobile phone Telephone/Mobile phone Telephone/Mobile phone Does your household have: Electricity? A radio? A television? A telephone/mobile telephone? A refrigerator? 1 Yes 2 No Refrigerator Refrigerator Refrigerator Refrigerator Refrigerator Does your household have: Electricity? A radio? A television? A telephone/mobile telephone? A refrigerator? 1 Yes 2 No Type of cooking fuel Type of cooking fuel Type of cooking fuel Type of cooking fuel Type of cooking fuel What type of fuel does your household mainly use for cooking? 1 Electricity 2 LPG, natural gas 4 Biogas 5 Paraffin/Kerosene 6 Coal, lignite 7 Charcoal from wood 8 Firewood, straw 9 Dung 95 No food cooked in household 96 Other Main material of floor Main material of floor Main material of floor Main material of floor Main material of floor MAIN MATERIAL OF THE FLOOR. 11 Earth/sand 12 Dung 21 Wood planks 22 Palm/bamboo 31 Parquet, polished wood 32 Vinyl, asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 96 Other Main material of roof Main material of roof Main material of roof Main material of roof Main material of roof MAIN MATERIAL OF THE ROOF. 11 No roof 12 Grass Thatch/Palm leaf(makuti) 13 Dung/Mud 21 Corrugated iron (mabati) 22 Tin Cans 31 Asbestos sheets 32 Concrete 33 Tiles 96 Other Main material for exterior wall Main material for exterior wall Main material for exterior wall Main material for exterior wall Main material for exterior wall MAIN MATERIAL OF THE EXTERIOR WALLS. 11 No walls 12 Cane/Palm/Trunks 13 Dirt 21 Bamboo with Mud 22 Stone with mud 23 Uncovered adobe 24 Plywood 25 Cardboard 26 Reused wood 31 Cement 32 Stone with lime/cement 33 Bricks 34 Cement Blocks 35 Covered Adobe 36 Wood Planks/Shingles 96 Other Number of rooms in the household used for sleeping Number of rooms in the household used for sleeping Number of rooms in the household used for sleeping Number of rooms in the household used for sleeping Number of rooms in the household used for sleeping How many rooms in this household are used for sleeping? Bicycle Bicycle Bicycle Bicycle Bicycle Does any member of your household own: A bicycle? A motorcycle or motor scooter? A car or truck? A boat with a motor? 1 Yes 2 No Motorcycle or Scooter Motorcycle or Scooter Motorcycle or Scooter Motorcycle or Scooter Motorcycle or Scooter Does any member of your household own: A bicycle? A motorcycle or motor scooter? A car or truck? A boat with a motor? 1 Yes 2 No Car or Truck Car or Truck Car or Truck Car or Truck Car or Truck Does any member of your household own: A bicycle? A motorcycle or motor scooter? A car or truck? A boat with a motor? 1 Yes 2 No Boat with motor Boat with motor Boat with motor Boat with motor Boat with motor Does any member of your household own: A bicycle? A motorcycle or motor scooter? A car or truck? A boat with a motor? Cows Cows Cows Cows Cows Does your household own any of the following: Cows? Goats/sheep? Poultry (e.g., chickens, ducks)? Dogs? Other animals (camels, horses, donkeys, etc).? 1 Yes 2 No Goats/Sheep Goats/Sheep Goats/Sheep Goats/Sheep Goats/Sheep Does your household own any of the following: Cows? Goats/sheep? Poultry (e.g., chickens, ducks)? Dogs? Other animals (camels, horses, donkeys, etc).? 1 Yes 2 No Poultry Poultry Poultry Poultry Poultry Does your household own any of the following: Cows? Goats/sheep? Poultry (e.g., chickens, ducks)? Dogs? Other animals (camels, horses, donkeys, etc).? 1 Yes 2 No Dogs Dogs Dogs Dogs Dogs Does your household own any of the following: Cows? Goats/sheep? Poultry (e.g., chickens, ducks)? Dogs? Other animals (camels, horses, donkeys, etc).? 1 Yes 2 No Have bednet for sleeping Have bednet for sleeping Have bednet for sleeping Have bednet for sleeping Have bednet for sleeping Does your household have any mosquito nets that can be used while sleeping? 1 Yes 2 No Mosquito nets household owns Mosquito nets household owns Mosquito nets household owns Mosquito nets household owns Mosquito nets household owns How many mosquito nets does your household have? Any deaths in the past 12 months Any deaths in the past 12 months Any deaths in the past 12 months Any deaths in the past 12 months Any deaths in the past 12 months Now I would like to ask you a few more questions about your household. Think back over the past 12 months. Has any usual member of your household died in the last 12 months? 1 Yes 2 No 3 DK Number dead in the past 12 months Number dead in the past 12 months Number dead in the past 12 months Number dead in the past 12 months Number dead in the past 12 months How many household members died in the last 12 months? Number of children aged 0-17 Number of children aged 0-17 Number of children aged 0-17 Number of children aged 0-17 Number of children aged 0-17 Any sick adults in the household Any sick adults in the household Any sick adults in the household Any sick adults in the household Any sick adults in the household 1 No sick adult 2 Atleast one sick adult age 18-64 Any adults aged 18-64 who died in the past 12months Any adults aged 18-64 who died in the past 12months Any adults aged 18-64 who died in the past 12months Any adults aged 18-64 who died in the past 12months Any adults aged 18-64 who died in the past 12months 1 No adult death age 18-64 2 Atleast one adult death age 18-64 Any child whose mother and/or father has died or whose mothe Any child whose mother and/or father has died or whose mothe Any child whose mother and/or father has died or whose mothe Any child whose mother and/or father has died or whose mothe Any child whose mother and/or father has died or whose mothe 1 Atleast one child whosemother and /or father has died 2 No child whose mother/father has died Provincial Code Provincial Code Provincial Code Provincial Code Provincial Code 1 Nairobi 2 Central 3 Coast 4 Eastern 5 North Eastern 6 Nyanza 7 Rift Valley 8 Western Residential Code Residential Code Residential Code Residential Code Residential Code 1 Rural 2 Urban District District District District District 101 Nairobi 201 Kiambu 202 Kirinyaga 203 Muranga 204 Nyandarua 205 Nyeri 206 Thika 207 Maragua 301 Kilifi 302 Kwale 303 Lamu 304 Mombasa 305 Taita Taveta 306 Tana River 307 Malindi 401 Embu 402 Isiolo 403 Kitui 404 Makueni 405 Machakos 406 Marsabit 407 Mbeere 408 Meru Central 409 Moyale 410 Mwingi 411 Meru North 412 Tharaka 413 Meru South 501 Garissa 502 Mandera 503 Wajir 601 Gucha 602 Homa Bay 603 Central Kisii 604 Kisumu 605 Kuria 606 Migori 607 Kisii North 608 Rachuonyo 609 Siaya 610 Suba 611 Bondo 612 Nyando 701 Baringo 702 Bomet 703 Keiyo 704 Kajiado 705 Kericho 706 Koibatek 707 Laikipia 708 Marakwet 709 Nakuru 710 Nandi 711 Narok 712 Samburu 713 Trans Mara 714 Trans Nzoia 715 Turkana 716 Uasin Gishu 717 West Pokot 718 Buret 801 Bungoma 802 Busia 803 Mt. Elgon 804 Kakamega 805 Lugari 806 Teso 807 Vihiga 808 Butere Mumias Cluster Number Cluster Number Cluster Number Cluster Number Cluster Number Household Number Household Number Household Number Household Number Household Number City\Town\Countryside City\Town\Countryside City\Town\Countryside City\Town\Countryside City\Town\Countryside 1 Nairobi/Mombasa/Kisumu 2 Nakuru/Eldoret/Thika/Nyeri 3 Small town 4 Rural Date of interview (CMC) Date of interview (CMC) Date of interview (CMC) Date of interview (CMC) Date of interview (CMC) Result of individual interview Result of individual interview Result of individual interview Result of individual interview Result of individual interview 1 Completed 2 Not at home 3 Postponed 4 Refused 5 Partly completed 6 Incapacitated 7 Other Line number of member Line number of member Line number of member Line number of member Line number of member Relationship to head Relationship to head Relationship to head Relationship to head Relationship to head What is the relationship of (NAME) to the head of the household? 1 Head 2 Wife or husband 3 Son, daughter 4 Son, daughter-in-law 5 Grandchild 6 Parent 7 Parent-in-law 8 Brother, sister 9 Niece/nephew by blood 10 Niece/nephew by marriage 11 Co-wife 12 Other relative 13 Adopted/foster/step child 14 Not related 98 DK Sex of household member Sex of household member Sex of household member Sex of household member Sex of household member Is (NAME) male or female? 1 Male 2 Female Usual resident Usual resident Usual resident Usual resident Usual resident Does (NAME) usually live here? 1 Yes 2 No Slept last night Slept last night Slept last night Slept last night Slept last night Did (NAME) sleep here last night? 1 Yes 2 No Age of respondent (CMC) Age of respondent (CMC) Age of respondent (CMC) Age of respondent (CMC) Age of respondent (CMC) How old is (NAME)? Calculated age of the respondent Calculated age of the respondent Calculated age of the respondent Calculated age of the respondent Calculated age of the respondent Reported age of household members Reported age of household members Reported age of household members Reported age of household members Reported age of household members 97 97+ 98 DK Marital status Marital status Marital status Marital status Marital status What's (NAME) current marital status? 1 Maried or Living together 2 Divorced/Separated 3 Widowed 4 Never married and never lived together Eligibility for interview Eligibility for interview Eligibility for interview Eligibility for interview Eligibility for interview Not eligible Has been sick in last 12 months Has been sick in last 12 months Has been sick in last 12 months Has been sick in last 12 months Has been sick in last 12 months Has (NAME) been very sick for at least 3 months during the past 12 months, that is (NAME) was too sick to work or do normal activities? 1 Yes 2 No 8 DK Number of very sick people in Household Number of very sick people in Household Number of very sick people in Household Number of very sick people in Household Number of very sick people in Household Mother alive Mother alive Mother alive Mother alive Mother alive Is (NAME)'s natural mother alive? 1 Yes 2 No 8 DK Mother's line number Mother's line number Mother's line number Mother's line number Mother's line number Mother not in HH Has mother very sick for the last three months Has mother very sick for the last three months Has mother very sick for the last three months Has mother very sick for the last three months Has mother very sick for the last three months Haw (NAME)'s mother been very sick for at least 3 months during the past 12 months, that is she was too sick to work or do normal activities? 1 Yes 2 No 8 DK Father alive Father alive Father alive Father alive Father alive Is (NAME)'s natural father alive? 1 Yes 2 No 8 DK Father's line number Father's line number Father's line number Father's line number Father's line number Father not in HH Has father been very sick for the last three months Has father been very sick for the last three months Has father been very sick for the last three months Has father been very sick for the last three months Has father been very sick for the last three months Has (NAME)'s father been very sick for at least 3 months during the past 12 months, that is he was too sick to work or do normal activities? 1 Yes 2 No 8 DK Mother/Father dead/sick Mother/Father dead/sick Mother/Father dead/sick Mother/Father dead/sick Mother/Father dead/sick Both parents alive Both parents alive Both parents alive Both parents alive Both parents alive 1 Yes 2 No Has brothers/sister under age 18 has same mother, same fathe Has brothers/sister under age 18 has same mother, same fathe Has brothers/sister under age 18 has same mother, same fathe Has brothers/sister under age 18 has same mother, same fathe Has brothers/sister under age 18 has same mother, same fathe Does (NAME) have any brothers or sisters under age 18 who have the same mother and the same ather? 1 Yes 2 No 8 DK Any of the brothers sister under age 18 not live in the ho Any of the brothers sister under age 18 not live in the ho Any of the brothers sister under age 18 not live in the ho Any of the brothers sister under age 18 not live in the ho Any of the brothers sister under age 18 not live in the ho Do any of these brothers and sisters under age 18 not live in this household? 1 Yes 2 No Ever attended school Ever attended school Ever attended school Ever attended school Ever attended school Has (NAME) ever attended school? 1 Yes 2 No Level of education Level of education Level of education Level of education Level of education What is the highest level of school (NAME) has attended? 1 No education 2 Primary incomplete 3 Primary Completge 4 Secondary Incomplete 5 Secondary Complete 6 College/Vocational 7 University 8 Other Level of education attended Level of education attended Level of education attended Level of education attended Level of education attended Nursery, Kindergarten 1 Primary 2 Post-Primary, Vocational 3 Secondary, "A" Level 4 College (Middle Level) 5 University 8 DK Highest grade completed Highest grade completed Highest grade completed Highest grade completed Highest grade completed What is the highest grade (NAME) completed at that level? < 1 year completed 98 DK Currently attending school Currently attending school Currently attending school Currently attending school Currently attending school Did (NAME) atend school at any time during the current school year? 1 Yes 2 No Does have a blanket Does have a blanket Does have a blanket Does have a blanket Does have a blanket Does (NAME) have a blanket? 1 Yes 2 No 8 DK Has at least two sets of clothes Has at least two sets of clothes Has at least two sets of clothes Has at least two sets of clothes Has at least two sets of clothes Does (NAME) have at least two sets of clothes? 1 Yes 2 No 8 DK Does have a birth certificate Does have a birth certificate Does have a birth certificate Does have a birth certificate Does have a birth certificate Does (NAME) have a birth certificate? IF NO, PROBE: Has (NAME)'s birth ever been registered with the civil authority? 1 = HAS CERTIFICATE 2 = REGISTERED 3 = NEITHER 8 = DON'T KNOW 1 Has Certificate 2 Registered 3 Neither 8 DK Was sick in the last four weeks Was sick in the last four weeks Was sick in the last four weeks Was sick in the last four weeks Was sick in the last four weeks Did (NAME) seek any outpaitne care for the last four weeks? 1 Yes 2 No 8 DK How many outpatient visits made last four weeks How many outpatient visits made last four weeks How many outpatient visits made last four weeks How many outpatient visits made last four weeks How many outpatient visits made last four weeks How many outpaitnet visits did (NAME) make in the last four weeks? visit 1 visit 1 visit 1 visit 1 visit 1 In the most recent (first, second, thid, and fourth most recent) visit, where did (NAME) go for outpatient care? 1 Government Hospital 2 Government Health Center 3 Government dispensary 4 Other 5 Faith base hospital 6 Faith based health center 7 Private Hospital 8 Private health center/Clinic 9 Care sought abroad 10 Pharmacy 11 Other private medical 12 Shop 13 Traditional healer 99 DK Visit 2 Visit 2 Visit 2 Visit 2 Visit 2 In the most recent (first, second, thid, and fourth most recent) visit, where did (NAME) go for outpatient care? 1 Government Hospital 2 Government Health Center 3 Government dispensary 4 Other 5 Faith base hospital 6 Faith based health center 7 Private Hospital 8 Private health center/Clinic 9 Care sought abroad 10 Pharmacy 11 Other private medical 12 Shop 13 Traditional healer 99 DK Visit 3 Visit 3 Visit 3 Visit 3 Visit 3 In the most recent (first, second, thid, and fourth most recent) visit, where did (NAME) go for outpatient care? 1 Government Hospital 2 Government Health Center 3 Government dispensary 4 Other 5 Faith base hospital 6 Faith based health center 7 Private Hospital 8 Private health center/Clinic 9 Care sought abroad 10 Pharmacy 11 Other private medical 12 Shop 13 Traditional healer 99 DK Visit 4 Visit 4 Visit 4 Visit 4 Visit 4 In the most recent (first, second, thid, and fourth most recent) visit, where did (NAME) go for outpatient care? 1 Government Hospital 2 Government Health Center 3 Government dispensary 4 Other 5 Faith base hospital 6 Faith based health center 7 Private Hospital 8 Private health center/Clinic 9 Care sought abroad 10 Pharmacy 11 Other private medical 12 Shop 13 Traditional healer 99 DK How much spent in the most recent visit (visit 1) How much spent in the most recent visit (visit 1) How much spent in the most recent visit (visit 1) How much spent in the most recent visit (visit 1) How much spent in the most recent visit (visit 1) How much did (NAME) spend in the most recent (second, third, and fourth most recent) outpatient visit? In KShs. 999999 DK How much spent in the most recent visit (visit 2) How much spent in the most recent visit (visit 2) How much spent in the most recent visit (visit 2) How much spent in the most recent visit (visit 2) How much spent in the most recent visit (visit 2) How much did (NAME) spend in the most recent (second, third, and fourth most recent) outpatient visit? In KShs. 999999 DK How much spent iin the most recent visit (visit 3) How much spent iin the most recent visit (visit 3) How much spent iin the most recent visit (visit 3) How much spent iin the most recent visit (visit 3) How much spent iin the most recent visit (visit 3) How much did (NAME) spend in the most recent (second, third, and fourth most recent) outpatient visit? In KShs. How much spent in the most recent visit (visit 4) How much spent in the most recent visit (visit 4) How much spent in the most recent visit (visit 4) How much spent in the most recent visit (visit 4) How much spent in the most recent visit (visit 4) How much did (NAME) spend in the most recent (second, third, and fourth most recent) outpatient visit? In KShs. 999999 DK Number of times admitted for overnight stay Number of times admitted for overnight stay Number of times admitted for overnight stay Number of times admitted for overnight stay Number of times admitted for overnight stay How many times was (NAE) admitted for an overnight stay in a health facility in the last 6 months? Never Admitted 999 DK Last admission Last admission Last admission Last admission Last admission How long was (NAME) admitted during the last and second last admission? 999 DK 2nd Last admission 2nd Last admission 2nd Last admission 2nd Last admission 2nd Last admission How long was (NAME) admitted during the last and second last admission? 999 DK Last admission Last admission Last admission Last admission Last admission How much did (NAME) spend during the last and second last admission. in KShs. 999999 DK 2nd to last admission 2nd to last admission 2nd to last admission 2nd to last admission 2nd to last admission How much did (NAME) spend during the last and second last admission. in KShs. 999999 DK Last admission Last admission Last admission Last admission Last admission Where was (NAME) admitted during the last and second last time he/she was admitted? 1 Government Hospital 2 Government Health Center 3 Government dispensary 4 Other 5 Faith base hospital 6 Faith based health center 7 Private Hospital 8 Private health center/Clinic 9 Care sought abroad 10 Other private medical 11 Traditional healer 99 Dk 2nd to last admission 2nd to last admission 2nd to last admission 2nd to last admission 2nd to last admission Where was (NAME) admitted during the last and second last time he/she was admitted? 1 Government Hospital 2 Government Health Center 3 Government dispensary 4 Other 5 Faith base hospital 6 Faith based health center 7 Private Hospital 8 Private health center/Clinic 9 Care sought abroad 10 Other private medical 11 Traditional healer 99 DK Household received any support Household received any support Household received any support Household received any support Household received any support Now I would like to ask you about any support you received for (NAME). In the last 12 months, has your household received any medical support for (NAME), such as medical care, supplies or medicine, for which you did not have to pay? 1 Yes 2 No 8 DK Does household receive this support at least once a month Does household receive this support at least once a month Does household receive this support at least once a month Does household receive this support at least once a month Does household receive this support at least once a month Did your household receive any of this medical support at least once a month while (NAME) was sick? 1 Yes 2 No 8 DK Has the household received any emotional or psychological s Has the household received any emotional or psychological s Has the household received any emotional or psychological s Has the household received any emotional or psychological s Has the household received any emotional or psychological s In the last 12 months, has your household received any emotional or psychological support for (NAME), such as companionship, counseling from a trained counselor, or spiritual support, for which you did not have to pay? 1 Yes 2 No 8 DK Did the household receive any of these emotional or psycholo Did the household receive any of these emotional or psycholo Did the household receive any of these emotional or psycholo Did the household receive any of these emotional or psycholo Did the household receive any of these emotional or psycholo Did your household receive any of this emotional or psychological support in the past 30 days? 1 Yes 2 No 8 DK In the past 12 months has the household has received any material In the past 12 months has the household has received any material In the past 12 months has the household has received any material In the past 12 months has the household has received any material In the past 12 months has the household has received any material In the last 12 months, has your household received any material support for (NAME), such as clothing, food, or financial support, for which you did not have to pay? 1 Yes 2 No 8 DK Did the household receive any of these material supports in t Did the household receive any of these material supports in t Did the household receive any of these material supports in t Did the household receive any of these material supports in t Did the household receive any of these material supports in t Did your household receive any of this material support in the past 30 days? 1 Yes 2 No 8 DK In the past 12 months did the household receive any social su In the past 12 months did the household receive any social su In the past 12 months did the household receive any social su In the past 12 months did the household receive any social su In the past 12 months did the household receive any social su In the last 12 months, has your household received any social support for (NAME), such as help in household work, training for a caregiver, or legal services, for which you did not have to pay? 1 Yes 2 No 8 DK Did the the household receive any of the social supports Did the the household receive any of the social supports Did the the household receive any of the social supports Did the the household receive any of the social supports Did the the household receive any of the social supports Did your household receive any of this social support in the past 30 days? 1 Yes 2 No 8 DK Had severe, mild, or no pain at all Had severe, mild, or no pain at all Had severe, mild, or no pain at all Had severe, mild, or no pain at all Had severe, mild, or no pain at all Now I would like to ask about health problems (NAME) may have recently had. In the last 30 days, has (NAME) had severe pain, mild pain, or no pain at all? 1 Severe 2 Mild 3 Not at all When in pain was able to reduce or stop the pain most of the When in pain was able to reduce or stop the pain most of the When in pain was able to reduce or stop the pain most of the When in pain was able to reduce or stop the pain most of the When in pain was able to reduce or stop the pain most of the When (NAME) was in pain, was he/she able to reduce or stop the pain most of the time, some of the time, or not at all? 1 Most time 2 Some time 3 Not at all Last 30 days, suffered from nausea, coughing, diarrhea, or co Last 30 days, suffered from nausea, coughing, diarrhea, or co Last 30 days, suffered from nausea, coughing, diarrhea, or co Last 30 days, suffered from nausea, coughing, diarrhea, or co Last 30 days, suffered from nausea, coughing, diarrhea, or co In the last 30 days, did (NAME) suffer from nausea, coughing, diarrhea, or constipation? IF YES: Was this problem (were any of these problems) ever severe? 1 Severe 2 Mild 3 Not at all Was able to reduce or stop these problems most of the time, Was able to reduce or stop these problems most of the time, Was able to reduce or stop these problems most of the time, Was able to reduce or stop these problems most of the time, Was able to reduce or stop these problems most of the time, Was (NAME) able to reduce or stop this (these) problem(s) most of the time, some of the time, or not at all? 1 Most time 2 Some time 3 Not at all Any deaths in the past 12 months Any deaths in the past 12 months Any deaths in the past 12 months Any deaths in the past 12 months Any deaths in the past 12 months Now I would like to ask you a few more questions about your household. Think back over the past 12 months. Has any usual member of your household died in the last 12 months? 1 Yes 2 No 3 DK Number of children aged 0-17 Number of children aged 0-17 Number of children aged 0-17 Number of children aged 0-17 Number of children aged 0-17 Any sick adults in the household Any sick adults in the household Any sick adults in the household Any sick adults in the household Any sick adults in the household ANY SICK ADULT AGE 18-64? 1 No sick adult 2 Atleast one sick adult age 18-64 Any adults aged 18-64 who died in the past 12months Any adults aged 18-64 who died in the past 12months Any adults aged 18-64 who died in the past 12months Any adults aged 18-64 who died in the past 12months Any adults aged 18-64 who died in the past 12months ANY ADULT AGE 18-64 WHO DIED IN PAST 12 MONTHS? 1 No adult death age 18-64 2 Atleast one adult death age 18-64 Any child whose mother and/or father has died or whose mothe Any child whose mother and/or father has died or whose mothe Any child whose mother and/or father has died or whose mothe Any child whose mother and/or father has died or whose mothe Any child whose mother and/or father has died or whose mothe ANY CHILD WHOSE MOTHER AND/OR FATHER HAS DIED OR WHOSE MOTHER AND/OR FATHER IS NOT LISTED IN THE HOUSEHOLD SCHEDULE AND IS VERY SICK? 1 Atleast one child whosemother and /or father has died 2 No child whose mother/father has died Age of child Age of child Age of child Age of child Age of child Has the household recived any medical support Has the household recived any medical support Has the household recived any medical support Has the household recived any medical support Has the household recived any medical support Now I would like to ask you about the support your household received for (NAME). In the last 12 months, has your household received any medical support for (NAME), such as medical care, supplies or medicine, for which you did not have to pay? 1 Yes 2 No 8 DK In the last 12 months did the household receive emotional or In the last 12 months did the household receive emotional or In the last 12 months did the household receive emotional or In the last 12 months did the household receive emotional or In the last 12 months did the household receive emotional or In the last 12 months, has your household received any emotional or psychological support for (NAME), such as companionship, counseling from a trained counselor, or spiritual support, which you received at home and for which you did not have to pay? 1 Yes 2 No 8 DK Did the household recive any of the emotional/pyschogical su Did the household recive any of the emotional/pyschogical su Did the household recive any of the emotional/pyschogical su Did the household recive any of the emotional/pyschogical su Did the household recive any of the emotional/pyschogical su Did your household receive any of this emotional or psychological support in the past 3 months? 1 Yes 2 No 8 DK In the last 12 months did the household receive any material In the last 12 months did the household receive any material In the last 12 months did the household receive any material In the last 12 months did the household receive any material In the last 12 months did the household receive any material In the last 12 months, has your household received any material support for (NAME), such as clothing, food, or financial support, for which you did not have to pay? 1 Yes 2 No 8 DK Did the household receive any of the material support in the Did the household receive any of the material support in the Did the household receive any of the material support in the Did the household receive any of the material support in the Did the household receive any of the material support in the Did your household receive of this material support in the past 3 months? 1 Yes 2 No 8 DK In the last 12 months did the household receive social suppor In the last 12 months did the household receive social suppor In the last 12 months did the household receive social suppor In the last 12 months did the household receive social suppor In the last 12 months did the household receive social suppor In the last 12 months, has your household received any social support for (NAME) such as help in household work, training for a caregiver, or legal services for which you did not have to pay? 1 Yes 2 No 8 DK Did the household receive social support in the past 3 months Did the household receive social support in the past 3 months Did the household receive social support in the past 3 months Did the household receive social support in the past 3 months Did the household receive social support in the past 3 months Did your household receive any of this social support in the past 3 months? 1 Yes 2 No 8 DK Did the household receive any support for school Did the household receive any support for school Did the household receive any support for school Did the household receive any support for school Did the household receive any support for school In the last 12 months, has your household received any support for (NAME'S) schooling, such as allowance, free admission, books or supplies, for which you did not have to pay? NotApplicable 1 Yes 2 No 8 DK Check age Check age Check age Check age Check age 1 00-17 2 18-64 Line number of parent/responsible Line number of parent/responsible Line number of parent/responsible Line number of parent/responsible Line number of parent/responsible Consent statement to parent Consent statement to parent Consent statement to parent Consent statement to parent Consent statement to parent 1 Agree 2 Refuse 3 Absent/Other Test Test Test Test Test 1 Agree 2 Refuse 3 Absent/Other Storage Storage Storage Storage Storage 1 Agrees 2 Refuses 3 Absent/Other Sample collected Sample collected Sample collected Sample collected Sample collected 1 Test tube 2 Filter paper 3 No sample Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Provincial Code Provincial Code Provincial Code Provincial Code Provincial Code 1 Nairobi 2 Central 3 Coast 4 Eastern 5 North Eastern 6 Nyanza 7 Rift Valley 8 Western Residential Code Residential Code Residential Code Residential Code Residential Code 1 Rural 2 Urban District District District District District 101 Nairobi 201 Kiambu 202 Kirinyaga 203 Muranga 204 Nyandarua 205 Nyeri 206 Thika 207 Maragua 301 Kilifi 302 Kwale 303 Lamu 304 Mombasa 305 Taita Taveta 306 Tana River 307 Malindi 401 Embu 402 Isiolo 403 Kitui 404 Makueni 405 Machakos 406 Marsabit 407 Mbeere 408 Meru Central 409 Moyale 410 Mwingi 411 Meru North 412 Tharaka 413 Meru South 501 Garissa 502 Mandera 503 Wajir 601 Gucha 602 Homa Bay 603 Central Kisii 604 Kisumu 605 Kuria 606 Migori 607 Kisii North 608 Rachuonyo 609 Siaya 610 Suba 611 Bondo 612 Nyando 701 Baringo 702 Bomet 703 Keiyo 704 Kajiado 705 Kericho 706 Koibatek 707 Laikipia 708 Marakwet 709 Nakuru 710 Nandi 711 Narok 712 Samburu 713 Trans Mara 714 Trans Nzoia 715 Turkana 716 Uasin Gishu 717 West Pokot 718 Buret 801 Bungoma 802 Busia 803 Mt. Elgon 804 Kakamega 805 Lugari 806 Teso 807 Vihiga 808 Butere Mumias Cluster Number Cluster Number Cluster Number Cluster Number Cluster Number Household Number Household Number Household Number Household Number Household Number strata strata strata strata strata City\Town\Countryside City\Town\Countryside City\Town\Countryside City\Town\Countryside City\Town\Countryside 1 Nairobi/Mombasa/Kisumu 2 Nakuru/Eldoret/Thika/Nyeri 3 Small town 4 Rural Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Line number of member Line number of member Line number of member Line number of member Line number of member Sex Sex Sex Sex Sex 1 Male 2 Female Day Day Day Day Day Month Month Month Month Month Year Year Year Year Year Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number 1 Sarah Kanyangi 2 Charles Omondi 3 Jane Nduta Gachanja 4 Martyn M. Ayaka 5 Consolata Muthembwa 6 Barnadette J. Achieng 7 Mark Luta buyu 8 Kevin Nyongesa Wafula 9 Linda f. Mutinda 10 Gladys Ngeno 11 Jirm Karani Elle 12 Asugo George Omondi 13 Agnes Mwikali 14 Rosemary A. Obilo 15 Kevin O. Aloo 16 Dominic Wambake 17 Betty Njeri Njiru 18 Moses Macharia Kariuki 19 Scolastica W. Mwangi 20 Fredrick Njoronge Kimani 21 Susan M. Mungai 22 Sylvia Muthoni 23 Boniface Macharia Gichemi 24 Karugumi Peter Mucira 25 Anne Wangeci Muthigani 26 Samuel Mwangi 27 Loise Mathenge 28 Timothy Mwaniki Mwangi 29 Tabitha Nyaguthi Wambugu 30 Charity Wangari 31 Robert Nga'ng'a Waweru 32 Patrick Kamau 33 Doris Muthuri Mwendwa 34 Alfred Mwangi 35 Florence Kirimi 36 Njeru kimathi Sammy 37 Roseline Nthiga 38 Bernard Njeru 39 Dorcas Mumbi 40 Henry Kuria 41 Fatuma Bashir 42 Welli Hussein Mohammed 43 Fatuma Mohammed Garati 44 Hassan mohammed Daud 45 Mohammed Ahmed Osman 46 Abdikarim Mohammed 47 Malyun Abbas 48 Mulki Salat Onle 49 Margaret Musee 50 Joseph Mayoli 51 Joshua K. Musya 52 Purity Nyamai 53 Reuben M. Nzonzi 54 Shireen Nzaumi 55 Valentinah Mumbua Kilonzo 56 Justus Ndambuki 57 Munir Abubakar 58 Winnie Mapenzi Mgute 59 James Dudah 60 Josephine Wali 61 Irene Furaha Mwariga 62 Francis Ruwa 63 Jerita J. Mwambi 64 Lawrence Chea 65 Kadzo N. Mumba 66 Grace Sanda Ponda 67 Shongoro Musha 68 Peter Baya 69 Anne Serea Seketo 70 Alex Mooke 71 Joesephine Nasieku Otui 72 William K. Sipai 73 Julie Jepkosgei Rop 74 Mike Yegon 75 Changmasa Kipkemoi Titus 76 Caroline Koima 77 Chris Kipkoech Tuitoek 78 Christopher Yator 79 Roselyne Cherugut 80 Maureen Jemtai 81 Carolyne Onyancha 82 Cleophas Nyasinga 83 Okari Nyaoko John 84 Lucy Nyakango 85 Robert Momanyi 86 Henry Onsore 87 Vera Moraa Gekonge 88 Nyagwaka Getrude 89 Jessika Achieng Okello 90 Vincent Oduor 91 Bunde Aggrey Otieno 92 Everlyn Otieno 93 Calleb Kolla Owuor 94 George Omondi 95 Caroline Odongo 96 Lorna Okatch 97 Dan Collins Omondi Obonyo 98 Capistran Gak 99 Elizabeth Akelo Okumu 100 Maurine Omiti 101 Nipher Akalongo 102 Geoffrey S. Khirachili 103 Hagai Wanyungu 104 Amboko A. Yvonne 105 Indeche Sore 106 Lawrence Mugeni Wandera 107 Wakasiakah Patricia 108 Zaynab Maebe 109 Kevin Shikuku 110 Jenifer N. Mukhongo 111 Joseph Alusa 112 Pauline Libaisi 113 Victor Ambani 114 Sylia Kareha 115 Aggrey Kayobio 116 Cecilia Asaji Result of individual interview Result of individual interview Result of individual interview Result of individual interview Result of individual interview 1 Completed 2 Not at home 3 Postponed 4 Refused 5 Partly completed 6 Incapacitated 7 Other Number of visits Number of visits Number of visits Number of visits Number of visits Lab Tech ID Lab Tech ID Lab Tech ID Lab Tech ID Lab Tech ID Result Lab Result Lab Result Lab Result Lab Result Lab 1 Agree 2 Refuse 3 Absent HIV Response (Blood donated) HIV Response (Blood donated) HIV Response (Blood donated) HIV Response (Blood donated) HIV Response (Blood donated) 1 Blood Donated 2 No Blood donated Total Visits Total Visits Total Visits Total Visits Total Visits Language of questionnaire Language of questionnaire Language of questionnaire Language of questionnaire Language of questionnaire 1 Embu 2 Kalenjin 3 Kamba 4 Kikuyu 5 Kisii 6 Luhya 7 Luo 8 Masai 9 Meru 10 Mijikenda 11 Somali 12 Kiswahili 13 English 14 Other Language of interview Language of interview Language of interview Language of interview Language of interview 1 Embu 2 Kalenjin 3 Kamba 4 Kikuyu 5 Kisii 6 Luhya 7 Luo 8 Masai 9 Meru 10 Mijikenda 11 Somali 12 Kiswahili 13 English 14 Other Home language of respondent Home language of respondent Home language of respondent Home language of respondent Home language of respondent Supervisor Supervisor Supervisor Supervisor Supervisor 1 Mary Karimi 2 Rosemary Chepkoech 3 Moses Okelo 4 Benjamin T. Otieno 5 Tabitha Mwangi 6 Elias Nyagah 7 Leah Wambugu 8 Peter K. Kamau 9 Patrick Nzivo 10 Lilian Kayaro 11 Ibrahim Mohmmed 12 Ahmed Sheikh 13 Esther Kasyoka Muthui 14 Kathini Mitau 15 John Otiato 16 Rodgers Kazungu 17 Pauline Musila 18 Norman Mwasigwa 19 Reuben Tanui 20 S. M. T. Wambua 21 Henry Osoro 22 Julius Nyakaka 23 Peter Ochiel 24 Grephus Ogwang' 25 George Kosida 26 Javan Amoi 27 Justus Wawire 28 Rose Malova 29 Benjamin Avusevwa Office editor Office editor Office editor Office editor Office editor 21 Fridah Katua 22 Maxwel Oyier 23 Sharon Juma 24 Linda Gondi 25 Dominic Oduge Data entry Data entry Data entry Data entry Data entry 1 Christopher Ndayara 2 Samuel Kipruto 3 Benard Obasi (Supervisor) 4 Paul Waweru (Supervisor) 5 Redempta K. Muyuma 6 Margaret Nyamuok 7 Domitilla M. Kivuvo 8 Eunice Maina 9 Christine Waga 10 Daniel Mutembei Marete 11 Dorcas Kioko 12 Priscilla Mueni 13 Naomi Wangui Ngure 14 Esther Wangui Kinyanjui 15 Rhoda K. Mulei 16 Caren Adongo Okumu 17 Pamela A. Ojok 18 Winfred M. Githinji 19 Robert Kahonge 20 Grace Mukira Mubira Start of interview (hour) Start of interview (hour) Start of interview (hour) Start of interview (hour) Start of interview (hour) Start of interview (minutes) Start of interview (minutes) Start of interview (minutes) Start of interview (minutes) Start of interview (minutes) Date of interview (CMC) Date of interview (CMC) Date of interview (CMC) Date of interview (CMC) Date of interview (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Month of birth Month of birth Month of birth Month of birth Month of birth 97 Inconsistent 98 DK month Year of birth Year of birth Year of birth Year of birth Year of birth 9997 Inconsistent 9998 DK year Age groups Age groups Age groups Age groups Age groups 1 15-19 2 20-24 3 25-29 4 30-34 5 35-39 6 40-44 7 45-49 8 50-54 9 55-59 10 60-64 Calculated age Calculated age Calculated age Calculated age Calculated age Current age of respondent Current age of respondent Current age of respondent Current age of respondent Current age of respondent 97 Inconsistent 98 DK Ever attended school Ever attended school Ever attended school Ever attended school Ever attended school Have you ever attended school? 1 Yes 2 No Highest educational level Highest educational level Highest educational level Highest educational level Highest educational level What is the highest level of school you attended: primary, vocational, secondary or higher? Nursery/Kindergarten 1 Primary 2 Post-primary/vocational 3 Secondary/"A" Level 4 College (middle level)Higher 5 University Level of education Level of education Level of education Level of education Level of education What is the highest level of school you attended: primary, vocational, secondary or higher? 1 No education 2 Primary incomplete 3 Primary Completge 4 Secondary Incomplete 5 Secondary Complete 6 College/Vocational 7 University 8 Other Highest grade at that level Highest grade at that level Highest grade at that level Highest grade at that level Highest grade at that level What is the highest (standard/form/year) you completed at that level? Reads newspaper Reads newspaper Reads newspaper Reads newspaper Reads newspaper Do you read a newspaper or magazine almost every day, at least once a week, less than once a week or not at all? 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 8 Cannot read Listens to radio Listens to radio Listens to radio Listens to radio Listens to radio Do you listen to the radio almost every day, at least once a week, less than once a week or not at all? 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all Watches television Watches television Watches television Watches television Watches television Do you watch television almost every day, at least once a week, less than once a week or not at all? 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all Have you done any work last seven days Have you done any work last seven days Have you done any work last seven days Have you done any work last seven days Have you done any work last seven days Aside from your own housework, have you done any work in the last seven days? 1 Yes 2 No Done any of these things Done any of these things Done any of these things Done any of these things Done any of these things As you know, some women take up jobs for which they are paid in cash or kind. Others sell things, have a small business or work on the family farm or in the family business. In the last seven days, have you done any of these things or any other work? 1 Yes 2 No Have you done any work last seven days Have you done any work last seven days Have you done any work last seven days Have you done any work last seven days Have you done any work last seven days Have you done any work in the last seven days? 1 Yes 2 No Although you did not work last seven days do you have a job or Although you did not work last seven days do you have a job or Although you did not work last seven days do you have a job or Although you did not work last seven days do you have a job or Although you did not work last seven days do you have a job or Although you did not work in the last seven days, do you have any job or business from which you were absent for leave, illness, vacation or any other such reason? 1 Yes 2 No Have you done any work last twelve months Have you done any work last twelve months Have you done any work last twelve months Have you done any work last twelve months Have you done any work last twelve months Have you done any work in the last 12 months? 1 Yes 2 No What is your occupation What is your occupation What is your occupation What is your occupation What is your occupation What is your occupation, that is, what kind of work do you mainly do? INTERVIEWER: PROBE TO OBTAIN DETAILED INFORMATION ON THE KIND OF WORK RESPONDENT DOES. 998 Students 999 Not Stated What have you been doing most of the time last 12months What have you been doing most of the time last 12months What have you been doing most of the time last 12months What have you been doing most of the time last 12months What have you been doing most of the time last 12months What have you been doing for most of the time over the last 12 months? 1 Going to School 2 Looking for work 3 Retired 4 Too ill to work 5 Handicapped, cannot work 6 Housework/Child Care 96 Other How long have you continously lived in the current residence How long have you continously lived in the current residence How long have you continously lived in the current residence How long have you continously lived in the current residence How long have you continously lived in the current residence How long have you been living continuously in (NAME OF CURRENT PLACE OF RESIDENCE)? 95 Always 96 Visitor In the last 12 months on how many separate occasions have you In the last 12 months on how many separate occasions have you In the last 12 months on how many separate occasions have you In the last 12 months on how many separate occasions have you In the last 12 months on how many separate occasions have you In the last 12 months, on how many separate occasions have you traveled away from your home community and slept away? In the last 12 months have you been away from your home commu In the last 12 months have you been away from your home commu In the last 12 months have you been away from your home commu In the last 12 months have you been away from your home commu In the last 12 months have you been away from your home commu In the last 12 months, have you been away from your home community for more than one month at a time? 1 Yes 2 No What is your religion What is your religion What is your religion What is your religion What is your religion What is your religion? 1 Roman Catholic 2 Protestant/Other Christian 3 Muslim 4 No Religion 6 Other What is your ethnic group/tribe What is your ethnic group/tribe What is your ethnic group/tribe What is your ethnic group/tribe What is your ethnic group/tribe What is your religion? 1 Embu 2 Kalenjin 3 Kamba 4 Kikuyu 5 Kisii 6 Luhya 7 Luo 8 Masai 9 Meru 10 Mjikenda 11 Somali 12 Taita/Taveta 13 Swahili 96 Other Ever given birth Ever given birth Ever given birth Ever given birth Ever given birth What is your ethnic group/tribe? 1 Yes 2 No Sons or daughters living with Sons or daughters living with Sons or daughters living with Sons or daughters living with Sons or daughters living with Do you have any sons or daughters that you have fathered who are now living with you? 1 Yes 2 No Sons at home Sons at home Sons at home Sons at home Sons at home How many sons live with you? Daughters at home Daughters at home Daughters at home Daughters at home Daughters at home And how many daughters live with you? Sons or daughters living away Sons or daughters living away Sons or daughters living away Sons or daughters living away Sons or daughters living away 1 Yes 2 No Sons living elsewhere Sons living elsewhere Sons living elsewhere Sons living elsewhere Sons living elsewhere And how many daughters live with you? Daughters living elsewhere Daughters living elsewhere Daughters living elsewhere Daughters living elsewhere Daughters living elsewhere And how many daughters are alive but do not live with you? Sons or daughters who died Sons or daughters who died Sons or daughters who died Sons or daughters who died Sons or daughters who died Have you ever fathered a boy or girl who was born alive but later died? Any baby who cried or showed signs of life but did not survive? 1 Yes 2 No Boys who died Boys who died Boys who died Boys who died Boys who died Have you ever fathered a boy or girl who was born alive but later died? Any baby who cried or showed signs of life but did not survive? Girls who died Girls who died Girls who died Girls who died Girls who died And how many girls have died? Total children ever born Total children ever born Total children ever born Total children ever born Total children ever born CHECK 210 CHECK 210 CHECK 210 CHECK 210 CHECK 210 1 Male 2 Female 55-64 years 3 Female 15-54 CHECK 103 AND 208 CHECK 103 AND 208 CHECK 103 AND 208 CHECK 103 AND 208 CHECK 103 AND 208 1 No births and age 50-54 2 One or more births 3 No births and age 15-49 Month of birth Month of birth Month of birth Month of birth Month of birth 97 Inconsistent 98 DK Year of birth Year of birth Year of birth Year of birth Year of birth 9997 Inconsistent 9998 DK About how many years ago was your last birth About how many years ago was your last birth About how many years ago was your last birth About how many years ago was your last birth About how many years ago was your last birth About how many years ago was your last birth? Date of birth for last child (CMC) Date of birth for last child (CMC) Date of birth for last child (CMC) Date of birth for last child (CMC) Date of birth for last child (CMC) Calculated age of last born Calculated age of last born Calculated age of last born Calculated age of last born Calculated age of last born Check Q212 and Q213 Check Q212 and Q213 Check Q212 and Q213 Check Q212 and Q213 Check Q212 and Q213 1 Last birth in 2003-2007 2 Last birth last 5years or more Did see anyone for antenatal care during pregnancy Did see anyone for antenatal care during pregnancy Did see anyone for antenatal care during pregnancy Did see anyone for antenatal care during pregnancy Did see anyone for antenatal care during pregnancy Now I would like to ask some questions about your last birth. Did you see anyone for antenatal care during that pregnancy? 1 Yes 2 No Your Home Your Home Your Home Your Home Your Home Where did you receive antenatal care for this pregnancy? A Your home Other Home Other Home Other Home Other Home Other Home Where did you receive antenatal care for this pregnancy? B Other Home Goverment Hospital Goverment Hospital Goverment Hospital Goverment Hospital Goverment Hospital Where did you receive antenatal care for this pregnancy? C Government Hospital Government Health Centre/Clinic Government Health Centre/Clinic Government Health Centre/Clinic Government Health Centre/Clinic Government Health Centre/Clinic Where did you receive antenatal care for this pregnancy? D Government Health Centre/Clinic Government Dispensary Government Dispensary Government Dispensary Government Dispensary Government Dispensary Where did you receive antenatal care for this pregnancy? E Government Dispensary Other Public Other Public Other Public Other Public Other Public Where did you receive antenatal care for this pregnancy? F Other Public Mission/Church hospital/Clinic Mission/Church hospital/Clinic Mission/Church hospital/Clinic Mission/Church hospital/Clinic Mission/Church hospital/Clinic Where did you receive antenatal care for this pregnancy? G Mission/Church Hospital/Clinic Private Hospital/Clinic Private Hospital/Clinic Private Hospital/Clinic Private Hospital/Clinic Private Hospital/Clinic Where did you receive antenatal care for this pregnancy? H Private Hospital/Clinic Nursing/Maternity home Nursing/Maternity home Nursing/Maternity home Nursing/Maternity home Nursing/Maternity home Where did you receive antenatal care for this pregnancy? I Nursing/Maternity Home Other Private Medical Other Private Medical Other Private Medical Other Private Medical Other Private Medical Where did you receive antenatal care for this pregnancy? J Other Private Medical Other Other Other Other Other Where did you receive antenatal care for this pregnancy? X Other CHECK 103 CHECK 103 CHECK 103 CHECK 103 CHECK 103 1 50-54 YEARS 2 15-49 YEARS At the time you became pregnant did you want to become pregna At the time you became pregnant did you want to become pregna At the time you became pregnant did you want to become pregna At the time you became pregnant did you want to become pregna At the time you became pregnant did you want to become pregna At the time you became pregnant, did you want to become pregnant then, did you want to wait until later, or did you not want to have any (more) children at all? 1 Then 2 Later 3 Not at all Has your menstrual period returned since your last birth Has your menstrual period returned since your last birth Has your menstrual period returned since your last birth Has your menstrual period returned since your last birth Has your menstrual period returned since your last birth Has your menstrual period returned since your last birth? 1 Yes 2 No Did you ever breastfeed your last born child Did you ever breastfeed your last born child Did you ever breastfeed your last born child Did you ever breastfeed your last born child Did you ever breastfeed your last born child Did you ever breastfeed your last born child? 1 Yes 2 No Is your last born child still alive Is your last born child still alive Is your last born child still alive Is your last born child still alive Is your last born child still alive Is your last born (last birth) child still alive? 1 Yes 2 No Are you still breastfeeding your last born child Are you still breastfeeding your last born child Are you still breastfeeding your last born child Are you still breastfeeding your last born child Are you still breastfeeding your last born child Are you still breastfeeding your last born child? 1 Yes 2 No For how long did you breastfeed your last born child For how long did you breastfeed your last born child For how long did you breastfeed your last born child For how long did you breastfeed your last born child For how long did you breastfeed your last born child For how long did you breastfeed your last born child? Are you pregnant now Are you pregnant now Are you pregnant now Are you pregnant now Are you pregnant now Are you pregnant now? 1 Yes 2 No 8 Unsure How many months pregnant are you? How many months pregnant are you? How many months pregnant are you? How many months pregnant are you? How many months pregnant are you? How many months pregnant are you? Have you attended an ANC during this current pregnancy? Have you attended an ANC during this current pregnancy? Have you attended an ANC during this current pregnancy? Have you attended an ANC during this current pregnancy? Have you attended an ANC during this current pregnancy? Have you attended an ANC during this current pregnancy? 1 Yes 2 No Are you (your partner) currently doing something or using an Are you (your partner) currently doing something or using an Are you (your partner) currently doing something or using an Are you (your partner) currently doing something or using an Are you (your partner) currently doing something or using an Are you (your partner) currently doing something or using any method to delay or avoid getting pregnant? 1 Yes 2 No 3 Never had sex Female Sterilization Female Sterilization Female Sterilization Female Sterilization Female Sterilization Which method are you (your partner) using? A Female Sterilisation Male Sterilization Male Sterilization Male Sterilization Male Sterilization Male Sterilization Which method are you (your partner) using? B Male Sterilisation Pill Pill Pill Pill Pill Which method are you (your partner) using? C Pill IUD IUD IUD IUD IUD Which method are you (your partner) using? D IUD Injections Injections Injections Injections Injections Which method are you (your partner) using? E Injections Implant Implant Implant Implant Implant Which method are you (your partner) using? F Implant Condom Condom Condom Condom Condom Which method are you (your partner) using? G Condom Female Codom Female Codom Female Codom Female Codom Female Codom Which method are you (your partner) using? H Female Condom Rhythm/Natural methods Rhythm/Natural methods Rhythm/Natural methods Rhythm/Natural methods Rhythm/Natural methods Which method are you (your partner) using? I Rhutm/Natural Methods Withdrawal Withdrawal Withdrawal Withdrawal Withdrawal Which method are you (your partner) using? M Withdrawal Other Other Other Other Other Which method are you (your partner) using? X Other Has Living child Has Living child Has Living child Has Living child Has Living child 1 Atleast one living child 2 No living child How many years old is your (youngest) child How many years old is your (youngest) child How many years old is your (youngest) child How many years old is your (youngest) child How many years old is your (youngest) child Which method are you (your partner) using? Check Age of youngest child Check Age of youngest child Check Age of youngest child Check Age of youngest child Check Age of youngest child 1 Response Have you made arrangements for someone to take care for the Have you made arrangements for someone to take care for the Have you made arrangements for someone to take care for the Have you made arrangements for someone to take care for the Have you made arrangements for someone to take care for the Have you made arrangements for someone to care for him/her/them) in the event that you fall sick or are unable to care for (him/her/them)? 1 Yes 2 No 8 Unsure Besides your own child/children are you a primary caregiver Besides your own child/children are you a primary caregiver Besides your own child/children are you a primary caregiver Besides your own child/children are you a primary caregiver Besides your own child/children are you a primary caregiver 1 Yes 2 No Have you made arrangements for someone to care for the child Have you made arrangements for someone to care for the child Have you made arrangements for someone to care for the child Have you made arrangements for someone to care for the child Have you made arrangements for someone to care for the child Have you made arrangements for someone to care for this child/these children) in the event that you fall sick or are unable to care for (him/her/them)? 1 Yes 2 No 8 Unsure Currently in union Currently in union Currently in union Currently in union Currently in union Are you currently married or living together with a woman as if married? 1 Yes, currently married 2 Yes, living with a man/man 3 Not in union Have ever been married or lived with a man Have ever been married or lived with a man Have ever been married or lived with a man Have ever been married or lived with a man Have ever been married or lived with a man Have you ever been married or lived together with a woman as if married? 1 Yes, formerly married 2 Yes, lived with a man 3 No Current marital status Current marital status Current marital status Current marital status Current marital status What is your marital status now: are you widowed, divorced, or separated? 1 Widowed 2 Divorced 3 Separated Partner living with respondent Partner living with respondent Partner living with respondent Partner living with respondent Partner living with respondent Is your wife/partner living with you now or is she staying elsewhere? 1 Living together 2 Staying elsewhere Do you have more than one wife or woman you live with as if Do you have more than one wife or woman you live with as if Do you have more than one wife or woman you live with as if Do you have more than one wife or woman you live with as if Do you have more than one wife or woman you live with as if 1 Yes 2 No 8 DK Number of wives Number of wives Number of wives Number of wives Number of wives Do you have more than one wife or woman you live with as if married? 98 DK Line number of Spouse Line number of Spouse Line number of Spouse Line number of Spouse Line number of Spouse Not listed in the household How old was your wife/husband/partner on his/her last birthd How old was your wife/husband/partner on his/her last birthd How old was your wife/husband/partner on his/her last birthd How old was your wife/husband/partner on his/her last birthd How old was your wife/husband/partner on his/her last birthd How old was partner on birthday? your wife/ husband/ his/her last 99 not stated Line number of Spouse Line number of Spouse Line number of Spouse Line number of Spouse Line number of Spouse Not listed in the household How old was wife/husband/partner on his/her last birthday How old was wife/husband/partner on his/her last birthday How old was wife/husband/partner on his/her last birthday How old was wife/husband/partner on his/her last birthday How old was wife/husband/partner on his/her last birthday How old was partner on birthday? your wife/ husband/ his/her last 99 not stated Line number Line number Line number Line number Line number Not listed in the household How old was wife/husband/partner on his/her last birthday How old was wife/husband/partner on his/her last birthday How old was wife/husband/partner on his/her last birthday How old was wife/husband/partner on his/her last birthday How old was wife/husband/partner on his/her last birthday How old was partner on birthday? your wife/ husband/ his/her last 99 not stated Line number Line number Line number Line number Line number Not listed in the household How old was wife/husband/partner on his/her last birthday How old was wife/husband/partner on his/her last birthday How old was wife/husband/partner on his/her last birthday How old was wife/husband/partner on his/her last birthday How old was wife/husband/partner on his/her last birthday How old was partner on birthday? your wife/ husband/ his/her last 99 not stated In union more than once In union more than once In union more than once In union more than once In union more than once Have you been married or lived with a woman only once or more than once? 1 Once 2 More than once SEX SEX SEX SEX SEX 1 Any of the Sex CHECK 303 -WIDOWED CHECK 303 -WIDOWED CHECK 303 -WIDOWED CHECK 303 -WIDOWED CHECK 303 -WIDOWED 1 Response MALE AND WIDOWED MALE AND WIDOWED MALE AND WIDOWED MALE AND WIDOWED MALE AND WIDOWED 1 Response How previous union ended How previous union ended How previous union ended How previous union ended How previous union ended How did your previous marriage or union end? 1 Death/Widowhood 2 Divorce 3 Separation To whom did the late husband's property go To whom did the late husband's property go To whom did the late husband's property go To whom did the late husband's property go To whom did the late husband's property go To whom did most of your late husband's property go? 1 Respondent 2 Other wife 3 Late husband's children 4 Late husband's family 6 Other 7 No property Did receive the late husband's assets or valuables Did receive the late husband's assets or valuables Did receive the late husband's assets or valuables Did receive the late husband's assets or valuables Did receive the late husband's assets or valuables Did you receive any of your late husband's assets or valuables? 1 Yes 2 No Check 310: married or lived with a man once or more than onc Check 310: married or lived with a man once or more than onc Check 310: married or lived with a man once or more than onc Check 310: married or lived with a man once or more than onc Check 310: married or lived with a man once or more than onc 1 Response Time of first union (month) Time of first union (month) Time of first union (month) Time of first union (month) Time of first union (month) In what month and year did you start living with your wife/partner? 97 Inconsistent 98 DK month Time of first union (year) Time of first union (year) Time of first union (year) Time of first union (year) Time of first union (year) In what month and year did you start living with your wife/partner? 9997 Inconsistent 9998 DK year Date of birth for last child (CMC) Date of birth for last child (CMC) Date of birth for last child (CMC) Date of birth for last child (CMC) Date of birth for last child (CMC) Calculated age when started living with partner Calculated age when started living with partner Calculated age when started living with partner Calculated age when started living with partner Calculated age when started living with partner 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 first started living with her? 97 Inconsistent 98 DK Age at first intercourse Age at first intercourse Age at first intercourse Age at first intercourse Age at first intercourse CHECK FOR THE PRESENCE OF OTHERS. BEFORE CONTINUING, MAKE EVERY EFFORT TO ENSURE PRIVACY. How old were you when you had sexual intercourse for the very first time? Never 95 When started cohabiting Do you intend to wait until you get married to have sexual i Do you intend to wait until you get married to have sexual i Do you intend to wait until you get married to have sexual i Do you intend to wait until you get married to have sexual i Do you intend to wait until you get married to have sexual i Do you intend to wait until you get married to have sexual intercourse for the first time? 1 Yes 2 No 8 Don't know/Unsure Age check for skip Age check for skip Age check for skip Age check for skip Age check for skip 1 15-24 years old 2 25-64 years old Used condom first intercouse Used condom first intercouse Used condom first intercouse Used condom first intercouse Used condom first intercouse The first time you had sexual intercourse, was a condom used? 1 Yes 2 No 8 Don't Know/Don't Remember How old was the person you had sexual intercourse with How old was the person you had sexual intercourse with How old was the person you had sexual intercourse with How old was the person you had sexual intercourse with How old was the person you had sexual intercourse with How old was the person you first had sexual intercourse with? First time had sex was man younger First time had sex was man younger First time had sex was man younger First time had sex was man younger First time had sex was man younger Was the person you first had sexual intercourse with older than you, younger than you, or about the same age as you? 1 Older 2 Younger 3 About the same age 8 Dont Know/don't remember Would you say this person was ten or more years older than y Would you say this person was ten or more years older than y Would you say this person was ten or more years older than y Would you say this person was ten or more years older than y Would you say this person was ten or more years older than y Would you say the person you first had sexual intercourse with was ten or more years older than you or less than ten years older than you? 1 Ten or more years older 2 Less than ten years older 3 Older, unsure how much When was the last time you had sexual intercourse (Units) When was the last time you had sexual intercourse (Units) When was the last time you had sexual intercourse (Units) When was the last time you had sexual intercourse (Units) When was the last time you had sexual intercourse (Units) 1 Days 2 Weeks 3 Months 4 Years 9 Special answers When was the last time you had sexual intercourse (Number) When was the last time you had sexual intercourse (Number) When was the last time you had sexual intercourse (Number) When was the last time you had sexual intercourse (Number) When was the last time you had sexual intercourse (Number) When was the last time you had sexual intercourse? 97 Inconsistent Total number of persons one had had sex with last 12 months Total number of persons one had had sex with last 12 months Total number of persons one had had sex with last 12 months Total number of persons one had had sex with last 12 months Total number of persons one had had sex with last 12 months In total, with how many different people have you had sexual intercourse in the last 12 months? IF NON-NUMERIC ANSWER, PROBE TO GET AN ESTIMATE. check sex check sex check sex check sex check sex 1 Male 2 Female check 333 at check 333 at check 333 at check 333 at check 333 at 1 Atleast one partner is a prostitute 2 No partners are prosetitutes check 333 and 331 check 333 and 331 check 333 and 331 check 333 and 331 check 333 and 331 1 Condom used 2 No condom used In the last 12 months did pay someone in exchange for sex In the last 12 months did pay someone in exchange for sex In the last 12 months did pay someone in exchange for sex In the last 12 months did pay someone in exchange for sex In the last 12 months did pay someone in exchange for sex In the last 12 months, did you pay anyone in exchange for having sexual intercourse? 1 Yes 2 No Do you know if the person with whom you had sex that time ha Do you know if the person with whom you had sex that time ha Do you know if the person with whom you had sex that time ha Do you know if the person with whom you had sex that time ha Do you know if the person with whom you had sex that time ha Do you know if the person with whom you had sex that time had ever been tested for the HIV virus? 1 Yes 2 No Did that person tell you the result of their AIDS test Did that person tell you the result of their AIDS test Did that person tell you the result of their AIDS test Did that person tell you the result of their AIDS test Did that person tell you the result of their AIDS test Did that person tell you the result of their HIV test? 1 Yes 2 No Did the test show that the person had the HIV virus Did the test show that the person had the HIV virus Did the test show that the person had the HIV virus Did the test show that the person had the HIV virus Did the test show that the person had the HIV virus Did the test show that the person had the HIV virus? 1 Yes 2 No Check 339 (last partner) Check 339 (last partner) Check 339 (last partner) Check 339 (last partner) Check 339 (last partner) X Response Did tell this person the result of last AIDS test you had Did tell this person the result of last AIDS test you had Did tell this person the result of last AIDS test you had Did tell this person the result of last AIDS test you had Did tell this person the result of last AIDS test you had Did you tell this person about the result of the (last) HIV test you had? 1 Yes 2 No That time you paid someone in exchange for sexual intercours That time you paid someone in exchange for sexual intercours That time you paid someone in exchange for sexual intercours That time you paid someone in exchange for sexual intercours That time you paid someone in exchange for sexual intercours The last time you paid someone in exchange for sexual intercourse, was a condom used? 1 Yes 2 No Was a condom used during intercourse every time you paid som Was a condom used during intercourse every time you paid som Was a condom used during intercourse every time you paid som Was a condom used during intercourse every time you paid som Was a condom used during intercourse every time you paid som Was a condom used during sexual intercourse every time you paid someone in exchange for having sexual intercourse in the last 12 months? 1 Yes 2 No 8 DK IF YES IN 325, 331, 357, AND 358 IF YES IN 325, 331, 357, AND 358 IF YES IN 325, 331, 357, AND 358 IF YES IN 325, 331, 357, AND 358 IF YES IN 325, 331, 357, AND 358 1 if yes 2 Other Have you ever used a condom Have you ever used a condom Have you ever used a condom Have you ever used a condom Have you ever used a condom Have you ever used a condom? 1 Yes 2 No In total, with how many different people have you had sexual In total, with how many different people have you had sexual In total, with how many different people have you had sexual In total, with how many different people have you had sexual In total, with how many different people have you had sexual In total, with how many different people intercourse in your lifetime? IF NON-NUMERIC ANSWER, PROBE TO GET AN ESTIMATE. Do you know a place where a person can get condoms Do you know a place where a person can get condoms Do you know a place where a person can get condoms Do you know a place where a person can get condoms Do you know a place where a person can get condoms Do you know of a place where a person can get a man's condom? 1 Yes 2 No Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Government Health Centre/Clinic Government Health Centre/Clinic Government Health Centre/Clinic Government Health Centre/Clinic Government Health Centre/Clinic Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Government Dispensary Government Dispensary Government Dispensary Government Dispensary Government Dispensary Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Other Public Other Public Other Public Other Public Other Public Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Mission/Church Hospital/Clinic Mission/Church Hospital/Clinic Mission/Church Hospital/Clinic Mission/Church Hospital/Clinic Mission/Church Hospital/Clinic Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other FPAK Health Centre/Clinic FPAK Health Centre/Clinic FPAK Health Centre/Clinic FPAK Health Centre/Clinic FPAK Health Centre/Clinic Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Private Hospital Clinic Private Hospital Clinic Private Hospital Clinic Private Hospital Clinic Private Hospital Clinic Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Pharmacy/Chemist Pharmacy/Chemist Pharmacy/Chemist Pharmacy/Chemist Pharmacy/Chemist Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Nursing/Maternity Home Nursing/Maternity Home Nursing/Maternity Home Nursing/Maternity Home Nursing/Maternity Home Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Other Private Medical Facility Other Private Medical Facility Other Private Medical Facility Other Private Medical Facility Other Private Medical Facility Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Mobile Clinic Mobile Clinic Mobile Clinic Mobile Clinic Mobile Clinic Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Community Based Distributor Community Based Distributor Community Based Distributor Community Based Distributor Community Based Distributor Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Shop/Kiosk Shop/Kiosk Shop/Kiosk Shop/Kiosk Shop/Kiosk Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Friend/Relatives Friend/Relatives Friend/Relatives Friend/Relatives Friend/Relatives Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Bar/Hotel/Restaurant Bar/Hotel/Restaurant Bar/Hotel/Restaurant Bar/Hotel/Restaurant Bar/Hotel/Restaurant Where is that? Other Other Other Other Other Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Do you know where a person can get a female condom Do you know where a person can get a female condom Do you know where a person can get a female condom Do you know where a person can get a female condom Do you know where a person can get a female condom Do you know of a place where a person can get a female condom? 1 Yes 2 No Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Government Health Centre/Clinic Government Health Centre/Clinic Government Health Centre/Clinic Government Health Centre/Clinic Government Health Centre/Clinic Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Government Dispensary Government Dispensary Government Dispensary Government Dispensary Government Dispensary Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Other Public Health Facility Other Public Health Facility Other Public Health Facility Other Public Health Facility Other Public Health Facility Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Missionary/Church Hospital/Clinic Missionary/Church Hospital/Clinic Missionary/Church Hospital/Clinic Missionary/Church Hospital/Clinic Missionary/Church Hospital/Clinic Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other FPAK Health Centre/Clinic FPAK Health Centre/Clinic FPAK Health Centre/Clinic FPAK Health Centre/Clinic FPAK Health Centre/Clinic Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Private Hospital/Clinic Private Hospital/Clinic Private Hospital/Clinic Private Hospital/Clinic Private Hospital/Clinic Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Pharmacy/Chemist Pharmacy/Chemist Pharmacy/Chemist Pharmacy/Chemist Pharmacy/Chemist Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Nursing/Maternity Home Nursing/Maternity Home Nursing/Maternity Home Nursing/Maternity Home Nursing/Maternity Home Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Other Private Medical Facility Other Private Medical Facility Other Private Medical Facility Other Private Medical Facility Other Private Medical Facility Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Mobile Clinic Mobile Clinic Mobile Clinic Mobile Clinic Mobile Clinic Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Community Based Distributor Community Based Distributor Community Based Distributor Community Based Distributor Community Based Distributor Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Shop/Kiosk Shop/Kiosk Shop/Kiosk Shop/Kiosk Shop/Kiosk Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Friend/Relatives Friend/Relatives Friend/Relatives Friend/Relatives Friend/Relatives Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Other Other Other Other Other Where is that? A Government Hospital B Government Health Centre/Clinic C Government Dispensary D Other Public Health Facility E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G Private Hospital/Clinic H Pharmacy/Chemist I Nursing/Maternity Home J Other Private Medical Facility K Mobile Clinic L Community Based Distributor M Shop/Kiosk N Friends/Relatives X Other Condom disminish a man's sexual pleasure Condom disminish a man's sexual pleasure Condom disminish a man's sexual pleasure Condom disminish a man's sexual pleasure Condom disminish a man's sexual pleasure would like to read you some statements about DIScondom use. Please tell me if you agree or disagree: Condoms diminish a man's sexual pleasure. 1 Agree 2 Disagree 8 DK It's okay to reuse a condom if you wash it It's okay to reuse a condom if you wash it It's okay to reuse a condom if you wash it It's okay to reuse a condom if you wash it It's okay to reuse a condom if you wash it It's okay to reuse a condom if you wash it. 1 Agree 2 Disagree 8 DK Condoms protects against diseases Condoms protects against diseases Condoms protects against diseases Condoms protects against diseases Condoms protects against diseases Condoms protect against disease. 1 Agree 2 Disagree 8 DK Condoms contain HIV Condoms contain HIV Condoms contain HIV Condoms contain HIV Condoms contain HIV Condoms contain HIV. 1 Agree 2 Disagree 8 DK Buying condoms is embarassing Buying condoms is embarassing Buying condoms is embarassing Buying condoms is embarassing Buying condoms is embarassing Buying condoms is embarassing. 1 Agree 2 Disagree 8 DK Check Sex Check Sex Check Sex Check Sex Check Sex 1 Male 2 Female Check 301 and 305 Check 301 and 305 Check 301 and 305 Check 301 and 305 Check 301 and 305 1 One wife 2 More than one 3 Not curerrently married Check 214C Check 214C Check 214C Check 214C Check 214C 1 Not using male sterilization 2 Using male sterilization Are any of your wives (partners) currently pregnant Are any of your wives (partners) currently pregnant Are any of your wives (partners) currently pregnant Are any of your wives (partners) currently pregnant Are any of your wives (partners) currently pregnant (Is your wife (partner)/Are any of your wives (partners)) currently pregnant? 1 Yes 2 No 8 DK Would you like to have (a/another) child Would you like to have (a/another) child Would you like to have (a/another) child Would you like to have (a/another) child Would you like to have (a/another) child Would you like to have (a/another) child, or would you prefer not to have any (more) children? 1 Have (a/another) child 2 No more/none 3 Man infecud 4 Wife/all wifes (partners infecud 5 Wife/all wifes (partners sterilized 8 Undecided/DK Check 305 Check 305 Check 305 Check 305 Check 305 1 One wife/Partner 2 More than one wife/partner Do you think your partner would like to have more children Do you think your partner would like to have more children Do you think your partner would like to have more children Do you think your partner would like to have more children Do you think your partner would like to have more children Do you think that your wife (partner) would like to have (a/another) child, or does she prefer not to have any (more) children? 1 Wife(partner) wants (a/another) child 2 Wife(partner) wants (a/another) no more/none 8 Wife(partner) undecided/DK Do you think your wives/partners would like to have more chi Do you think your wives/partners would like to have more chi Do you think your wives/partners would like to have more chi Do you think your wives/partners would like to have more chi Do you think your wives/partners would like to have more chi Do you think that any of your wives (partners) would like to have a/another) child, or do they all prefer not to have any more) children? 1 Atleast one wife/partner wants (a/another) child 2 All wives/partners want no more/none 8 Wife(s)/partner(s) undecided/DK Check 301 and 302 Check 301 and 302 Check 301 and 302 Check 301 and 302 Check 301 and 302 1 Response Check 214c Check 214c Check 214c Check 214c Check 214c 1 Response Would like to have another child Would like to have another child Would like to have another child Would like to have another child Would like to have another child Now I have some questions about the future. Would you like to have (a/another) child, or would you prefer not to have any (more) children? 1 Have (a/another) child 2 No more/none 3 Says can't get pregnant 8 Undecided/DK Unit Unit Unit Unit Unit 1 Months 2 Years 9 Other Number Number Number Number Number 93 Soon/now 94 Says she cant get pregnant 95 After marriage 96 Other 98 DK Do you think your partner would like to have more children Do you think your partner would like to have more children Do you think your partner would like to have more children Do you think your partner would like to have more children Do you think your partner would like to have more children Do you think that your husband (partner) would like to have (a/another) child, or does he prefer not to have any (more) children? 1 Have (a/another) child 2 No more/none 3 Man infecud 4 Wife/all wifes (partners infecud 5 Wife/all wifes (partners sterilized 8 Undecided/DK School attendancy by partner School attendancy by partner School attendancy by partner School attendancy by partner School attendancy by partner Did he ever attend school? 1 Yes 2 No Highest level of school the partner attended Highest level of school the partner attended Highest level of school the partner attended Highest level of school the partner attended Highest level of school the partner attended Now I would like to ask some questions about your last) husband/partner. Nursery/Kindergarten 1 Primary 2 Post-primary/Vocational 3 Secondary/A level 4 College (Middle level) 5 University 8 DK Highest standard/form/years he/she completed at the level Highest standard/form/years he/she completed at the level Highest standard/form/years he/she completed at the level Highest standard/form/years he/she completed at the level Highest standard/form/years he/she completed at the level What was the highest level of school he attended ? 98 DK Partners occupation Partners occupation Partners occupation Partners occupation Partners occupation What was the highest (standard/form/year) he completed at that level? Ever heard of HIV/AIDS Ever heard of HIV/AIDS Ever heard of HIV/AIDS Ever heard of HIV/AIDS Ever heard of HIV/AIDS Have you ever heard of an illness called AIDS? 1 Yes 2 No Reduce chances of AIDS by having one sex partner Reduce chances of AIDS by having one sex partner Reduce chances of AIDS by having one sex partner Reduce chances of AIDS by having one sex partner Reduce chances of AIDS by having one sex partner Can people reduce their chance of getting the AIDS virus by having just one uninfected sex partner who has sexual intercourse with no other partners? 1 Yes 2 No 8 DK Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can people get the AIDS virus from mosquito or other insect bites? 1 Yes 2 No 8 DK Reduce chances of AIDS by using condom Reduce chances of AIDS by using condom Reduce chances of AIDS by using condom Reduce chances of AIDS by using condom Reduce chances of AIDS by using condom Can people reduce their chance of getting the AIDS virus by using a condom every time they have sex? 1 Yes 2 No 8 DK Can get AIDS by sharing utensils Can get AIDS by sharing utensils Can get AIDS by sharing utensils Can get AIDS by sharing utensils Can get AIDS by sharing utensils 1 Yes 2 No 8 DK Reduce chances of AIDS by not having sex Reduce chances of AIDS by not having sex Reduce chances of AIDS by not having sex Reduce chances of AIDS by not having sex Reduce chances of AIDS by not having sex Can people get the AIDS virus by sharing utensils with a person who has AIDS? 1 Yes 2 No 8 DK Can people get the AIDS virus because of witchcraft or other Can people get the AIDS virus because of witchcraft or other Can people get the AIDS virus because of witchcraft or other Can people get the AIDS virus because of witchcraft or other Can people get the AIDS virus because of witchcraft or other Can people get the AIDS virus because of witchcraft or other supernatural means? 1 Yes 2 No 8 DK If a man has the virus that causes AIDS, does his sexual par If a man has the virus that causes AIDS, does his sexual par If a man has the virus that causes AIDS, does his sexual par If a man has the virus that causes AIDS, does his sexual par If a man has the virus that causes AIDS, does his sexual par If a man has the virus that causes AIDS, does his sexual partner always have the AIDS virus, almost always, or only sometimes? 1 Always 2 Almost Always 3 Only some time 8 DK If a Woman has the virus that cause AIDS, does her sexual pa If a Woman has the virus that cause AIDS, does her sexual pa If a Woman has the virus that cause AIDS, does her sexual pa If a Woman has the virus that cause AIDS, does her sexual pa If a Woman has the virus that cause AIDS, does her sexual pa If a woman has the virus that causes AIDS, does her sexual partner always have the AIDS virus, almost always, or only sometimes? 1 Always 2 Almost Always 3 Only some time 8 DK Is it possible for a healthy-looking person to have the AIDS Is it possible for a healthy-looking person to have the AIDS Is it possible for a healthy-looking person to have the AIDS Is it possible for a healthy-looking person to have the AIDS Is it possible for a healthy-looking person to have the AIDS Is it possible for a healthy-looking person to have the AIDS virus? 1 Yes 2 No 8 DK Had sex partner in last 12 months Had sex partner in last 12 months Had sex partner in last 12 months Had sex partner in last 12 months Had sex partner in last 12 months 1 Yes Chances of getting AIDS Chances of getting AIDS Chances of getting AIDS Chances of getting AIDS Chances of getting AIDS Do you think that your chances of getting the AIDS are small, moderate or great or is there no risk at all? 1 Small 2 Moderate 3 Great 4 No risk at all 5 Has AIDS 8 DK Is not Having sex Is not Having sex Is not Having sex Is not Having sex Is not Having sex Why do you think you have no risk/a small chance of getting AIDS? Uses condoms Uses condoms Uses condoms Uses condoms Uses condoms Why do you think you have no risk/a small chance of getting AIDS? Has only one partner Has only one partner Has only one partner Has only one partner Has only one partner Why do you think you have no risk/a small chance of getting AIDS? Limits number of partners Limits number of partners Limits number of partners Limits number of partners Limits number of partners Why do you think you have no risk/a small chance of getting AIDS? Partner has no other partner Partner has no other partner Partner has no other partner Partner has no other partner Partner has no other partner Why do you think you have no risk/a small chance of getting AIDS? Other Other Other Other Other Why do you think you have no risk/a small chance of getting AIDS? Dos not use condoms Dos not use condoms Dos not use condoms Dos not use condoms Dos not use condoms Why do you think you have (moderate/great) risk of getting AIDS? Has more than one partner Has more than one partner Has more than one partner Has more than one partner Has more than one partner Why do you think you have (moderate/great) risk of getting AIDS? Partner has other partners Partner has other partners Partner has other partners Partner has other partners Partner has other partners Why do you think you have (moderate/great) risk of getting AIDS? Homesexual contacts Homesexual contacts Homesexual contacts Homesexual contacts Homesexual contacts Why do you think you have (moderate/great) risk of getting AIDS? Had blood transfusions/Injections Had blood transfusions/Injections Had blood transfusions/Injections Had blood transfusions/Injections Had blood transfusions/Injections Why do you think you have (moderate/great) risk of getting AIDS? Others Others Others Others Others Why do you think you have (moderate/great) risk of getting AIDS? Radio Radio Radio Radio Radio What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other TV TV TV TV TV What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Film Film Film Film Film What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Drama Drama Drama Drama Drama What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Newspapers/Magazines Newspapers/Magazines Newspapers/Magazines Newspapers/Magazines Newspapers/Magazines What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Brochures Brochures Brochures Brochures Brochures What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Posters Posters Posters Posters Posters What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Billboards Billboards Billboards Billboards Billboards What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Community notices Community notices Community notices Community notices Community notices What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Family Family Family Family Family What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Friends Friends Friends Friends Friends What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Peers Peers Peers Peers Peers What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Health workers Health workers Health workers Health workers Health workers What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Teachers Teachers Teachers Teachers Teachers What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Political leaders Political leaders Political leaders Political leaders Political leaders What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Traditional Leaders Traditional Leaders Traditional Leaders Traditional Leaders Traditional Leaders What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other religious leaders religious leaders religious leaders religious leaders religious leaders What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Internet Internet Internet Internet Internet What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other Other Other Other Other Other What are the main channels of communication from which you receive AIDS information and education? A Radio B Television C Film D Drama E Newspapers/Magazines F Brochures G Posters H Billboards I Community Notices J Family K Friends L Peers M Health workers N Teachers O Political Leaders P Traditional leaders Q Religious Leaders R Internet X Other CHECK 512 MORE THAN OR ONLY ONE CHECK 512 MORE THAN OR ONLY ONE CHECK 512 MORE THAN OR ONLY ONE CHECK 512 MORE THAN OR ONLY ONE CHECK 512 MORE THAN OR ONLY ONE 1 Response From which source have you learned most about AIDS From which source have you learned most about AIDS From which source have you learned most about AIDS From which source have you learned most about AIDS From which source have you learned most about AIDS From which source have you learned most about AIDS? 1 Radio 2 TV 3 Film 4 Drama 5 Newspapers/Magazines 6 Brochures 7 Posters 8 Billboards 9 Community Notices 10 Family 11 Friends 12 Peers 13 Health workers 14 Teachers 15 Political Leaders 16 Traditional leaders 17 Religious leaders 18 Internet 19 Other The most important message you have learned from this source The most important message you have learned from this source The most important message you have learned from this source The most important message you have learned from this source The most important message you have learned from this source What is the most important message you have learned from this source? 1 Abstain from sex 2 Use Condoms 3 Limit sex to one partner/stay faithful to one partner 4 Limit number of sexual partners 5 Follow the ABC's 6 Avoid sex with prostitutes 7 Avoid sex with persons who have many partners 8 Avoid sex with homsosexuals 9 Avoid sex with persons who inject drugs intravenously 10 Avoid blood transfussions 11 Avoid injections 12 Anti-retroviral Drugs available 13 Prevent mother to child transmission 14 Avoid discrimination against persons living with AIDS 15 Anyone can get AIDS 16 Get tested for AIDS(HIV) 17 AIDS is a killer 18 Don't take chances 96 Other During pregnancy During pregnancy During pregnancy During pregnancy During pregnancy Can the virus that causes AIDS be transmitted from a mother to her baby: 1 Yes 2 No 8 DK During Delivery During Delivery During Delivery During Delivery During Delivery Can the virus that causes AIDS be transmitted from a mother to her baby: 1 Yes 2 No 8 DK Breastfeeding Breastfeeding Breastfeeding Breastfeeding Breastfeeding Can the virus that causes AIDS be transmitted from a mother to her baby: 1 Yes 2 No 8 DK CHECK 517 CHECK 517 CHECK 517 CHECK 517 CHECK 517 1 Response Are there special drugs that a doctor or a nurse can give to Are there special drugs that a doctor or a nurse can give to Are there special drugs that a doctor or a nurse can give to Are there special drugs that a doctor or a nurse can give to Are there special drugs that a doctor or a nurse can give to Are there any special drugs that a doctor or a nurse can give to a woman infected with the AIDS virus to reduce the risk of transmission to the baby? 1 Yes 2 No 8 DK Have you ever heard osf special drugs that people infected w Have you ever heard osf special drugs that people infected w Have you ever heard osf special drugs that people infected w Have you ever heard osf special drugs that people infected w Have you ever heard osf special drugs that people infected w Have you heard of any special drugs that people infected with the AIDS virus can take to help them live longer? 1 Yes 2 No ARVs ARVs ARVs ARVs ARVs What drugs do you know about? A Anti-retroviral Drugs (ARVs) B Septrin/Cotrimoxazole C Herbal Drugs X Other Drugs Z DK Septrin/Cotrimoxazole Septrin/Cotrimoxazole Septrin/Cotrimoxazole Septrin/Cotrimoxazole Septrin/Cotrimoxazole What drugs do you know about? A Anti-retroviral Drugs (ARVs) B Septrin/Cotrimoxazole C Herbal Drugs X Other Drugs Z DK Herbal Drugs Herbal Drugs Herbal Drugs Herbal Drugs Herbal Drugs What drugs do you know about? A Anti-retroviral Drugs (ARVs) B Septrin/Cotrimoxazole C Herbal Drugs X Other Drugs Z DK Other Drugs Other Drugs Other Drugs Other Drugs Other Drugs What drugs do you know about? A Anti-retroviral Drugs (ARVs) B Septrin/Cotrimoxazole C Herbal Drugs X Other Drugs Z DK DK DK DK DK DK What drugs do you know about? A Anti-retroviral Drugs (ARVs) B Septrin/Cotrimoxazole C Herbal Drugs X Other Drugs Z DK CHECK 521 CHECK 521 CHECK 521 CHECK 521 CHECK 521 1 Responses For how long should a person with the AIDS virus take ARVs For how long should a person with the AIDS virus take ARVs For how long should a person with the AIDS virus take ARVs For how long should a person with the AIDS virus take ARVs For how long should a person with the AIDS virus take ARVs For how long should a person with the AIDS virus take ARVs? 1 Less than one year 2 One year or more 3 Rest of life 6 Other 8 DK Would you buy fress vegetable from a vendor who has the AIDS Would you buy fress vegetable from a vendor who has the AIDS Would you buy fress vegetable from a vendor who has the AIDS Would you buy fress vegetable from a vendor who has the AIDS Would you buy fress vegetable from a vendor who has the AIDS Would you buy fresh vegetables from a vendor who has the AIDS virus? 1 Yes 2 No 8 DK If a member of your family got infected with the virus that If a member of your family got infected with the virus that If a member of your family got infected with the virus that If a member of your family got infected with the virus that If a member of your family got infected with the virus that If a member of your family got infected with the virus that causes AIDS, would you want it to remain a secret or not? 1 Yes-remain a secret 2 No 8 DK/not sure/depends If a relative of yours became sick with the virus thatcauses If a relative of yours became sick with the virus thatcauses If a relative of yours became sick with the virus thatcauses If a relative of yours became sick with the virus thatcauses If a relative of yours became sick with the virus thatcauses If a relative of yours became sick with the virus that causes AIDS, would you be willing to care for her or him in your own household? 1 Yes 2 No 8 DK/not sure/depends If a female teacher has the AIDS virus, should she be allowe If a female teacher has the AIDS virus, should she be allowe If a female teacher has the AIDS virus, should she be allowe If a female teacher has the AIDS virus, should she be allowe If a female teacher has the AIDS virus, should she be allowe If a female teacher has the AIDS virus, should she be allowed to continue teaching in the school? 1 Should be allowed 2 Should not be allowed 8 DK/Not sure/depends Do you personnaly know someone who has been denied health se Do you personnaly know someone who has been denied health se Do you personnaly know someone who has been denied health se Do you personnaly know someone who has been denied health se Do you personnaly know someone who has been denied health se Do you personally know someone who has been denied health services in the last 12 months because he or she is suspected to have the AIDS virus or has the AIDS virus? 1 Yes 2 No 3 DK anyone with AIDS Do you know personnally someone who has been denied involvem Do you know personnally someone who has been denied involvem Do you know personnally someone who has been denied involvem Do you know personnally someone who has been denied involvem Do you know personnally someone who has been denied involvem Do you personally know someone who has been denied involvement in social events, religious services, or community events in the last 12 months because he or she is suspected to have the AIDS virus or has the AIDS virus? 1 Yes 2 No Do you know someone who has been verbally abused or teased i Do you know someone who has been verbally abused or teased i Do you know someone who has been verbally abused or teased i Do you know someone who has been verbally abused or teased i Do you know someone who has been verbally abused or teased i Do you personally know someone who has been verbally abused or teased in the last 12 months because he or she is suspected to have the AIDS virus or has the AIDS virus? 1 Yes 2 No CHECK 528, 529, and 530 CHECK 528, 529, and 530 CHECK 528, 529, and 530 CHECK 528, 529, and 530 CHECK 528, 529, and 530 1 Check if yes in one of q528, Q529 and Q530 Do you personnaly know of someone who is suspected to have t Do you personnaly know of someone who is suspected to have t Do you personnaly know of someone who is suspected to have t Do you personnaly know of someone who is suspected to have t Do you personnaly know of someone who is suspected to have t Do you personally know someone who is suspected to have the AIDS virus or who has the AIDS virus? 1 Yes 2 No Do you agree or disagree with the following statement: Peopl Do you agree or disagree with the following statement: Peopl Do you agree or disagree with the following statement: Peopl Do you agree or disagree with the following statement: Peopl Do you agree or disagree with the following statement: Peopl Do you agree or disagree with the following statement: People with the AIDS virus should be ashamed of themselves. 1 Agree 2 Disagree 8 Dn't know/No opinion Do you agree or disagree with the following statement: Peopl Do you agree or disagree with the following statement: Peopl Do you agree or disagree with the following statement: Peopl Do you agree or disagree with the following statement: Peopl Do you agree or disagree with the following statement: Peopl Do you agree or disagree with the following statement: People with the AIDS virus should be blamed for bringing the disease into the community. 1 Agree 2 Disagree 8 Dn't know/No opinion Should children aged 12-14 be taught about using a condom to Should children aged 12-14 be taught about using a condom to Should children aged 12-14 be taught about using a condom to Should children aged 12-14 be taught about using a condom to Should children aged 12-14 be taught about using a condom to Should children age 12-14 be taught about using a condom to avoid AIDS? 1 Yes 2 No 8 DK/not sure/depends Should children aged 12-14 be taught to wait until they get Should children aged 12-14 be taught to wait until they get Should children aged 12-14 be taught to wait until they get Should children aged 12-14 be taught to wait until they get Should children aged 12-14 be taught to wait until they get Should children age 12-14 be taught to wait until they get married to have sexual intercourse in order to avoid AIDS? 1 Yes 2 No 8 DK/not sure/depends Ever heard of VCT Ever heard of VCT Ever heard of VCT Ever heard of VCT Ever heard of VCT Have you ever heard of VCT? 1 Yes 2 No 8 DK/Not sure If a trained counselor came to your home and offered you fre If a trained counselor came to your home and offered you fre If a trained counselor came to your home and offered you fre If a trained counselor came to your home and offered you fre If a trained counselor came to your home and offered you fre If a trained counselor came to your home and offered you free HIV counseling and testing, would you be willing to have an HIV test done in your home? 1 Yes 2 No 8 DK/not sure/depends Sex Sex Sex Sex Sex 1 Response CHECK 213B CHECK 213B CHECK 213B CHECK 213B CHECK 213B 1 Response AIDS from mother AIDS from mother AIDS from mother AIDS from mother AIDS from mother During any of the antenatal visits for that birth, did anyone t a lk to you about: Babies getting the AIDS virus from their mother? 1 Yes 2 No 8 DK Things to do Things to do Things to do Things to do Things to do Things that you can do to prevent getting the AIDS virus? 1 Yes 2 No 8 DK Getting AIDS test Getting AIDS test Getting AIDS test Getting AIDS test Getting AIDS test Getting tested for the AIDS virus? 1 Yes 2 No 8 DK Getting Syphilis test Getting Syphilis test Getting Syphilis test Getting Syphilis test Getting Syphilis test Getting tested for syphilis? 1 Yes 2 No 8 DK Using Family Planning Using Family Planning Using Family Planning Using Family Planning Using Family Planning Using family planning? 1 Yes 2 No 8 DK Did you have a test to see if you had the AIDS virus as part Did you have a test to see if you had the AIDS virus as part Did you have a test to see if you had the AIDS virus as part Did you have a test to see if you had the AIDS virus as part Did you have a test to see if you had the AIDS virus as part Did you have a test to see if you had the AIDS virus as part of your antenatal care? 1 Yes 2 No The last time you had test for the AIDS virus ask part of an The last time you had test for the AIDS virus ask part of an The last time you had test for the AIDS virus ask part of an The last time you had test for the AIDS virus ask part of an The last time you had test for the AIDS virus ask part of an The last time you had a test for the AIDS virus as part of your antenatal care, did you ask for the test, was it offered to you and you accepted, or were you required to have the test? 1 Asked for the test 2 Offered and accepted 3 Required When was the last time you were tested for the AIDS virus as When was the last time you were tested for the AIDS virus as When was the last time you were tested for the AIDS virus as When was the last time you were tested for the AIDS virus as When was the last time you were tested for the AIDS virus as When was the last time you were tested for the AIDS virus as part of your antenatal care? 1 Less than 12months ago 2 12-23 months ago 3 2 or more years ago Where was the last test done Where was the last test done Where was the last test done Where was the last test done Where was the last test done Where was the last test done? 11 Government Hospital 12 Government Health Centre/Clinic 13 Government Dispensary 16 Other public 21 Mission/Church hospital/Clinic 22 FPA health Centre/Clinic 23 Private Hospital 24 VCT centre 25 Nursing/Maternity Home 26 Other private medical 31 Blood donation Centre 41 Mobile Clinic 96 Other Did you get the result of that test Did you get the result of that test Did you get the result of that test Did you get the result of that test Did you get the result of that test Did you get the result of that test? 1 Yes 2 No Would you be willing to share with me the results Would you be willing to share with me the results Would you be willing to share with me the results Would you be willing to share with me the results Would you be willing to share with me the results Would you be willing to share with me the results of your test? 1 Yes 2 No Did the test show you had HIV Did the test show you had HIV Did the test show you had HIV Did the test show you had HIV Did the test show you had HIV Did the test show that you had the HIV virus 1 Yes 2 No Were you given any medication Were you given any medication Were you given any medication Were you given any medication Were you given any medication Were you given any medications from the ANC to stop your baby from getting HIV? 1 Yes 2 No Did your baby receive an HIV test Did your baby receive an HIV test Did your baby receive an HIV test Did your baby receive an HIV test Did your baby receive an HIV test Did your baby receive an HIV test? 1 Yes 2 No Did your baby receive any care Did your baby receive any care Did your baby receive any care Did your baby receive any care Did your baby receive any care Did your baby receive HIV infection? 1 Yes 2 No Have you been tested for the AIDS virus as part of your ante Have you been tested for the AIDS virus as part of your ante Have you been tested for the AIDS virus as part of your ante Have you been tested for the AIDS virus as part of your ante Have you been tested for the AIDS virus as part of your ante Have you been tested for the AIDS virus since were tested during your pregnancy? 1 Yes 2 No Were you offered a test for the AIDS varus as part of your a Were you offered a test for the AIDS varus as part of your a Were you offered a test for the AIDS varus as part of your a Were you offered a test for the AIDS varus as part of your a Were you offered a test for the AIDS varus as part of your a Were you offered a test for the AIDS virus as part of your antenatal care? 1 Yes 2 No Have you ever been tested to see if you have the virus that Have you ever been tested to see if you have the virus that Have you ever been tested to see if you have the virus that Have you ever been tested to see if you have the virus that Have you ever been tested to see if you have the virus that Have you ever been tested to see if you have the virus that causes AIDS? 1 Yes 2 No When was the last time you were tested When was the last time you were tested When was the last time you were tested When was the last time you were tested When was the last time you were tested When was the last time you were tested? 1 Less than 12months ago 2 12-23months ago 3 2 or more years ago The last time you were tested, did you ask for the test, was i The last time you were tested, did you ask for the test, was i The last time you were tested, did you ask for the test, was i The last time you were tested, did you ask for the test, was i The last time you were tested, did you ask for the test, was i The last time you had the test, did you yourself ask for the test, was it offered to you and you accepted, or was it required? 1 Asked for the test 2 Offered and accepted 3 Required Where was the test done Where was the test done Where was the test done Where was the test done Where was the test done Where was the test done? 11 Government Hospital 12 Government Health Centre/Clinic 13 Government Dispensary 16 Other public 21 Mission/Church hospital/Clinic 22 FPA health Centre/Clinic 23 Private Hospital 24 VCT centre 25 Nursing/Maternity Home 26 Other private medical 31 Blood donation Centre 41 Mobile Clinic 96 Other Did you get the result for the test you had Did you get the result for the test you had Did you get the result for the test you had Did you get the result for the test you had Did you get the result for the test you had Did you get the result of the last AIDS test you had? 1 Yes 2 No In addition to the test(s) you have told me about have you b In addition to the test(s) you have told me about have you b In addition to the test(s) you have told me about have you b In addition to the test(s) you have told me about have you b In addition to the test(s) you have told me about have you b In addition to the test(s) you have told me about, have you been tested at any other time for the AIDS virus? IF YES: How many other times have you been tested? 95 Not tested at any other time Did you ever have a test for HIV prior to your last pregnanc Did you ever have a test for HIV prior to your last pregnanc Did you ever have a test for HIV prior to your last pregnanc Did you ever have a test for HIV prior to your last pregnanc Did you ever have a test for HIV prior to your last pregnanc Did you ever have a test for HIV prior to your last pregnancy? IF YES: In addition to the test during your last pregnancy, how many times have you been tested for HIV? 95 Not tested at any other time CHECK 609, 610 and 616 CHECK 609, 610 and 616 CHECK 609, 610 and 616 CHECK 609, 610 and 616 CHECK 609, 610 and 616 1 Response CHECK 617/617A CHECK 617/617A CHECK 617/617A CHECK 617/617A CHECK 617/617A 1 Yes 2 No No knowledge about HIV test No knowledge about HIV test No knowledge about HIV test No knowledge about HIV test No knowledge about HIV test Why have you never had a test for HIV? Don't know where to get one Don't know where to get one Don't know where to get one Don't know where to get one Don't know where to get one Why have you never had a test for HIV? Test costs too much Test costs too much Test costs too much Test costs too much Test costs too much Why have you never had a test for HIV? Transport to VCT site too much Transport to VCT site too much Transport to VCT site too much Transport to VCT site too much Transport to VCT site too much Why have you never had a test for HIV? VCT site too far away VCT site too far away VCT site too far away VCT site too far away VCT site too far away Why have you never had a test for HIV? Afraid Others will know about test/test results Afraid Others will know about test/test results Afraid Others will know about test/test results Afraid Others will know about test/test results Afraid Others will know about test/test results Why have you never had a test for HIV? Don't need test/Low risk Don't need test/Low risk Don't need test/Low risk Don't need test/Low risk Don't need test/Low risk Why have you never had a test for HIV? Don't want to know if I have the AIDS virus Don't want to know if I have the AIDS virus Don't want to know if I have the AIDS virus Don't want to know if I have the AIDS virus Don't want to know if I have the AIDS virus Why have you never had a test for HIV? Cant get treatment if I have AIDs Cant get treatment if I have AIDs Cant get treatment if I have AIDs Cant get treatment if I have AIDs Cant get treatment if I have AIDs Why have you never had a test for HIV? Other Other Other Other Other Why have you never had a test for HIV? Do you know a place where people can go to get tested for HI Do you know a place where people can go to get tested for HI Do you know a place where people can go to get tested for HI Do you know a place where people can go to get tested for HI Do you know a place where people can go to get tested for HI Do you know of a place where people can go to get tested for HIV? 1 Yes 2 No Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Do you know of a place where people can go to get tested for HIV? A Government Hospital B Government Health centre/Clinic C Government Dispensary D Other Public E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G VCT Clinic H Nursing/Maternity Home I Other Private J Medical K Blood donation centre L Mobile Clinic X Other Government Health centre/Clinic Government Health centre/Clinic Government Health centre/Clinic Government Health centre/Clinic Government Health centre/Clinic Do you know of a place where people can go to get tested for HIV? A Government Hospital B Government Health centre/Clinic C Government Dispensary D Other Public E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G VCT Clinic H Nursing/Maternity Home I Other Private J Medical K Blood donation centre L Mobile Clinic X Other Government Dispensary Government Dispensary Government Dispensary Government Dispensary Government Dispensary Do you know of a place where people can go to get tested for HIV? A Government Hospital B Government Health centre/Clinic C Government Dispensary D Other Public E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G VCT Clinic H Nursing/Maternity Home I Other Private J Medical K Blood donation centre L Mobile Clinic X Other Other Public Other Public Other Public Other Public Other Public Do you know of a place where people can go to get tested for HIV? A Government Hospital B Government Health centre/Clinic C Government Dispensary D Other Public E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G VCT Clinic H Nursing/Maternity Home I Other Private J Medical K Blood donation centre L Mobile Clinic X Other Mission/Church Hospital/Clinic Mission/Church Hospital/Clinic Mission/Church Hospital/Clinic Mission/Church Hospital/Clinic Mission/Church Hospital/Clinic Do you know of a place where people can go to get tested for HIV? A Government Hospital B Government Health centre/Clinic C Government Dispensary D Other Public E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G VCT Clinic H Nursing/Maternity Home I Other Private J Medical K Blood donation centre L Mobile Clinic X Other FPAK Health Centre/Clinic FPAK Health Centre/Clinic FPAK Health Centre/Clinic FPAK Health Centre/Clinic FPAK Health Centre/Clinic Do you know of a place where people can go to get tested for HIV? A Government Hospital B Government Health centre/Clinic C Government Dispensary D Other Public E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G VCT Clinic H Nursing/Maternity Home I Other Private J Medical K Blood donation centre L Mobile Clinic X Other VCT Clinic VCT Clinic VCT Clinic VCT Clinic VCT Clinic Do you know of a place where people can go to get tested for HIV? A Government Hospital B Government Health centre/Clinic C Government Dispensary D Other Public E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G VCT Clinic H Nursing/Maternity Home I Other Private J Medical K Blood donation centre L Mobile Clinic X Other Nursing/Maternity Home Nursing/Maternity Home Nursing/Maternity Home Nursing/Maternity Home Nursing/Maternity Home Do you know of a place where people can go to get tested for HIV? A Government Hospital B Government Health centre/Clinic C Government Dispensary D Other Public E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G VCT Clinic H Nursing/Maternity Home I Other Private J Medical K Blood donation centre L Mobile Clinic X Other Other Private Other Private Other Private Other Private Other Private Do you know of a place where people can go to get tested for HIV? A Government Hospital B Government Health centre/Clinic C Government Dispensary D Other Public E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G VCT Clinic H Nursing/Maternity Home I Other Private J Medical K Blood donation centre L Mobile Clinic X Other Medical Medical Medical Medical Medical Do you know of a place where people can go to get tested for HIV? A Government Hospital B Government Health centre/Clinic C Government Dispensary D Other Public E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G VCT Clinic H Nursing/Maternity Home I Other Private J Medical K Blood donation centre L Mobile Clinic X Other Blood donation centre Blood donation centre Blood donation centre Blood donation centre Blood donation centre Do you know of a place where people can go to get tested for HIV? A Government Hospital B Government Health centre/Clinic C Government Dispensary D Other Public E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G VCT Clinic H Nursing/Maternity Home I Other Private J Medical K Blood donation centre L Mobile Clinic X Other Mobile Clinic Mobile Clinic Mobile Clinic Mobile Clinic Mobile Clinic Do you know of a place where people can go to get tested for HIV? A Government Hospital B Government Health centre/Clinic C Government Dispensary D Other Public E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G VCT Clinic H Nursing/Maternity Home I Other Private J Medical K Blood donation centre L Mobile Clinic X Other Other Other Other Other Other Do you know of a place where people can go to get tested for HIV? A Government Hospital B Government Health centre/Clinic C Government Dispensary D Other Public E Mission/Church Hospital/Clinic F FPAK Health Centre/Clinic G VCT Clinic H Nursing/Maternity Home I Other Private J Medical K Blood donation centre L Mobile Clinic X Other CHECK 609, 616 and 618 CHECK 609, 616 and 618 CHECK 609, 616 and 618 CHECK 609, 616 and 618 CHECK 609, 616 and 618 1 Response Would you be willing to share with me the result of your (la Would you be willing to share with me the result of your (la Would you be willing to share with me the result of your (la Would you be willing to share with me the result of your (la Would you be willing to share with me the result of your (la Would you be willing to share with me the result of your (last) HIV test? 1 Yes 2 No Did the test show that you had HIV virus Did the test show that you had HIV virus Did the test show that you had HIV virus Did the test show that you had HIV virus Did the test show that you had HIV virus Did the test show that you had the HIV virus? 1 Yes 2 No Are you taking Septrin or Cotrimoxazole daily Are you taking Septrin or Cotrimoxazole daily Are you taking Septrin or Cotrimoxazole daily Are you taking Septrin or Cotrimoxazole daily Are you taking Septrin or Cotrimoxazole daily Are you taking Septrin or Cotrimoxazole daily? 1 Yes 2 No 8 Don't Know From where did you get the septrin (Cotrimoxazole) you are ta From where did you get the septrin (Cotrimoxazole) you are ta From where did you get the septrin (Cotrimoxazole) you are ta From where did you get the septrin (Cotrimoxazole) you are ta From where did you get the septrin (Cotrimoxazole) you are ta From where did you get the Septrin (Cotrimoxazole) you are taking the last time? 11 Government Hospital 12 Government Health Centre/Clinic 13 Government Dispensary 16 Other public 21 Mission/Church hospital/Clinic 23 Private Hospital 26 Other private medical 96 Other Are you taking ARVs, Are you taking ARVs, Are you taking ARVs, Are you taking ARVs, Are you taking ARVs, Are you taking ARVs, that is, antiretroviral medications daily? 1 Yes 2 No 8 Don't Know From wher did you get the ARVs you are taking last time From wher did you get the ARVs you are taking last time From wher did you get the ARVs you are taking last time From wher did you get the ARVs you are taking last time From wher did you get the ARVs you are taking last time From where did you get the ARVs you are taking the last time? 11 Government Hospital 12 Government Health Centre/Clinic 13 Government Dispensary 16 Other public 21 Mission/Church hospital/Clinic 23 Private Hospital 26 Other private medical 96 Other Unit Unit Unit Unit Unit 1 Months 2 Years Period Period Period Period Period Have been offered a test of your immunity level Have been offered a test of your immunity level Have been offered a test of your immunity level Have been offered a test of your immunity level Have been offered a test of your immunity level Have you ever been offered a test of your immunity level, i.e., a test that shows the CD4 count? 1 Yes 2 No 8 DK Has the CD4 count test ever been done Has the CD4 count test ever been done Has the CD4 count test ever been done Has the CD4 count test ever been done Has the CD4 count test ever been done Has the CD4 count test ever been done? 1 Yes 2 No 8 DK Plumpy nut Plumpy nut Plumpy nut Plumpy nut Plumpy nut Are you currently taking any daily nutritional supplements? IF YES: What are you taking? A Plumpy nut B Nutrimix C First Food D Foundation Plus E Foundation Advantage F Immune Boosters G Multivitamins X Other Z No supplements Nutrimix Nutrimix Nutrimix Nutrimix Nutrimix Are you currently taking any daily nutritional supplements? IF YES: What are you taking? A Plumpy nut B Nutrimix C First Food D Foundation Plus E Foundation Advantage F Immune Boosters G Multivitamins X Other Z No supplements First Food First Food First Food First Food First Food Are you currently taking any daily nutritional supplements? IF YES: What are you taking? A Plumpy nut B Nutrimix C First Food D Foundation Plus E Foundation Advantage F Immune Boosters G Multivitamins X Other Z No supplements Foundation Plus+ Foundation Plus+ Foundation Plus+ Foundation Plus+ Foundation Plus+ Are you currently taking any daily nutritional supplements? IF YES: What are you taking? A Plumpy nut B Nutrimix C First Food D Foundation Plus E Foundation Advantage F Immune Boosters G Multivitamins X Other Z No supplements Foundation advantage Foundation advantage Foundation advantage Foundation advantage Foundation advantage Are you currently taking any daily nutritional supplements? IF YES: What are you taking? A Plumpy nut B Nutrimix C First Food D Foundation Plus E Foundation Advantage F Immune Boosters G Multivitamins X Other Z No supplements immune Boosters immune Boosters immune Boosters immune Boosters immune Boosters Are you currently taking any daily nutritional supplements? IF YES: What are you taking? A Plumpy nut B Nutrimix C First Food D Foundation Plus E Foundation Advantage F Immune Boosters G Multivitamins X Other Z No supplements Multivitamins Multivitamins Multivitamins Multivitamins Multivitamins Are you currently taking any daily nutritional supplements? IF YES: What are you taking? A Plumpy nut B Nutrimix C First Food D Foundation Plus E Foundation Advantage F Immune Boosters G Multivitamins X Other Z No supplements Other Other Other Other Other Are you currently taking any daily nutritional supplements? IF YES: What are you taking? A Plumpy nut B Nutrimix C First Food D Foundation Plus E Foundation Advantage F Immune Boosters G Multivitamins X Other Z No supplements No Supplement No Supplement No Supplement No Supplement No Supplement Are you currently taking any daily nutritional supplements? IF YES: What are you taking? A Plumpy nut B Nutrimix C First Food D Foundation Plus E Foundation Advantage F Immune Boosters G Multivitamins X Other Z No supplements Have you ever heard of an illness called Tuberclosis or TB Have you ever heard of an illness called Tuberclosis or TB Have you ever heard of an illness called Tuberclosis or TB Have you ever heard of an illness called Tuberclosis or TB Have you ever heard of an illness called Tuberclosis or TB Have you ever heard of an illness called tuberculosis or TB? 1 Yes 2 No 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 does tuberculosis spread from one person to another? A Through the air when coughing B Through sharing utensils C Through Touching a person D Through food E Through sexula contact F Through Mosquito bites X Other Z DK Through sharing utensils Through sharing utensils Through sharing utensils Through sharing utensils Through sharing utensils How does tuberculosis spread from one person to another? A Through the air when coughing B Through sharing utensils C Through Touching a person D Through food E Through sexula contact F Through Mosquito bites X Other Z DK 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 does tuberculosis spread from one person to another? A Through the air when coughing B Through sharing utensils C Through Touching a person D Through food E Through sexula contact F Through Mosquito bites X Other Z DK Through food Through food Through food Through food Through food How does tuberculosis spread from one person to another? A Through the air when coughing B Through sharing utensils C Through Touching a person D Through food E Through sexula contact F Through Mosquito bites X Other Z DK Through sexual contact Through sexual contact Through sexual contact Through sexual contact Through sexual contact How does tuberculosis spread from one person to another? A Through the air when coughing B Through sharing utensils C Through Touching a person D Through food E Through sexula contact F Through Mosquito bites X Other Z DK Through Mosquito bite Through Mosquito bite Through Mosquito bite Through Mosquito bite Through Mosquito bite How does tuberculosis spread from one person to another? A Through the air when coughing B Through sharing utensils C Through Touching a person D Through food E Through sexula contact F Through Mosquito bites X Other Z DK Other Other Other Other Other How does tuberculosis spread from one person to another? A Through the air when coughing B Through sharing utensils C Through Touching a person D Through food E Through sexula contact F Through Mosquito bites X Other Z DK Don't Know Don't Know Don't Know Don't Know Don't Know How does tuberculosis spread from one person to another? A Through the air when coughing B Through sharing utensils C Through Touching a person D Through food E Through sexula contact F Through Mosquito bites X Other Z DK Can tuberclosis be cured Can tuberclosis be cured Can tuberclosis be cured Can tuberclosis be cured Can tuberclosis be cured Can tuberculosis be cured? 1 Yes 2 No 8 DK If a member of you family got TB, would you want it to remai If a member of you family got TB, would you want it to remai If a member of you family got TB, would you want it to remai If a member of you family got TB, would you want it to remai If a member of you family got TB, would you want it to remai If a member of your family got tuberculosis, would you want remain a secret or not? 1 Yes, remain a secret 2 No 8 DK/Not sure/Depends Have you ever been told by a doctor or health professional t Have you ever been told by a doctor or health professional t Have you ever been told by a doctor or health professional t Have you ever been told by a doctor or health professional t Have you ever been told by a doctor or health professional t Have you ever been told by a doctor or other health professionnal that you had tuberculosis? 1 Yes 2 No About how long ago has it been since doctor or health profes About how long ago has it been since doctor or health profes About how long ago has it been since doctor or health profes About how long ago has it been since doctor or health profes About how long ago has it been since doctor or health profes About how long ago has it been since a doctor or health professionnal last told you that you have (had) tuberculosis? 1 Less than 6months 2 6-11 months 3 1-5years 4 More than 5years 8 DK Were you ever treated for TB Were you ever treated for TB Were you ever treated for TB Were you ever treated for TB Were you ever treated for TB Were you ever treated for your tuberculosis? 1 Yes 2 No Did you complete the treatment Did you complete the treatment Did you complete the treatment Did you complete the treatment Did you complete the treatment Did you complete the treatment? 1 Yes 2 No Have you been sick in the past one week Have you been sick in the past one week Have you been sick in the past one week Have you been sick in the past one week Have you been sick in the past one week Have you been sick in the past one week? 1 Yes 2 No In the last three months, how many times did you seek health In the last three months, how many times did you seek health In the last three months, how many times did you seek health In the last three months, how many times did you seek health In the last three months, how many times did you seek health In the last three months, how many times did you seek health care outside of your home? None The last time you went for health care, where did you go The last time you went for health care, where did you go The last time you went for health care, where did you go The last time you went for health care, where did you go The last time you went for health care, where did you go The last time you went for health care, where did you go? Have you ever had a blood transfusion Have you ever had a blood transfusion Have you ever had a blood transfusion Have you ever had a blood transfusion Have you ever had a blood transfusion Have you ever had a blood transfusion? 1 Yes 2 No Unit of time Unit of time Unit of time Unit of time Unit of time None 1 Days ago 2 Weeks ago 3 Months ago 4 Years ago Number Number Number Number Number Have you been asked to donate blood in the last year Have you been asked to donate blood in the last year Have you been asked to donate blood in the last year Have you been asked to donate blood in the last year Have you been asked to donate blood in the last year Have you been asked to donate blood in the last year? 1 Yes 2 No Who asked you to donate blood Who asked you to donate blood Who asked you to donate blood Who asked you to donate blood Who asked you to donate blood Who asked you to donate blood the last time? 1 Family /Friends 2 Blood transfusion service 6 Other 8 DK Have you donated blood in the last year Have you donated blood in the last year Have you donated blood in the last year Have you donated blood in the last year Have you donated blood in the last year Have you donated blood in the last year? 1 Yes 2 No Number of injections in the last 12months Number of injections in the last 12months Number of injections in the last 12months Number of injections in the last 12months Number of injections in the last 12months Now I would like to ask you some questions about any injections you have had in the last twelve months. Have you had an injection for any reason in the last twelve months? IF YES: How many injections did you have? None Among these injections, how many were administered by a trad Among these injections, how many were administered by a trad Among these injections, how many were administered by a trad Among these injections, how many were administered by a trad Among these injections, how many were administered by a trad Among these injections, how many were administered by a traditional practitioner or healer? None Among these injections how many were administered by a docto Among these injections how many were administered by a docto Among these injections how many were administered by a docto Among these injections how many were administered by a docto Among these injections how many were administered by a docto Among these injections, how many were administered by a doctor, a nurse, a pharmacist, a dentist, or any other health worker? None The last time you had an injection given to you by a health The last time you had an injection given to you by a health The last time you had an injection given to you by a health The last time you had an injection given to you by a health The last time you had an injection given to you by a health The last time you had an injection given to you by a health worker, at what place did you receive the injection? Did the health worker who gave you the injection take the sy Did the health worker who gave you the injection take the sy Did the health worker who gave you the injection take the sy Did the health worker who gave you the injection take the sy Did the health worker who gave you the injection take the sy Did the health worker who gave you that injection take the syringe and needle from a new, unopened package? If you have a choice, would you like to receive medication a If you have a choice, would you like to receive medication a If you have a choice, would you like to receive medication a If you have a choice, would you like to receive medication a If you have a choice, would you like to receive medication a If you have a choice, would you like to receive medication as an injection or pill? Have you ever had immunization against yellow fever Have you ever had immunization against yellow fever Have you ever had immunization against yellow fever Have you ever had immunization against yellow fever Have you ever had immunization against yellow fever Have you ever had an immunization against yellow fever? Unit (Month/year) Unit (Month/year) Unit (Month/year) Unit (Month/year) Unit (Month/year) Number Number Number Number Number CHECK SEX CHECK SEX CHECK SEX CHECK SEX CHECK SEX 1 Response Some men are circumcised, are you circumcised Some men are circumcised, are you circumcised Some men are circumcised, are you circumcised Some men are circumcised, are you circumcised Some men are circumcised, are you circumcised Some men are circumcised. Are you circumcised? How old were you when you were circumcised How old were you when you were circumcised How old were you when you were circumcised How old were you when you were circumcised How old were you when you were circumcised How old were you when you were cicumcised? Where were you circumcised Where were you circumcised Where were you circumcised Where were you circumcised Where were you circumcised Where were you circumcised? Who performed the circumcission Who performed the circumcission Who performed the circumcission Who performed the circumcission Who performed the circumcission Who performed the circumcision? CHECK 203 AND 205 CHECK 203 AND 205 CHECK 203 AND 205 CHECK 203 AND 205 CHECK 203 AND 205 1 Response How old is your youngest son How old is your youngest son How old is your youngest son How old is your youngest son How old is your youngest son How old is your youngest son? CHECK 829 CHECK 829 CHECK 829 CHECK 829 CHECK 829 1 Response Is your youngest son circumcised Is your youngest son circumcised Is your youngest son circumcised Is your youngest son circumcised Is your youngest son circumcised Is your youngest son circumcised? Are you planning to have your youngest son circumcised Are you planning to have your youngest son circumcised Are you planning to have your youngest son circumcised Are you planning to have your youngest son circumcised Are you planning to have your youngest son circumcised Are you planning to have your youngest son circumcised? CHECK 501-Heard about AIDS CHECK 501-Heard about AIDS CHECK 501-Heard about AIDS CHECK 501-Heard about AIDS CHECK 501-Heard about AIDS 1 Yes 2 No CHECK 321 CHECK 321 CHECK 321 CHECK 321 CHECK 321 1 Response CHECK 833 CHECK 833 CHECK 833 CHECK 833 CHECK 833 1 Response During the last 12 months, have you had a disease which you g During the last 12 months, have you had a disease which you g During the last 12 months, have you had a disease which you g During the last 12 months, have you had a disease which you g During the last 12 months, have you had a disease which you g Now I would like to ask you some questions about your health the last 12 months. During the last 12 months, have you had a disease which you got through sexual contact? During the last 12 months, have you had abnormal discharge fr During the last 12 months, have you had abnormal discharge fr During the last 12 months, have you had abnormal discharge fr During the last 12 months, have you had abnormal discharge fr During the last 12 months, have you had abnormal discharge fr Sometimes men experience an abnormal discharge from their penis. During the last 12 months, have you had an abnormal discharge from your penis? During the last 12 months have you had an ulcer or sore on or During the last 12 months have you had an ulcer or sore on or During the last 12 months have you had an ulcer or sore on or During the last 12 months have you had an ulcer or sore on or During the last 12 months have you had an ulcer or sore on or Sometimes men have a sore or ulcer on or near their penis During the last 12 months, have you had an ulcer or sore on or near your penis? CHECK 836,837, AND 838 CHECK 836,837, AND 838 CHECK 836,837, AND 838 CHECK 836,837, AND 838 CHECK 836,837, AND 838 1 Response The last time you had the problem , did you seek any kind of The last time you had the problem , did you seek any kind of The last time you had the problem , did you seek any kind of The last time you had the problem , did you seek any kind of The last time you had the problem , did you seek any kind of The last time you had (PROBLEM FROM 836/837/838), did you seek any kind of advice or treatment? Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Where did you go? Government Health Centre/Clinic Government Health Centre/Clinic Government Health Centre/Clinic Government Health Centre/Clinic Government Health Centre/Clinic Where did you go? Stand-alone VCT Center Stand-alone VCT Center Stand-alone VCT Center Stand-alone VCT Center Stand-alone VCT Center Where did you go? Family planning Clinic Family planning Clinic Family planning Clinic Family planning Clinic Family planning Clinic Where did you go? Mobile Clinic Mobile Clinic Mobile Clinic Mobile Clinic Mobile Clinic Where did you go? Fieldworker Fieldworker Fieldworker Fieldworker Fieldworker Where did you go? Other Public Other Public Other Public Other Public Other Public Where did you go? Private Hospital/Clinic/Private Doctor Private Hospital/Clinic/Private Doctor Private Hospital/Clinic/Private Doctor Private Hospital/Clinic/Private Doctor Private Hospital/Clinic/Private Doctor Where did you go? Stand -Alone VCT Center Stand -Alone VCT Center Stand -Alone VCT Center Stand -Alone VCT Center Stand -Alone VCT Center Where did you go? Pharmacy Pharmacy Pharmacy Pharmacy Pharmacy Where did you go? Mobile Clinic Mobile Clinic Mobile Clinic Mobile Clinic Mobile Clinic Where did you go? Field Worker Field Worker Field Worker Field Worker Field Worker Where did you go? Other private Medical Other private Medical Other private Medical Other private Medical Other private Medical Where did you go? Shop Shop Shop Shop Shop Where did you go? Traditional Healer Traditional Healer Traditional Healer Traditional Healer Traditional Healer Where did you go? Other Other Other Other Other Where did you go? Not Answered Not Answered Not Answered Not Answered Not Answered Where did you go? If a wife knows her husband has a disease that she can get d If a wife knows her husband has a disease that she can get d If a wife knows her husband has a disease that she can get d If a wife knows her husband has a disease that she can get d If a wife knows her husband has a disease that she can get d Husbands and wives do not always agree on everything. If a wife knows her husband has a disease that she can get during sexual intercourse, is she justified in refusing to have sex with him? If a wife knows her husband has a disease that she can get d If a wife knows her husband has a disease that she can get d If a wife knows her husband has a disease that she can get d If a wife knows her husband has a disease that she can get d If a wife knows her husband has a disease that she can get d If a wife knows her husband has a disease that she can get during sexual intercourse, is she justified in asking that they use a condom when they have sex? Is a wife justified in refusing to have sex with her husband Is a wife justified in refusing to have sex with her husband Is a wife justified in refusing to have sex with her husband Is a wife justified in refusing to have sex with her husband Is a wife justified in refusing to have sex with her husband Is a wife justified in refusing to have sex with her husband when she is tired or not in the mood? Is a wife justified refusing to have sex with her husband wh Is a wife justified refusing to have sex with her husband wh Is a wife justified refusing to have sex with her husband wh Is a wife justified refusing to have sex with her husband wh Is a wife justified refusing to have sex with her husband wh Is a wife justified in refusing to have sex with her husband when she knows her husband has sex with other women? CHECK 301 CHECK 301 CHECK 301 CHECK 301 CHECK 301 1 Response Can you say no to your husband/partner if you do not want to Can you say no to your husband/partner if you do not want to Can you say no to your husband/partner if you do not want to Can you say no to your husband/partner if you do not want to Can you say no to your husband/partner if you do not want to Can you say no to your husband/partner if you do not want to have sexual intercourse? Could you ask your husband/partner to use condom if you want Could you ask your husband/partner to use condom if you want Could you ask your husband/partner to use condom if you want Could you ask your husband/partner to use condom if you want Could you ask your husband/partner to use condom if you want Could you ask your husband/partner to use a condom if you wanted him to? Hour Hour Hour Hour Hour minute minute minute minute minute Ref.Lab Specimen Number Ref.Lab Specimen Number Ref.Lab Specimen Number Ref.Lab Specimen Number Ref.Lab Specimen Number QA.Lab Specimen Number QA.Lab Specimen Number QA.Lab Specimen Number QA.Lab Specimen Number QA.Lab Specimen Number Specimen Type Specimen Type Specimen Type Specimen Type Specimen Type Date of Specimen Collection Date of Specimen Collection Date of Specimen Collection Date of Specimen Collection Date of Specimen Collection Date of Specimen Registration Date of Specimen Registration Date of Specimen Registration Date of Specimen Registration Date of Specimen Registration Ref.Lab HIV Date of Test Ref.Lab HIV Date of Test Ref.Lab HIV Date of Test Ref.Lab HIV Date of Test Ref.Lab HIV Date of Test Vironostika 1 Ref.Lab Optical Density Vironostika 1 Ref.Lab Optical Density Vironostika 1 Ref.Lab Optical Density Vironostika 1 Ref.Lab Optical Density Vironostika 1 Ref.Lab Optical Density Vironostika 1 Ref.Lab CutOff Value Vironostika 1 Ref.Lab CutOff Value Vironostika 1 Ref.Lab CutOff Value Vironostika 1 Ref.Lab CutOff Value Vironostika 1 Ref.Lab CutOff Value Vironostika 1 Ref.Lab Mean of Controls Vironostika 1 Ref.Lab Mean of Controls Vironostika 1 Ref.Lab Mean of Controls Vironostika 1 Ref.Lab Mean of Controls Vironostika 1 Ref.Lab Mean of Controls Vironostika 1 Ref.Lab Result Vironostika 1 Ref.Lab Result Vironostika 1 Ref.Lab Result Vironostika 1 Ref.Lab Result Vironostika 1 Ref.Lab Result Vironostika 1 Ref.Lab WorkSheet No. Vironostika 1 Ref.Lab WorkSheet No. Vironostika 1 Ref.Lab WorkSheet No. Vironostika 1 Ref.Lab WorkSheet No. Vironostika 1 Ref.Lab WorkSheet No. Vironostika 2 Ref.Lab Optical Density Vironostika 2 Ref.Lab Optical Density Vironostika 2 Ref.Lab Optical Density Vironostika 2 Ref.Lab Optical Density Vironostika 2 Ref.Lab Optical Density Vironostika 2 Ref.Lab CutOff Value Vironostika 2 Ref.Lab CutOff Value Vironostika 2 Ref.Lab CutOff Value Vironostika 2 Ref.Lab CutOff Value Vironostika 2 Ref.Lab CutOff Value Vironostika 2 Ref.Lab Mean of Controls Vironostika 2 Ref.Lab Mean of Controls Vironostika 2 Ref.Lab Mean of Controls Vironostika 2 Ref.Lab Mean of Controls Vironostika 2 Ref.Lab Mean of Controls Vironostika 2 Ref.Lab Result Vironostika 2 Ref.Lab Result Vironostika 2 Ref.Lab Result Vironostika 2 Ref.Lab Result Vironostika 2 Ref.Lab Result Vironostika 2 Ref.Lab WorkSheet No. Vironostika 2 Ref.Lab WorkSheet No. Vironostika 2 Ref.Lab WorkSheet No. Vironostika 2 Ref.Lab WorkSheet No. Vironostika 2 Ref.Lab WorkSheet No. Murex 1 Ref.Lab Optical Density Murex 1 Ref.Lab Optical Density Murex 1 Ref.Lab Optical Density Murex 1 Ref.Lab Optical Density Murex 1 Ref.Lab Optical Density Murex 1 Ref.Lab CutOff Value Murex 1 Ref.Lab CutOff Value Murex 1 Ref.Lab CutOff Value Murex 1 Ref.Lab CutOff Value Murex 1 Ref.Lab CutOff Value Murex 1 Ref.Lab Mean of Controls Murex 1 Ref.Lab Mean of Controls Murex 1 Ref.Lab Mean of Controls Murex 1 Ref.Lab Mean of Controls Murex 1 Ref.Lab Mean of Controls Murex 1 Ref.Lab Result Murex 1 Ref.Lab Result Murex 1 Ref.Lab Result Murex 1 Ref.Lab Result Murex 1 Ref.Lab Result Murex 1 Ref.Lab WorkSheet No. Murex 1 Ref.Lab WorkSheet No. Murex 1 Ref.Lab WorkSheet No. Murex 1 Ref.Lab WorkSheet No. Murex 1 Ref.Lab WorkSheet No. Murex 2 Ref.Lab Optical Density Murex 2 Ref.Lab Optical Density Murex 2 Ref.Lab Optical Density Murex 2 Ref.Lab Optical Density Murex 2 Ref.Lab Optical Density Murex 2 Ref.Lab CutOff Value Murex 2 Ref.Lab CutOff Value Murex 2 Ref.Lab CutOff Value Murex 2 Ref.Lab CutOff Value Murex 2 Ref.Lab CutOff Value Murex 2 Ref.Lab Mean of Controls Murex 2 Ref.Lab Mean of Controls Murex 2 Ref.Lab Mean of Controls Murex 2 Ref.Lab Mean of Controls Murex 2 Ref.Lab Mean of Controls Murex 2 Ref.Lab Result Murex 2 Ref.Lab Result Murex 2 Ref.Lab Result Murex 2 Ref.Lab Result Murex 2 Ref.Lab Result Murex 2 Ref.Lab WorkSheet No. Murex 2 Ref.Lab WorkSheet No. Murex 2 Ref.Lab WorkSheet No. Murex 2 Ref.Lab WorkSheet No. Murex 2 Ref.Lab WorkSheet No. Kalon 1 Ref.Lab Optical Density Kalon 1 Ref.Lab Optical Density Kalon 1 Ref.Lab Optical Density Kalon 1 Ref.Lab Optical Density Kalon 1 Ref.Lab Optical Density Kalon 1 Ref.Lab CutOff Value Kalon 1 Ref.Lab CutOff Value Kalon 1 Ref.Lab CutOff Value Kalon 1 Ref.Lab CutOff Value Kalon 1 Ref.Lab CutOff Value Kalon 1 Ref.Lab Mean of Controls Kalon 1 Ref.Lab Mean of Controls Kalon 1 Ref.Lab Mean of Controls Kalon 1 Ref.Lab Mean of Controls Kalon 1 Ref.Lab Mean of Controls Kalon 1 Ref.Lab WorkSheet No. Kalon 1 Ref.Lab WorkSheet No. Kalon 1 Ref.Lab WorkSheet No. Kalon 1 Ref.Lab WorkSheet No. Kalon 1 Ref.Lab WorkSheet No. Kalon 1 Ref.Lab Result Kalon 1 Ref.Lab Result Kalon 1 Ref.Lab Result Kalon 1 Ref.Lab Result Kalon 1 Ref.Lab Result Vironostika 1 DBS Ref.Lab Optical Density Vironostika 1 DBS Ref.Lab Optical Density Vironostika 1 DBS Ref.Lab Optical Density Vironostika 1 DBS Ref.Lab Optical Density Vironostika 1 DBS Ref.Lab Optical Density Vironostika 1 DBS Ref.Lab CutOff Value Vironostika 1 DBS Ref.Lab CutOff Value Vironostika 1 DBS Ref.Lab CutOff Value Vironostika 1 DBS Ref.Lab CutOff Value Vironostika 1 DBS Ref.Lab CutOff Value Vironostika 1 DBS Ref.Lab Mean of Controls Vironostika 1 DBS Ref.Lab Mean of Controls Vironostika 1 DBS Ref.Lab Mean of Controls Vironostika 1 DBS Ref.Lab Mean of Controls Vironostika 1 DBS Ref.Lab Mean of Controls Vironostika 1 DBS Ref.Lab Result Vironostika 1 DBS Ref.Lab Result Vironostika 1 DBS Ref.Lab Result Vironostika 1 DBS Ref.Lab Result Vironostika 1 DBS Ref.Lab Result Vironostika 1 DBS Ref.Lab WorkSheet No. Vironostika 1 DBS Ref.Lab WorkSheet No. Vironostika 1 DBS Ref.Lab WorkSheet No. Vironostika 1 DBS Ref.Lab WorkSheet No. Vironostika 1 DBS Ref.Lab WorkSheet No. Murex 1 DBS Ref.Lab Optical Density Murex 1 DBS Ref.Lab Optical Density Murex 1 DBS Ref.Lab Optical Density Murex 1 DBS Ref.Lab Optical Density Murex 1 DBS Ref.Lab Optical Density Murex 1 DBS Ref.Lab CutOff Value Murex 1 DBS Ref.Lab CutOff Value Murex 1 DBS Ref.Lab CutOff Value Murex 1 DBS Ref.Lab CutOff Value Murex 1 DBS Ref.Lab CutOff Value Murex 1 DBS Ref.Lab Mean of Controls Murex 1 DBS Ref.Lab Mean of Controls Murex 1 DBS Ref.Lab Mean of Controls Murex 1 DBS Ref.Lab Mean of Controls Murex 1 DBS Ref.Lab Mean of Controls Murex 1 DBS Ref.Lab Result Murex 1 DBS Ref.Lab Result Murex 1 DBS Ref.Lab Result Murex 1 DBS Ref.Lab Result Murex 1 DBS Ref.Lab Result Murex 1 DBS Ref.Lab WorkSheet No. Murex 1 DBS Ref.Lab WorkSheet No. Murex 1 DBS Ref.Lab WorkSheet No. Murex 1 DBS Ref.Lab WorkSheet No. Murex 1 DBS Ref.Lab WorkSheet No. QA.Lab HIV Date of Test QA.Lab HIV Date of Test QA.Lab HIV Date of Test QA.Lab HIV Date of Test QA.Lab HIV Date of Test Vironostika 1 QA.Lab Optical Density Vironostika 1 QA.Lab Optical Density Vironostika 1 QA.Lab Optical Density Vironostika 1 QA.Lab Optical Density Vironostika 1 QA.Lab Optical Density Vironostika 1 QA.Lab CutOff Value Vironostika 1 QA.Lab CutOff Value Vironostika 1 QA.Lab CutOff Value Vironostika 1 QA.Lab CutOff Value Vironostika 1 QA.Lab CutOff Value Vironostika 1 QA.Lab Mean of Controls Vironostika 1 QA.Lab Mean of Controls Vironostika 1 QA.Lab Mean of Controls Vironostika 1 QA.Lab Mean of Controls Vironostika 1 QA.Lab Mean of Controls Vironostika 1 QA.Lab Result Vironostika 1 QA.Lab Result Vironostika 1 QA.Lab Result Vironostika 1 QA.Lab Result Vironostika 1 QA.Lab Result Vironostika 1 QA.Lab WorkSheet No. Vironostika 1 QA.Lab WorkSheet No. Vironostika 1 QA.Lab WorkSheet No. Vironostika 1 QA.Lab WorkSheet No. Vironostika 1 QA.Lab WorkSheet No. Vironostika 2 QA.Lab Optical Density Vironostika 2 QA.Lab Optical Density Vironostika 2 QA.Lab Optical Density Vironostika 2 QA.Lab Optical Density Vironostika 2 QA.Lab Optical Density Vironostika 2 QA.Lab CutOff Value Vironostika 2 QA.Lab CutOff Value Vironostika 2 QA.Lab CutOff Value Vironostika 2 QA.Lab CutOff Value Vironostika 2 QA.Lab CutOff Value Vironostika 2 QA.Lab Mean of Controls Vironostika 2 QA.Lab Mean of Controls Vironostika 2 QA.Lab Mean of Controls Vironostika 2 QA.Lab Mean of Controls Vironostika 2 QA.Lab Mean of Controls Vironostika 2 QA.Lab Result Vironostika 2 QA.Lab Result Vironostika 2 QA.Lab Result Vironostika 2 QA.Lab Result Vironostika 2 QA.Lab Result Vironostika 2 QA.Lab WorkSheet No. Vironostika 2 QA.Lab WorkSheet No. Vironostika 2 QA.Lab WorkSheet No. Vironostika 2 QA.Lab WorkSheet No. Vironostika 2 QA.Lab WorkSheet No. Murex 1 QA.Lab Optical Density Murex 1 QA.Lab Optical Density Murex 1 QA.Lab Optical Density Murex 1 QA.Lab Optical Density Murex 1 QA.Lab Optical Density Murex 1 QA.Lab CutOff Value Murex 1 QA.Lab CutOff Value Murex 1 QA.Lab CutOff Value Murex 1 QA.Lab CutOff Value Murex 1 QA.Lab CutOff Value Murex 1 QA.Lab Mean of Controls Murex 1 QA.Lab Mean of Controls Murex 1 QA.Lab Mean of Controls Murex 1 QA.Lab Mean of Controls Murex 1 QA.Lab Mean of Controls Murex 1 QA.Lab Result Murex 1 QA.Lab Result Murex 1 QA.Lab Result Murex 1 QA.Lab Result Murex 1 QA.Lab Result Murex 1 QA.Lab WorkSheet No. Murex 1 QA.Lab WorkSheet No. Murex 1 QA.Lab WorkSheet No. Murex 1 QA.Lab WorkSheet No. Murex 1 QA.Lab WorkSheet No. Murex 2 QA.Lab Optical Density Murex 2 QA.Lab Optical Density Murex 2 QA.Lab Optical Density Murex 2 QA.Lab Optical Density Murex 2 QA.Lab Optical Density Murex 2 QA.Lab CutOff Value Murex 2 QA.Lab CutOff Value Murex 2 QA.Lab CutOff Value Murex 2 QA.Lab CutOff Value Murex 2 QA.Lab CutOff Value Murex 2 QA.Lab Mean of Controls Murex 2 QA.Lab Mean of Controls Murex 2 QA.Lab Mean of Controls Murex 2 QA.Lab Mean of Controls Murex 2 QA.Lab Mean of Controls Murex 2 QA.Lab Result Murex 2 QA.Lab Result Murex 2 QA.Lab Result Murex 2 QA.Lab Result Murex 2 QA.Lab Result Murex 2 QA.Lab WorkSheet No. Murex 2 QA.Lab WorkSheet No. Murex 2 QA.Lab WorkSheet No. Murex 2 QA.Lab WorkSheet No. Murex 2 QA.Lab WorkSheet No. Kalon 1 QA.Lab Optical Density Kalon 1 QA.Lab Optical Density Kalon 1 QA.Lab Optical Density Kalon 1 QA.Lab Optical Density Kalon 1 QA.Lab Optical Density Kalon 1 QA.Lab CutOff Value Kalon 1 QA.Lab CutOff Value Kalon 1 QA.Lab CutOff Value Kalon 1 QA.Lab CutOff Value Kalon 1 QA.Lab CutOff Value Kalon 1 QA.Lab Mean of Controls Kalon 1 QA.Lab Mean of Controls Kalon 1 QA.Lab Mean of Controls Kalon 1 QA.Lab Mean of Controls Kalon 1 QA.Lab Mean of Controls Kalon 1 QA.Lab WorkSheet No. Kalon 1 QA.Lab WorkSheet No. Kalon 1 QA.Lab WorkSheet No. Kalon 1 QA.Lab WorkSheet No. Kalon 1 QA.Lab WorkSheet No. Kalon 1 QA.Lab Result Kalon 1 QA.Lab Result Kalon 1 QA.Lab Result Kalon 1 QA.Lab Result Kalon 1 QA.Lab Result Kalon 2 QA.Lab Optical Density Kalon 2 QA.Lab Optical Density Kalon 2 QA.Lab Optical Density Kalon 2 QA.Lab Optical Density Kalon 2 QA.Lab Optical Density Kalon 2 QA.Lab CutOff Value Kalon 2 QA.Lab CutOff Value Kalon 2 QA.Lab CutOff Value Kalon 2 QA.Lab CutOff Value Kalon 2 QA.Lab CutOff Value Kalon 2 QA.Lab Mean of Controls Kalon 2 QA.Lab Mean of Controls Kalon 2 QA.Lab Mean of Controls Kalon 2 QA.Lab Mean of Controls Kalon 2 QA.Lab Mean of Controls Kalon 2 QA.Lab WorkSheet No. Kalon 2 QA.Lab WorkSheet No. Kalon 2 QA.Lab WorkSheet No. Kalon 2 QA.Lab WorkSheet No. Kalon 2 QA.Lab WorkSheet No. Kalon 2 QA.Lab Result Kalon 2 QA.Lab Result Kalon 2 QA.Lab Result Kalon 2 QA.Lab Result Kalon 2 QA.Lab Result Date of CD4 Test Date of CD4 Test Date of CD4 Test Date of CD4 Test Date of CD4 Test CD4 Abs Cnt CD4 Abs Cnt CD4 Abs Cnt CD4 Abs Cnt CD4 Abs Cnt CD4 Pc Lymph CD4 Pc Lymph CD4 Pc Lymph CD4 Pc Lymph CD4 Pc Lymph CD8 Pc Lymph CD8 Pc Lymph CD8 Pc Lymph CD8 Pc Lymph CD8 Pc Lymph CD8 Abs Cnt CD8 Abs Cnt CD8 Abs Cnt CD8 Abs Cnt CD8 Abs Cnt CD4 WorkSheet No. CD4 WorkSheet No. CD4 WorkSheet No. CD4 WorkSheet No. CD4 WorkSheet No. Ref.Lab TPPA Results Ref.Lab TPPA Results Ref.Lab TPPA Results Ref.Lab TPPA Results Ref.Lab TPPA Results Ref.Lab TPPA Test Date Ref.Lab TPPA Test Date Ref.Lab TPPA Test Date Ref.Lab TPPA Test Date Ref.Lab TPPA Test Date Ref.Lab RPR Results Ref.Lab RPR Results Ref.Lab RPR Results Ref.Lab RPR Results Ref.Lab RPR Results Ref.Lab RPR Test Date Ref.Lab RPR Test Date Ref.Lab RPR Test Date Ref.Lab RPR Test Date Ref.Lab RPR Test Date Ref.Lab Syphilis Result Ref.Lab Syphilis Result Ref.Lab Syphilis Result Ref.Lab Syphilis Result Ref.Lab Syphilis Result QA.Lab TPPA Result QA.Lab TPPA Result QA.Lab TPPA Result QA.Lab TPPA Result QA.Lab TPPA Result QA.Lab TPPA Test Date QA.Lab TPPA Test Date QA.Lab TPPA Test Date QA.Lab TPPA Test Date QA.Lab TPPA Test Date QA.Lab TPPA WorkSheet No. QA.Lab TPPA WorkSheet No. QA.Lab TPPA WorkSheet No. QA.Lab TPPA WorkSheet No. QA.Lab TPPA WorkSheet No. QA.Lab RPR Result QA.Lab RPR Result QA.Lab RPR Result QA.Lab RPR Result QA.Lab RPR Result Syphilis QA.Lab Results Syphilis QA.Lab Results Syphilis QA.Lab Results Syphilis QA.Lab Results Syphilis QA.Lab Results HIV Ref.Lab Result HIV Ref.Lab Result HIV Ref.Lab Result HIV Ref.Lab Result HIV Ref.Lab Result HIV QA.Lab Result HIV QA.Lab Result HIV QA.Lab Result HIV QA.Lab Result HIV QA.Lab Result Polymerase Chain Reaction (PCR) Result Polymerase Chain Reaction (PCR) Result Polymerase Chain Reaction (PCR) Result Polymerase Chain Reaction (PCR) Result Polymerase Chain Reaction (PCR) Result Final HIV Result Final HIV Result Final HIV Result Final HIV Result Final HIV Result Final HIV Status Final HIV Status Final HIV Status Final HIV Status Final HIV Status Final CD4 Result Final CD4 Result Final CD4 Result Final CD4 Result Final CD4 Result Final CD4 Status Final CD4 Status Final CD4 Status Final CD4 Status Final CD4 Status Final HSV2 Result Final HSV2 Result Final HSV2 Result Final HSV2 Result Final HSV2 Result Final HSV2 Status Final HSV2 Status Final HSV2 Status Final HSV2 Status Final HSV2 Status Final Syphilis Results Final Syphilis Results Final Syphilis Results Final Syphilis Results Final Syphilis Results Final Syphilis Status Final Syphilis Status Final Syphilis Status Final Syphilis Status Final Syphilis Status Specimen Rejection Date Specimen Rejection Date Specimen Rejection Date Specimen Rejection Date Specimen Rejection Date Serum Rejected? Serum Rejected? Serum Rejected? Serum Rejected? Serum Rejected? Whole Blood Rejected? Whole Blood Rejected? Whole Blood Rejected? Whole Blood Rejected? Whole Blood Rejected? Clot Rejected? Clot Rejected? Clot Rejected? Clot Rejected? Clot Rejected? DBS Rejected? DBS Rejected? DBS Rejected? DBS Rejected? DBS Rejected? Reason for Speciment Rejection Reason for Speciment Rejection Reason for Speciment Rejection Reason for Speciment Rejection Reason for Speciment Rejection Provincial Code Provincial Code Provincial Code Provincial Code Provincial Code 1 Nairobi 2 Central 3 Coast 4 Eastern 5 North Eastern 6 Nyanza 7 Rift Valley 8 Western Residential Code Residential Code Residential Code Residential Code Residential Code 1 Rural 2 Urban District District District District District 101 Nairobi 201 Kiambu 202 Kirinyaga 203 Muranga 204 Nyandarua 205 Nyeri 206 Thika 207 Maragua 301 Kilifi 302 Kwale 303 Lamu 304 Mombasa 305 Taita Taveta 306 Tana River 307 Malindi 401 Embu 402 Isiolo 403 Kitui 404 Makueni 405 Machakos 406 Marsabit 407 Mbeere 408 Meru Central 409 Moyale 410 Mwingi 411 Meru North 412 Tharaka 413 Meru South 501 Garissa 502 Mandera 503 Wajir 601 Gucha 602 Homa Bay 603 Central Kisii 604 Kisumu 605 Kuria 606 Migori 607 Kisii North 608 Rachuonyo 609 Siaya 610 Suba 611 Bondo 612 Nyando 701 Baringo 702 Bomet 703 Keiyo 704 Kajiado 705 Kericho 706 Koibatek 707 Laikipia 708 Marakwet 709 Nakuru 710 Nandi 711 Narok 712 Samburu 713 Trans Mara 714 Trans Nzoia 715 Turkana 716 Uasin Gishu 717 West Pokot 718 Buret 801 Bungoma 802 Busia 803 Mt. Elgon 804 Kakamega 805 Lugari 806 Teso 807 Vihiga 808 Butere Mumias Cluster Number Cluster Number Cluster Number Cluster Number Cluster Number Household Number Household Number Household Number Household Number Household Number Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest City\Town\Countryside City\Town\Countryside City\Town\Countryside City\Town\Countryside City\Town\Countryside 1 Nairobi/Mombasa/Kisumu 2 Nakuru/Eldoret/Thika/Nyeri 3 Small town 4 Rural Date of interview (CMC) Date of interview (CMC) Date of interview (CMC) Date of interview (CMC) Date of interview (CMC) Mosquito nets household own Mosquito nets household own Mosquito nets household own Mosquito nets household own Mosquito nets household own How many mosquito nets does your household have? net number net number net number net number net number Shown Net Shown Net Shown Net Shown Net Shown Net ASK RESPONDENT TO SHOW YOU THE NET(S) IN THE HOUSEHOLD. 1 Observed 2 Not Observed How long ago household obtained net How long ago household obtained net How long ago household obtained net How long ago household obtained net How long ago household obtained net How many months ago did your household obtain the mosquito net? 95 More than 3 years 98 Not Sure How obtained the net How obtained the net How obtained the net How obtained the net How obtained the net How did your household obtain the net: Was it bought or was it given free of charge? IF FREE: ASK: Was it from a nongovernmental organisation or from the government? 1 Bought 2 Free fom NGO 3 Free form Govt. 4 Free Others 5 Other 8 Not sure Shape of the net Shape of the net Shape of the net Shape of the net Shape of the net OBSERVE OR ASK THE SHAPE OF THE NET. 1 Conical 2 Rectangular 6 Other 8 Not sure Color of the net Color of the net Color of the net Color of the net Color of the net OBSERVE OR ASK THE COLOR OF THE NET. 1 White 2 Blue 3 Green 6 Other 8 Not sure Was net already treated Was net already treated Was net already treated Was net already treated Was net already treated When you got the net, was it already treated with an insecticide to kill or repel mosquitos? 1 Yes 2 No 8 Not sure Net ever soaked or dipped in chemical Net ever soaked or dipped in chemical Net ever soaked or dipped in chemical Net ever soaked or dipped in chemical Net ever soaked or dipped in chemical Since you got the mosquito net, was it ever soaked or dipped in dawa or a liquid to repel mosquitos or insects? 1 Yes 2 No 8 Not sure How long ago was net last soaked How long ago was net last soaked How long ago was net last soaked How long ago was net last soaked How long ago was net last soaked How many months ago was the net last soaked or dipped? 95 More than 25 months ago 98 Not sure Did anybody sleep under the net Did anybody sleep under the net Did anybody sleep under the net Did anybody sleep under the net Did anybody sleep under the net Did anyone sleep under this mosquito net last night? 1 Yes 2 No 8 Not sure Who slept under the net (1) Who slept under the net (1) Who slept under the net (1) Who slept under the net (1) Who slept under the net (1) Who slept under this mosquito net last night? Who slept under the net (2) Who slept under the net (2) Who slept under the net (2) Who slept under the net (2) Who slept under the net (2) Who slept under this mosquito net last night? Who slept under the net (3) Who slept under the net (3) Who slept under the net (3) Who slept under the net (3) Who slept under the net (3) Who slept under this mosquito net last night? Who slept under the net (4) Who slept under the net (4) Who slept under the net (4) Who slept under the net (4) Who slept under the net (4) Who slept under this mosquito net last night? Who slept under the net (5) Who slept under the net (5) Who slept under the net (5) Who slept under the net (5) Who slept under the net (5) Who slept under this mosquito net last night? Provincial Code Provincial Code Provincial Code Provincial Code Provincial Code 1 Nairobi 2 Central 3 Coast 4 Eastern 5 North Eastern 6 Nyanza 7 Rift Valley 8 Western Residential Code Residential Code Residential Code Residential Code Residential Code 1 Rural 2 Urban District District District District District 101 Nairobi 201 Kiambu 202 Kirinyaga 203 Muranga 204 Nyandarua 205 Nyeri 206 Thika 207 Maragua 301 Kilifi 302 Kwale 303 Lamu 304 Mombasa 305 Taita Taveta 306 Tana River 307 Malindi 401 Embu 402 Isiolo 403 Kitui 404 Makueni 405 Machakos 406 Marsabit 407 Mbeere 408 Meru Central 409 Moyale 410 Mwingi 411 Meru North 412 Tharaka 413 Meru South 501 Garissa 502 Mandera 503 Wajir 601 Gucha 602 Homa Bay 603 Central Kisii 604 Kisumu 605 Kuria 606 Migori 607 Kisii North 608 Rachuonyo 609 Siaya 610 Suba 611 Bondo 612 Nyando 701 Baringo 702 Bomet 703 Keiyo 704 Kajiado 705 Kericho 706 Koibatek 707 Laikipia 708 Marakwet 709 Nakuru 710 Nandi 711 Narok 712 Samburu 713 Trans Mara 714 Trans Nzoia 715 Turkana 716 Uasin Gishu 717 West Pokot 718 Buret 801 Bungoma 802 Busia 803 Mt. Elgon 804 Kakamega 805 Lugari 806 Teso 807 Vihiga 808 Butere Mumias Cluster Number Cluster Number Cluster Number Cluster Number Cluster Number Household Number Household Number Household Number Household Number Household Number City\Town\Countryside City\Town\Countryside City\Town\Countryside City\Town\Countryside City\Town\Countryside 1 Nairobi/Mombasa/Kisumu 2 Nakuru/Eldoret/Thika/Nyeri 3 Small town 4 Rural Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Member line number Member line number Member line number Member line number Member line number partner partner partner partner partner 1 last sexual partner 2 second last sexual partner 3 third last sexual partner Date of interview (CMC) Date of interview (CMC) Date of interview (CMC) Date of interview (CMC) Date of interview (CMC) When was last time you had sexual intercourse with this pers When was last time you had sexual intercourse with this pers When was last time you had sexual intercourse with this pers When was last time you had sexual intercourse with this pers When was last time you had sexual intercourse with this pers When was the last time you had sexual intercourse? 1 Days 2 Weeks 3 Months When was last time you had sexual intercourse with this pers When was last time you had sexual intercourse with this pers When was last time you had sexual intercourse with this pers When was last time you had sexual intercourse with this pers When was last time you had sexual intercourse with this pers When was the last time you had sexual intercourse? Last time you had sexual intercourse (with this second/third Last time you had sexual intercourse (with this second/third Last time you had sexual intercourse (with this second/third Last time you had sexual intercourse (with this second/third Last time you had sexual intercourse (with this second/third The last time you had sexual intercourse (with the last, second to last, third to last), sexual partner was a condom used? 1 Yes 2 No Was a condom used every time every time you had sexual inte Was a condom used every time every time you had sexual inte Was a condom used every time every time you had sexual inte Was a condom used every time every time you had sexual inte Was a condom used every time every time you had sexual inte Was a condom used every time you had sexual intercourse with the (last, second to last, third to last) in the last 12 months? 1 Yes 2 No What was your relationship to this person you had sexual int What was your relationship to this person you had sexual int What was your relationship to this person you had sexual int What was your relationship to this person you had sexual int What was your relationship to this person you had sexual int What was your relationship to this (second, third) person with whom you had sexual intercourse? 1 Husband/Wife 2 Live in Partner 3 Boyfriend/Girlfriend not living with respondent 4 Casual acquantance 5 Prostitute 6 Other Do you know if this (second/third) person ever had a test fo Do you know if this (second/third) person ever had a test fo Do you know if this (second/third) person ever had a test fo Do you know if this (second/third) person ever had a test fo Do you know if this (second/third) person ever had a test fo You told me the last (second/ third) person with whom you had sexual intercourse was (RELATIONSHIP). Do you know if this (second/ third) person ever had a test for the AIDS virus? 1 Yes 2 No 8 Not sure Did this (second/third) person tell you the result of their Did this (second/third) person tell you the result of their Did this (second/third) person tell you the result of their Did this (second/third) person tell you the result of their Did this (second/third) person tell you the result of their Did this (second/third) person tell you the result of their AIDS test? 1 Yes 2 No Are you willing to share with me the result which this (seco Are you willing to share with me the result which this (seco Are you willing to share with me the result which this (seco Are you willing to share with me the result which this (seco Are you willing to share with me the result which this (seco Are you willing to share with me the result which this (second/third person) told you? 1 Yes 2 No Did the test show that the (second/Third) person had the AID Did the test show that the (second/Third) person had the AID Did the test show that the (second/Third) person had the AID Did the test show that the (second/Third) person had the AID Did the test show that the (second/Third) person had the AID Did the test show that the (second/third) person had the AIDS virus? 1 Yes 2 No Did you tell this (Second/third) person about the result of Did you tell this (Second/third) person about the result of Did you tell this (Second/third) person about the result of Did you tell this (Second/third) person about the result of Did you tell this (Second/third) person about the result of FIRST FIND OUT IF RESPONDENT HAS EVER BEEN TESTED Did you tell this (second/third) person about the result of the (last) HIV test you had? 1 Yes 2 No disclosure 3 Never tested For how long have had sexual relationship with this person (U For how long have had sexual relationship with this person (U For how long have had sexual relationship with this person (U For how long have had sexual relationship with this person (U For how long have had sexual relationship with this person (U For how long (have you had/did you have) a sexual relationship with this (second/third) person? 1 Days 2 Weeks 3 Months For how long have had sexual relationship with this person (N For how long have had sexual relationship with this person (N For how long have had sexual relationship with this person (N For how long have had sexual relationship with this person (N For how long have had sexual relationship with this person (N For how long (have you had/did you have) a sexual relationship with this (second/third) person? Check 103 Check 103 Check 103 Check 103 Check 103 1 Checking age of man and woman How old is this person How old is this person How old is this person How old is this person How old is this person How old is this person? Age of partner in CMC Age of partner in CMC Age of partner in CMC Age of partner in CMC Age of partner in CMC Is this person older than you, younger than you or about the Is this person older than you, younger than you or about the Is this person older than you, younger than you or about the Is this person older than you, younger than you or about the Is this person older than you, younger than you or about the Is this person older younger than you, same age? 1 Older 2 Younger 3 Same age 8 DK Would you say this person is ten or more years older than yo Would you say this person is ten or more years older than yo Would you say this person is ten or more years older than yo Would you say this person is ten or more years older than yo Would you say this person is ten or more years older than yo Would you say this person is ten or more years older than you or less than ten years older than you? 1 Ten or more years older 2 Less than ten years older 3 Older, unsure how much The last time you had sexual intercourse with this person, d The last time you had sexual intercourse with this person, d The last time you had sexual intercourse with this person, d The last time you had sexual intercourse with this person, d The last time you had sexual intercourse with this person, d The last time you had sexual intercourse with this (second/third) person, did you or this person drink alcohol? 1 Yes 2 No Were you or your partner drunk at that time Were you or your partner drunk at that time Were you or your partner drunk at that time Were you or your partner drunk at that time Were you or your partner drunk at that time Were you or your partner drunk at that time? IF YES: Who was drunk? 1 Respondent only 2 Partner only 3 Respondent and partner both 4 Neither Apart from this person/these two people sex with any other Apart from this person/these two people sex with any other Apart from this person/these two people sex with any other Apart from this person/these two people sex with any other Apart from this person/these two people sex with any other Apart from [this person/these two people], have you had sexual intercourse with any other person in the last 12 months? 1 Yes 2 No Provincial Code Provincial Code Provincial Code Provincial Code Provincial Code 1 Nairobi 2 Central 3 Coast 4 Eastern 5 North Eastern 6 Nyanza 7 Rift Valley 8 Western Residential Code Residential Code Residential Code Residential Code Residential Code 1 Rural 2 Urban District District District District District 101 Nairobi 201 Kiambu 202 Kirinyaga 203 Muranga 204 Nyandarua 205 Nyeri 206 Thika 207 Maragua 301 Kilifi 302 Kwale 303 Lamu 304 Mombasa 305 Taita Taveta 306 Tana River 307 Malindi 401 Embu 402 Isiolo 403 Kitui 404 Makueni 405 Machakos 406 Marsabit 407 Mbeere 408 Meru Central 409 Moyale 410 Mwingi 411 Meru North 412 Tharaka 413 Meru South 501 Garissa 502 Mandera 503 Wajir 601 Gucha 602 Homa Bay 603 Central Kisii 604 Kisumu 605 Kuria 606 Migori 607 Kisii North 608 Rachuonyo 609 Siaya 610 Suba 611 Bondo 612 Nyando 701 Baringo 702 Bomet 703 Keiyo 704 Kajiado 705 Kericho 706 Koibatek 707 Laikipia 708 Marakwet 709 Nakuru 710 Nandi 711 Narok 712 Samburu 713 Trans Mara 714 Trans Nzoia 715 Turkana 716 Uasin Gishu 717 West Pokot 718 Buret 801 Bungoma 802 Busia 803 Mt. Elgon 804 Kakamega 805 Lugari 806 Teso 807 Vihiga 808 Butere Mumias Cluster Number Cluster Number Cluster Number Cluster Number Cluster Number Household Number Household Number Household Number Household Number Household Number Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest City\Town\Countryside City\Town\Countryside City\Town\Countryside City\Town\Countryside City\Town\Countryside 1 Nairobi/Mombasa/Kisumu 2 Nakuru/Eldoret/Thika/Nyeri 3 Small town 4 Rural Any deaths in the past 12 months Any deaths in the past 12 months Any deaths in the past 12 months Any deaths in the past 12 months Any deaths in the past 12 months Now I would like to ask you a few more questions about your household. Think back over the past 12 months. Has any usual member of your household died in the last 12 months? 1 Yes 2 No 3 DK Number dead in the past 12 months Number dead in the past 12 months Number dead in the past 12 months Number dead in the past 12 months Number dead in the past 12 months How many household members died in the last 12 months? Number of the death Number of the death Number of the death Number of the death Number of the death What was the name of the person who died (most recently/before him/her)? If the baby was not given a name before death. Record baby boy or girl Sex of the dead person Sex of the dead person Sex of the dead person Sex of the dead person Sex of the dead person Was (NAME) male or female? 1 Male 2 Female Age when died Age when died Age when died Age when died Age when died How old was (NAME) when (he/she) died? Was very sick for atleast three months of 12 months before de Was very sick for atleast three months of 12 months before de Was very sick for atleast three months of 12 months before de Was very sick for atleast three months of 12 months before de Was very sick for atleast three months of 12 months before de Was (NAME) very sick for at least three of the 12 months before (he/she) died, that is (NAME) was too sick to work or do normal activities? 1 Yes 2 No 8 DK Did the household receive any medical supplies Did the household receive any medical supplies Did the household receive any medical supplies Did the household receive any medical supplies Did the household receive any medical supplies In the last 12 months, did your household receive any medical supplies for (NAME), such as medical care, supplies or medicine, for which you did not have to pay? 1 Yes 2 No 8 DK Did the household recive any of this support at least once a Did the household recive any of this support at least once a Did the household recive any of this support at least once a Did the household recive any of this support at least once a Did the household recive any of this support at least once a Did your household receive any of this medical support at least once a month while (NAME) was sick? 1 Yes 2 No 8 DK In the last 12 months, did your household receive any emotion In the last 12 months, did your household receive any emotion In the last 12 months, did your household receive any emotion In the last 12 months, did your household receive any emotion In the last 12 months, did your household receive any emotion In the last 12 months, did your household receive any emotional or psychological support for (NAME), such as companionship, counseling from a trained counselor, or spiritual support for which you did not have to pay? 1 Yes 2 No 8 DK Did your household receive any emotional support or pscholog Did your household receive any emotional support or pscholog Did your household receive any emotional support or pscholog Did your household receive any emotional support or pscholog Did your household receive any emotional support or pscholog Did your household receive any of this emotional psychological support in the last 30 days before (NAME)'s death? 1 Yes 2 No 8 DK Did your household receive any material support Did your household receive any material support Did your household receive any material support Did your household receive any material support Did your household receive any material support In the last 12 months, did your household receive any material support for (NAME), such as clothing, food, or financial support, for which you did not have to pay? 1 Yes 2 No 8 DK Did your household receive any is this material support in t Did your household receive any is this material support in t Did your household receive any is this material support in t Did your household receive any is this material support in t Did your household receive any is this material support in t Did your household receive any of this material support in the last 30 days before (NAME)'s death? 1 Yes 2 No 8 DK Did the household receive any social support Did the household receive any social support Did the household receive any social support Did the household receive any social support Did the household receive any social support In the last 12 months, did your household receive any social support for (NAME), such as help in household work, training for a caregiver, or legal services, for which you did not have to pay? 1 Yes 2 No 8 DK Did the household receive any of this support in the last 30 Did the household receive any of this support in the last 30 Did the household receive any of this support in the last 30 Did the household receive any of this support in the last 30 Did the household receive any of this support in the last 30 Did your household receive any of this social support in the last 30 days before (NAME)'s death? 1 Yes 2 No 8 DK Did he/she have severe pain, mild pain or no pain at all Did he/she have severe pain, mild pain or no pain at all Did he/she have severe pain, mild pain or no pain at all Did he/she have severe pain, mild pain or no pain at all Did he/she have severe pain, mild pain or no pain at all Now I would like to ask about the health problems (NAME) may have had. In the 30 days before (NAME) died, did he/she have severe pain, mild pain, or no pain at all? 1 Severe 2 Mild 3 Not at all When he/she was in pain was he/she able to reduce or stop th When he/she was in pain was he/she able to reduce or stop th When he/she was in pain was he/she able to reduce or stop th When he/she was in pain was he/she able to reduce or stop th When he/she was in pain was he/she able to reduce or stop th When (NAME) was in pain, was he/she able to reduce or stop the pain most of the time, some of the time, or not at all? 1 Most time 2 Some time 3 Not at all Did he/she suffer from nausea, coughing, diarrhea or constip Did he/she suffer from nausea, coughing, diarrhea or constip Did he/she suffer from nausea, coughing, diarrhea or constip Did he/she suffer from nausea, coughing, diarrhea or constip Did he/she suffer from nausea, coughing, diarrhea or constip In the 30 days before (NAME) died, did he/she suffer from nausea, coughing, diarrhea, or constipation? IF YES: Was this problem (were any of these problems) severe? 1 Severe 2 Mild 3 Not at all Was able to reduce or stop most of the problems he/she had m Was able to reduce or stop most of the problems he/she had m Was able to reduce or stop most of the problems he/she had m Was able to reduce or stop most of the problems he/she had m Was able to reduce or stop most of the problems he/she had m Was (NAME) able to reduce or stop the problems he/she had most of the time, some of the time or not at all? 1 Most time 2 Some time 3 Not at all Raw Weight Raw Weight Raw Weight Raw Weight Raw Weight Household weight Household weight Household weight Household weight Household weight Individual weight Individual weight Individual weight Individual weight Individual weight Blood draw weight Blood draw weight Blood draw weight Blood draw weight Blood draw weight