DDI_AFG_2010_MICS_v01_M_WB Development Data Group 2013-11-25 NADA Version 01 (November 2013) Multiple Indicator Cluster Survey 2010-2011 MICS 2010-11 AFG_2010_MICS_v01_M Central Statistics Organization United Nations Children’s Fund Ministry of Public Health Ministry of Education NADA United Nations Children’s Fund Mr Mohammad Sami Nabi Mrs Siping Wang Mr. Zabiullah Kamran Multiple Indicator Cluster Survey - Round 4 [hh/mics-4] The Multiple Indicator Cluster Survey, Round 4 (MICS4) is the forth round of MICS surveys, previously conducted around 1995 (MICS1), 2000 (MICS2), and 2005-2007 (MICS3). MICS was originally developed to support countries measure progress towards an internationally agreed set of goals that emerged from the 1990 World Summit for Children. The fourth round of Multiple Indicator Cluster Surveys (MICS4) is scheduled for 2009-2011 and survey results are expected to be available from 2010 onwards. MICS4 data allow countries to better monitor progress toward national goals and global commitments, including the Millennium Development Goals (MDGs) as the target year 2015 approaches. Information on more than 20 of the MDG indicators is being collected through MICS4, offering one of the largest single sources of data for MDG monitoring. MICS4 continues to address emerging issues and new areas of interest, with validated, standard methodologies in collecting relevant data. It also helps countries capture rapid changes in key indicators. - v01: Edited, anonymous datasets for public distribution. The 2010-2011 Afghanistan Multiple Indicator Cluster Survey (MICS) is a nationally representative sample survey that presents data on the social, health, and educational status of women and children in Afghanistan. It was conducted in 2010-2011 by the Central Statistics Organisation (CSO) of the Government of the Islamic Republic of Afghanistan, with the technical and financial support of NICEF. The survey is based on the need to monitor progress towards goals and targets emanating from recent international agreements such as the Millennium Declaration and the Plan of Action of A World Fit For Children. It further helps track progress towards the Afghan Government s policy commitments to reduce poverty and support the wellbeing of women and children, such as the commitments made through the Afghanistan National Development Strategy (ANDS). The primary objectives of the Afghanistan MICS 2010-2011 include the following: To provide up-to-date information for assessing the situation of children and women in Afghanistan; To generate data on the situation of children and women, including the identification of vulnerable groups and of disparities. To furnish data required for monitoring progress toward goals established in the Millennium Declaration and other internationally agreed upon goals; To serve as the evidence basis for future action and programming design, and to inform relevant policies and interventions; To contribute to the improvement of data and monitoring systems in Afghanistan and to strengthen technical expertise in the design, implementation, and analysis of such systems. Afghanistan National - individuals - households The survey covered all de jure household members (usual residents), all women aged between 15-49 years, and all children under 5 living in the household. Sample survey data [ssd] The scope of the 2010 Afghanistan Multiple Indicator Cluster Survey includes: - Household: household listing form, education, water and sanitation, household characteristics, child labour, child discipline, hand washing and salt iodization. - Women: woman's background, child mortality, desire for last birth, maternal and newborn health, illness symptoms, contraception, attitudes towards domestic violence, marriage, anthropometry, HIV/AIDS, and blood test for anaemia. - Children: child's age, birth registration, early childhood development, breastfeeding, care of illness, immunization, anthropometry and blood test for anaemia. Central Statistics Organization The primary objective of the sample design for the Afghanistan Multiple Indicator Cluster Survey (MICS4) was to produce statistically reliable estimates of most indicators, at the national level, for urban and rural areas, and for the following eight regions of the country: (1) Central, (2) Central Highlands, (3) East, (4) North, (5) North East, (6) South, (7) South East and (8) West. The Central region was further divided into the sub-regions of (1a) Kabul and (1b) Central Region without Kabul, so there was a total of nine regional domains. The urban and rural areas in each of the regions were defined as the sampling strata. A stratified two-stage sample design was used for the selection of the survey sample. The final sample size for the Afghanistan MICS4 was calculated as including 15,480 households. For the calculation of the sample size, the key indicator used was the rate of fully immunized children aged 12 to 23 months. The initial estimated required the sample size to have a relative margin of error (RME) of 12% for the estimate of the child immunization rate at the regional level, which was 2,918 households for each of the nine regional domains, or 26,263 households at the national level. Given the high costs and quality control challenges of conducting the survey with such a large sample size, it is reasonable to relax the precision requirements for the sub-national domains. Therefore, it was decided to limit the total sample size to 15,480 households and to concentrate additional resources on the operational and quality control of the data collection and other survey activities. The average number of households selected per cluster for the Afghanistan MICS4 was determined as 30 households, based on a number of considerations, including the design effect, the budget available, and the time that would be needed per team to complete one cluster. Dividing the total number of households by the number of sample households per cluster, the total number of sample enumerations areas (EAs) to be selected was 516. The sampling frame for the Afghanistan MICS4 is based on the data and cartographic materials for the frame of EAs that the CSO developed in preparation for the next census. The EAs are segments with well-defined boundaries that will be used as operational areas for the census enumeration. The CSO had previously conducted a quick count of the households and population in each EA in preparation for the census. The EAs have an average of about 185 households, which is a reasonable size for conducting a new listing of households. The sampling frame has a total of 21,194 EAs covering the territory of Afghanistan. The EAs were defined as the primary sampling units (PSUs) to be selected at the first sampling stage for the MICS4. Within each region, urban and rural stratum, the EAs in the frame were ordered by province, district, controller code and EA code, in order to provide implicit stratification by province and lower levels of geography. The specified number of sample EAs was selected from each sampling stratum systematically with probability proportional to size (PPS), where the measure of size was based on the estimated number of households in the frame. A reserve sample of EAs was also selected within each stratum (using the same type of systematic PPS selection) to be used as possible replacements in extreme cases when the security situation for an original sample EA made it difficult to enumerate. A total of 102 sample EAs were selected as possible replacements. During the MICS4 fieldwork, 423 of the original 516 sample EAs were enumerated, and 26 replacement EAs were enumerated; and the remaining 67 sample EAs were not replaced. Therefore the final sample in the Afghanistan MICS4 data file includes 449 sample EAs, so there was an overall reduction in the effective sample size. In order to update the second stage sampling frame, a new listing of households was conducted in each sample EA prior to the selection of households. The enumerators were provided with EA maps, and they were instructed to list all the households within the EA boundaries. Following the listing in each sample EA, the households were sequentially numbered from 1 to n (the total number of households in each EA). A household selection table was used to select the random systematic sample of 30 households in the field soon after the listing was completed. Based on the total number of households listed, the household selection table specified the serial numbers of the 30 households to be selected. The sampling procedures are more fully described in "Afghanistan Multiple Indicator Cluster Survey 2010-2011 - Final Report" pp.149-151. Face-to-face [f2f] The questionnaires for the Generic MICS were structured questionnaires based on the MICS4 model questionnaire with some modifications and additions. Household questionnaires were administered in each household, which collected various information on household members including sex, age and relationship. The household questionnaire includes household listing form, education, water and sanitation, household characteristics, child labour, child discipline, hand washing and salt iodization. In addition to a household questionnaire, questionnaires were administered in each household for women age 15-49 and children under age five. For children, the questionnaire was administered to the mother or primary caretaker of the child. The women's questionnaire includes woman's background, child mortality, desire for last birth, maternal and newborn health, illness symptoms, contraception, attitudes towards domestic violence, marriage, anthropometry, HIV/AIDS, and blood test for anaemia. The children's questionnaire includes child's age, birth registration, early childhood development, breastfeeding, care of illness, immunization, anthropometry and blood test for anaemia. The questionnaires are based on the MICS4 model questionnaire. From the MICS4 model English version, the questionnaires were translated into Dari and Pashto, and were pre-tested in Kabul province (Kabul city district and Farza district) and Parwan province (Charikar city district and Bagram district) during May 2010. Based on the results of the pre-test, modifications were made to the wording and translation of the questionnaires. In addition to the administration of questionnaires, fieldwork teams tested the salt used for cooking in the households for iodine content, observed the place and facilities used for hand washing, measured the weights and heights of children aged less than five years, and tested the blood of children aged under five and the blood of women aged between 15 and 49 years. Training for the fieldwork was conducted for 21 days in August and September 2010. Training included lectures on interviewing techniques and the contents of the questionnaires, in addition to mock interviews between trainees to gain practice in asking questions. Towards the end of the training period, trainees spent three days holding practice interviews in Kabul. For the fieldwork, data were collected by 66 teams. Each team was comprised of six interviewers (three females, three males), two editors (one female editor/measurer) and a supervisor. Fieldwork began in October 2010 and concluded in May 2011. There is one supervisor for each of the 66 data collection teams in the field. The Afghanistan MICS4 sample is not self-weighting, given that the sampling rates vary by stratum. Therefore sample weights were calculated and these were used in the subsequent analyses of the survey data. The major component of the weight is the reciprocal of the sampling fraction used in selecting the sample households in that particular sampling stratum (h) and PSU (i). Another component in the calculation of sample weights takes into account the level of non-response for the household and individual interviews. The response rate for sample households in stratum h is defined as follows: RRh = Number of interviewed households in stratum h/ Number of occupied households listed in stratum h The non-response adjustment factors for women's and under-5's questionnaires are applied to the adjusted household weights. Numbers of eligible women and under-5 children were obtained from the roster of household members in the Household Questionnaire for households where interviews were completed. The design weights for the households were calculated by multiplying the above factors for each sample cluster. These weights were then standardized (or normalized), one purpose of which is to make the weighted sum of the interviewed sample units equal the total sample size at the national level. Normalization is performed by dividing the aforementioned design weights by the average design weight at the national level. The average design weight is calculated as the sum of the design weights divided by the unweighted total. A similar standardization procedure was followed in obtaining standardized weights for the women s and under-5 s questionnaires. Sample weights were appended to all data sets and analyses were performed by weighting the data for each household, woman, or under-5 record with the corresponding sample weights. A subsample of the households was selected for the AMICS in order to collect data for a hemoglobin test. In order to reduce the costs of this additional data collection and to facilitate field operations, a subsample of a 50% households of the AMICS EAs was selected for the test. It was decided to select an odd number of clusters for the hemoglobin test. This results in a total sample size of 7,740 households in 258 sample EAs. The sample size varies by region from 720 to 960 households, which should provide a reasonable reliability for anaemia estimates at the regional level. All children under age 5 and women aged 15-49 in the households of selected clusters were administered a blood test. Data were entered using the CSPro software. The data were entered onto 24 microcomputers and carried out by 24 data entry operators, two data entry supervisors and one data processing manager. In order to ensure quality control, all questionnaires were double entered and internal consistency checks performed. Procedures and standard programs developed under the global MICS4 programme and adapted to the Afghanistan questionnaire were used throughout the processing. Data processing was completed in August 2011. Data were analysed using the Statistical Package for Social Sciences (SPSS) software program, Version 18, and the model syntax and tabulation plans developed by UNICEF were used for this purpose. Of the 13,468 households selected for the sample, 13,314 were visited. Of these, 13,116 were successfully interviewed for a high household response rate of 98.5%. In the interviewed households, 22,053 women (age 15-49 years) were identified. Of these, 21,290 were successfully interviewed, yielding a response rate of 96.5% within interviewed households. In addition, 15,327 children under age five were listed in the household questionnaire. Questionnaires were completed for 14,872 of these children, corresponding to a response rate of 97% within interviewed households. Overall, response rates of 95.6% are calculated for interviews with women and children under age five. A series of sampling errors tables are available to review the errors of sampling and include the following: - Sampling Errors - Total Sample - Sampling Errors - Urban Areas - Sampling Errors - Rural Areas - Sampling Errors - Central Region - Sampling Errors - Central Highlands Region - Sampling Errors - East Region - Sampling Errors - North Region - Sampling Errors - North East Region - Sampling Errors - South Region - Sampling Errors - South East Region - Sampling Errors - West Region The results of each of the sampling errors tables are shown in appendix C in document "Afghanistan Multiple Indicator Cluster Survey 2010-2011 - Final Report" pp. 163-177. A series of data quality tables are available to review the quality of the data and include the following: - Age distribution of the household population - Age distribution of eligible and interviewed women - Age distribution of children under 5 in household and children under 5 questionnaires - Women’s completion rates by socio-economic characteristics of households - Completion rates for under-5 questionnaires by socio-economic characteristics of households - Completeness of reporting - Completeness of information for anthropometric indicators - Heaping in anthropometric measurements - Observation of places for hand washing - Observation of under-5s birth certificates - Observation of women's health cards - Observation of vaccination cards - Presence of mother in the household and the person interviewed for the under-5 questionnaire - Selection of children age 2–14 years for the child discipline module - School attendance by single age - Sex ratio at birth among children ever born and living The results of each of these data quality tables are shown in appendix D in document "Afghanistan Multiple Indicator Cluster Survey 2010-2011 - Final Report" pp.178-192. Users of the data agree to keep confidential all data contained in these datasets and to make no attempt to identify, trace or contact any individual whose data is included in these datasets. Childinfo Use of the dataset must be acknowledged using a citation which would include: - the Identification of the Primary Investigator - the title of the survey (including country, acronym and year of implementation) - the survey reference number - the source and date of download. Example, Central Statistics Organization of the Government of the Islamic Republic of Afghanistan, and United Nations Children’s Fund. Afghanistan Multiple Indicator Cluster Survey (MICS) 2010-2011, Ref. AFG_2010_MICS_v01_M. Dataset downloaded from [url] on [date]. Survey datasets are distributed at no cost for legitimate research, with the condition that we receive a description of the objectives of any research project that will be using the data prior to authorizing their distribution. The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses. hh Data collected at the household level (MICS Household questionnaire modules: Household information panel, Water and sanitation, Household characteristics, Child discipline, Hand washing and Salt iodization.) 13468 108 hl Data collected at the household members' level (MICS Household members questionnaire modules: Household listing form, Education, and Child Labour.) 101671 49 ch Data collected at the children's level (MICS Under Five Children's questionnaire modules: Under-five child information panel, Child's age, Birth registration, Early childhood development, Breastfeeding , Care of illness, Immunization, Under-five child selected for blood test.) 15320 208 wm Data collected at the women's level (MICS Women's questionnaire modules: Woman's information panel, Woman's background, Child mortality, Desire for last birth, Maternal and newborn health, Illness symptoms, Contraception, Attitudes toward domestic violence, Marriage/union, HIV/AIDS, Anthropometry and Women aged 15-49 selected for blood test.) 22053 175 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 13468 1 449 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 13468 1 34 Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and code number: Enter your own name and identification number provided to you at the time of training. 13468 1 999 Supervisor number Supervisor number Supervisor number Supervisor number Supervisor number Supervisor name and code number: Leave this space blank. The supervisor will later enter his/her name and number in the space provided. 13468 951 Day of interview Day of interview Day of interview Day of interview Day of interview Day/ Month/ Year of interview in BS: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 13468 1 31 Month of interview Month of interview Month of interview Month of interview Month of interview Day/ Month/ Year of interview in BS: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 13468 1 12 Year of interview Year of interview Year of interview Year of interview Year of interview Day/ Month/ Year of interview in BS: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 13468 2010 2011 2010 2011 Area Area Area Area Area Area: Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area. 13468 1 2 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 13468 1 8 1 Region C 2 Region CH 3 Region E 4 Region N 5 Region NE 6 Region S 7 Region SE 8 Region W Selected for nutrition Selected for nutrition Selected for nutrition Selected for nutrition Selected for nutrition Is this HH selected for Nutrition Survey sub-sample? 13468 1 9 1 Yes 2 No 9 Missing Result of HH interview Result of HH interview Result of HH interview Result of HH interview Result of HH interview You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. 'Completed': If the Household Questionnaire is completed, circle '01'. 'No household member or no competent respondent at home at time of visit': If the dwelling is occupied, but no one is at home or if there is only a child at home or an adult member who is ill, deaf, or mentally incompetent and you have not been able to contact a more qualified member of the household after repeated visits, circle '02'. 'Entire household absent for extended period of time': If no one is at home and the neighbours say that no one will return for several days or weeks, circle '03'. 'Refused': If the household refuses to be interviewed, circle '04. 'Dwelling vacant / Address not a dwelling': If a dwelling assigned to you is unoccupied, that is, it is empty with no furniture and is not being lived in, this is what we call “vacant,” and you should circle '05'. Other times, you may find that a dwelling is not a residential unit. It is a shop, church, school, workshop, or some other type of facility that is not used as a living area. After making sure there are no residential units in back of or above the premises, circle '05' as the result for the visit. 'Dwelling destroyed': If the dwelling was burned down or was demolished in some other manner, circle '06'. 'Dwelling not found': If you are unable to find the dwelling even after asking people in the area whether they are familiar with the address or the name of the household head on listing forms, circle '07'. 'Other': If you have not been able to complete the Household Questionnaire for another reason, you should circle '96' and specify the reason in the space provided. Some examples of 'Other' codes might be: the household respondent is incapacitated; the questionnaire is partly completed. 13468 1 96 1 Completed 2 No household member on no competent 3 Entire household absent for extended 4 Refused 5 Dwelling vacant/address not a dwelling 6 Dwelling destroyed 7 Dwelling not found 96 Other Respondent to HH questionnaire Respondent to HH questionnaire Respondent to HH questionnaire Respondent to HH questionnaire Respondent to HH questionnaire You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Enter the name and line number (from the Household Listing, columns HL1 and HL2) of the respondent to the Household Questionnaire. 13116 352 1 24 99 Missing Number of HH members Number of HH members Number of HH members Number of HH members Number of HH members You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Count the number of household members recorded in column HL1 of the Household Listing Form and enter the total here. Normally, this is the line number of the last member listed in the Household Listing Form. 13116 352 1 40 Number of women 15 - 49 years Number of women 15 - 49 years Number of women 15 - 49 years Number of women 15 - 49 years Number of women 15 - 49 years You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Enter the total number of women age 15-49; these are women eligible for interview with the Questionnaire for Individual Women. 13116 352 10 1 2 3 4 5 6 7 8 9 10 Sysmiss Number of woman' questionnaires completed Number of woman' questionnaires completed Number of woman' questionnaires completed Number of woman' questionnaires completed Number of woman' questionnaires completed You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here. 13116 352 9 1 2 3 4 5 6 7 8 9 Sysmiss Number of children under age 5 Number of children under age 5 Number of children under age 5 Number of children under age 5 Number of children under age 5 You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Enter the total number of children under five eligible for interview with the Questionnaire for Children Under Five. This should be calculated as the total number of children for whom a mother or caretaker line number is entered in column HL9. You will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children. 13116 352 9 1 2 3 4 5 6 7 8 9 Sysmiss Number of under - 5 questionnaires completed Number of under - 5 questionnaires completed Number of under - 5 questionnaires completed Number of under - 5 questionnaires completed Number of under - 5 questionnaires completed You will complete question HH9 (Result of household interview) as soon as the Household Questionnaire has been completed, or after all attempts have been made to interview the household. Questions HH13, HH13B and HH15 should be filled in once you have concluded all individual interviews for women and men in the household and all interviews for each child under age five have been completed. Assuming that all interviews for the household have been successfully completed, the numbers in HH13, HH13B and HH15 should equal the total number of eligible women (HH12), eligible men (HH13A) and children under five (HH14), respectively. Since the maximum number of women interviewed for the Questionnaire for Individual Women cannot be higher than the number of eligible women in the household, the number in HH13 should never be greater than that in HH12. The same applies in the case of HH13B and HH13A as well as HH15 and HH14. Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here. 13116 352 8 1 2 3 4 5 6 7 8 Sysmiss Field editor Field editor Field editor Field editor Field editor Leave this space blank. The field editor of your team will later enter his/her name and number in the space provided when checking the completed household questionnaires. 13468 1 999 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Leave this space blank. The data entry clerk will enter his/her name and number in the space provided. 13468 1 30 Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Record the time of the day you start the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. Avoid rounding the minutes and write the exact minutes as you see on your watch. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). If the answer to the second question is yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. 13116 352 6 99 99 Missing Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Record the time of the day you start the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. Avoid rounding the minutes and write the exact minutes as you see on your watch. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). If the answer to the second question is yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. 13116 352 99 99 Missing End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour Record the time of the day you finish the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the interview, revise and enter starting (HH18) and ending times (HH19) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the household questionnaire regarding this. 13116 352 7 99 99 Missing End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes Record the time of the day you finish the household interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the interview, revise and enter starting (HH18) and ending times (HH19) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the household questionnaire regarding this. 13116 352 99 99 Missing Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water What is the main source of drinking water for members of your household? Circle the code for the most usual source. If several sources are mentioned, probe to determine the most usual source. Note that you can only circle one response code. If the source varies by season, record the source for the season of the interview. If the response is 'Piped into dwelling', 'Piped into compound, yard or plot', or 'Piped to neighbour' circle '11', '12', or '13' respectively, and skip to WS6. If the response is 'Bottled water' circle '91' and continue to the next question. Note that the next question is only asked if the response to this question is 'Bottled water'. For all other responses, skip to WS3. 13116 352 11 99 11 Piped into dwelling 12 Piped into compound, yard or plot 13 Piped to neighbour 14 Public tap / standpipe 21 Tube well, Borehole 31 Protected well/kariaz 32 Unprotected well/kariaz 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank / drum 81 Surface water (river, stream, dam, lake, pond, canal, irriga 91 Bottled water 96 Other 99 Missing Sysmiss Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat What is the main source of water used by your household for other purposes such as cooking and handwashing? This question should only be asked to households that use 'Bottled water' for drinking. Circle the code for the most usual source. If the source varies by season, record the source for the season of the interview. If the most usual source of non-drinking water is 'Piped into dwelling', 'Piped into compound, yard or plot', or 'Piped into neighbour', circle '11', '12', or 13 respectively, and skip to WS6. Otherwise circle appropriate code and continue to the next question. Note that you cannot replace “cooking and handwashing” with other uses of non-drinking water. 9 13459 11 99 11 Piped into dwelling 12 Piped into compound, yard or plot 13 Piped to neighbour 14 Public tap / standpipe 21 Tube well, Borehole 31 Protected well/Kariaz 32 Unprotected well/Kariaz 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank / drum 81 Surface water (river, stream, dam, lake, pond, canal, irriga 96 Other 99 Missing Sysmiss Location of the water source Location of the water source Location of the water source Location of the water source Location of the water source Where is that water source located? This question should only be asked to households where the main source of water is not a piped system. Circle the code for the location of water source. If the location is in own dwelling or in own yard/plot then circle '1' or '2' and skip to WS6. Otherwise circle appropriate code and continue to the next question. 11275 2193 1 9 1 In own dwelling 2 In own yard / plot 3 Elsewhere 9 Missing Sysmiss Time (in minutes) to get water and come back Time (in minutes) to get water and come back Time (in minutes) to get water and come back Time (in minutes) to get water and come back Time (in minutes) to get water and come back How long does it take to go there, get water, and come back? This question is used to find out how convenient the location of the source of water is to the dwelling for households using a water source outside their dwelling. Record the time it takes to get water by whatever means of transportation the person generally uses, whether the person walks or rides a bicycle or motor vehicle. Fill in the estimated time (in minutes, converting from hours, if necessary) it takes by the usual mode of transport to get to the water source, wait to get water, and get back to the dwelling. Use zero(s) preceding the number if less than 100 minutes (for example, '060' or '005'). Then continue to the next question. If the respondent tells you that the water is delivered to their dwelling (a situation that could arise if the water comes from a tanker truck or a small cart with a tank), record '000'. If the respondent does not know how long it takes, circle '998' and continue to the next question. 7417 6051 1 999 998 DK 999 Missing Person collecting water Person collecting water Person collecting water Person collecting water Person collecting water Who usually goes to this source to collect the water for your household? The purpose of this question is to find out the age and gender of the person who usually performs the task of hauling water. This will provide an understanding of whether water hauling responsibilities are given to members of a particular sex or age group. Probe: “Is this person under age 15? What sex?” Circle the code that corresponds with the response or '8' if the respondent does not know. Adult refers to anyone age 15 or over, regardless of whether he/she is a household member. Child refers to anyone under the age of 15, regardless of whether he/she is a household member. The purpose of the following two questions, WS6 and WS7, is to determine whether the household drinking water is treated within the household and, if so, what type of treatment is used. This question is intended to gather information on water treatment at the household level and not water treatment at the municipal or vendor level. 7417 6051 1 9 1 Adult woman (age 15+ years) 2 Adult man (age 15+ years) 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing Sysmiss Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Do you do anything to the water to make it safer to drink? Circle '1' if 'Yes', and continue to the next question. If 'No' or 'DK' (Doesn't know'), circle '2' or '8', respectively, and skip to WS8. 13116 352 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Water treatment: Boil Water treatment: Boil Water treatment: Boil Water treatment: Boil Water treatment: Boil What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 2040 ? Missing A Boil Water treatment: Add bleach/chlorine Water treatment: Add bleach/chlorine Water treatment: Add bleach/chlorine Water treatment: Add bleach/chlorine Water treatment: Add bleach/chlorine What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 705 ? Missing B Add bleach / chlorine Water treatment: Strain it through a cloth Water treatment: Strain it through a cloth Water treatment: Strain it through a cloth Water treatment: Strain it through a cloth Water treatment: Strain it through a cloth What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 141 ? Missing C Strain it through a cloth Water treatment: Use water filter Water treatment: Use water filter Water treatment: Use water filter Water treatment: Use water filter Water treatment: Use water filter What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 39 ? Missing D Use water filter Water treatment: Solar disinfection Water treatment: Solar disinfection Water treatment: Solar disinfection Water treatment: Solar disinfection Water treatment: Solar disinfection What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 167 ? Missing E Solar disinfection Water treatment: Let it stand and settle Water treatment: Let it stand and settle Water treatment: Let it stand and settle Water treatment: Let it stand and settle Water treatment: Let it stand and settle What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 327 ? Missing F Let it stand and settle Water treatment: Other Water treatment: Other Water treatment: Other Water treatment: Other Water treatment: Other What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 30 ? Missing X Other Water treatment: DK Water treatment: DK Water treatment: DK Water treatment: DK Water treatment: DK What do you usually do to make the water safer to drink? Record all items mentioned. Circle the code corresponding to the response. The household may be using a method that you know does not make water safer to drink. Do not use your own judgement, just record the response. Record all items mentioned (for example, the household may be filtering the water and adding chlorine at the same time). Probe: "Anything else?" Circle 'X' for 'Other' and specify on the line provided what the household does to the water to make it safer to drink. Circle 'Z' if the respondent 'Doesn't know'. If 'Z' is circled then the other codes should not be circled. Definitions of various methods of water treatment are as follows: 'A' - Boil refers to boiling or heating water with fuel. 'B' - Add bleach/chlorine refers to using liquid chlorine bleach or bleaching powder to treat drinking water. 'C' - Strain it through a cloth refers to pouring water through a cloth that acts as a filter for collecting particles from the water. 'D' - Use water filter involves water flowing through a filter made of ceramic, sand or a combination of materials to remove particles and at least some microbes from the water. 'E' - Solar disinfection consists of exposing water, stored in buckets, containers or clear vessels, to sunlight. 'F' - Let it stand and settle refers to storing water undisturbed and without mixing long enough for larger particles to settle to the bottom by gravity. The settled water is carefully removed by decanting, ladling or other gentle methods that do not disturb the settled particles. 3 ? Missing Z DK Type of toilet facility Type of toilet facility Type of toilet facility Type of toilet facility Type of toilet facility Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use. What kind of toilet facility do members of your household usually use? If necessary ask permission to observe the facility. The purpose of this question is to obtain a measure of the hygiene of the sanitary facility used by the household members. It may be necessary to observe the facility. If so, ask permission to do so. If the respondent answers or it is observed that the household members have no facilities or use the bush or field, enter '95' for 'No facilities or bush or field' and skip to the next module. If any of the flush or pour flush responses (11-15) are given, probe: “Where does it flush to?” Circle the code corresponding to the response given. Definitions of various types of toilet facilities are as follows: A flush toilet uses a cistern or holding tank for flushing water and has a water seal, which is a U-shaped pipe, below the seat or squatting pan that prevents the passage of flies and odours. A pour flush toilet uses a water seal, but unlike a flush toilet, a pour flush toilet uses water poured by hand for flushing (no cistern is used). '11' - A piped sewer system is a system of sewer pipes, also called sewerage, that is designed to collect human excreta (faeces and urine) and wastewater and remove them from the household environment. Sewerage systems consist of facilities for collection, pumping, treating and disposing of human excreta and wastewater. '12' - A septic tank is an excreta collection device and is a water-tight settling tank normally located underground, away from the house or toilet. '13' - A flush/pour flush to pit latrine refers to a system that flushes excreta to a hole in the ground and has a water seal. '14' - A flush/pour flush to somewhere else refers to excreta being deposited in or nearby the household environment (may have a water seal but deposited not into pit, septic tank or sewer); excreta may be flushed to the street, yard/plot, drainage way or other location. '15' - Flush to unknown place/Not sure/DK where should be coded in cases when the respondent knows that the toilet facility is a flush toilet, but does not know where it flushes to. '21' - A ventilated improved pit latrine or VIP is a type of pit latrine that is ventilated by a pipe extending above the latrine roof. The open end of the vent pipe is covered with gauze mesh or fly-proof netting and the inside of the superstructure is kept dark. '22' - A pit latrine with slab uses a hole in the ground for excreta collection and has a squatting slab, platform or seat (made of concrete, steel, or wood to allow standing with ease) that is firmly supported on all sides, easy to clean and raised above the surrounding ground level to prevent surface water from entering the pit. '23' - A pit latrine without slab/Open pit uses a hole in the ground for excreta collection and does not have a squatting slab, platform, or seat. An open pit is a rudimentary hole in the ground where excreta is collected. '31' - A composting toilet is a toilet into which excreta and carbon-rich material are added (vegetable wastes, straw, grass, sawdust, ash) and special conditions maintained to produce inoffensive compost. '41' - Bucket refers to the use of a bucket or other container for the retention of faeces (and sometimes urine and anal cleaning material), which is periodically removed for treatment or disposal. '51' - A hanging toilet/hanging latrine is a toilet built over the sea, a river, or other body of water into which excreta drops directly. '95' - No facilities/bush/field includes excreta wrapped and thrown with garbage, the 'cat' method of burying excreta in dirt, defecation in the bush or field or ditch, and defecation into surface water (drainage channel, beach, river, stream or sea). Survey Coordinators: Adapt these instructions, adding explanations of any additional categories. Be sure to retain the categories shown on the questionnaire. These will determine the number of households to count in the numerator of the water and sanitation indicators. Any other usual types of facilities that do not fit into these categories should also be listed here. The purpose of the following two questions is to determine whether the household shares their sanitation facility with other households. The shared status of a sanitation facility is important because shared facilities can be less hygienic than facilities used by only a single household. Unhygienic conditions (faeces on the floor, seat or wall and flies) may discourage use of the facility. 13116 352 11 99 11 Flush to piped sewer system 12 Flush to septic tank 13 Flush to pit (latrine) 14 Flush to somewhere else 15 Flush to unknown place / Not sure / DK where 21 Ventilated Improved Pit latrine (VIP) 22 Pit latrine with slab 23 Pit latrine without slab / Open pit 31 Composting toilet 41 Bucket 51 Double vault 61 Eco sanitation 71 Single vault 95 No facility, Bush, Field 96 Other 99 Missing Sysmiss Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use. Do you share this faciilty with others who are not members of your household? Circle the code corresponding to the response given. If 'No', go to the next module. 10808 2660 1 9 1 Yes 2 No 9 Missing Sysmiss Toilet shared with other household or with general public Toilet shared with other household or with general public Toilet shared with other household or with general public Toilet shared with other household or with general public Toilet shared with other household or with general public Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use. Do you share this facility only with members of other households that you know, or is the facility open to the use of the general public? The intention of this question is to understand whether the shared facility is only shared with other households (such as a neighbouring household) or whether the facility is open to the public. If it is a public facility, then circle '2' and skip to the next module. If '1' is circled, continue with WS11. 1326 12142 1 9 1 Other households only (not public) 2 Public facility 9 Missing Sysmiss Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Questions WS8, WS9, WS10 and WS11 are about the toilet facility household members use. How many households in total use this toilet facility, including your own household? The total number of households using this facility should include the household being interviewed. If less than ten households use this toilet facility, enter the number of households on the line provided. Circle '10' if ten or more households use this toilet facility. Note that '01' is not a valid response (since it means that this is the only household that uses the facility; if that is the case, you should go back to WS9 and correct the response there). Circle '98' for 'DK' ('Doesn't know'). 1028 12440 1 99 1 2 3 4 5 6 7 8 9 10 Ten or more households 98 DK 99 Missing Sysmiss Mother tongue of household head Mother tongue of household head Mother tongue of household head Mother tongue of household head Mother tongue of household head What is the mother tongue/native language of the head of this household? Circle the code corresponding to the answer given. Make sure to get the religion, ethnicity or mother tongue/native language of the household head. 13116 352 1 9 1 Pashto 2 Dari 3 Uzbek 4 Turkmen 6 Other 9 Missing Sysmiss Number of rooms used for sleeping Number of rooms used for sleeping Number of rooms used for sleeping Number of rooms used for sleeping Number of rooms used for sleeping How many rooms in this household are used for sleeping? This information provides a measure of how crowded the house is, and reflects the socio-economic condition of the household. A room in this case refers to a special area with a permanent partition that is used for sleeping. It is not necessarily the number of rooms in the household that are called 'bedrooms', but rather how many rooms get used for sleeping on a regular basis. Exclude rooms that are used only for sleeping by visitors to the household, but include those rooms that may not be regular 'bedrooms' but may be regularly used by one or more of the household members for sleeping. Enter the number of rooms in this household that are used for sleeping. 13116 352 1 99 99 Missing Main material of floor Main material of floor Main material of floor Main material of floor Main material of floor Record observation. Circle the correct code for the material of the floor, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the floor at different parts of the household, record the main flooring material (the material that covers the largest amount of floor space). 13116 352 11 99 11 Earth / sand 12 Dung 21 Wood planks 22 Palm / Bamboo 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 96 Other 99 Missing Sysmiss Main material of roof Main material of roof Main material of roof Main material of roof Main material of roof Record observation. Circle the correct code for the material of the roof, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the roof, record the main roofing material (the material that covers the largest amount of roof space). 13116 352 11 99 11 No roof 12 Thatch / Palm leaf 13 Sod 21 Rustic mat 22 Palm / Bamboo 23 Wood planks 24 Cardboard 31 Metal 32 Wood 33 Calamine / Cement fibre 34 Ceramic tiles 35 Cement 36 Roofing shingles 96 Other 99 Missing Sysmiss Main material of exterior wall Main material of exterior wall Main material of exterior wall Main material of exterior wall Main material of exterior wall Record observation. Circle the correct code for the material of the exterior walls, based on your observation. You will be able to observe the correct answer in most cases, but if in doubt, ask. If there is more than one kind of material making up the walls at different parts of the household, record the main wall material (the material that covers the largest amount of wall space). 13116 352 11 99 11 No walls 12 Cane/Palm/Trunks 13 Dirt 21 Mud wall/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 99 Missing Sysmiss Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking What type of fuel does your household mainly use for cooking? Information on the type of fuel used for cooking is collected as another measure of the socio-economic status of the household. The use of some cooking fuels can also have adverse health consequences. Circle the code corresponding to the answer given. Remember that this question asks about fuel for cooking, not fuel for heating or lighting. If the household uses more than one fuel for cooking, find out which type of fuel is used most often. If electricity, liquid propane gas (LPG), natural gas, biogas or kerosene is mainly used, circle '01', '02', '03', '04', or '05', respectively, and skip to HC8. There might be cases when no cooking is done in the household. In this case, circle '95' and skip to HC8. If any fuel other than the pre-coded ones is reported as being the main fuel used for cooking, circle '96' and specify the type of fuel on the line provided. Definitions of some of the types of fuel are as follows: 'Biogas' includes gases produced by fermenting manure in an enclosed pit. 'Lignite' is a derivative of coal that produces more smoke when burned but produces less heat than coal. 13116 352 1 99 1 Electricity 2 Liquefied Petroleum Gas (LPG) 3 Natural gas 4 Biogas 5 Kerosene 6 Coal / Lignite 7 Charcoal 8 Wood 9 Straw / Shrubs / Grass 10 Animal dung 11 Agricultural crop residue 95 No food cooked in household 96 Other 99 Missing Sysmiss Cooking location Cooking location Cooking location Cooking location Cooking location Is the cooking usually done in the same house, in a separate building, or outdoors? If “In the house“, probe: Is it done in a separate room used as a kitchen? Circle the code corresponding to the response given. Circle '1' if the cooking is done in a separate room designated as a kitchen. Circle '2' if the cooking is done in an area used for living, sitting, sleeping, and not in a separate kitchen or building. Circle '3' if the cooking is done in another building and '4' only if the cooking is usually done outdoors. If a response is given other than the pre-coded ones, circle '6' and specify the cooking place on the line provided. The answers to the following two questions on ownership of certain items will be used as an approximate measure of the socio-economic status of the household. 10273 3195 1 9 1 In a separate room used as kitchen 2 Elsewhere in the house 3 In a separate building 4 Outdoors 6 Other 9 Missing Sysmiss Electricity Electricity Electricity Electricity Electricity Does your household have: Electricity? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 13116 352 1 9 1 Yes 2 No 9 Missing Sysmiss Radio Radio Radio Radio Radio Does your household have: A radio? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 13116 352 1 9 1 Yes 2 No 9 Missing Sysmiss Television Television Television Television Television Does your household have: A television? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 13116 352 1 9 1 Yes 2 No 9 Missing Sysmiss Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Does your household have: A non-mobile telephone? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 13116 352 1 9 1 Yes 2 No 9 Missing Sysmiss Refrigerator Refrigerator Refrigerator Refrigerator Refrigerator Does your household have: A refrigerator? Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that a household item such as a radio is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Ask the question for the following items: Electricity, Radio, Television, Non-mobile telephone, Refrigerator? Survey Coordinators: Each country should add to the list at least five items of furniture (such as a table, a chair, a sofa, a bed, an armoire, or a cupboard or cabinet). In addition, each country should add at least four additional household appliances so that the list includes at least three items that even a poor household may have, at least three items that a middle income household may have, and at least three items that a high income household may have. Some possible additions are clock, water pump, grain grinder, fan, blender, water heater, electric generator, washing machine, microwave oven, computer, VCR or DVD player, cassette or CD player, camera, air conditioner or cooler, colour TV, sewing machine. 13116 352 1 9 1 Yes 2 No 9 Missing Sysmiss Watch Watch Watch Watch Watch Does any member of your household own: A watch? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 13116 352 1 9 1 Yes 2 No 9 Missing Sysmiss Mobile telephone Mobile telephone Mobile telephone Mobile telephone Mobile telephone Does any member of your household own: A mobile telephone? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 13116 352 1 9 1 Yes 2 No 9 Missing Sysmiss Bicycle Bicycle Bicycle Bicycle Bicycle Does any member of your household own: A bicycle? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 13116 352 1 9 1 Yes 2 No 9 Missing Sysmiss Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Does any member of your household own: A motorcycle or scooter? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 13116 352 1 9 1 Yes 2 No 9 Missing Sysmiss Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Does any member of your household own: An animal-drawn cart? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 13116 352 1 9 1 Yes 2 No 9 Missing Sysmiss Car or truck Car or truck Car or truck Car or truck Car or truck Does any member of your household own: A car or truck? This question collects information on the ownership of various items owned by any of the household members. Read out each item and circle the code corresponding to the answer given after each item. If the respondent reports that an item such as a motorcycle is broken, try to find out how long it has been broken and whether it will be fixed. If the item appears to be out of use only temporarily, circle '1' for 'Yes'. Otherwise, circle '2' for 'No'. Be sure to circle either a '1' or a '2' for each item. Do not leave any blank. Bicycle for children (used as a toy) should not be considered. Ask the question for the following items: Watch, Mobile telephone, Bicycle, Motorcycle/Scooter, Animal-drawn cart, Car/truck, Boat with Motor. 13116 352 1 9 1 Yes 2 No 9 Missing Sysmiss Household owns the dwelling Household owns the dwelling Household owns the dwelling Household owns the dwelling Household owns the dwelling Do you or someone living in this household own this dwelling, or is this dwelling rented? Note that the question pertains to the situation at the time of interview. If the respondent or anyone else living in the household owns the dwelling, circle 1 and continue with the next question. If not owned, then ask: Do you rent this dwelling from someone not living in this household? If Rented from someone else, circle 2. For other responses, circle 6. 13116 352 1 9 1 Own 2 Rent 6 Other (not owned or rented) 9 Missing Sysmiss Any household member own land that can be used for agricultu Any household member own land that can be used for agricultu Any household member own land that can be used for agricultu Any household member own land that can be used for agricultu Any household member own land that can be used for agricultu Does any member of this household own any land that can be used for agriculture? Agricultural land refers to land that is used for growing crops (the crops may be food for people, food for animals, or other non-food crops), raising animals, and grazing animals. In answering this question, common land used to graze animals but not owned by the household should not be included. Circle the code corresponding to the response given. If 'No', skip to HC13. Note that the land in question may be far away, even in another country. Accept such answers as “Yes”. 13116 352 1 9 1 Yes 2 No 9 Missing Sysmiss Hectares of agricultural land members of household owns Hectares of agricultural land members of household owns Hectares of agricultural land members of household owns Hectares of agricultural land members of household owns Hectares of agricultural land members of household owns How many jirib of agricultural land do members of this household own? If less than 1, record 00 . If 95 or more, record 95 . If unknown, record 98 . 6968 6500 99 Less than one jirib 95 More than 95 98 DK 99 Missing Household own any animals Household own any animals Household own any animals Household own any animals Household own any animals Does this household own any livestock, herds, other farm animals or poultry? Circle the code corresponding to the response given. If 'No', skip to HC15. 13116 352 1 9 1 Yes 2 No 9 Missing Sysmiss Cattle, milk cows, or bulls Cattle, milk cows, or bulls Cattle, milk cows, or bulls Cattle, milk cows, or bulls Cattle, milk cows, or bulls How many of the following animals does this household have? [A] Cattle, milk cows, or bulls? Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 8068 5400 99 95 95+ 98 DK 99 Missing Horses, donkeys, or mules Horses, donkeys, or mules Horses, donkeys, or mules Horses, donkeys, or mules Horses, donkeys, or mules How many of the following animals does this household have? [B] Horses, donkeys, or mules? Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 8068 5400 99 95 95+ 98 DK 99 Missing Goats Goats Goats Goats Goats How many of the following animals does this household have? [C] Goats? Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 8068 5400 99 95 95+ 98 DK 99 Missing Sheep Sheep Sheep Sheep Sheep How many of the following animals does this household have? [D] Sheep? Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 8068 5400 99 95 95+ 98 DK 99 Missing Chickens Chickens Chickens Chickens Chickens How many of the following animals does this household have? [E] Poultry? Read out each item and enter the number corresponding to the answer given. Add numbers of milk cows and bulls together, even if the respondent gives separate numbers for each. Similarly, count horses, donkeys and mules together. If the answer is 'none', record '00' for that animal/animal group. If the household has 95 or more of any one type of animal/animal group, record '95'. If the household owns a particular type of animal/animal group, but the respondent does not know how many, circle '98'. Do not leave any items blank. Ask the question for the following animals: Cattle; Milk Cows or Bulls; Horses, Donkeys or mules; Goats; Sheep; Chickens; Pigs. 8068 5400 99 95 95+ 98 DK 99 Missing Does any member of this household have bank account Does any member of this household have bank account Does any member of this household have bank account Does any member of this household have bank account Does any member of this household have bank account Does any member of this household have a bank account? Ask if any member in the household has an account with a bank, credit association or other similar organization in which they can deposit and withdraw funds. Circle the code corresponding to the response given. 13116 352 1 9 1 Yes 2 No 9 Missing Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Total number of children age 2–14 years Count the number of children and record the total number of children aged 2-14 years in the box provided. If there is only one child aged 2-14 years in the household, then skip Table 2 and go to CD8; write down '1' and continue with CD9 to administer the questions on child discipline to the mother or the primary caretaker of this child. If there is more than one eligible child on the list, go on to fill in Table 2. 12129 1339 23 Not filled for 1, 15,16 years old age 99 Missing Rank number of the selected child Rank number of the selected child Rank number of the selected child Rank number of the selected child Rank number of the selected child Record the rank number of selected child from Table 1 (CD1). This is the rank number of the child selected for the child discipline questions. 11720 1748 1 9 1 2 3 4 5 6 7 8 9 Missing Sysmiss Child line number Child line number Child line number Child line number Child line number Write the name and line number of the child selected for the module from CD3 and CD2, based on the rank number in CD8. Now go back to Table 1 and find this rank number (CD8) in the list in column CD1. Record the line number and name of this selected child from Table 1 in CD9 on the next page. 11720 1748 1 99 97 Inconsistent 99 Missing Flag for correct child line number Flag for correct child line number Flag for correct child line number Flag for correct child line number Flag for correct child line number 11720 1748 1 2 1 Correct child selected 2 Incorrect child selected 9 Missing Sysmiss Took away privileges Took away privileges Took away privileges Took away privileges Took away privileges Took away privileges, forbade something (name) liked or did not allow him/her to leave house. 'Privileges' means a right or a benefit that is not available to everyone. As children get older, parents/caretakers often extend privileges not available to a very young child. If you must explain what this question means, first try by asking each prompting question separately. If you need to give examples, try to phrase these questions appropriately for the child's age. “Did you (or someone else in the household) forbid (name) from leaving the house or from going outside for a time? Did you (or someone else in the household) prohibit (name) from doing something he/she usually does, such as playing with friends or watching TV?” For a young child, you might include such things as 'forbidding him/her to have sweets', etc. 11720 1748 1 9 1 Yes 2 No 9 Missing Sysmiss Explained why behaviour was wrong Explained why behaviour was wrong Explained why behaviour was wrong Explained why behaviour was wrong Explained why behaviour was wrong Explained why (name)'s behavior was wrong. When a child does something wrong, some parents/caretakers try to teach the child not to repeat the behaviour by explaining why they consider the behaviour to be wrong. For example, a young child playing with matches may be told not to do so, because he or she could accidentally start a fire. 11720 1748 1 9 1 Yes 2 No 9 Missing Sysmiss Shook child Shook child Shook child Shook child Shook child Shook him/her. Some parents/caretakers may shake (pick the child up or take him/her by the shoulders or other part of the body) and shake the child back and forth more than once. This is a method some parents may use to punish a child for bad behaviour. They may use this method alone, or combine this form of punishment together with other actions or methods to teach the child. 11720 1748 1 9 1 Yes 2 No 9 Missing Sysmiss Shouted, yelled or screamed at child Shouted, yelled or screamed at child Shouted, yelled or screamed at child Shouted, yelled or screamed at child Shouted, yelled or screamed at child Shouted, yelled at or screamed at him/her. Parents/caretakers may raise their voice when a child does something they consider wrong. 11720 1748 1 9 1 Yes 2 No 9 Missing Sysmiss Gave child something else to do Gave child something else to do Gave child something else to do Gave child something else to do Gave child something else to do Gave him/her something else to do. This question is designed to capture another non-violent discipline technique, diverting the child's attention from the incorrect behaviour. A parent/caretaker may try to distract the child from doing the unsuitable behaviour by giving the child something else to do in its place. If the respondent does not understand, you may add a probe: “This means distracting the child or helping the child pay attention to something else.” 11720 1748 1 9 1 Yes 2 No 9 Missing Sysmiss Spanked, hit or slapped child on bottom with bare hand Spanked, hit or slapped child on bottom with bare hand Spanked, hit or slapped child on bottom with bare hand Spanked, hit or slapped child on bottom with bare hand Spanked, hit or slapped child on bottom with bare hand Spanked, hit or slapped him/her on the bottom with bare hand. Spanking a child on the bottom with a bare hand is a form of physical punishment used by some parents/caretakers. 11720 1748 1 9 1 Yes 2 No 9 Missing Sysmiss Hit child on the bottom or elsewhere with belt, brush, stick Hit child on the bottom or elsewhere with belt, brush, stick Hit child on the bottom or elsewhere with belt, brush, stick Hit child on the bottom or elsewhere with belt, brush, stick Hit child on the bottom or elsewhere with belt, brush, stick Hit him/her on the bottom or elsewhere on the body with something like a belt, hairbrush, stick or other hard object. Hitting a child with a hard object (this includes a belt) is a more severe form of physical punishment used by some parents/caretakers. It is considered more severe than spanking because more force can be exerted with a hard object than a bare hand. Some parents/caretakers use this form of punishment to teach a child not to engage in a bad behaviour. Remember, you are asking if the method of punishment was used with this child during the previous 30 days. 11720 1748 1 9 1 Yes 2 No 9 Missing Sysmiss Called child dumb, lazy or another name Called child dumb, lazy or another name Called child dumb, lazy or another name Called child dumb, lazy or another name Called child dumb, lazy or another name Called him/her dumb, lazy or another name like that. Some parents/caretakers use verbal abuse to teach a child not to engage in a bad behaviour. 11720 1748 1 9 1 Yes 2 No 9 Missing Sysmiss Hit or slapped child on the face, head or ears Hit or slapped child on the face, head or ears Hit or slapped child on the face, head or ears Hit or slapped child on the face, head or ears Hit or slapped child on the face, head or ears Hit or slapped him/her on the face, head or ears. This asks if the parent/caretaker (or someone else in the household) slapped the child on the head or in the face, or on one or both ears. As before, slapping or hitting refers to an action carried out with a bare hand. (All questions using these terms refer to use of a bare hand, unless another object is explicitly mentioned.) Repeat this question slowly, and be sure to wait for an answer before going on to CD20. 11720 1748 1 9 1 Yes 2 No 9 Missing Sysmiss Hit or slapped child on the hand, arm or leg Hit or slapped child on the hand, arm or leg Hit or slapped child on the hand, arm or leg Hit or slapped child on the hand, arm or leg Hit or slapped child on the hand, arm or leg Hit or slapped him/her on the hand, arm or leg. This question is different from the previous question (CD19) because it asks whether the child was slapped or hit with a bare hand on the extremities - hand(s), arm(s) or leg(s). 11720 1748 1 9 1 Yes 2 No 9 Missing Sysmiss Beat child up with an implement Beat child up with an implement Beat child up with an implement Beat child up with an implement Beat child up with an implement Beat him/her up with an implement. Probe if necessary: Hit over and over as hard as one could. Circle the code corresponding to the response given. 11720 1748 1 9 1 Yes 2 No 9 Missing Sysmiss Child needs to be physically punished to be brought up prope Child needs to be physically punished to be brought up prope Child needs to be physically punished to be brought up prope Child needs to be physically punished to be brought up prope Child needs to be physically punished to be brought up prope Do you believe that in order to bring up, raise, or educate a child properly, the child needs to be physically punished? This question is designed to capture attitudes toward discipline and should be asked last, after asking about parental/caretaker disciplinary behaviour. The question asks the respondent for her/his own opinion of whether it is necessary to use physical punishment when teaching a child to behave properly. Do not be surprised if a respondent who has indicated that she/he has used physical punishment says that she/he does not believe in such punishment. If the respondent states that she/he has no opinion on this or that she/he does not know, circle '8'. 11720 1748 1 9 1 Yes 2 No 8 Don't know / No opinion 9 Missing Sysmiss Place where household members most often wash their hands Place where household members most often wash their hands Place where household members most often wash their hands Place where household members most often wash their hands Place where household members most often wash their hands Please show me where members of your household most often wash their hands. You will begin by asking whether you may see the place where household members most often wash their hands. If the respondent agrees and you observe the facility, circle '1'. If there is no specific place in dwelling, plot, or yard, circle '2' and skip to HW4. If there is a place but permission is not granted to see it, circle '3'and skip to HW4. If the place used for handwashing is not observed for any other reason, circle '6' and skip to HW4. In many cultures and crowded slum areas there may not be a designated place for hand-washing. Rather a movable object is used, like a bucket, basin, container or kettle, for people to wash or rinse their hands. Recording where such movable object is usually used for hand washing is important. 13116 352 1 9 1 Observed 2 Not in dwelling/plot/yard 3 No permission to see 6 Other reason 9 Missing Sysmiss Water available at the place for handwashing Water available at the place for handwashing Water available at the place for handwashing Water available at the place for handwashing Water available at the place for handwashing In HW2, you will observe whether there is water available at the place used for handwashing. If there is a tap or pump at the specific place for handwashing, open the tap or operate the pump to see if water is coming out. If there is a bucket, basin or other type of water container, examine to see whether water is present in the container. If you learn that the water is temporarily not available at the specific place for handwashing, code it as water not available ('2') but take a note of this at the end of the questionnaire. 7834 5634 1 9 1 Water is available 2 Water is not available 9 Missing Sysmiss Bar soap Bar soap Bar soap Bar soap Bar soap Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4. 5933 ? Missing A Bar soap Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4. 1442 ? Missing B Detergent (Powder / Liquid / Paste) Liquid soap Liquid soap Liquid soap Liquid soap Liquid soap Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4. 1653 ? Missing C Liquid soap Ash / Mud / Sand Ash / Mud / Sand Ash / Mud / Sand Ash / Mud / Sand Ash / Mud / Sand Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4. 488 ? Missing D Ash / Mud / Sand None None None None None Record whether there is soap or detergent at the place used for handwashing. Circle all available at the place for handwashing. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. If there is no soap or detergent at the place used for handwashing, continue with the next question, otherwise skip to HH19. If "None" (Y) is circled, continue with HW4. 1461 ? Missing Y None Soap/other material available for washing hands Soap/other material available for washing hands Soap/other material available for washing hands Soap/other material available for washing hands Soap/other material available for washing hands Do you have any soap or detergent in your household for washing hands? 6737 6731 1 9 1 Yes 2 No 9 Missing Sysmiss Bar soap Bar soap Bar soap Bar soap Bar soap Can you please show it to me? Record observation. Circle all that apply. If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. 3266 ? Missing A Bar soap Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Detergent (Powder / Liquid / Paste) Can you please show it to me? Record observation. Circle all that apply. If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. 593 ? Missing B Detergent (Powder / Liquid / Paste) Liquid soap Liquid soap Liquid soap Liquid soap Liquid soap Can you please show it to me? Record observation. Circle all that apply. If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. 516 ? Missing C Liquid soap Ash / Mud / Sand Ash / Mud / Sand Ash / Mud / Sand Ash / Mud / Sand Ash / Mud / Sand Can you please show it to me? Record observation. Circle all that apply. If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. 380 ? Missing D Ash / Mud / Sand Not able / Does not want to show Not able / Does not want to show Not able / Does not want to show Not able / Does not want to show Not able / Does not want to show Can you please show it to me? Record observation. Circle all that apply. If there is no specific place for handwashing in the household, or permission is not granted to see the place, you will need to ask questions HW4 and HW5. HW4 asks whether soap or detergent (or other locally used cleansing agent) is available in the household, and if so, HW5 is used to ask the respondent whether it is possible to show the soap or detergent. Record your observation if the respondent shows you the soap, detergent, or other cleansing agent. Circle all that apply. If the respondent is unable to show or does not want to show, circle 'Y'. Hand sanitizers are not accepted as a cleansing agent that can be used for handwashing. 109 ? Missing Y Not able / Does not want to show Salt iodization test outcome Salt iodization test outcome Salt iodization test outcome Salt iodization test outcome Salt iodization test outcome We would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household? Ask for a sample of the salt usually used for cooking in the household, and perform the test on this sample of salt. Once you have a sample of salt, perform the test as described below and circle the code that corresponds to the test outcome. Circle '1' if the test is negative (0 parts per million/no colour - not iodized). Circle '2' if the test shows more than 0 but less than 15 parts per million iodine (weak colour). Circle '3' if the test is positive (15 parts per million or more, strong colour). Circle '6' if there is 'No salt in home'. Circle '7' if the salt was present, but not tested for any reason. Use the provided salt test kit to test the iodine content in the salt sample. The salt testing kits contain small 10 ml bottles with a stabilized starch-based solution. Each kit is sufficient for testing at least 100 samples of salt. One to two drops of the solution dripped on a small amount of salt containing iodine produces a blue/purple colour change. Coloration indicates that iodine is present. Below follows a brief description of the basic steps to test for iodate content in salt, the most common fortificant. The same basic principles also apply when testing for iodide content in salt, with the main difference being that no re-check solution will be needed with that type of salt. 1. Put a small amount of salt (about a teaspoon or less) on a white piece of paper. Make a small pile and flatten the top. 2. Add 1-2 drops of test solution and check the result immediately in good light, using the colour chart supplied with the test kit. 3. When no colour appears (suspected alkalinity in the salt sample); on a fresh sample of salt, add up to 5 drops of the re-check solution supplied with the kit and then add 2 drops of test solution on the same spot and compare to the colour chart. 4. When you have compared to the colour chart, circle on the questionnaire the code that corresponds to the test outcome. 13116 352 1 9 1 Not iodized 0 PPM 2 More than 0 PPM and less than 15 PPM 3 15 PPM or more 6 No salt in the household 7 Salt not tested 9 Missing Sysmiss Sex of household head Sex of household head Sex of household head Sex of household head Sex of household head 13116 352 1 2 1 Male 2 Female 9 Missing Sysmiss Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head 12690 778 1 9 1 Pashto 2 Dari 3 Uzbek/Turkmen 9 Missing/DK Sysmiss Education of household head Education of household head Education of household head Education of household head Education of household head 13116 352 1 9 1 None 2 Primary 3 Secondary + 9 Missing/DK Sysmiss Relative household weight Relative household weight Relative household weight Relative household weight Relative household weight 13468 5.259 Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 13468 -1.795 3.47 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 13468 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Province Province Province Province Province 13468 01 KABUL 02 KAPISA 03 PARWAN 04 WARDAK 05 LOGAR 06 NANGARHAR 07 LAGHMAN 08 PANJSHER 09 BAGHLAN 10 BAMYAN 11 GHAZNI 12 PAKTIKA 13 PAKTYA 14 KHOST 15 KUNARHA 16 NOORISTAN 17 BADAKHSHAN 18 TAKHAR 19 KUNDUZ 20 SAMANGAN 21 BALKH 22 SAR-E-PUL 23 GHOR 24 DAYKUNDI 25 UROZGAN 26 ZABUL 27 KANDAHAR 28 JAWZJAN 29 FARYAB 30 HELMAND 31 BADGHIS 32 HERAT 33 FARAH 34 NIMROZ Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit Primary sampling unit 13468 1 449 Strata Strata Strata Strata Strata 13468 1 16 Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 101671 1 449 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 101671 1 34 Line number Line number Line number Line number Line number This is the number used to identify each person listed. You must obtain a complete list of all persons who usually live in the household, but you do not need to fill in or do anything in this column since the numbers are already provided. This is a very important number since, once household members are assigned these line numbers after the Household Listing Form is completed, all members are identified with these line numbers throughout the questionnaires administered in this household. Probe for additional household members. Probe especially for any infants or small children not listed, and others who may not be members of the family (such as servants, friends) but who usually live in the household. Insert names of additional members in the household list and complete form accordingly. 101671 1 40 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 99 Missing Relationship to the head Relationship to the head Relationship to the head Relationship to the head Relationship to the head What is the relationship of (name) to the head of household? You should begin by saying: First, please tell me the name of each person who usually lives here, starting with the head of the household. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask: Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Enter the code corresponding to how the person listed is related to the head of the household. Use the codes at the bottom of the Household Listing Form. Be particularly careful in doing this if the respondent is not the head of the household. Make sure that you record the relationship of each person to the household head, not the relationship to the respondent. For example, if the respondent is the wife of the head of the household and she says that Sola is her brother, then Sola should be coded as '09' ('Brother-in-law / Sister-in-law'), not as '08' ('Brother / Sister'), because Sola is a brother-in-law of the head of the household. Be very careful in obtaining this information correctly, since respondents tend to provide the relationship of the person to themselves, rather than to the head of the household. If the head of the household is married to a woman who has a child from a previous marriage, that child's relationship to the head of the household should be coded as '13' ('Adopted/foster/stepchild'). If a household member is not related to the head of household, such as a friend who lives with the household, enter '14' ('Not related'). Enter '98' if the respondent doesn't know the relationship of a household member to the head of household. 101671 1 99 1 Head 2 Wife / Husband 3 Son / Daughter 4 Son-In-Law / Daughter-In-Law 5 Grandchild 6 Parent 7 Parent-In-Law 8 Brother / Sister 9 Brother-In-Law / Sister-In-Law 10 Uncle / Aunt 11 Niece / Nephew 12 Other relative 13 Adopted / Foster / Stepchild 14 Not related 97 Inconsistent 98 Don't know 99 Missing Sex Sex Sex Sex Sex Is (name) male or female? You should begin by saying: First, please tell me the name of each person who usually lives here, starting with the head of the household. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask: Are there any others who live here, even if they are not at home now? If yes, complete the listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Circle '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. When the respondent is listing everyone in the household, he/she may indicate the sex of the person at the same time, by saying “My sister Mary,” for instance. In this case, you do not need to ask the sex of the household member again, since it is already obvious that the person is a female. However, when a name is mentioned that can be used for both males and females, never use your judgement. Even in cases when you think that the name would most likely be a male's (or a female's) name, have the respondent confirm the sex. This column should never be left blank. Once you have a complete list of names, relationship codes and sex, move across this page to ask and record answers to questions about individual persons starting from HL5. Start with the household head on line 01. When you have finished asking all questions HL5 to HL14 for the person on line 01, continue to the person listed on line 02, etc. 101671 1 2 1 Male 2 Female 9 Missing Age Age Age Age Age How old is (name)? Probe: HOW OLD WAS (name) ON HIS/HER LAST BIRTHDAY? Enter each person's age in completed years, that is, his/her age at his/her last birthday. Completed age is also defined as 'the number of completed years since birth'. With this definition, since a 6-month-old baby has not completed a full year, his/her age will be entered as '00'. Note that you will be obtaining more accurate estimates of children's ages later. This column should never be left blank. Even after you have probed and asked all the necessary information from the respondent and you still have difficulty obtaining the ages of elderly members of the household, you may enter the code '98', meaning 'Doesn't know/over age 50'. For household members younger than 50, completed ages must be entered. However, you should still indicate, with a note, what age range the person in question might be, so that your editor or supervisor can have an idea of the eligibility of the person to administer the individual questionnaires. If the age of the member of the household is 95 or higher enter the code '95' for all such cases. 101671 99 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 95 95+ 98 DK 99 Missing Line number of woman age 15 - 49 Line number of woman age 15 - 49 Line number of woman age 15 - 49 Line number of woman age 15 - 49 Line number of woman age 15 - 49 Eligibility for individual modules: Questions HL7, HL7A and HL9 concern eligibility information. Circle the line number in this column if the household member is a woman 15-49 years of age (this includes those age 15 and age 49). You will not ask this question to the respondent. 101671 40 Not eligible 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 31 32 33 36 38 40 99 Missing Line number of mother/caretaker for children age 5 - 14 Line number of mother/caretaker for children age 5 - 14 Line number of mother/caretaker for children age 5 - 14 Line number of mother/caretaker for children age 5 - 14 Line number of mother/caretaker for children age 5 - 14 For children age 5-14: Who is the mother or primary caretaker of this child? If the household member is a child between 5 and 14 years of age (this includes those age 5 and age 14), record the line number of his/her mother or primary caretaker in this column. Ask this question to the respondent if necessary. 101671 33 Not eligible 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 31 32 33 99 Missing Line number of mother/caretaker for children under age 5 Line number of mother/caretaker for children under age 5 Line number of mother/caretaker for children under age 5 Line number of mother/caretaker for children under age 5 Line number of mother/caretaker for children under age 5 For children under age 5: Who is the mother or primary caretaker of this child? If the household member is a child under the age of five (this includes those just born and those age 4, but not children who have completed 5 years of age), record the line number of his/her mother or primary caretaker in this column. Ask this question to the respondent if necessary. Later, you will be interviewing the person you are recording her/his line number here about the child you are collecting information. 101671 38 Not eligible 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 31 32 33 36 38 99 Missing Member stayed in the house last night Member stayed in the house last night Member stayed in the house last night Member stayed in the house last night Member stayed in the house last night Did (name) stay here last night? Record whether or not the household member stayed in the household last night. 101671 1 9 1 Yes 2 No 9 Missing Is natural mother alive Is natural mother alive Is natural mother alive Is natural mother alive Is natural mother alive Is (name)’s natural mother alive? For children age 0-17 years ask HL11-HL14: For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank. By 'natural' we mean the biological mother. In many cultures, people consider other people's children whom they are raising as their own, especially children of their husband or sisters, etc. You should be certain that the respondent understands that you are asking about the woman who gave birth to the child. Record whether or not the child's natural mother is still alive by circling the code corresponding to the response given. If the child's natural mother is not alive or if the respondent does not know, skip to HL13. Otherwise, continue to the question in the next column. 54214 47457 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Natural mother's line number in HH Natural mother's line number in HH Natural mother's line number in HH Natural mother's line number in HH Natural mother's line number in HH Does (name’s) natural mother live in this household? For children age 0-17 years ask HL11-HL14: For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank. If the natural mother is still alive, we want to know whether she lives in the household. If the mother does live in the household, ask who she is (she should be listed in the Household Listing Form if she lives in the household) and record her line number in the space provided. If the mother is not a member of the household (not listed in the Household Listing Form), record '00'. 52962 48709 38 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 31 32 33 36 38 97 Inconsistent 99 Missing Sysmiss Is natural father alive Is natural father alive Is natural father alive Is natural father alive Is natural father alive Is (name)’s natural father alive? For children age 0-17 years ask HL11-HL14: For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank. Fill in these questions in exactly the same way as HL11 and HL12. This time, make sure to record the survival status and the line number of the natural (biological) fathers. If the father of the household member is not alive or his survival status is not known by the respondent in HL13, move to the next person on the list. 54214 47457 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Natural father's line number in HH Natural father's line number in HH Natural father's line number in HH Natural father's line number in HH Natural father's line number in HH Does (name)’s natural father live in this household? For children age 0-17 years ask HL11-HL14: For all children under age 18, we want to know whether their own (natural) parents are listed in the Household Listing Form, and their survival status. This information can be used to measure the prevalence of orphanhood and child fostering in the population. For everyone age 18 and older, HL11-HL14 will be left blank. Fill in these questions in exactly the same way as HL11 and HL12. This time, make sure to record the survival status and the line number of the natural (biological) fathers. If the father of the household member is not alive or his survival status is not known by the respondent in HL13, move to the next person on the list. 52053 49618 32 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 30 32 97 Inconsistent 99 Missing Sysmiss Line number Line number Line number Line number Line number For household members age 5 and above, ask ED1-ED8: This is the number assigned to each person on the Household Listing Form. You do not need to fill in or do anything in this column since the numbers are already provided. 101671 1 40 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 99 Missing Ever attended school or pre-school Ever attended school or pre-school Ever attended school or pre-school Ever attended school or pre-school Ever attended school or pre-school Has (name) ever attended school or pre-school? For household members age 5 and above, ask ED1-ED8: Circle '1' if the answer is 'Yes' and continue with question ED4A. If the answer is 'No', circle '2' and go to the household member on the next line. The term 'school' includes primary, secondary and post-secondary schooling, as well as any other intermediate levels of schooling in the formal school system. It also includes technical or vocational training beyond the primary-school level, such as long-term courses in mechanics or secretarial work. Schools that carry out non-standard curriculum (non-formal education) are not included here. A non-standard curriculum includes religious schools, such as Koranic schools, that do not teach a full, standard school curriculum. If a school teaches religious courses but also includes the standard curriculum - such as many Catholic schools - it would be coded as a standard (formal) school. 'Preschool' is listed for children who do not attend grade 1, but do attend some form of organized learning or early childhood education programme, whether or not such a programme is considered part of the school system. The definition of organized early learning programme does not refer to programmes offering only babysitting or child-minding. 86267 15404 1 9 1 Yes 2 No 9 Missing Sysmiss Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended What is the highest level of school (name) has attended? For household members age 5 and above, ask ED1-ED8: If the person has been to school, record the highest level of schooling attended by circling the code for the response. You may need to probe for the type of school attended. Circle '8' if the respondent 'Doesn't know'. If the highest level of school the child has attended is preschool (Level=0), skip to ED5. 33685 67986 9 Preschool 1 Primary 2 Secondary 3 Higher 8 DK 9 Missing Sysmiss Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level What is the highest grade (name) completed at this level? For household members age 5 and above, ask ED1-ED8: Enter the highest grade completed or '98' for 'DK' ('Doesn't know'). If less than one grade, enter '00'. For instance, if a person has attended primary school but did not complete the first grade, then the level for this person will be circled as '1' in ED4A, and the grade will be entered as '00' in ED4B. Similarly, for a child who is attending grade 5 in primary school at the time of the interview, the level will be coded as '1' and the grade as '04', since this person has not yet completed grade 5. Note that if the level of schooling is given as preschool in ED4A, the grade should be left blank. For someone not at school anymore, the highest level attended is the one he/she went to before leaving the education system, even if it was for a few weeks. For someone still at school, the highest level is the one he/she is currently attending (or was attending if we are conducting the interview during a long school break period). 33337 68334 99 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 97 Inconsistent 98 DK 99 Missing Sysmiss Attended school during current school year (2009-2010) Attended school during current school year (2009-2010) Attended school during current school year (2009-2010) Attended school during current school year (2009-2010) Attended school during current school year (2009-2010) During the school year, did (name) attend school or preschool at any time? For household members age 5 and above, ask ED1-ED8: Circle the code corresponding to the answer given. If 'Yes', continue to the next question. If 'No', skip to ED7. If the interview is carried out during the school year, then the question should be worded to refer to the current school year. If the interview is carried out between school years, then the question should refer to the last school year that has ended. Take the example of a country where the school year ends in June and the new school year begins in September: If the interview is carried out in July 2012 (between school years), then the question should refer to the 2011-2012 school year; if the interview is carried out in October 2012 (during the new school year), then the question should refer to the 2012-2013 school year. 25771 75900 1 9 1 Yes 2 No 9 Missing Sysmiss Level of education attended current school year Level of education attended current school year Level of education attended current school year Level of education attended current school year Level of education attended current school year During this/that school year, which level and grade is/was (name) attending? Level: For household members age 5 and above, ask ED1-ED8: Circle the code for the level of school, and enter the household member's current grade. If it applies, circle '8' for 'DK' ('Doesn't know'). Enter the highest grade number completed using '01', '02', etc. If a child is in preschool or kindergarten, and grades are not used, leave grade blank, and skip to ED7. If the interview is conducted during the time between two school years, the question should refer to the school year that has ended, and you should use 'that' and 'was' in the question. If the interview is conducted during the school year, the question should refer to the current school year. Note that these questions should capture children who may have been attending at the beginning of the school year, but have dropped out since then. If necessary, past tense could be used to make sure that you obtain information on the level and grade of children who may have dropped out from school during the course of the school year. 20938 80733 9 Preschool 1 Primary 2 Secondary 3 Higher 8 DK 9 Missing Sysmiss Grade of education attended current school year Grade of education attended current school year Grade of education attended current school year Grade of education attended current school year Grade of education attended current school year During this/that school year, which level and grade is/was (name) attending? Grade: For household members age 5 and above, ask ED1-ED8: Circle the code for the level of school, and enter the household member's current grade. If it applies, circle '8' for 'DK' ('Doesn't know'). Enter the highest grade number completed using '01', '02', etc. If a child is in preschool or kindergarten, and grades are not used, leave grade blank, and skip to ED7. If the interview is conducted during the time between two school years, the question should refer to the school year that has ended, and you should use 'that' and 'was' in the question. If the interview is conducted during the school year, the question should refer to the current school year. Note that these questions should capture children who may have been attending at the beginning of the school year, but have dropped out since then. If necessary, past tense could be used to make sure that you obtain information on the level and grade of children who may have dropped out from school during the course of the school year. 20874 80797 99 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 97 Inconsistent 98 DK 99 Missing Sysmiss Attended school previous school year (2008-2009) Attended school previous school year (2008-2009) Attended school previous school year (2008-2009) Attended school previous school year (2008-2009) Attended school previous school year (2008-2009) During the previous school year, did (name) attend school or preschool at any time? For household members age 5 and above, ask ED1-ED8: If the child attended school at any time during the last school year, circle '1'. If the answer is 'No' or 'DK', circle the appropriate code and go to the household member on the next line. 25771 75900 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Level of education attended previous school year Level of education attended previous school year Level of education attended previous school year Level of education attended previous school year Level of education attended previous school year During that previous school year, which level and grade did (name) attend? Level: For household members age 5 and above, ask ED1-ED8: Circle the code for the level of school attended and fill in the child's grade or circle '8' if the respondent doesn't know the level and/or '98' if the respondent doesn't know the grade. If the child was in preschool or kindergarten, and grades are not used, leave grade blank, and skip to the next person. 20323 81348 9 Preschool 1 Primary 2 Secondary 3 Higher 8 DK 9 Missing Sysmiss Grade of education attended previous school year Grade of education attended previous school year Grade of education attended previous school year Grade of education attended previous school year Grade of education attended previous school year During that previous school year, which level and grade did (name) attend? Grade: For household members age 5 and above, ask ED1-ED8: Circle the code for the level of school attended and fill in the child's grade or circle '8' if the respondent doesn't know the level and/or '98' if the respondent doesn't know the grade. If the child was in preschool or kindergarten, and grades are not used, leave grade blank, and skip to the next person. 20098 81573 99 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 18 97 Inconsistent 98 DK 99 Missing Sysmiss Line number Line number Line number Line number Line number This is the number assigned to each person on the Household Listing Form. You do not need to fill in or do anything in this column since the numbers are already provided. 101671 1 40 99 Missing Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member Worked in past week for someone who is not a HH member During the past week, did (name) do any kind of work for someone who is not a member of this household? 'Pay' refers to any compensation for work, including cash or goods or services provided to the child or his family. 'The past week' refers to the 7 days preceding the interview day (not counting the interview day). Note that the person indicated - someone who is not a member of this household - may be a relative or a family member who lives in a different household. If the answer is 'Yes', ask if the work was done for pay in cash or kind. Circle '1' if work was done for pay in cash or kind. Circle '2' if work was not done for any form of pay. If '1' or '2' is circled, continue to the next question. If no work was done by that child in the past week, circle '3' and skip to CL5. 31611 70060 1 9 1 Yes, for pay 2 Yes, unpaid 3 No 9 Missing Sysmiss Hours worked in past week for someone who is not a HH member Hours worked in past week for someone who is not a HH member Hours worked in past week for someone who is not a HH member Hours worked in past week for someone who is not a HH member Hours worked in past week for someone who is not a HH member Since last (day of the week), about how many hours did he/she do this work for someone who is not a member of this household? Record the estimated number of hours the child spent doing work in the past 7 days and continue with CL5. If less than 1 hour, record 00. Make sure the respondent understands what you mean by “since last (day of the week)” - specify the name of today's weekday, as you did in the Education Module. If the child works more than one such job, include the total hours spent doing such work in all jobs. 1455 100216 80 Less than one hour 98 DK 99 Missing Worked in past week to fetch water or collect firewood for h Worked in past week to fetch water or collect firewood for h Worked in past week to fetch water or collect firewood for h Worked in past week to fetch water or collect firewood for h Worked in past week to fetch water or collect firewood for h During the past week, did (name) fetch water or collect firewood for household use? As in CL3, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). CL5 is intended to capture typical work children usually get involved with. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to CL7. 31611 70060 1 9 1 Yes 2 No 9 Missing Sysmiss Hours to fetch water or collect firewood Hours to fetch water or collect firewood Hours to fetch water or collect firewood Hours to fetch water or collect firewood Hours to fetch water or collect firewood Since last (day of the week), about how many hours did he/she fetch water or collect firewood for household use? Insert the estimated number of hours worked. 9356 92315 99 Less than one hour 98 DK 99 Missing Other paid or unpaid family work in past week Other paid or unpaid family work in past week Other paid or unpaid family work in past week Other paid or unpaid family work in past week Other paid or unpaid family work in past week During the past week, did (name) do any paid or unpaid work on a family farm or in a family business or selling goods in the street? This question is intended to capture whether the child has done any paid or unpaid work for the family. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to CL9. 31611 70060 1 9 1 Yes 2 No 9 Missing Sysmiss Hours worked on other family work Hours worked on other family work Hours worked on other family work Hours worked on other family work Hours worked on other family work Since last (day of the week), about how many hours did he/she do this work for his/her family or himself/herself? As in CL4 and CL6, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). Insert the estimated number of hours worked. 1394 100277 1 77 Less than one hour 98 DK 99 Missing Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week During the past week, did (name) help with household chores such as shopping, cleaning, washing clothes, cooking; or caring for children, old or sick people? This question intends to capture whether the child has done any paid or unpaid work for the family. Circle '1' if 'Yes', and continue to the next question. If 'No', circle '2' and skip to next child. If there are no more children left in this module, skip to next module. 31611 70060 1 9 1 Yes 2 No 9 Missing Sysmiss Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Since last (day of the week), about how many hours did he/she spend doing these chores? As in CL3, CL6 and CL8, 'the past week' refers to the 7 days preceding the interview day (not counting the interview day). Insert the estimated number of hours worked. 13658 88013 72 Less than one hour 98 DK 99 Missing Day of interview Day of interview Day of interview Day of interview Day of interview Day/month/year of interview: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 101671 1 31 Month of interview Month of interview Month of interview Month of interview Month of interview Day/month/year of interview: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 101671 1 12 1 2 3 4 5 6 7 10 11 12 Year of interview Year of interview Year of interview Year of interview Year of interview Day/month/year of interview: Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household again, revise and enter final date of interview. In other words, the date here should be either when you have completed the Household Questionnaire or when the interview has not been conducted but there will be no more attempts to interview the household. 101671 2010 2011 2010 2011 Area Area Area Area Area Area: Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area. 101671 1 2 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 101671 1 8 1 Region C 2 Region CH 3 Region E 4 Region N 5 Region NE 6 Region S 7 Region SE 8 Region W Mother's line number Mother's line number Mother's line number Mother's line number Mother's line number 54214 47457 38 Not in household Father's line number Father's line number Father's line number Father's line number Father's line number 54214 47457 32 Not in household Age at beginning of school year Age at beginning of school year Age at beginning of school year Age at beginning of school year Age at beginning of school year 101671 98 95 Child born after begining of school year 98 DK/Missing Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head 98481 3190 1 9 1 Pashto 2 Dari 3 Uzbek/Turkmen 9 Missing/DK Sysmiss Mother's education Mother's education Mother's education Mother's education Mother's education 54214 47457 1 9 1 None 2 Primary 3 Secondary + 5 Mother not in household 9 Missing/DK Sysmiss Father's education Father's education Father's education Father's education Father's education 54214 47457 1 9 1 None 2 Primary 3 Secondary + 5 Father not in household 9 Missing/DK Sysmiss Education of household head Education of household head Education of household head Education of household head Education of household head 101671 1 9 1 None 2 Primary 3 Secondary + 9 Missing/DK Relative household weight Relative household weight Relative household weight Relative household weight Relative household weight 101671 0.111 5.259 Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 101671 -1.795 3.47 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 101671 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Province code Province code Province code Province code Province code 101671 01 KABUL 02 KAPISA 03 PARWAN 04 WARDAK 05 LOGAR 06 NANGARHAR 07 LAGHMAN 08 PANJSHER 09 BAGHLAN 10 BAMYAN 11 GHAZNI 12 PAKTIKA 13 PAKTYA 14 KHOST 15 KUNARHA 16 NOORISTAN 17 BADAKHSHAN 18 TAKHAR 19 KUNDUZ 20 SAMANGAN 21 BALKH 22 SAR-E-PUL 23 GHOR 24 DAYKUNDI 25 UROZGAN 26 ZABUL 27 KANDAHAR 28 JAWZJAN 29 FARYAB 30 HELMAND 31 BADGHIS 32 HERAT 33 FARAH 34 NIMROZ Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 15320 1 449 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 15320 1 34 Line number Line number Line number Line number Line number 15320 2 39 99 Missing Cluster number Cluster number Cluster number Cluster number Cluster number UF1-UF8 should be filled in before you start the interview. Enter the cluster number from the Household Questionnaire, question HH1. 15320 1 449 Household number Household number Household number Household number Household number UF1-UF8 should be filled in before you start the interview. Enter the household number from the Household Questionnaire, question HH2. 15320 1 34 Child's line number Child's line number Child's line number Child's line number Child's line number UF1-UF8 should be filled in before you start the interview. Enter the child's line number from the Household Questionnaire, column HL1 of the Household Listing. 15320 2 39 99 Missing Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number Mother / Caretaker's line number UF1-UF8 should be filled in before you start the interview. Enter the mother's/primary caretaker's line number from the Household Questionnaire, column HL1 of the Household Listing. 15320 1 38 99 Missing Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number UF1-UF8 should be filled in before you start the interview. Enter your own name and identifying number. You will be provided with these identification numbers during training. 15320 1 999 Day of interview Day of interview Day of interview Day of interview Day of interview UF1-UF8 should be filled in before you start the interview. Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child. 15320 1 31 99 Missing Month of interview Month of interview Month of interview Month of interview Month of interview UF1-UF8 should be filled in before you start the interview. Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child. 15320 1 12 1 2 3 4 5 6 7 10 11 12 99 Missing Year of interview Year of interview Year of interview Year of interview Year of interview UF1-UF8 should be filled in before you start the interview. Enter the date of the interview: day/month/year. If the interview is not completed on your first visit and you visit the household to interview the mother/caretaker again, revise and enter the final date of the interview. In other words, the date here should be the date when you have either completed the Questionnaire for Children Under Five, or when the interview was not conducted but when it was decided that there will be no more attempts to interview the mother or primary caretaker of the under-five child. 15320 2010 2011 2010 2011 9999 Missing Selected for nutrition survey Selected for nutrition survey Selected for nutrition survey Selected for nutrition survey Selected for nutrition survey 15320 1 2 1 Yes 2 No 9 Missing Result of interview for children under 5 Result of interview for children under 5 Result of interview for children under 5 Result of interview for children under 5 Result of interview for children under 5 Complete this question once you have concluded the interview. Remember that the code refers to the mother or primary caretaker of the under-five child. Circle the code corresponding to the results of the interview. If the questionnaire is completed, circle '01' for 'Completed'. If you have not been able to contact the mother/primary caretaker after repeated visits, circle '02' for 'Not at home'. If the mother/primary caretaker refuses to be interviewed, circle '03' for 'Refused'. If you were able to only partly complete the questionnaire, circle '04' for 'Partly completed'. If the mother/primary caretaker is incapacitated, circle '05'. If you have not been able to complete this questionnaire for another reason, you should circle '96' for 'Other' and specify the reason in the space provided. 15320 1 6 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 6 Other 9 Missing Field editor Field editor Field editor Field editor Field editor Field edited by: Leave this space blank. The field editor will later enter his/her name and number in the space provided when checking the completed questionnaires. 15320 999 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Leave this space blank. The data clerk will enter his/her name and number in the space provided. 15320 1 99 Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Record the time of the day you start the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 14872 448 6 99 99 Missing Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Record the time of the day you start the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 14872 448 99 99 Missing End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour Record the time of the day you finish the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the questionnaire for children under five, revise and enter starting (UF12) and ending times (UF13) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the questionnaire regarding this. 14872 448 7 99 99 Missing End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes Record the time of the day you finish the under-five interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the questionnaire for children under five, revise and enter starting (UF12) and ending times (UF13) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the questionnaire regarding this. 14872 448 99 99 Missing Day of birth of child Day of birth of child Day of birth of child Day of birth of child Day of birth of child Now I would like to ask you some questions about the health of (name). In what day, month and year was (name) born? Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately. If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth. Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child. If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008. If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct. Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age. 14872 448 1 99 97 Inconsistent 98 DK 99 Missing Month of birth of child Month of birth of child Month of birth of child Month of birth of child Month of birth of child Now I would like to ask you some questions about the health of (name). In what day, month and year was (name) born? Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately. If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth. Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child. If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008. If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct. Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age. 14872 448 1 99 97 Inconsistent 98 DK 99 Missing Year of birth of child Year of birth of child Year of birth of child Year of birth of child Year of birth of child Now I would like to ask you some questions about the health of (name). In what day, month and year was (name) born? Ask the mother or primary caretaker for the child's date of birth. Probe: “What is his/her birthday?” It is important to record the child's month and year of birth accurately. If the mother/primary caretaker knows the exact birth date, including the day, enter the day of birth. Otherwise, circle '98' for 'DK day'. You do not need to probe further for day of birth. Convert the month to a number as you have done before. Enter the number in the space provided. If the month or day contains only one digit, use a leading zero. For example, the month of March is coded as '03'. Note that you are not allowed to enter 'DK' for month or year of birth. You have to obtain month and year of birth of the child. If the survey is conducted in 2012, the year of birth of the child cannot be earlier than 2007 and if the survey is conducted in 2013, the year of birth of the child cannot be earlier than 2008. If the mother/primary caretaker is unable to provide the date of birth information, ask whether she/he has any documentation such as an identification card, health card, horoscope, or a birth or baptismal certificate that might give the date of birth of the child. However, confirm with the respondent that the date of birth recorded on such documents is indeed correct. Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age. 14872 448 2005 2011 2005 2006 2007 2008 2009 2010 2011 9997 Inconsistent 9999 Missing Sysmiss Age of child Age of child Age of child Age of child Age of child How old is (name)? After having obtained the child's date of birth, ask the child's age in completed years, and record in the space provided. Remember, ages must refer to the last birthday. Probe if necessary by asking “How old was (name) at his/her last birthday?” If the mother/primary caretaker does not know the current age of the child, try asking “How many years ago was (name) born?” You may help the respondent by relating the child's age to that of other children or to some important event or to the season of birth, by asking, for example, “How many wet seasons ago was (name) born?” Record age in completed years. Record '0' if the child is less than 1 year old. Ask AG1 and AG2 independently. Then, check for consistency between the date of birth and completed age. 14872 448 4 1 2 3 4 9 Missing Sysmiss Birth certificate Birth certificate Birth certificate Birth certificate Birth certificate Does (name) have a birth certificate? This question aims to provide an estimate of the extent of birth registration in your country. Respondents must be assured that the information about individual families will never be given to authorities, and that they cannot be identified in any way. If the answer is yes, ask “May I see it?” and circle the appropriate corresponding code, noting whether or not the certificate was seen. If the child has a birth certificate and it was seen, circle '1' and go to next module. If the child has a birth certificate but the mother/primary caretaker is unable to show you the certificate, circle '2' and go to next module. If the child does not have a birth certificate '3' or the respondent does not know '8' continue to the next question. 14872 448 1 9 1 Yes, seen 2 Yes, not seen 3 No 8 DK 9 Missing Sysmiss Birth registered Birth registered Birth registered Birth registered Birth registered Has (name)'s birth been registered with the civil authorities? Circle the code corresponding to the response. If the answer is 'Yes', go to next module. If the child's birth has not been registered with civil authorities or the respondent does not know, continue to the next question. 9353 5967 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Know how to register birth Know how to register birth Know how to register birth Know how to register birth Know how to register birth Do you know how to register your child’s birth? The purpose of this question is to assess how important lack of knowledge (of the process of registering or, if applicable, the place to go to register) may be among the reasons for non-registration. This information can inform advocacy efforts and help in the formulation of education campaigns. Circle the code corresponding to the response. 8916 6404 1 9 1 Yes 2 No 9 Missing Sysmiss Reason birth not registered Reason birth not registered Reason birth not registered Reason birth not registered Reason birth not registered Why is (name)'s birth not registered? 453 14867 1 8 1 Must travel too far 2 Did not know it should be registered 3 Did not want to get in trouble with authorities 4 Does not know where to register 5 Hospital didn't register baby 6 Other 8 DK 9 Missing Sysmiss Number of children's books or picture books for child Number of children's books or picture books for child Number of children's books or picture books for child Number of children's books or picture books for child Number of children's books or picture books for child How many children’s books or picture books do you have for (name)? This question asks specifically about children's books or picture books for the child. This excludes schoolbooks (appropriate for or belonging to older children), as well as other books for adults that are present in the household. Record the number of books in the space provided. There is no need to make an actual count of books yourself. Rely on the respondent's answer, and avoid asking to see and count the books yourself, since this is likely to require extra time. If the respondent is unsure about the number of children's books or picture books and is not able to provide an answer the first time you ask the question, ask her/him if there are more than 10 such books. If yes, circle '10'. If she/he says that there are less than 10 such books, probe further to get an exact number. If there are no such books in the household, record '00'. 14872 448 99 1 2 3 4 5 6 7 8 9 10 Ten or more books 99 Missing Sysmiss Homemade toys Homemade toys Homemade toys Homemade toys Homemade toys I am interested in learning about the things that (name) plays with when he/she is at home. Does he/she play with: homemade toys (such as dolls, cars or other toys made at home)? This question is used to learn about different types of playthings used by the child. We want to know if the child has objects to play with, and what these are, even if they do not include store-bought toys. We are interested in learning about other objects that are used as playthings, such as ordinary household objects and natural materials. Extra care should be taken to ask this question and record the responses. Experience has shown that respondents find it very easy to give the same answer to a list of different playthings. Often they will answer 'Yes' to all items, whether or not it is true, perhaps because they think this is the 'correct' response or one that will please the interviewer. Do not pause after reading the first sentence and continue by saying “Does he/she play with” and start asking whether the child plays with playthings from each of the categories listed. For example, ask: “Does he/she play with homemade toys (such as dolls, cars, or other toys made at home)?” and so on. If the respondent answers 'Yes' to any of these prompted categories, then probe to learn specifically what the child plays with to ascertain the response. For example, probe by saying “What does he/she specifically play with?” or “Can you please give an example?” If you ascertain that the child uses playthings that would fall into each of the prompted categories, circle '1'. If the child doesn't play with items mentioned in a specific category, or the respondent doesn't know circle '2' or '8', for that specific category. Read each category aloud and circle the code corresponding to the response before proceeding to the next category. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Toys from shops Toys from shops Toys from shops Toys from shops Toys from shops I am interested in learning about the things that (name) plays with when he/she is at home. Does he/she play with: toys from a shop or manufactured toys? This question is used to learn about different types of playthings used by the child. We want to know if the child has objects to play with, and what these are, even if they do not include store-bought toys. We are interested in learning about other objects that are used as playthings, such as ordinary household objects and natural materials. Extra care should be taken to ask this question and record the responses. Experience has shown that respondents find it very easy to give the same answer to a list of different playthings. Often they will answer 'Yes' to all items, whether or not it is true, perhaps because they think this is the 'correct' response or one that will please the interviewer. Do not pause after reading the first sentence and continue by saying “Does he/she play with” and start asking whether the child plays with playthings from each of the categories listed. For example, ask: “Does he/she play with homemade toys (such as dolls, cars, or other toys made at home)?” and so on. If the respondent answers 'Yes' to any of these prompted categories, then probe to learn specifically what the child plays with to ascertain the response. For example, probe by saying “What does he/she specifically play with?” or “Can you please give an example?” If you ascertain that the child uses playthings that would fall into each of the prompted categories, circle '1'. If the child doesn't play with items mentioned in a specific category, or the respondent doesn't know circle '2' or '8', for that specific category. Read each category aloud and circle the code corresponding to the response before proceeding to the next category. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Household objects or outside objects Household objects or outside objects Household objects or outside objects Household objects or outside objects Household objects or outside objects I am interested in learning about the things that (name) plays with when he/she is at home. Does he/she play with: household objects (such as bowls or pots) or objects found outside (such as sticks, rocks, animal shells or leaves)? This question is used to learn about different types of playthings used by the child. We want to know if the child has objects to play with, and what these are, even if they do not include store-bought toys. We are interested in learning about other objects that are used as playthings, such as ordinary household objects and natural materials. Extra care should be taken to ask this question and record the responses. Experience has shown that respondents find it very easy to give the same answer to a list of different playthings. Often they will answer 'Yes' to all items, whether or not it is true, perhaps because they think this is the 'correct' response or one that will please the interviewer. Do not pause after reading the first sentence and continue by saying “Does he/she play with” and start asking whether the child plays with playthings from each of the categories listed. For example, ask: “Does he/she play with homemade toys (such as dolls, cars, or other toys made at home)?” and so on. If the respondent answers 'Yes' to any of these prompted categories, then probe to learn specifically what the child plays with to ascertain the response. For example, probe by saying “What does he/she specifically play with?” or “Can you please give an example?” If you ascertain that the child uses playthings that would fall into each of the prompted categories, circle '1'. If the child doesn't play with items mentioned in a specific category, or the respondent doesn't know circle '2' or '8', for that specific category. Read each category aloud and circle the code corresponding to the response before proceeding to the next category. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss In past week, days left alone for more than 1 hour In past week, days left alone for more than 1 hour In past week, days left alone for more than 1 hour In past week, days left alone for more than 1 hour In past week, days left alone for more than 1 hour Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children. On how many days in the past week was (name): Left alone for more than an hour? This question is used to assess whether children are at increased risk, either because they are left alone or are left with a child as caregiver. These situations have been shown to be associated with higher risk for children. The question sets up a hypothetical situation, one in which the mother/primary caretaker would be gone for more than just a moment - situations in which the child could be left alone for an hour or more. The question specifies that we want to know about situations in which the respondent actually leaves the premises, not simply going out of sight of the child, such as to another part or another room of the house. Enter the response in the spaces provided. If the child was not left in the care of another child during this period, enter '0' for 'None'.If the answer is “don’t know“, enter “8“. Note that 'another child' is defined as a child less than 10 years old. 14872 448 99 None 1 2 3 4 5 6 7 98 DK 99 Missing Sysmiss In past week, days left with other child for more than 1 hou In past week, days left with other child for more than 1 hou In past week, days left with other child for more than 1 hou In past week, days left with other child for more than 1 hou In past week, days left with other child for more than 1 hou Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children. On how many days in the past week was (name): Left in the care of another child, that is, someone less than 10 years old, for more than an hour? This question is used to assess whether children are at increased risk, either because they are left alone or are left with a child as caregiver. These situations have been shown to be associated with higher risk for children. The question sets up a hypothetical situation, one in which the mother/primary caretaker would be gone for more than just a moment - situations in which the child could be left alone for an hour or more. The question specifies that we want to know about situations in which the respondent actually leaves the premises, not simply going out of sight of the child, such as to another part or another room of the house. Enter the response in the spaces provided. If the child was not left in the care of another child during this period, enter '0' for 'None'.If the answer is “don’t know“, enter “8“. Note that 'another child' is defined as a child less than 10 years old. 14872 448 99 None 1 2 3 4 5 6 7 98 DK 99 Missing Sysmiss Attends early childhood education programme Attends early childhood education programme Attends early childhood education programme Attends early childhood education programme Attends early childhood education programme Does (name) attend any organized learning or early childhood education programme, such as a private or government facility, including kindergarten or community child care? This question aims to find out if the child is participating in early learning activities. Baby-sitting or child-minding, even if done in a special place such as a day-care centre, does not qualify as such a programme unless it includes organized learning activities. You must ensure that the mother or primary caretaker understands the meaning of 'Early Childhood Education Programme', explaining it as instructed. Circle the appropriate code. Skip to EC7 if the answer to this question is 'No' or 'DK'. 6792 8528 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Type of early childhood education programm Type of early childhood education programm Type of early childhood education programm Type of early childhood education programm Type of early childhood education programm What type of early childhood education programme does (name) attend? 158 15162 1 9 1 Community 2 Government 3 Private 8 DK 9 Missing Sysmiss Within last 7 days, hours attended education Within last 7 days, hours attended education Within last 7 days, hours attended education Within last 7 days, hours attended education Within last 7 days, hours attended education Within the last seven days, about how many hours did (name) attend? This question is asked if the child is attending an early childhood education programme. Record the estimated number of hours the child attended any organized learning or early childhood education programme in the last 7 days (excluding the day of interview). Use a leading zero if necessary. 94 15226 99 1 2 3 4 5 6 7 8 9 10 11 12 14 18 21 28 32 36 49 99 Missing Sysmiss Books-Mother Books-Mother Books-Mother Books-Mother Books-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 654 ? Missing A Mother Books-Father Books-Father Books-Father Books-Father Books-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 983 ? Missing B Father Books-Other Books-Other Books-Other Books-Other Books-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 1246 ? Missing X Other Books-No one Books-No one Books-No one Books-No one Books-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Read books to or looked at picture books with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 4142 ? Missing Y No one Tell stories-Mother Tell stories-Mother Tell stories-Mother Tell stories-Mother Tell stories-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 3236 ? Missing A Mother Tell stories-Father Tell stories-Father Tell stories-Father Tell stories-Father Tell stories-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 1047 ? Missing B Father Tell stories-Other Tell stories-Other Tell stories-Other Tell stories-Other Tell stories-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 1683 ? Missing X Other Tell stories-No one Tell stories-No one Tell stories-No one Tell stories-No one Tell stories-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Told stories to (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 1329 ? Missing Y No one Sang songs-Mother Sang songs-Mother Sang songs-Mother Sang songs-Mother Sang songs-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabys? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 3141 ? Missing A Mother Sang songs-Father Sang songs-Father Sang songs-Father Sang songs-Father Sang songs-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabys? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 508 ? Missing B Father Sang songs-Other Sang songs-Other Sang songs-Other Sang songs-Other Sang songs-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabys? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 1721 ? Missing X Other Sang songs-No one Sang songs-No one Sang songs-No one Sang songs-No one Sang songs-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Sang songs to (name) or with (name), including lullabys? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 1829 ? Missing Y No one Took outside-Mother Took outside-Mother Took outside-Mother Took outside-Mother Took outside-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 959 ? Missing A Mother Took outside-Father Took outside-Father Took outside-Father Took outside-Father Took outside-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 2789 ? Missing B Father Took outside-Other Took outside-Other Took outside-Other Took outside-Other Took outside-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 3062 ? Missing X Other Took outside-No one Took outside-No one Took outside-No one Took outside-No one Took outside-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Took (name) outside the home, compound, yard or enclosure? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 617 ? Missing Y No one Played with-Mother Played with-Mother Played with-Mother Played with-Mother Played with-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 642 ? Missing A Mother Played with-Father Played with-Father Played with-Father Played with-Father Played with-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 785 ? Missing B Father Played with-Other Played with-Other Played with-Other Played with-Other Played with-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 5208 ? Missing X Other Played with-No one Played with-No one Played with-No one Played with-No one Played with-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Played with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 642 ? Missing Y No one Named/counted-Mother Named/counted-Mother Named/counted-Mother Named/counted-Mother Named/counted-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 1106 ? Missing A Mother Named/counted-Father Named/counted-Father Named/counted-Father Named/counted-Father Named/counted-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 1573 ? Missing B Father Named/counted-Other Named/counted-Other Named/counted-Other Named/counted-Other Named/counted-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 1678 ? Missing X Other Named/counted-No one Named/counted-No one Named/counted-No one Named/counted-No one Named/counted-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): Named, counted, or drew things to or with (name)? Read each items shown below aloud. If 'No', circle 'Y' and move to the next item on the list. If 'Yes', ask: "Who engaged in this activity with (name)?" For each activity, circle the code for every person who engaged in the activity with the child before proceeding to the next item. If someone other than the mother or father engaged in the activity with the child, circle 'X'. If the respondent is the primary caretaker of the child and has engaged in any of these activities, code 'X' should be circled. Note that in a household where there are no adults other than the child's mother and father, 'X' should not be circled. Adults who are not members of the household but who may have engaged in the listed activities with the child should not be coded here. 2892 ? Missing Y No one Child ever been breastfed Child ever been breastfed Child ever been breastfed Child ever been breastfed Child ever been breastfed Has (name) ever been breastfed? This question asks if the child has ever been breastfed. It includes any breastfeeding experience of the child - not necessarily by the mother/primary caretaker. Circle the code corresponding to the response. Continue to the next question if the child was ever breastfed ('1'). If the child was never breastfed, circle 'No' and skip to BF3. Skip to BF3 in the case of a 'DK' response as well. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child still being breastfed Child still being breastfed Child still being breastfed Child still being breastfed Child still being breastfed Is he/she still being breastfed? 'Being breastfed' is defined as putting the child to the breast at least once a day. Circle the code corresponding to the response. The questions BF3-BF18 asks about what the child was fed in the preceding 24 hours. The purpose of these questions is to determine what liquids or foods the child was given. Make sure that the respondent understands the question, particularly what is meant by 'yesterday, during the day or night'. Circle the code corresponding to the response. If the mother/primary caretaker does not know the answer, repeat the question using other local words for the fluid or food. If the answer is still not known, circle '8' for 'DK'. Note that for infant formula, milk, yogurt, and solid/semi-solid mushy food, the number of times the child had the food is also asked. 14394 926 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank plain water yesterday Child drank plain water yesterday Child drank plain water yesterday Child drank plain water yesterday Child drank plain water yesterday I would like to ask you about liquids that (name) may have had yesterday during the day or the night. I am interested in whether (name) had the item even if it was combined with other foods. Did (name) drink plain water yesterday, during the day or night? Circle the code corresponding to the response. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank infant formula yesterday Child drank infant formula yesterday Child drank infant formula yesterday Child drank infant formula yesterday Child drank infant formula yesterday Did (name) drink infant formula yesterday, during the day or night? Circle the code corresponding to the response. If the answer is 'No' or 'DK,' skip to BF6. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child drank infant formula Times child drank infant formula Times child drank infant formula Times child drank infant formula Times child drank infant formula How many times did (name) drink infant formula? Record the number of times the child had infant formula. 2267 13053 1 99 1 2 3 4 5 6 7 8 9 10 11 12 99 Missing Sysmiss Child drank milk yesterday Child drank milk yesterday Child drank milk yesterday Child drank milk yesterday Child drank milk yesterday Did (name) drink milk, such as tinned, powdered or fresh animal milk yesterday, during the day or night? Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF8. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child drank milk Times child drank milk Times child drank milk Times child drank milk Times child drank milk How many times did (name) drink tinned, powdered or fresh animal milk? Record the number of times the child had tinned, powdered or fresh animal milk. 5077 10243 1 99 1 2 3 4 5 6 7 8 9 10 11 12 15 99 Missing Sysmiss Child drank juice or juice drinks yesterday Child drank juice or juice drinks yesterday Child drank juice or juice drinks yesterday Child drank juice or juice drinks yesterday Child drank juice or juice drinks yesterday Did (name) drink juice or juice drinks yesterday, during the day or night? Circle the code corresponding to the response. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank soup yesterday Child drank soup yesterday Child drank soup yesterday Child drank soup yesterday Child drank soup yesterday Did (name) drink soup yesterday, during the day or night? Circle the code corresponding to the response. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank or ate vitamin or mineral supplements yesterday Child drank or ate vitamin or mineral supplements yesterday Child drank or ate vitamin or mineral supplements yesterday Child drank or ate vitamin or mineral supplements yesterday Child drank or ate vitamin or mineral supplements yesterday Did (name) drink or eat vitamin or mineral supplements or any medicines yesterday, during the day or night? Circle the code corresponding to the response. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank ORS yesterday Child drank ORS yesterday Child drank ORS yesterday Child drank ORS yesterday Child drank ORS yesterday Did (name) drink ORS (oral rehydratation solution) yesterday, during the day or night? Oral Rehydration Solution is a simple and inexpensive solution that can be prepared at home, consisting of sugar, salt, and water and can decrease fluid loss in children with diarrhoea. Circle the code corresponding to the response. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank any other liquid yesterday Child drank any other liquid yesterday Child drank any other liquid yesterday Child drank any other liquid yesterday Child drank any other liquid yesterday Did (name) drink any other liquids yesterday, during the day or night? Circle the code corresponding to the response. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank or ate yogurt yesterday Child drank or ate yogurt yesterday Child drank or ate yogurt yesterday Child drank or ate yogurt yesterday Child drank or ate yogurt yesterday Did (name) drink or eat yogurt yesterday, during the day or night? Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF15. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Times drank or ate yogurt Times drank or ate yogurt Times drank or ate yogurt Times drank or ate yogurt Times drank or ate yogurt How many times did (name) drink or eat yogurt yesterday, during the day or night? Record the number of times the child had yogurt. 5247 10073 1 99 1 2 3 4 5 6 7 8 9 10 12 99 Missing Sysmiss Child ate thin porridge yesterday Child ate thin porridge yesterday Child ate thin porridge yesterday Child ate thin porridge yesterday Child ate thin porridge yesterday Did (name) eat thin porridge yesterday, during the day or night? Circle the code corresponding to the response. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ate solid or semi-solid food yesterday Child ate solid or semi-solid food yesterday Child ate solid or semi-solid food yesterday Child ate solid or semi-solid food yesterday Child ate solid or semi-solid food yesterday Did (name) eat solid or semi-solid (soft, mushy) food yesterday, during the day or night? Circle the code corresponding to the response. If the answer is 'No' or 'DK', skip to BF18. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child ate solid or semi-solid food Times child ate solid or semi-solid food Times child ate solid or semi-solid food Times child ate solid or semi-solid food Times child ate solid or semi-solid food How many times did (name) eat solid or semi-solid (soft, mushy) food yesterday, during the day or night? Record the number of times the child had solid or semi-solid food. 8616 6704 1 99 1 2 3 4 5 6 7 8 9 10 11 12 13 14 99 Missing Sysmiss Child drank anything else from the bottle with a nipple yest Child drank anything else from the bottle with a nipple yest Child drank anything else from the bottle with a nipple yest Child drank anything else from the bottle with a nipple yest Child drank anything else from the bottle with a nipple yest Yesterday, during the day or night, did (name) drink anything from a bottle with a nipple? Circle the code corresponding to the response. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child was pasifier Child was pasifier Child was pasifier Child was pasifier Child was pasifier Yesterday, during the day or night, was (name) given a pacifier? 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks In the last two weeks, has (name) had diarrhoea? Diarrhoea is determined by the perception of the mother or caretaker, or by three or more loose or watery stools per day, or by blood in stool. Record the mother's/primary caretaker's answer by circling the corresponding code. If a respondent is not sure what is meant by diarrhoea, tell her/him it means “three or more loose or watery stools per day, or blood in the stool.” Make sure the respondent understands what is meant by 'in the last 2 weeks'. If the child has not had diarrhoea in the last 2 weeks or the caretaker doesn't know, skip to CA7. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness I would like to know how much (name) was given to drink during the diarrhoea (including breastmilk). During the time (name) had diarrhoea, was he/she given less than usual to drink, about the same amount, or more than usual? If dehydrated, a child may take more fluids than usual. We want to know if the pattern of fluid consumption changed during diarrhoea. The focus in this question is on how much fluid was actually consumed by the child. Ask the question just as it is worded here. Read out the entire question and circle the appropriate code for the caretaker's response. Get the respondent's best judgement of the relative amount of total fluids actually consumed by the child. All fluids are included, not just special ones given during diarrhoea. For example, water, tea, fruit juice, breastmilk and formula are included as well as special fluids such as ORS. If the child was given less drink than usual during the diarrhoea, probe: “Was he/she given much less than usual to drink, or somewhat less?” Try to find out what actually happened, not what the respondent thinks ought to have happened. An answer such as, “A child with diarrhoea (or 'a child who is ill') needs more fluids” is not satisfactory. You would need to ask, “But how much did your child actually drink during this diarrhoea?” It may be difficult to estimate the relative amount of breastmilk taken by the child. The respondent may make an estimate based on whether the child nursed longer or more frequently. 3440 11880 1 9 1 Much less 2 Somewhat less 3 About the same 4 More 5 Nothing to drink 8 DK 9 Missing Sysmiss Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness During the time (name) had diarrhoea, was he/she given less than usual to eat, about the same amount, more than usual, or nothing to eat? During an episode of diarrhoea or other illness, a child may change the amount usually eaten. The focus in this question is on how much food was actually consumed by the child. Ask the question just as it is worded here. Read out the entire question and circle the code corresponding to the caretaker's response. Get the caretaker's best judgement of the relative amount of total food actually consumed by the child. Try to find out what actually happened, not what the caretaker thinks ought to have happened. An answer such as, “A child with diarrhoea (or 'a child who is ill') needs more food” is not satisfactory. You would need to ask, “But how much did your child actually eat during this diarrhoea?” If the caretaker replies that the child took only fluids (that is, the child did not 'eat'), circle '5' for 'Stopped food'. If the child was given less than usual to eat during the diarrhoea, probe: “Was he/she given much less than usual to eat, or somewhat less?”. Then circle the appropriate code. If the mother/primary caretaker offered more food than usual, but the child ate much less, the answer is 'much less'; circle '1'. Make sure that the respondent understands that this includes breastmilk, if the child is still being breastfed. If the child is very young and the caretaker replies that he/she takes only fluids or breastmilk (that is, has not started 'eating' yet), there is no need to probe, since 'drinking' and 'eating' count as the same for this child. Circle the answer for this question (eating) that comes closest to the answer you circle for CA4 (drinking). 3440 11880 1 9 1 Much less 2 Somewhat less 3 About the same 4 More 5 Stopped food 6 Never gave food 8 DK 9 Missing Sysmiss Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) During the episode of diarrhoea, was (name) given to drink any of the following: A fluid made from a special packet called Oral Rehydration Solution (ORS)? We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea. Ask each question separately: “Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?” and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item. 3440 11880 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea During the episode of diarrhoea, was (name) given to drink any of the following: A pre-packaged ORS fluid for diarrhoea? We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea. Ask each question separately: “Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?” and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item. 3440 11880 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Govt. recommended homemade fluid X Govt. recommended homemade fluid X Govt. recommended homemade fluid X Govt. recommended homemade fluid X Govt. recommended homemade fluid X During the episode of diarrhoea, was (name) given to drink any of the following: Government-recommended homemade fluid (Wheat Salt Solution WSS)? We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea. Ask each question separately: “Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?” and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item. 3440 11880 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Govt. recommended homemade fluid Y Govt. recommended homemade fluid Y Govt. recommended homemade fluid Y Govt. recommended homemade fluid Y Govt. recommended homemade fluid Y During the episode of diarrhoea, was (name) given to drink any of the following: Government-recommended homemade fluid (Salt & Sugar Solution SSS)? We want to know if and what type of oral rehydration solution (ORS) the child took during the last episode of diarrhoea. Ask each question separately: “Was (name) given a fluid made from a special packet called (local name for ORS packet solution)?, Was (name) given a pre-packaged ORS fluid for diarrhoea?” and so forth. Read each item aloud and circle the code corresponding to the response before proceeding to the next item. 3440 11880 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Anything else given to treat the diarrhoea Anything else given to treat the diarrhoea Anything else given to treat the diarrhoea Anything else given to treat the diarrhoea Anything else given to treat the diarrhoea Was anything (else) given to treat diarrhoea? This question asks the mother or caretaker whether the child received any (other) treatment for diarrhoea other than those mentioned in CA4 for this episode of diarrhoea. If in CA4 you learned that the child was given fluid from an ORS packet, sugar and salt solution, or pre-packaged ORS fluid, then phrase CA5 by saying, “Was anything else given to treat the diarrhoea?” If none of the liquids was given, ask CA5 by saying, “Was anything given to treat the diarrhoea?” Circle the code corresponding to the answer given. If the response is 'Yes', continue to CA6 to learn the type of treatment given. If the child was not given anything (else) for the diarrhoea or the respondent doesn't know, skip to CA7. 3440 11880 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Other treatment (pill or syrup): Antibiotic Other treatment (pill or syrup): Antibiotic Other treatment (pill or syrup): Antibiotic Other treatment (pill or syrup): Antibiotic Other treatment (pill or syrup): Antibiotic What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 625 ? Missing A Antibiotic pill or syrup Other treatment (pill or syrup): Antimotility Other treatment (pill or syrup): Antimotility Other treatment (pill or syrup): Antimotility Other treatment (pill or syrup): Antimotility Other treatment (pill or syrup): Antimotility What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 811 ? Missing B Antimotility pill or syrup Other treatment (pill or syrup): Zinc Other treatment (pill or syrup): Zinc Other treatment (pill or syrup): Zinc Other treatment (pill or syrup): Zinc Other treatment (pill or syrup): Zinc What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 165 ? Missing C Zinc pill or syrup Other treatment (pill or syrup): Other (not antibiotic, anti Other treatment (pill or syrup): Other (not antibiotic, anti Other treatment (pill or syrup): Other (not antibiotic, anti Other treatment (pill or syrup): Other (not antibiotic, anti Other treatment (pill or syrup): Other (not antibiotic, anti What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 60 ? Missing G Other pill or syrup Other treatment (pill or syrup): Unknown Other treatment (pill or syrup): Unknown Other treatment (pill or syrup): Unknown Other treatment (pill or syrup): Unknown Other treatment (pill or syrup): Unknown What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 611 ? Missing H Unknown pill or syrup Other treatment (injection): Antibiotic Other treatment (injection): Antibiotic Other treatment (injection): Antibiotic Other treatment (injection): Antibiotic Other treatment (injection): Antibiotic What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 171 ? Missing L Antibiotic injection Other treatment (injection): Non-antibiotic Other treatment (injection): Non-antibiotic Other treatment (injection): Non-antibiotic Other treatment (injection): Non-antibiotic Other treatment (injection): Non-antibiotic What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 36 ? Missing M Non antibiotic injection Other treatment (injection): Unknown Other treatment (injection): Unknown Other treatment (injection): Unknown Other treatment (injection): Unknown Other treatment (injection): Unknown What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 115 ? Missing N Unknown injection Other treatment: Intravenous Other treatment: Intravenous Other treatment: Intravenous Other treatment: Intravenous Other treatment: Intravenous What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 63 ? Missing O Intravenous Other treatment: Home remedy/Herbal medicine Other treatment: Home remedy/Herbal medicine Other treatment: Home remedy/Herbal medicine Other treatment: Home remedy/Herbal medicine Other treatment: Home remedy/Herbal medicine What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 464 ? Missing Q Home remedy/Herbal medicine Other treatment: Other Other treatment: Other Other treatment: Other Other treatment: Other Other treatment: Other What (else) was given to treat diarrhoea? If you learn in CA5 that the child was given something to treat the episode of diarrhoea, ask CA6 to identify what the mother or anyone else may have given the child. After recording a treatment, ask the respondent whether “Anything else” was given, but do so without implying that something else should have been given. Record all treatments given. Write brand name(s) of all medicines mentioned. Antimotility means anti-diarrhoea. Make the difference between antibiotic and non antibiotic treatment. If the mother/care taker doesn't know ask to see the package of the medicine. 152 ? Missing X Other Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks At any time in the last two weeks, has (name) had an illness with a cough? Illness with a cough means a cold or other acute respiratory illness with a cough. Circle the code corresponding to the response given. If the respondent says “He coughs all the time,” or “She's been coughing for months,” do not count this as an 'illness with a cough' since it is a chronic problem. If the answer is 'No' or 'DK', circle the appropriate code and go to CA14. If the symptoms started before but continued into the 2-week period, this counts as 'Yes'. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough When (name) had an illness with a cough, did he/she breathe faster than usual, with short, rapid breaths or have difficulty breathing? The question aims to find out if the child has or had an illness requiring assessment by a health professional. If the respondent asks “What do you mean by 'fast breathing'?” you may say “noticeably faster than normal when the child is rested.” If the respondent asks “What do you mean by 'difficulty breathing'?” you may say “The child sounded/looked as if he/she was having trouble breathing.” You may give other explanations that were developed and tested during the adaptation and pre-testing of the questionnaire. Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. Otherwise, skip to CA14. 5237 10083 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Was the fast or difficult breathing due to a problem in the chest or a blocked or runny nose? This question aims to find out if the problem needs assessment by a health professional, which does not include a simple cold. Circle the code corresponding to the caretaker's response. If the symptoms were from a 'Blocked or runny nose only', skip to CA14. If the symptoms were due to 'Other' reasons, write the respondent's description in the line provided, circle '6' and skip to CA14. Otherwise, continue to the next question. 4193 11127 1 9 1 Problem in chest 2 Blocked or runny nose 3 Both 6 Other 8 DK 9 Missing Sysmiss Sought advice or treatment for illness Sought advice or treatment for illness Sought advice or treatment for illness Sought advice or treatment for illness Sought advice or treatment for illness Did you seek any advice or treatment for the illness from any source? 'Seeking care outside the home' means going outside the family or household for advice or treatment. Seeking care could include anything from asking a neighbour for advice, to holding a religious ceremony on the child's behalf, to going to a hospital. If a physician or other provider visits the household to give care, this counts as seeking care outside the home. The child may or may not have accompanied the respondent when he/she sought care. For example, going to buy medicine without the child counts as seeking care. Circle the code corresponding to the response given. If the answer is 'Yes', continue to the next question. Otherwise, skip to CA12. 2974 12346 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital Place sought care: (public sector) Government hospital From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 587 ? Missing A Government hospital Place sought care: (public sector) Government health center Place sought care: (public sector) Government health center Place sought care: (public sector) Government health center Place sought care: (public sector) Government health center Place sought care: (public sector) Government health center From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 246 ? Missing B Government health center Place sought care: (public sector) Government health post Place sought care: (public sector) Government health post Place sought care: (public sector) Government health post Place sought care: (public sector) Government health post Place sought care: (public sector) Government health post From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 104 ? Missing C Government health post Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker Place sought care: (public sector) Village health worker From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 168 ? Missing D Village health worker Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic Place sought care: (public sector) Mobile / Outreach clinic From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 82 ? Missing E Mobile / Outreach clinic Place sought care: Other public Place sought care: Other public Place sought care: Other public Place sought care: Other public Place sought care: Other public From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 16 ? Missing H Other public Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic Place sought care: Private hospital / clinic From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 101 ? Missing I Private hospital / clinic Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 700 ? Missing J Private physician Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 239 ? Missing K Private pharmacy Place sought care: Mobile clinic Place sought care: Mobile clinic Place sought care: Mobile clinic Place sought care: Mobile clinic Place sought care: Mobile clinic From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 18 ? Missing L Mobile clinic Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 3 ? Missing O Other private medical Place sought care: Relative / Friend Place sought care: Relative / Friend Place sought care: Relative / Friend Place sought care: Relative / Friend Place sought care: Relative / Friend From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 96 ? Missing P Relative / Friend Place sought care: Shop Place sought care: Shop Place sought care: Shop Place sought care: Shop Place sought care: Shop From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 47 ? Missing Q Shop Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 94 ? Missing R Traditional practitioner Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other From where did you seek advice or treatment? After the first reply, probe by asking: "Anywhere else?" until all providers are mentioned. However, do not suggest or prompt any answers. Circle the code for every provider mentioned. The intent of this question is to identify the source of care. If the source of care is a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the source is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle 'H'. Similarly, if the source is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle 'O'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that he/she sought care from another place not listed, write the description of the place in the space provided for 'Other' and circle 'X'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 10 ? Missing X Other Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Was (name) given any medicine to treat this illness? Circle the appropriate code. If the answer is 'Yes', continue to the next question. Otherwise, go to CA14. 2974 12346 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Medicine: Antibiotic pill / syrup Medicine: Antibiotic pill / syrup Medicine: Antibiotic pill / syrup Medicine: Antibiotic pill / syrup Medicine: Antibiotic pill / syrup What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 1707 ? Missing A Antibiotic pill / syrup Medicine: Antibiotic injection Medicine: Antibiotic injection Medicine: Antibiotic injection Medicine: Antibiotic injection Medicine: Antibiotic injection What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 613 ? Missing B Antibiotic injection Medicine: Anti-malarials Medicine: Anti-malarials Medicine: Anti-malarials Medicine: Anti-malarials Medicine: Anti-malarials What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 34 ? Missing M Anti-malarials Medicine: Paracetamol / Panadol / Acetaminophen Medicine: Paracetamol / Panadol / Acetaminophen Medicine: Paracetamol / Panadol / Acetaminophen Medicine: Paracetamol / Panadol / Acetaminophen Medicine: Paracetamol / Panadol / Acetaminophen What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 607 ? Missing P Paracetamol / Panadol / Acetaminophen Medicine: Aspirin Medicine: Aspirin Medicine: Aspirin Medicine: Aspirin Medicine: Aspirin What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 261 ? Missing Q Aspirin Medicine: Ibupropfen Medicine: Ibupropfen Medicine: Ibupropfen Medicine: Ibupropfen Medicine: Ibupropfen What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 115 ? Missing R Ibuprofen Medicine: Other Medicine: Other Medicine: Other Medicine: Other Medicine: Other What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 126 ? Missing X Other Medicine: DK Medicine: DK Medicine: DK Medicine: DK Medicine: DK What medicine was (name) given? This question aims to determine whether the child was given an antibiotic for the illness. More than one medicine may have been administered to the child. After the first reply, probe by asking: "Any other medicine?" until all medicines are mentioned. Circle the codes corresponding to all medicines given. If the respondent does not know the name of the medicine, ask him/her to show you the medicines. If he/she cannot show the packaged medicine, follow the guidelines provided to you during training. If the respondent names a medicine that is not listed, circle 'X' for 'Other' medicine and fill in the name of the medicine in the space provided. If you cannot determine the type of medicine given to the child with a cough, circle 'Z' for 'DK'. 41 ? Missing Z DK What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools The last time (name) passed stools, what was done to dispose of the stools? The purpose of this question is to know what was done with the most recent stools passed by the child in the household. The safe disposal of children's stools is of particular importance because children's stools are the most likely cause of faecal contamination to the immediate household environment. Correct disposal of stools is linked with lower risks of diarrhoea. Respondents are asked where they usually dispose of their children's stools if the child did not use the toilet facility. Circle the most appropriate code. If the respondent states that diapers are used, then probe to establish how the diapers are disposed of. 8080 7240 1 99 1 Child used toilet / latrine 2 Put / Rinsed into toilet or latrine 3 Put / Rinsed into drain or ditch 4 Thrown into garbage (solid waste) 5 Buried 6 Left in the open 96 Other 98 DK 99 Missing Sysmiss Vaccination card for child Vaccination card for child Vaccination card for child Vaccination card for child Vaccination card for child Do you have a card where (name)’s vaccinations are written down? (If yes) May I see it please? If the respondent reports that there is a vaccination card for the child, ask to see it. You should have obtained vaccination cards at the beginning of the interview. If you did not already obtain the card for the child, now is the time to ask for it again. In some cases, the respondent may not be willing to take time to look for the vaccination card, thinking that you are in a hurry. Encourage the respondent to look for the vaccination card for the child. It is critical to obtain written documentation of the child's immunization history. Therefore, be patient if the respondent needs to search for the card. If the respondent does not have a vaccination card but the vaccine doses are registered in another document (for example, a booklet with records of clinic visits), ask to see it. If the card or other document is seen, circle '1' and skip to IM3. If the child has a vaccination card or other document but the respondent is unable to show you, circle '2' and skip to IM6 - you will be asking the respondent to recall the child's vaccinations. If the respondent does not have a vaccination card or any other document where the vaccine doses are registered for the child, circle '3' and continue to next question. 14872 448 1 9 1 Yes, seen 2 Yes, not seen 3 No 9 Missing Sysmiss Ever had vaccination card Ever had vaccination card Ever had vaccination card Ever had vaccination card Ever had vaccination card Did you ever have a vaccination card for (name)? Circle the code corresponding to the answer given and skip to IM6. 5619 9701 1 9 1 Yes 2 No 9 Missing Sysmiss Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3242 12078 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3151 12169 1 99 99 Missing Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3151 12169 2006 9999 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of Polio at birth immunization Day of Polio at birth immunization Day of Polio at birth immunization Day of Polio at birth immunization Day of Polio at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3242 12078 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Polio at birth immunization Month of Polio at birth immunization Month of Polio at birth immunization Month of Polio at birth immunization Month of Polio at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3033 12287 1 99 99 Missing Year of Polio at birth immunization Year of Polio at birth immunization Year of Polio at birth immunization Year of Polio at birth immunization Year of Polio at birth immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3033 12287 2006 9999 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of Polio1 immunization Day of Polio1 immunization Day of Polio1 immunization Day of Polio1 immunization Day of Polio1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3242 12078 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Polio1 immunization Month of Polio1 immunization Month of Polio1 immunization Month of Polio1 immunization Month of Polio1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3094 12226 1 99 99 Missing Year of Polio1 immunization Year of Polio1 immunization Year of Polio1 immunization Year of Polio1 immunization Year of Polio1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3094 12226 2006 9999 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of Polio2 immunization Day of Polio2 immunization Day of Polio2 immunization Day of Polio2 immunization Day of Polio2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3242 12078 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Polio2 immunization Month of Polio2 immunization Month of Polio2 immunization Month of Polio2 immunization Month of Polio2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3052 12268 1 99 99 Missing Year of Polio2 immunization Year of Polio2 immunization Year of Polio2 immunization Year of Polio2 immunization Year of Polio2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3052 12268 2006 9999 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of Polio3 immunization Day of Polio3 immunization Day of Polio3 immunization Day of Polio3 immunization Day of Polio3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3242 12078 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Polio3 immunization Month of Polio3 immunization Month of Polio3 immunization Month of Polio3 immunization Month of Polio3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3001 12319 1 99 99 Missing Year of Polio3 immunization Year of Polio3 immunization Year of Polio3 immunization Year of Polio3 immunization Year of Polio3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3001 12319 2006 9999 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3242 12078 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3094 12226 1 99 99 Missing Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3094 12226 2006 9999 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3242 12078 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3052 12268 1 99 99 Missing Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3052 12268 2006 9999 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3242 12078 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3001 12319 1 99 99 Missing Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3001 12319 2006 9999 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of HepB1 immunization Day of HepB1 immunization Day of HepB1 immunization Day of HepB1 immunization Day of HepB1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3242 12078 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB1 immunization Month of HepB1 immunization Month of HepB1 immunization Month of HepB1 immunization Month of HepB1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3094 12226 1 99 99 Missing Year of HepB1 immunization Year of HepB1 immunization Year of HepB1 immunization Year of HepB1 immunization Year of HepB1 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3094 12226 2006 9999 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of HepB2 immunization Day of HepB2 immunization Day of HepB2 immunization Day of HepB2 immunization Day of HepB2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3242 12078 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB2 immunization Month of HepB2 immunization Month of HepB2 immunization Month of HepB2 immunization Month of HepB2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3052 12268 1 99 99 Missing Year of HepB2 immunization Year of HepB2 immunization Year of HepB2 immunization Year of HepB2 immunization Year of HepB2 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3052 12268 2006 9999 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of HepB3 immunization Day of HepB3 immunization Day of HepB3 immunization Day of HepB3 immunization Day of HepB3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3242 12078 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB3 immunization Month of HepB3 immunization Month of HepB3 immunization Month of HepB3 immunization Month of HepB3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3001 12319 1 99 99 Missing Year of HepB3 immunization Year of HepB3 immunization Year of HepB3 immunization Year of HepB3 immunization Year of HepB3 immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3001 12319 2006 9999 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3242 12078 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 2910 12410 1 99 99 Missing Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 2910 12410 2006 9999 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of receiving vitamin A Day of receiving vitamin A Day of receiving vitamin A Day of receiving vitamin A Day of receiving vitamin A You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 3242 12078 99 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of receiving vitamin A Month of receiving vitamin A Month of receiving vitamin A Month of receiving vitamin A Month of receiving vitamin A You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 2778 12542 1 99 99 Missing Year of receiving vitamin A Year of receiving vitamin A Year of receiving vitamin A Year of receiving vitamin A Year of receiving vitamin A You will complete question IM3 when respondents show you the vaccination card for the child: · Copy the dates in the spaces provided for IM3 for each type of immunization dose recorded on the card or document. · If the card shows only part of the date, record '98' for 'DK' in the column for which the information is not given. For example, if the date given was July 2008, you would record '98' for 'Day', '07' for 'Month', and '2008' for 'Year'. · If the card shows that a vaccination was administered but the date is not specified, write '44' in the day column, and leave the month and year columns blank. · However, if a date is given for a DPT vaccination and there is simply a check to show that a polio vaccine was also given, record the date of the DPT injection on the polio line since this probably indicates that the vaccinations were given on the same day. · For any vaccine listed in the module, if there is no information on the vaccination card showing that the vaccine was administered, leave the rows for this vaccine blank. Remember that vaccines may be listed on the card in a different order than the one that appears on the questionnaire. Be sure to check the card carefully because sometimes the month may be listed first, sometimes the day. Be careful to record the dates correctly. Besides recording vaccination dates on the card, some health facilities may also record the dates (appointments) that children should be brought in for their next immunizations. Be very careful not to record a scheduled appointment date as a vaccination date. It is possible that an appointment date was given, but the child never received the vaccination. Only record dates that vaccinations were actually given, and not date of appointments. Be patient and read the card thoroughly. It is very important that you copy the information on administered vaccinations on the card to the questionnaire accurately. After you have completed transferring the information from the card to the questionnaire, proceed with question IM4. 2778 12542 2006 9999 2006 2007 2008 2009 2010 2011 9999 Missing Sysmiss Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations In addition to what is recorded on this card, did (name) receive any other vaccinations – including vaccinations received in campaigns or immunization days? It is possible that some of the vaccinations received by the child were not recorded. For example, the respondent may have forgotten to bring the card to the health facility or the respondent may have taken the child to a National Immunization Day. If the answer is 'Yes', circle '1' only if the respondent mentions vaccines included in the questionnaire. You can refer to the information already obtained from the vaccination card to make sure that the mother/primary caretaker is referring only to these vaccines. Write '66' in the corresponding 'Day' column for IM3, and leave the month and year columns blank. For example, if two doses of DPT were recorded on the card, and another dose was given but not recorded, there should be '66' in the 'Day' column. Do not ask the respondent to supply dates from memory. Enter a date only if the card or other document is available and lists a date for the immunization dose. Once you have probed for any other vaccination, skip to IM18. 186 15134 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a campaign or immunization day? Only ask IM6-IM17 to obtain the child's vaccination status if a vaccination card or other document is not available (that is, if the answer to IM1 was '2' for 'Yes, not seen' or '3' for 'No card'). Describe the vaccination techniques in detail to the caretaker and provide further explanations if needed. When mentioning the vaccines or the specific diseases, use local synonyms if needed. We are not interested in injections for treating a disease - antibiotics, anti-malarials, etc. - but only in vaccines. Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question, to start asking about each of the vaccines. If the answer is 'No' or 'DK', skip to IM18. 11641 3679 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Has (name) ever received a BCG vaccination against tuberculosis – that is, an injection in the arm or shoulder that usually causes a scar? Circle the code corresponding to the response. 8307 7013 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Has (name) ever received any “vaccination drops in the mouth” to protect him/her from getting diseases – that is, polio? Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If the answer is 'No' or 'DK', skip to IM11. 8307 7013 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Polio first given just after birth or later Polio first given just after birth or later Polio first given just after birth or later Polio first given just after birth or later Polio first given just after birth or later Was the first polio vaccine received in the first two weeks after birth or later? 7840 7480 1 9 1 First two weeks 2 Later 9 Missing Sysmiss Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination How many times was the polio vaccine received? Fill in the number in the space provided. 7840 7480 1 9 1 2 3 4 5 6 7 9 Missing Sysmiss Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Has (name) ever received a DPT vaccination – that is, an injection in the thigh or buttocks – to prevent him/her from getting tetanus, whooping cough, or diphtheria? Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If 'No' or 'DK', skip to IM13. 8307 7013 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination How many times was a DPT vaccine received? Fill in the number in the space provided. 4844 10476 1 9 1 2 3 4 5 6 7 9 Missing Sysmiss Child ever given Hepatitis B vaccination Child ever given Hepatitis B vaccination Child ever given Hepatitis B vaccination Child ever given Hepatitis B vaccination Child ever given Hepatitis B vaccination Has (name) ever been given a Hepatitis B vaccination – that is, an injection in the thigh or buttocks – to prevent him/her from getting Hepatitis B? Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If 'No' or 'DK', skip to IM16. 8307 7013 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Hepatitis B first given within 24 h after birth or later Hepatitis B first given within 24 h after birth or later Hepatitis B first given within 24 h after birth or later Hepatitis B first given within 24 h after birth or later Hepatitis B first given within 24 h after birth or later Was the first Hepatitis B vaccine received within 24 hours after birth, or later? Ask if the first hepatitis B vaccine was received within 24 hours after birth or later. Circle the code corresponding to the response. 3174 12146 1 9 1 Within 24 hours 2 Later 9 Missing Sysmiss Times child given Hepatitis B vaccination Times child given Hepatitis B vaccination Times child given Hepatitis B vaccination Times child given Hepatitis B vaccination Times child given Hepatitis B vaccination How many times was a Hepatitis B vaccine received? Fill in the number in the space provided. 3174 12146 1 9 1 2 3 4 5 6 7 9 Missing Sysmiss Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Has (name) ever received a Measles injection – that is, a shot in the arm at the age of 9 months or older - to prevent him/her from getting measles? Circle the code corresponding to the response. If the caretaker specifically mentions measles vaccine but refers to an injection in the thigh, accept the answer as valid and circle '1' for 'Yes'. 8307 7013 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child given Vitamin A dose within last 6 months Child given Vitamin A dose within last 6 months Child given Vitamin A dose within last 6 months Child given Vitamin A dose within last 6 months Child given Vitamin A dose within last 6 months Has (name) received a Vitamin A dose like (this/any of these) within the last 6 months? This question asks if the child has received a vitamin A supplement. Show the capsule or dispenser you were given to help the caretaker remember. You may be instructed to show different capsules, 100,000 IU for children 6-11 months old and 200,000 IU for children 12-59 months old, asking the caretaker to identify the correct one. Circle the code corresponding to the response. If the child has never received a vitamin A supplement or the mother/caretaker does not know if he/she has ever received one, continue with the next question. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child participated in campaign A Child participated in campaign A Child participated in campaign A Child participated in campaign A Child participated in campaign A Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Polio NIDs 2008 This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child participated in campaign B Child participated in campaign B Child participated in campaign B Child participated in campaign B Child participated in campaign B Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Polio NIDs 2009 This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child participated in campaign C Child participated in campaign C Child participated in campaign C Child participated in campaign C Child participated in campaign C Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Tetanus NIDs 2008 This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child participated in campaign D Child participated in campaign D Child participated in campaign D Child participated in campaign D Child participated in campaign D Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Tetanus NIDs 2009 This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child participated in campaign E Child participated in campaign E Child participated in campaign E Child participated in campaign E Child participated in campaign E Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Vit A 2008 This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Child participated in campaign F Child participated in campaign F Child participated in campaign F Child participated in campaign F Child participated in campaign F Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Vit a 2009 This question is asked to provide information about immunization programmes. It also provides a check on IM4 for children with a vaccination card, since doses given in National Immunization Days are usually not recorded on the card. Circle the code corresponding to the response. If the respondent answers 'Yes' here to at least one of the dates, check back to IM5. If the answer given there (to IM5) was 'No', ask again. 14872 448 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Measurer's ID Measurer's ID Measurer's ID Measurer's ID Measurer's ID Interviewer name and number: 6981 8339 2 999 Checked blood Checked blood Checked blood Checked blood Checked blood May I take blood from the child? 6981 8339 1 9 1 No/Refused 2 Yes 9 Missing Sysmiss Filled in two lines Filled in two lines Filled in two lines Filled in two lines Filled in two lines Have you taken sufficient blood? 5770 9550 1 9 1 No 2 Yes 9 Missing Sysmiss Glomobine result Glomobine result Glomobine result Glomobine result Glomobine result Results of the haemoglobin level 5770 9550 0.1 99.9 Area Area Area Area Area Type of settlement: Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area. 15320 1 2 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. 15320 1 8 1 Region C 2 Region CH 3 Region E 4 Region N 5 Region NE 6 Region S 7 Region SE 8 Region W Sex Sex Sex Sex Sex Is (name) male or female? Circle '1' for 'Male' and '2' for 'Female'. Do not guess the sex of the household member from the name provided to you. When the respondent is listing everyone in the household, he/she may indicate the sex of the person at the same time, by saying “My sister Mary,” for instance. In this case, you do not need to ask the sex of the household member again, since it is already obvious that the person is a female. However, when a name is mentioned that can be used for both males and females, never use your judgement. Even in cases when you think that the name would most likely be a male's (or a female's) name, have the respondent confirm the sex. This column should never be left blank. 15320 1 2 1 Male 2 Female 9 Missing Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended Highest level of education attended What is the highest level of school (name) attended? For household members age 5 and above, ask ED1-ED8: If the person has been to school, record the highest level of schooling attended by circling the code for the response. You may need to probe for the type of school attended. Circle '8' if the respondent 'Doesn't know'. If the highest level of school the child has attended is preschool (Level=0), skip to ED5. 1746 13574 1 9 Preschool 1 Primary 2 Secondary 3 Higher 8 DK 9 Missing Sysmiss Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level What is the highest grade (name) completed at this level? For household members age 5 and above, ask ED1-ED8: Enter the highest grade completed or '98' for 'DK' ('Doesn't know'). If less than one grade, enter '00'. For instance, if a person has attended primary school but did not complete the first grade, then the level for this person will be circled as '1' in ED4A, and the grade will be entered as '00' in ED4B. Similarly, for a child who is attending grade 5 in primary school at the time of the interview, the level will be coded as '1' and the grade as '04', since this person has not yet completed grade 5. Note that if the level of schooling is given as preschool in ED4A, the grade should be left blank. For someone not at school anymore, the highest level attended is the one he/she went to before leaving the education system, even if it was for a few weeks. For someone still at school, the highest level is the one he/she is currently attending (or was attending if we are conducting the interview during a long school break period). 1746 13574 1 99 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 18 19 97 Inconsistent 98 DK 99 Missing Sysmiss Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) 15320 1330 1339 1330 1331 1332 1333 1334 1335 1336 1337 1338 1339 Date of birth of child (CMC) Date of birth of child (CMC) Date of birth of child (CMC) Date of birth of child (CMC) Date of birth of child (CMC) 14872 448 1271 1337 Age (months) Age (months) Age (months) Age (months) Age (months) 14872 448 59 Age Age Age Age Age 14872 448 1 6 1 0-5 2 6-11 3 12-23 4 24-35 5 36-47 6 48-59 Sysmiss Age Age Age Age Age 14872 448 1 5 1 0-11 2 12-23 3 24-35 4 36-47 5 48-59 Sysmiss Age in days Age in days Age in days Age in days Age in days 14872 448 1890 Mother's education Mother's education Mother's education Mother's education Mother's education 15320 1 9 1 None 2 Primary 3 Secondary 9 Missing/DK Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head 14801 519 1 9 1 Pashto 2 Dari 3 Uzbek/Turkmen 9 Missing/DK Sysmiss Relative children weight Relative children weight Relative children weight Relative children weight Relative children weight 15320 5.272 Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 15320 -1.795 3.47 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 15320 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Province Province Province Province Province 15320 01 KABUL 02 KAPISA 03 PARWAN 04 WARDAK 05 LOGAR 06 NANGARHAR 07 LAGHMAN 08 PANJSHER 09 BAGHLAN 10 BAMYAN 11 GHAZNI 12 PAKTIKA 13 PAKTYA 14 KHOST 15 KUNARHA 16 NOORISTAN 17 BADAKHSHAN 18 TAKHAR 19 KUNDUZ 20 SAMANGAN 21 BALKH 22 SAR-E-PUL 23 GHOR 24 DAYKUNDI 25 UROZGAN 26 ZABUL 27 KANDAHAR 28 JAWZJAN 29 FARYAB 30 HELMAND 31 BADGHIS 32 HERAT 33 FARAH 34 NIMROZ Cluster number Cluster number Cluster number Cluster number Cluster number Enter the cluster number as instructed by your supervisor. 22053 1 449 Household number Household number Household number Household number Household number Enter the household number as instructed by your supervisor. 22053 1 34 Line number Line number Line number Line number Line number 22053 1 40 99 Missing Cluster number Cluster number Cluster number Cluster number Cluster number WM1-WM6 should be filled in before you start the interview. Enter the cluster number from the Household Questionnaire, question HH1. 22053 1 449 Household number Household number Household number Household number Household number WM1-WM6 should be filled in before you start the interview. Enter the household number from the Household Questionnaire, question HH2. 22053 1 34 Woman's line number Woman's line number Woman's line number Woman's line number Woman's line number WM1-WM6 should be filled in before you start the interview. Enter the woman's line number from the Household Questionnaire, column HL1 of the Household Listing. 22053 1 40 99 Missing Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer’s name and number: WM1-WM6 should be filled in before you start the interview. Enter your own name and identifying number. You will be provided with these identification numbers at the time of training. 22053 999 Day of interview Day of interview Day of interview Day of interview Day of interview WM1-WM6 should be filled in before you start the interview. Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman. 22053 1 31 99 Missing Month of interview Month of interview Month of interview Month of interview Month of interview WM1-WM6 should be filled in before you start the interview. Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman. 22053 1 12 1 2 3 4 5 6 7 10 11 12 99 Missing Year of interview Year of interview Year of interview Year of interview Year of interview WM1-WM6 should be filled in before you start the interview. Enter the date of the interview as day, month and year. If the interview is not completed on your first visit and you visit the household to interview the woman again, revise and enter the final date of interview. In other words, the date here should be the date when you have either completed the woman's questionnaire, or when the interview has not been conducted but it has been decided that there will be no more attempts to interview the eligible woman. 22053 2010 2011 2010 2011 9999 Missing Selected for nutrition survey Selected for nutrition survey Selected for nutrition survey Selected for nutrition survey Selected for nutrition survey 22053 1 2 1 Yes 2 No 9 Missing Result of woman's interview Result of woman's interview Result of woman's interview Result of woman's interview Result of woman's interview Complete this question once you have concluded the interview with the woman. Circle the code corresponding to the result of the interview. If the questionnaire is completed, circle '01' for 'Completed'. If you have not been able to contact the woman after repeated visits, circle '02' for 'Not at home'. If the woman refuses to be interviewed, circle '03' for 'Refused'. If you were able to only partly complete the questionnaire, circle '04' for 'Partly completed'. If the woman is incapacitated (mentally or physically incapacitated), circle '05'. If you have not been able to complete this interview for another reason, you should circle '96' for 'Other' and specify the reason in the space provided. 22053 1 8 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 6 Other 8 Missing 9 hhh Field editor Field editor Field editor Field editor Field editor Field edited by: Leave this space blank. The field editor will later enter his/her name and number in the space provided when checking the completed questionnaires. 22053 1 999 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Leave this space blank. The data clerk will enter his/her name and number in the space provided. 22053 98 Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Start of interview - Hour Record the time of the day you start the interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 21290 763 6 99 99 Missing Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Start of interview - Minutes Record the time of the day you start the interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. 21290 763 99 99 Missing End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour End of interview - Hour Record the time of the day you finish the woman's interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the individual interview, revise and enter starting (WM10) and ending times (WM11) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the individual questionnaire regarding this. 21290 763 7 99 99 Missing End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes End of interview - Minutes Record the time of the day you finish the woman's interview using the 24-hour system. If the hour or minutes are less than 10, put a zero in front of the hour or minute. If the interview is not completed on your first visit and you visit the household again to continue the individual interview, revise and enter starting (WM10) and ending times (WM11) of interview to reflect the actual amount of time spent for the whole duration of this interview in both/all visits. Also provide a note at the end of the individual questionnaire regarding this. 21290 763 99 99 Missing Month of birth of woman Month of birth of woman Month of birth of woman Month of birth of woman Month of birth of woman In what month and year were you born? If the respondent knows her date of birth, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', etc. If the month or day contains only one digit, use a leading zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know her month of birth, circle '98' for 'DK month' and ask her for the year of her birth. If she knows the year, write it in the spaces for 'Year'. Try under all circumstances to obtain at least the year of birth. If the respondent is unable to provide this information, ask whether she has any documentation such as an identification card, horoscope, or a birth or baptismal certificate that might give her date of birth. If such documentation is available, ask the woman if the information on the document(s) is correct. Only when it is absolutely impossible to even estimate the year of birth should you circle '9998' for 'DK year'. 21290 763 1 99 97 Inconsistent 98 DK 99 Missing Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman In what month and year were you born? If the respondent knows her date of birth, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers. For this, January is '01', February is '02', March is '03', etc. If the month or day contains only one digit, use a leading zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know her month of birth, circle '98' for 'DK month' and ask her for the year of her birth. If she knows the year, write it in the spaces for 'Year'. Try under all circumstances to obtain at least the year of birth. If the respondent is unable to provide this information, ask whether she has any documentation such as an identification card, horoscope, or a birth or baptismal certificate that might give her date of birth. If such documentation is available, ask the woman if the information on the document(s) is correct. Only when it is absolutely impossible to even estimate the year of birth should you circle '9998' for 'DK year'. 21290 763 1961 9999 9997 Inconsistent 9998 DK 9999 Missing Age of woman Age of woman Age of woman Age of woman Age of woman How old are you? Enter her age in completed years, that is, her age at her last birthday. If she knows her age, write it in the space provided. Probe: “How old were you at your last birthday?” Compare and correct WB1 and/or WB2 if inconsistent. If she does not know the answer to either of these two questions, probe for clues that might indicate her age. Ask how old she was when she was first married or first gave birth. Try to find out how long ago she got married or had her first child. (You may be able to find out the age of her oldest child if the child is still living. You may be able to relate her age to someone else in the household whose age is known. You may be able to determine her age based on how old she was when an important event occurred, and the number of years that have elapsed since.) You MUST fill in this information. Do not leave this blank. Compare and correct WB1 and WB2 if inconsistent. Finally, before moving on to the next question, verify that the respondent is indeed eligible. If the woman is younger than 15 or older than 49, you have to terminate the interview. Do this tactfully by asking two or three more questions and then thank the respondent for her cooperation; write 'INELIGIBLE' on the cover page of the questionnaire, and correct the age and eligibility information for this woman on the cover page and in Columns HL6 and HL7 of the Household Questionnaire. 21290 763 15 49 99 Missing Ever attended school Ever attended school Ever attended school Ever attended school Ever attended school Have you ever attended school or preschool? Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions. Circle the code corresponding to the response given. If 'No', skip to WB7. Otherwise, continue on to the next question. The term 'school' includes primary, secondary and post-secondary schooling, as well as any other intermediate levels of schooling in the formal school system. It also includes technical or vocational training beyond the primary-school level, such as long-term courses in mechanics or secretarial work. Schools that carry out non-standard curriculum (non-formal education) are not included here. A non-standard curriculum includes religious schools, such as Koranic schools, that do not teach a full, standard school curriculum. If a school teaches religious courses but also includes the standard curriculum - such as many Catholic schools - it would be coded as a standard (formal) school. 21290 763 1 9 1 Yes 2 No 9 Missing Sysmiss Highest level of school you attended Highest level of school you attended Highest level of school you attended Highest level of school you attended Highest level of school you attended What is the highest level of school you attended? Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions. Circle the code corresponding to the highest level ever attended, regardless of whether or not the year was completed. For example, if she attended Form/Year 1 of secondary school for only 2 weeks, record 'Secondary'. 4669 17384 1 9 Preschool 1 Primary 2 Secondary 3 Higher 9 Missing Sysmiss Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level Highest grade completed at that level What is the highest grade you completed at that level? Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions. For this question, record the number of years that the respondent successfully completed at that level recorded in WB4. For example, if a woman was attending grade 3 of secondary school and left school before completing that year, record '02'. Although grade 3 was the highest year she attended, she completed 2 years of secondary school. If less than 1 year, record '00' for completed years. For example, if she attended only 2 weeks of grade 1 of secondary school, record '00' for completed years. 4669 17384 99 97 Inconsistent 98 DK 99 Missing Can read part of the sentence Can read part of the sentence Can read part of the sentence Can read part of the sentence Can read part of the sentence Now I would like you to read this sentence to me. Can you read part of the sentence to me? Questions WB3-WB7 are about the educational attainment and literacy of the woman. Note that you will have collected some of this information on the woman in the Education module of the Household Questionnaire, either from another household member or from the woman herself. You should still ask these questions. You will be collecting slightly different information with these questions. To ascertain whether women are literate or not, you will be showing women you interview cards with pre-printed sentences on them, and asking women to read them. Note that this question will be asked only to women who have not attended school, or did not attend school beyond the primary level. We assume that women who have attended secondary school or higher are literate. However, it is also known that some women who have attended or even completed primary school may be functionally illiterate. Therefore, we need to ask this question to such women. Based on your knowledge of the respondent, choose the card with the language in which the respondent is likely to be able to read if she is literate. Show the first sentence on the card to the respondent. Give the respondent enough time to read the sentence; do not rush her. If the respondent cannot read the whole sentence, probe: “Can you read part of the sentence to me?” Record whether the respondent was not able to read the sentence at all, was able to read only parts of the sentence, or was able to read the whole sentence. If the respondent asks for the sentences in another language and you were provided a card with sentences in that language, show the respondent the appropriate card. If there is no card with sentences in the language required, circle '4', and specify the language. If the respondent is blind or visually impaired, circle '5'. It is important to avoid the problem of having other respondents in the household overhear the sentence being read. Subsequent respondents in the household might be able to repeat the sentence when they are interviewed, even if they are unable to read. If there is a second eligible woman in the household, show her the second sentence on the card. Show the third respondent the third sentence on the card, and the fourth respondent the fourth sentence. If there are more than five respondents, start again with the first sentence on the card. 18391 3662 1 9 1 Cannot read at all 2 Able to read only parts of sentence 3 Able to read whole sentence 4 No sentence in required language 5 Blind / mute, visually / speech impaired 9 Missing Sysmiss Ever given birth Ever given birth Ever given birth Ever given birth Ever given birth Now I would like to ask you about all the births you have had during your life. Have you ever given birth? The first question of the module is used to determine if the rest of the module and several subsequent modules should be administered to this woman. If the answer is 'Yes', circle '1', and continue with the next question. If the woman says she has never given birth, circle '2' and skip to CM8. 21290 763 1 9 1 Yes 2 No 9 Missing Sysmiss Day of first birth Day of first birth Day of first birth Day of first birth Day of first birth What was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner. You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information. Ask for the child's date of birth. If she knows the exact birth date, enter the day, month and year of birth on the lines provided and continue to CM3. You will have to convert the month to a number, as you have been instructed. If the month or day contains only one digit, use a zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know the exact birth date, ask her the day, month and year separately. Enter the information as provided. If she does not know the day, circle '98'. If she can give the month of birth, convert it to a number and enter it on the line provided. If she cannot give the month, probe to try to estimate the month. If you cannot estimate the child's month of birth from this information, you may need to find out in which season he/she was born. If it is still not possible to estimate the child's month of birth, circle '98' in the space for month of birth. If she can give a year of birth, write it in the space provided and go to CM4. If she cannot give the year of the birth, circle '9998' and continue with CM3. Skip to CM4 only if year of first birth is given. Otherwise continue with CM3. 13468 8585 1 99 97 Inconsistent 98 DK 99 Missing Month of first birth Month of first birth Month of first birth Month of first birth Month of first birth What was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner. You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information. Ask for the child's date of birth. If she knows the exact birth date, enter the day, month and year of birth on the lines provided and continue to CM3. You will have to convert the month to a number, as you have been instructed. If the month or day contains only one digit, use a zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know the exact birth date, ask her the day, month and year separately. Enter the information as provided. If she does not know the day, circle '98'. If she can give the month of birth, convert it to a number and enter it on the line provided. If she cannot give the month, probe to try to estimate the month. If you cannot estimate the child's month of birth from this information, you may need to find out in which season he/she was born. If it is still not possible to estimate the child's month of birth, circle '98' in the space for month of birth. If she can give a year of birth, write it in the space provided and go to CM4. If she cannot give the year of the birth, circle '9998' and continue with CM3. Skip to CM4 only if year of first birth is given. Otherwise continue with CM3. 13468 8585 1 99 97 Inconsistent 98 DK 99 Missing Year of first birth Year of first birth Year of first birth Year of first birth Year of first birth What was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner. You need to obtain the year of the woman's first birth, which means the very first time she gave birth, even if the child is no longer living, or is the child of a partner other than her current one. As with all questions about dates and ages, you may need to probe to obtain the best information. Ask for the child's date of birth. If she knows the exact birth date, enter the day, month and year of birth on the lines provided and continue to CM3. You will have to convert the month to a number, as you have been instructed. If the month or day contains only one digit, use a zero to fill in the first space. For example, the month of March is coded as '03'. If she does not know the exact birth date, ask her the day, month and year separately. Enter the information as provided. If she does not know the day, circle '98'. If she can give the month of birth, convert it to a number and enter it on the line provided. If she cannot give the month, probe to try to estimate the month. If you cannot estimate the child's month of birth from this information, you may need to find out in which season he/she was born. If it is still not possible to estimate the child's month of birth, circle '98' in the space for month of birth. If she can give a year of birth, write it in the space provided and go to CM4. If she cannot give the year of the birth, circle '9998' and continue with CM3. Skip to CM4 only if year of first birth is given. Otherwise continue with CM3. 13468 8585 1974 9999 9997 Inconsistent 9998 DK 9999 Missing Years since first birth Years since first birth Years since first birth Years since first birth Years since first birth How many years ago did you have your first birth? This question is asked only to women who are not able to give the year of their first birth in CM2. It may be easier to obtain this information, especially if the first child is still alive. In this case, the answer is the first child's current age in completed years. Record the response in the space provided. 1234 20819 34 97 Inconsistent 99 Missing Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Do you have any sons or daughters to whom you have given birth who are now living with you? Read the question slowly. The sons and daughters being considered are those who live with her in her household (these children should have been listed in the Household Listing). Circle the code corresponding to the response. If she answers 'No', skip to CM6. 13468 8585 1 2 1 Yes 2 No 9 Missing Sysmiss Sons living with you Sons living with you Sons living with you Sons living with you Sons living with you How many sons live with you? If the answer to CM4 is 'Yes', record the number of sons and daughters living with the woman in the space provided. If the answer is 'None' for sons (or if she does not have any sons), record '00' in the space provided for sons. Similarly, if she has no daughters now living with her (or if she does not have any daughters), record '00' in the space for daughters. Do not leave either of the spaces blank. Since the question is asked only to women who have children living with them in the same household, at least one of the spaces should have a value higher than 00. Remember, we are interested only in the respondent's OWN children - not foster children, children of her husband by another woman, children of another relative, or children for whom she is the caretaker. 13323 8730 10 1 2 3 4 5 6 7 8 9 10 99 Missing Sysmiss Daughters living with you Daughters living with you Daughters living with you Daughters living with you Daughters living with you How many daughters live with you? If the answer to CM4 is 'Yes', record the number of sons and daughters living with the woman in the space provided. If the answer is 'None' for sons (or if she does not have any sons), record '00' in the space provided for sons. Similarly, if she has no daughters now living with her (or if she does not have any daughters), record '00' in the space for daughters. Do not leave either of the spaces blank. Since the question is asked only to women who have children living with them in the same household, at least one of the spaces should have a value higher than 00. Remember, we are interested only in the respondent's OWN children - not foster children, children of her husband by another woman, children of another relative, or children for whom she is the caretaker. 13323 8730 9 1 2 3 4 5 6 7 8 9 99 Missing Sysmiss Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Do you have any sons or daughters to whom you have given birth who are alive but do not live with you? This refers to sons and daughters who are alive but not living with the woman. For example, one or more of her children may be living with a relative, staying in a boarding school, been given up for adoption, or may be grown-up children who have left home. Make sure the respondent is not reporting dead children in this question. Circle the code corresponding to the response. If she answers 'No', skip to CM8. 13468 8585 1 9 1 Yes 2 No 9 Missing Sysmiss Sons living elsewhere Sons living elsewhere Sons living elsewhere Sons living elsewhere Sons living elsewhere How many sons are alive but do not live with you? If the answer to CM6 is 'Yes', record the number of sons and daughters who are alive but not living with the respondent in the space provided. If the answer is 'None' for sons (or if she does not have any sons who are alive), record '00' in the space provided for sons. If the answer is 'None' for daughters (or if she does not have any daughters who are alive), record '00' in the space provided for daughters. Since this question is asked only to women who have children alive who are not living with them, at least one of the spaces should have a value higher than 00. For women who have been asked this question, the spaces should not be left blank. 1644 20409 6 1 2 3 4 5 6 99 Missing Sysmiss Daughters living elsewhere Daughters living elsewhere Daughters living elsewhere Daughters living elsewhere Daughters living elsewhere How many daughters are alive but do not live with you? If the answer to CM6 is 'Yes', record the number of sons and daughters who are alive but not living with the respondent in the space provided. If the answer is 'None' for sons (or if she does not have any sons who are alive), record '00' in the space provided for sons. If the answer is 'None' for daughters (or if she does not have any daughters who are alive), record '00' in the space provided for daughters. Since this question is asked only to women who have children alive who are not living with them, at least one of the spaces should have a value higher than 00. For women who have been asked this question, the spaces should not be left blank. 1644 20409 8 1 2 3 4 5 6 7 8 99 Missing Sysmiss Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Have you ever given birth to a boy or girl who was born alive but later died? This question is extremely important. Circle the code corresponding to the response. Some respondents may fail to mention children who died very young, so if she answers 'No', it is important to probe by asking “I mean, to a child who ever breathed, cried or showed signs of life - even if he or she lived only a few minutes or hours?” If the answer is still 'No', skip to CM10. Some respondents may be reluctant to talk about this subject and may become sad or upset that you are asking such questions. Be sympathetic and tactful in such situations. Say that you know the subject is painful, but the information is important. 21290 763 1 9 1 Yes 2 No 9 Missing Sysmiss Boys dead Boys dead Boys dead Boys dead Boys dead How many boys have died? If the answer to CM8 is 'Yes', record the number of sons and daughters who were born alive but later died in the spaces provided. Do not leave either of the spaces blank. For women who have been asked this question, at least one of the spaces should have a value higher than 00. 3832 18221 9 1 2 3 4 5 6 7 8 9 99 Missing Sysmiss Girls dead Girls dead Girls dead Girls dead Girls dead How many girls have died? If the answer to CM8 is 'Yes', record the number of sons and daughters who were born alive but later died in the spaces provided. Do not leave either of the spaces blank. For women who have been asked this question, at least one of the spaces should have a value higher than 00. 3832 18221 8 1 2 3 4 5 6 8 99 Missing Sysmiss Children ever born Children ever born Children ever born Children ever born Children ever born Add the numbers of births reported in CM5, CM7 and CM9 and write the sum here, then continue with CM11. 21290 763 19 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 99 Missing Sysmiss Day of last birth Day of last birth Day of last birth Day of last birth Day of last birth Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)? This question is used to ascertain the woman's eligibility for the subsequent two modules. Enter the date of the woman's most recent birth, even if the child is no longer alive, in the space provided. If the child has died, take special care when referring to this child by name in the following modules. If the woman does not remember the day of birth, you may enter '98' to the space provided for 'Day'. Note that you MUST obtain exact information on the month and year of the last birth; '98' is not allowed for month and year. 13468 8585 1 99 97 Inconsistent 98 DK 99 Missing Month of last birth Month of last birth Month of last birth Month of last birth Month of last birth Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)? This question is used to ascertain the woman's eligibility for the subsequent two modules. Enter the date of the woman's most recent birth, even if the child is no longer alive, in the space provided. If the child has died, take special care when referring to this child by name in the following modules. If the woman does not remember the day of birth, you may enter '98' to the space provided for 'Day'. Note that you MUST obtain exact information on the month and year of the last birth; '98' is not allowed for month and year. 13468 8585 1 99 97 Inconsistent 99 Missing Year of last birth Year of last birth Year of last birth Year of last birth Year of last birth Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)? This question is used to ascertain the woman's eligibility for the subsequent two modules. Enter the date of the woman's most recent birth, even if the child is no longer alive, in the space provided. If the child has died, take special care when referring to this child by name in the following modules. If the woman does not remember the day of birth, you may enter '98' to the space provided for 'Day'. Note that you MUST obtain exact information on the month and year of the last birth; '98' is not allowed for month and year. 13468 8585 1975 9999 9997 Inconsistent 9999 Missing Last birth in last two years Last birth in last two years Last birth in last two years Last birth in last two years Last birth in last two years If the respondent's last birth occurred in the last 2 years, check the relevant box and enter the name of the child on the line provided. Then continue with DESIRE FOR LAST BIRTH, MATERNAL AND NEWBORN HEALTH, and then POST-NATAL HEALTH CHECKS Modules. If the respondent's last birth did not occur in the last 2 years, check the relevant box and go to the ILLNESS SYMPTOMS Module. 13468 9 Missing N No Y Yes Wanted last child then Wanted last child then Wanted last child then Wanted last child then Wanted last child then When you got pregnant with (name), did you want to get pregnant at that time? This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated. Circle the code corresponding to the response given. If the response is 'Yes' (wanted to get pregnant), circle '1' and go to next module. 4962 17091 1 9 1 Yes 2 No 9 Missing Sysmiss Wanted child later or did not want more children Wanted child later or did not want more children Wanted child later or did not want more children Wanted child later or did not want more children Wanted child later or did not want more children Did you want to have a baby later on, or did you not want any (more) children? This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated. Circle the code corresponding to the response given. If the respondent says she wanted no more, circle '2' and go to next module. 924 21129 1 9 1 Later 2 No more 9 Missing Sysmiss Desired waiting time (units) Desired waiting time (units) Desired waiting time (units) Desired waiting time (units) Desired waiting time (units) How much longer did you want to wait? This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated. If the response is given in months, circle '1' and record the number of months. If the response is given in years, circle '2' and record the number of years. 494 21559 1 9 1 Months 2 Years 9 Special Sysmiss Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) How much longer did you want to wait? This module is to be administered to all women with a live birth in the 2 years preceding the date of interview. Check CM13 in Child Mortality module and record name of last born child on the space provided at the top of this module. Use this child's name while asking the questions, where indicated. If the response is given in months, circle '1' and record the number of months. If the response is given in years, circle '2' and record the number of years. 494 21559 1 99 1 2 3 4 5 6 7 8 9 10 11 98 DK 99 Missing Sysmiss Received antenatal care Received antenatal care Received antenatal care Received antenatal care Received antenatal care Did you see anyone for antenatal care during your pregnancy with (name)? Circle the code for the person seen for antenatal care. Probe: “Anyone else?” and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 4962 17091 1 9 1 Yes 2 No 9 Missing Sysmiss Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 1571 ? Missing A Doctor Antenatal care: Nurse / Midwife Antenatal care: Nurse / Midwife Antenatal care: Nurse / Midwife Antenatal care: Nurse / Midwife Antenatal care: Nurse / Midwife Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 1272 ? Missing B Nurse / Midwife Antenatal care: Auxiliary midwife Antenatal care: Auxiliary midwife Antenatal care: Auxiliary midwife Antenatal care: Auxiliary midwife Antenatal care: Auxiliary midwife Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 209 ? Missing C Auxiliary midwife Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 535 ? Missing F Traditional birth attendant Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 119 ? Missing G Community health worker Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Whom did you see? Circle the code for the person seen for antenatal care. Probe: "Anyone else?" and circle the codes for any other persons seen for antenatal care during this pregnancy. Antenatal care check-ups help to detect problems associated with pregnancy and delivery. All pregnant women should have routine check-ups. These questions refer to any antenatal care received during the pregnancy - a check specifically for the pregnancy and not for other reasons. In MN1, ask if she saw anyone for antenatal care for this pregnancy. If she saw no one for antenatal checks, circle '2' and skip to MN5. If the woman answers 'Yes' to MN1, ask whom she saw for the check-up. Probe to learn if she saw more than one person and record all persons seen. Also probe for the type of person seen and circle all answers given. If you are unsure how to code a person mentioned, write the words used to describe the person in the space provided 'Other' and circle 'X'. Doctors, nurses, midwives and auxiliary nurse midwives are skilled health personnel who have midwifery skills to manage normal deliveries and diagnose or refer obstetric complications. 'Traditional birth attendants' may be trained or untrained. If the woman gives the name of a health facility, ask her to tell you who she saw there. 39 ? Missing X Other Times received antenatal care Times received antenatal care Times received antenatal care Times received antenatal care Times received antenatal care How many times did you receive antenatal care during this pregnancy? Ask the respondent how many times she saw someone for antenatal care during her last pregnancy (i.e., she was pregnant with her last child). This refers to care related to her pregnancy and would not include seeing a doctor or nurse for other reasons. 2811 19242 99 98 DK 99 Missing Blood pressure Blood pressure Blood pressure Blood pressure Blood pressure As part of your antenatal care during this pregnancy, were any of the following done at least once: Was your blood pressure measured? Ask about each procedure and record the response before asking about the next one. Circle '1' for 'Yes', or '2' for 'No' in each case. It may be necessary to explain some of the procedures. We want to know whether each of the procedures listed was performed during any of the antenatal check-ups during her last pregnancy. It does not matter if they were performed only once or more than once, or performed in the same visit or spread over several visits. Blood pressure is measured with a medical instrument. A rubber cuff is wrapped around a person's upper arm and is inflated. While slowly releasing air from the cuff, the person measuring the blood pressure listens to the pulsing of the blood vessels with a stethoscope to determine the pressure. 2811 19242 1 9 1 Yes 2 No 9 Missing Sysmiss Urine sample Urine sample Urine sample Urine sample Urine sample As part of your antenatal care during this pregnancy, were any of the following done at least once: Did you give a urine sample? Ask about each procedure and record the response before asking about the next one. Circle '1' for 'Yes', or '2' for 'No' in each case. It may be necessary to explain some of the procedures. We want to know whether each of the procedures listed was performed during any of the antenatal check-ups during her last pregnancy. It does not matter if they were performed only once or more than once, or performed in the same visit or spread over several visits. 2811 19242 1 9 1 Yes 2 No 9 Missing Sysmiss Blood sample Blood sample Blood sample Blood sample Blood sample As part of your antenatal care during this pregnancy, were any of the following done at least once: Did you give a blood sample? Ask about each procedure and record the response before asking about the next one. Circle '1' for 'Yes', or '2' for 'No' in each case. It may be necessary to explain some of the procedures. We want to know whether each of the procedures listed was performed during any of the antenatal check-ups during her last pregnancy. It does not matter if they were performed only once or more than once, or performed in the same visit or spread over several visits. A blood sample may be taken from the woman's fingertip or from a vein (usually from a vein near the elbow or on the wrist). The blood sample is used to test for various diseases, such as anaemia, parasite infestations or infectious diseases. 2811 19242 1 9 1 Yes 2 No 9 Missing Sysmiss Has own immunization card Has own immunization card Has own immunization card Has own immunization card Has own immunization card Do you have a card or other document with your own immunizations listed? May I see it please? First, ask whether she has a vaccination card or other documentary evidence of vaccination. Ask to see this evidence and record that you have seen it by circling '1'. If a card is presented, use it to assist with answers to the following 2 questions. If the woman says she has a card but does not/cannot show it to you, circle '2'. If the card is not available ('2' or '3' circled in MN5), you must try to find out how long ago the last Tetanus toxoid (TT) dose was received in MN6, and the total number of TT doses the mother has received in her lifetime in MN7. Use the probing questions, and record her answers in the spaces provided. Women who do not have immunization cards may have difficulty identifying whether injections they received were tetanus toxoid injections. 4962 17091 1 9 1 Yes (card seen) 2 Yes (card not seen) 3 No 8 DK 9 Missing Sysmiss Any tetanus toxoid injection during last pregnancy Any tetanus toxoid injection during last pregnancy Any tetanus toxoid injection during last pregnancy Any tetanus toxoid injection during last pregnancy Any tetanus toxoid injection during last pregnancy When you were pregnant with (name), did you receive any injection in the arm or shoulder to prevent the baby from getting tetanus, that is convulsions after birth? Tetanus is an infection of the wound and women may be infected with tetanus after delivery. It can be prevented through a vaccination during pregnancy. The vaccine is known as tetanus toxoid. Ask if she received any tetanus toxoid injection during her last pregnancy. Circle '1' for a 'Yes' response. If the answer is 'No' or 'DK', circle the code corresponding to the response and skip to MN9. 4962 17091 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Doses of tetanus toxoid during last pregnancy Doses of tetanus toxoid during last pregnancy Doses of tetanus toxoid during last pregnancy Doses of tetanus toxoid during last pregnancy Doses of tetanus toxoid during last pregnancy How many times did you receive this tetanus injection during your pregnancy with (name)? Enter the number of doses she reports in the space provided and continue to MN8. If the number of doses is 7 or more times, record '7'. If she does not know, circle '8' and skip to MN9. 2186 19867 9 1 2 3 4 5 6 7 8 DK 9 Missing Sysmiss Any tetanus toxoid injection before last pregnancy Any tetanus toxoid injection before last pregnancy Any tetanus toxoid injection before last pregnancy Any tetanus toxoid injection before last pregnancy Any tetanus toxoid injection before last pregnancy Did you receive any tetanus injection at any time before your pregnancy with (name), either to protect yourself or another baby? Circle the code corresponding to her response. If she reports never having received any tetanus injection prior to her last pregnancy, or does not know, circle the code corresponding to the answer given and skip to MN12. If 'Yes', continue with MN10. 3376 18677 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Doses of tetanus toxoid before last pregnancy Doses of tetanus toxoid before last pregnancy Doses of tetanus toxoid before last pregnancy Doses of tetanus toxoid before last pregnancy Doses of tetanus toxoid before last pregnancy How many times did you receive a tetanus injection before your pregnancy with (name)? Ask about doses of tetanus injections received during or before the next-to-last pregnancy or between pregnancies (at any time before the last pregnancy). Enter her response in the space provided, as in MN7. If the number of doses is 7 or more times, record '7'. 823 21230 9 1 2 3 4 5 6 7 7+ 8 DK 9 Missing Sysmiss Years ago last tetanus toxoid received Years ago last tetanus toxoid received Years ago last tetanus toxoid received Years ago last tetanus toxoid received Years ago last tetanus toxoid received How many years ago did you receive the last tetanus injection before your pregnancy with (name)? Ask her to estimate how long ago she received the last dose of tetanus injections (the dose before her last pregnancy), and enter her response in years. If less than 1 year, record 00. 758 21295 99 99 Missing Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 1251 ? Missing A Doctor Assistance at delivery: Nurse / Midwife Assistance at delivery: Nurse / Midwife Assistance at delivery: Nurse / Midwife Assistance at delivery: Nurse / Midwife Assistance at delivery: Nurse / Midwife Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 1338 ? Missing B Nurse / Midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 321 ? Missing C Auxiliary midwife Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 1633 ? Missing F Traditional birth attendant Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 190 ? Missing G Community health worker Assistance at delivery: Relative / Friend Assistance at delivery: Relative / Friend Assistance at delivery: Relative / Friend Assistance at delivery: Relative / Friend Assistance at delivery: Relative / Friend Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 2573 ? Missing H Relative / Friend Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 299 ? Missing X Other Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Who assisted with the delivery of (name)? Circle the code for the person assisted with the delivery. Probe: "Anyone else?" and circle the codes for any other persons assisting with the delivery of this child. When asking this question, be sure to use the name of the child you are referring to, so that there is no confusion. Probe for the type of person who assisted with the delivery. If the woman is not sure of the status of the person who attended the delivery, for example, if she doesn't know whether the attendant was a midwife or a traditional birth attendant, probe further. Circle the codes corresponding to all persons assisting at the delivery. If the respondent says that no one assisted, probe to determine whether any adults were present at the delivery. If you are unsure where to code a person mentioned, write it in the space provided 'Other' and circle 'X'. If no one attended the delivery, circle 'Y'. 152 ? Missing Y No one Place of delivery Place of delivery Place of delivery Place of delivery Place of delivery Where did you give birth to (name)? The intent of this question is to identify births delivered in a health facility. If the woman gave birth in a hospital, health centre or clinic, ask whether the place is in the public (run by the government) or private sector. If the place is in the public sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other public' and circle '26'. Similarly, if the place is in the private medical sector, but is not one of the pre-coded choices, write the description in the space provided for 'Other private medical' and circle '36'. If you are unable to determine whether public or private, write the name of the place in the space provided on the questionnaire 'Name of place' and tell your supervisor. Your supervisor will learn from other people in the community whether the place is public or private and then circle the code corresponding to the response. If the respondent answers that she delivered in another place not listed, write the description of the place in the space provided for 'Other' and circle '96'. Places that are not health facilities, other than home, should also be coded as 'Other' and described. 4962 17091 11 99 11 Respondent's home 12 Other home 21 Government hospital 22 Government clinic / health centre 23 Government health post 26 Other public 31 Private hospital 32 Private clinic 33 Private maternity home 36 Other private medical 96 Other 99 Missing Sysmiss Delivery by caesarean section Delivery by caesarean section Delivery by caesarean section Delivery by caesarean section Delivery by caesarean section Was (name) delivered by caesarean section? (That is, did they cut your belly open to take the baby out?) A caesarean section is a delivery of a baby through an incision in the woman's abdomen and womb, rather than through the birth canal. Such a delivery is necessary for some women due to pregnancy complications. Find out whether the baby was delivered by an operation and not through the birth canal. 1892 20161 1 9 1 Yes 2 No 9 Missing Sysmiss Menstrual period returned since the birth of child Menstrual period returned since the birth of child Menstrual period returned since the birth of child Menstrual period returned since the birth of child Menstrual period returned since the birth of child Has your menstrual period returned since the birth of (name)? After a woman has given birth, there is a length of time when she will not have her monthly menstrual periods. This question asks about whether her period has resumed following the last birth. Circle the code corresponding to the response given. 4962 17091 1 9 1 Yes 2 No 9 Missing Sysmiss Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Did you ever breastfeed (name)? Breastfeeding is important for a child's health and it prevents pregnancy during the period when the mother is breastfeeding. For this question, it does not matter how long the respondent breastfed the child, only whether or not she ever gave the child the breast, even if the baby died very young. Circle the code corresponding to the response given. If the response is 'No' (she never breastfed the child), go to next module. 4962 17091 1 9 1 Yes 2 No 9 Missing Sysmiss Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) How long after birth did you first put (name) to the breast? If the mother reports that the baby was put to the breast immediately after birth, circle '000'. Otherwise, record the time in completed hours or days. If less than 1 hour, circle '1' for 'Hours' and record '00' in the space provided. For example, if the woman said she began breastfeeding within 10 minutes of the birth, circle '1' and record '00' hours. If the mother began breastfeeding within 24 hours of the birth, circle '1' and record the number of hours that passed before the baby was put to the breast. If she began breastfeeding 24 hours or more after the birth, circle '2' and record the number of days. Record in completed number of days. For example, if the baby was first breastfed 30 hours after delivery, circle '2' and record '01' days. If the woman does not know or does not remember how long after birth she put the baby to the breast, circle '998'. 4761 17292 9 Immediately 1 Hours 2 Days 9 Special Sysmiss Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) How long after birth did you first put (name) to the breast? If the mother reports that the baby was put to the breast immediately after birth, circle '000'. Otherwise, record the time in completed hours or days. If less than 1 hour, circle '1' for 'Hours' and record '00' in the space provided. For example, if the woman said she began breastfeeding within 10 minutes of the birth, circle '1' and record '00' hours. If the mother began breastfeeding within 24 hours of the birth, circle '1' and record the number of hours that passed before the baby was put to the breast. If she began breastfeeding 24 hours or more after the birth, circle '2' and record the number of days. Record in completed number of days. For example, if the baby was first breastfed 30 hours after delivery, circle '2' and record '01' days. If the woman does not know or does not remember how long after birth she put the baby to the breast, circle '998'. 4761 17292 99 98 DK 99 Missing Within first 3 days after delivery, child given anything to Within first 3 days after delivery, child given anything to Within first 3 days after delivery, child given anything to Within first 3 days after delivery, child given anything to Within first 3 days after delivery, child given anything to In the first three days after delivery, was (name) given anything to drink other than breast milk? If the child was given anything to drink other than breast milk, then circle code '1' for 'Yes' and otherwise '2' for 'No' and go to next module. 4761 17292 1 9 1 Yes 2 No 9 Missing Sysmiss Child given to drink - Milk (other than breast milk) Child given to drink - Milk (other than breast milk) Child given to drink - Milk (other than breast milk) Child given to drink - Milk (other than breast milk) Child given to drink - Milk (other than breast milk) What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 235 ? Missing A Milk (other than breast milk) Child given to drink - Plain water Child given to drink - Plain water Child given to drink - Plain water Child given to drink - Plain water Child given to drink - Plain water What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 176 ? Missing B Plain water Child given to drink - Sugar or glucose water Child given to drink - Sugar or glucose water Child given to drink - Sugar or glucose water Child given to drink - Sugar or glucose water Child given to drink - Sugar or glucose water What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 618 ? Missing C Sugar or glucose water Child given to drink - Gripe water Child given to drink - Gripe water Child given to drink - Gripe water Child given to drink - Gripe water Child given to drink - Gripe water What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 253 ? Missing D Gripe water Child given to drink - Sugar - salt - water solution Child given to drink - Sugar - salt - water solution Child given to drink - Sugar - salt - water solution Child given to drink - Sugar - salt - water solution Child given to drink - Sugar - salt - water solution What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 42 ? Missing E Sugar-salt-water solution Child given to drink - Fruit juice Child given to drink - Fruit juice Child given to drink - Fruit juice Child given to drink - Fruit juice Child given to drink - Fruit juice What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 22 ? Missing F Fruit juice Child given to drink - Infant formula Child given to drink - Infant formula Child given to drink - Infant formula Child given to drink - Infant formula Child given to drink - Infant formula What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 102 ? Missing G Infant formula Child given to drink - Tea / Infusions Child given to drink - Tea / Infusions Child given to drink - Tea / Infusions Child given to drink - Tea / Infusions Child given to drink - Tea / Infusions What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 357 ? Missing H Tea / Infusions Child given to drink - Honey Child given to drink - Honey Child given to drink - Honey Child given to drink - Honey Child given to drink - Honey What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 87 ? Missing I Honey Child given to drink - Other Child given to drink - Other Child given to drink - Other Child given to drink - Other Child given to drink - Other What was (name) given to drink? Circle the code corresponding to the response. Probe by asking "anything else?" to find out if the child was given anything else to drink.If the respondent answers that the child was given a drink other than those listed here, write the description of the drink in the space provided for 'Other' and circle 'X'. 376 ? Missing X Other Receiving vitamine A Receiving vitamine A Receiving vitamine A Receiving vitamine A Receiving vitamine A In the first two months after the birth of (name), did you receive a vitamin A dose like this? Show 200,000 IU capsule (red) or dispenser. 4761 17292 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 3190 ? Missing A Child not able to drink or breastfeed Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 3565 ? Missing B Child becomes sicker Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 7149 ? Missing C Child develops a fever Symptoms: Child has fast breathing Symptoms: Child has fast breathing Symptoms: Child has fast breathing Symptoms: Child has fast breathing Symptoms: Child has fast breathing Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 3076 ? Missing D Child has fast breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 4093 ? Missing E Child has difficult breathing Symptoms: Child has blood in stools Symptoms: Child has blood in stools Symptoms: Child has blood in stools Symptoms: Child has blood in stools Symptoms: Child has blood in stools Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 2471 ? Missing F Child has blood in stools Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 2394 ? Missing G Child is drinking poorly Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 3279 ? Missing X Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 1399 ? Missing Y Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? This question asks for symptoms that would cause the respondent to take a child to a health facility right away. Probe by saying 'any other symptoms' and keep asking for more signs or symptoms until the mother/caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, but do not prompt with any suggestions. If you are not sure whether a certain sign as reported by the respondent fits in one of the above categories, write it down in full and check with your supervisor later. If the respondent mentions a symptom not listed here, write the description of the symptom in the space provided for 'Other' and circle 'X' 'Y', and 'Z', for additional symptoms not listed). 330 ? Missing Z Other Currently pregnant Currently pregnant Currently pregnant Currently pregnant Currently pregnant I would like to talk with you about another subject— family planning. Are you pregnant now? This question is important because later questions in this module will not need to be asked of pregnant women. A woman who is pregnant does not need to use contraception! Circle the code corresponding to the response given. If she is pregnant, circle '1' and go to the next module. If the woman is unsure or does not know for certain if she is pregnant, circle '8' for 'Unsure or DK'. 21290 763 1 9 1 Yes, currently pregnant 2 No 8 Unsure or DK 9 Missing Sysmiss Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Couples use various ways or methods to delay or avoid a pregnancy. Are you currently doing something or using any method to delay or avoid getting pregnant? Circle the code corresponding to the response given. If the answer is 'No', go to the next module. 18115 3938 1 9 1 Yes 2 No 9 Missing Sysmiss Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization What are you doing to delay or avoid pregnancy? Female Sterilization:Women can have an operation to avoid having any more children. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 89 ? Missing A Female sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization What are you doing to delay or avoid pregnancy? Male Sterilization: Men can have an operation to avoid having any more children. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 38 ? Missing B Male sterilization Current method: IUD Current method: IUD Current method: IUD Current method: IUD Current method: IUD What are you doing to delay or avoid pregnancy? IUD: Women can have a loop or coil placed inside them by a doctor or a nurse. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 204 ? Missing C IUD Current method: Injectables Current method: Injectables Current method: Injectables Current method: Injectables Current method: Injectables What are you doing to delay or avoid pregnancy? Injectables:Women can have an injection by a health provider, that stops her from becoming pregnant for one or more months. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 1505 ? Missing D Injectables Current method: Implants Current method: Implants Current method: Implants Current method: Implants Current method: Implants What are you doing to delay or avoid pregnancy? Implants: Women can have one or more small implants placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 138 ? Missing E Implants Current method: Pill Current method: Pill Current method: Pill Current method: Pill Current method: Pill What are you doing to delay or avoid pregnancy? Pill: Women have to take a pill every day to avoid becoming pregnant. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 1481 ? Missing F Pill Current method: Male condom Current method: Male condom Current method: Male condom Current method: Male condom Current method: Male condom What are you doing to delay or avoid pregnancy? Male Condom: Men can put a rubber condom on their penis before or during the sexual intercourse. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 420 ? Missing G Male condom Current method: Female condom Current method: Female condom Current method: Female condom Current method: Female condom Current method: Female condom What are you doing to delay or avoid pregnancy? Female Condom: Women can place a sheath in their vagina before sexual intercourse. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 76 ? Missing H Female condom Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm What are you doing to delay or avoid pregnancy? Diaphragm: Women can place a soft rubber cup in their vagina to block sperm from entering uterus or tubes. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 20 ? Missing I Diaphragm Current method: Foam / Jelly Current method: Foam / Jelly Current method: Foam / Jelly Current method: Foam / Jelly Current method: Foam / Jelly What are you doing to delay or avoid pregnancy? Foam, Jelly: Women may be using spermicides such as foam, jelly, cream that are used to kill supreme or make sperm unable to move to the egg. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 13 ? Missing J Foam / Jelly Current method: Lactational amenorrhoea method Current method: Lactational amenorrhoea method Current method: Lactational amenorrhoea method Current method: Lactational amenorrhoea method Current method: Lactational amenorrhoea method What are you doing to delay or avoid pregnancy? Lactational Amenorrhoea Method (LAM) Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 202 ? Missing K Lactational amenorrhoea method (LAM) Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm Current method: Periodic abstinence / Rhythm What are you doing to delay or avoid pregnancy? Periodic abstinence / Rhythm: Woman can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 118 ? Missing L Periodic abstinence / Rhythm Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal What are you doing to delay or avoid pregnancy? Withdrawal: Men can be careful and pull out before climax. Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 108 ? Missing M Withdrawal Current method: Other Current method: Other Current method: Other Current method: Other Current method: Other What are you doing to delay or avoid pregnancy? Other Circle the code corresponding to the response given. Do not prompt the woman. If she mentions more than one method, circle the code for each method that is currently being used. If she mentions a method you do not know of, write her description in the space provided in 'Other' and circle 'X'. Since methods are effective for different lengths of time, you may have difficulty determining if a particular respondent is currently using a method. Current users of the pill should be taking pills daily. Methods such as condom use, vaginal methods and withdrawal are used with each act of intercourse, so current users of these methods will have used them during the most recent acts of intercourse. Other methods provide ongoing protection without daily or regular action by the woman. Contraceptive injections may be administered 2 to 6 months earlier and still provide protection. Implants provide protection for up to 5 years or until removed. An IUD protects against pregnancy until it is removed or expelled. If needed, consider the last 1 month as 'current use'. If the woman has been sterilized, you will circle 'A' for 'Female sterilization' as the current method. If the woman's current partner has been sterilized, you will circle 'B' for 'Male sterilization' as the current method. However, if she is no longer married to (or living with) a former partner who had a vasectomy, this should not be noted as the current method. Lactational amenorrhoea method (LAM) should be circled only if the woman explicitly states that she is breastfeeding for contraceptive purposes or that she believes that she is being protected from the risk of pregnancy because she is breastfeeding. 22 ? Missing X Other If she goes out with out telling husband: wife beating justi If she goes out with out telling husband: wife beating justi If she goes out with out telling husband: wife beating justi If she goes out with out telling husband: wife beating justi If she goes out with out telling husband: wife beating justi Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she goes out without telling him? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 21290 763 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss If she neglects the children: wife beating justified If she neglects the children: wife beating justified If she neglects the children: wife beating justified If she neglects the children: wife beating justified If she neglects the children: wife beating justified Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she neglects the chidlren? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 21290 763 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss If she argues with husband: wife beating justified If she argues with husband: wife beating justified If she argues with husband: wife beating justified If she argues with husband: wife beating justified If she argues with husband: wife beating justified Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she argues with him? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 21290 763 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss If she refuses sex with husband: wife beating justified If she refuses sex with husband: wife beating justified If she refuses sex with husband: wife beating justified If she refuses sex with husband: wife beating justified If she refuses sex with husband: wife beating justified Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she refuses to have sex with him? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 21290 763 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss If she burns the food: wife beating justified If she burns the food: wife beating justified If she burns the food: wife beating justified If she burns the food: wife beating justified If she burns the food: wife beating justified Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she burns the food? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 21290 763 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss if she isn't wearing if she isn't wearing if she isn't wearing if she isn't wearing if she isn't wearing Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she isn't wearing clothing he considers appropriate? Read each item aloud. For each situation, circle the code corresponding to the answer given - '1' if 'Yes' (she thinks the husband is justified in hitting or beating his wife in that situation), '2' if 'No', and '8' if the respondent does not know or does not have an opinion. 21290 763 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Currently married or living with a man Currently married or living with a man Currently married or living with a man Currently married or living with a man Currently married or living with a man Are you currently married or living together with a man as if married? The options here are currently married, living with a man, or not in union (the woman is neither married nor living with a man). Circle the code corresponding to the respondent's status at the time of the interview. If the woman is currently neither married or in a union, skip to MA5. 21290 763 1 9 1 Yes, currently married 2 Yes, living with a man 3 No, not in union 9 Missing Sysmiss Age of husband/partner Age of husband/partner Age of husband/partner Age of husband/partner Age of husband/partner How old was your husband/partner? Probe: How old was your husband/partner on his last birthday? If she knows the age of her current partner on his last birthday, enter his age in the space provided. If she does not know his age, circle '98'. 14530 7523 17 99 98 DK 99 Missing Husband/partner has other wives Husband/partner has other wives Husband/partner has other wives Husband/partner has other wives Husband/partner has other wives Besides yourself, does your husband/partner have any other wives or partners or does he live with other women as if married? In this question, we are interested in the wives and/or live-in partners that the respondent's husband/partner has. Circle the code corresponding to the answer given. If 'No', skip to MA7. 14530 7523 1 9 1 Yes 2 No 9 Missing Sysmiss Number of other wives Number of other wives Number of other wives Number of other wives Number of other wives How many other wives or partners does he have? Similar to the previous question, we are interested here in the number of wives and/or live-in partners the respondent's husband has. Enter the number of other wives in the space provided. Use leading zeros if necessary. For all answers, skip to MA7. 1050 21003 1 99 1 2 3 4 6 7 8 9 10 19 21 23 51 60 98 DK 99 Missing Sysmiss Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Have you ever been married or lived together with a man as if married? For women who are not currently married or living with a man, ask whether they have ever been married or lived with a man. Remember that 'married' refers to both formal and informal unions. Circle the code corresponding to the response given. Notice that there are two different response categories for a 'Yes' response: 'Yes, formerly married' and 'Yes, formerly lived with a man'. Be sure to make the distinction between the two categories. If the respondent just answers 'Yes', probe by asking, “Were you formerly married or did you live with a man?” If she was formerly married and also reports living with a man, circle the code for 'Yes, formerly married'. If she was never married and never lived with a man circle '3' for 'No' and go to the next module. Otherwise, continue on to MA6. 6760 15293 1 9 1 Yes, formerly married 2 Yes, formerly lived with a man 3 No 9 Missing Sysmiss Marital status Marital status Marital status Marital status Marital status What is your marital status now: are you widowed, divorced or separated? Circle the code corresponding to the response given. For a woman who is not currently married and not currently living with someone but who was formerly in a union, record her current marital status at the time of the interview. Since she was in a union at one time, but is not on the day you are interviewing her, she will be either widowed, divorced or separated. You should use 'widowed' (a) for women who were married and their husband died, and (b) for women who were in an informal union and their partner died. 'Divorced' should be used for women who were formally married and whose marriage formally ended. 'Separated' should be used (a) for women who were married, but are no longer continuing the marriage with their husband, and (b) for women who were in an informal union and are no longer continuing the union with their partner. 349 21704 1 9 1 Widowed 2 Divorced 3 Separated 9 Missing Sysmiss Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Have you been married or lived with a man only once or more than once? As with MA1, we are interested in formal marriages as well as informal arrangements. If a woman was married or lived with a man and then was widowed, divorced, or separated from her husband or partner and is now either married to or living with someone else, record 'More than once'. If a woman is not currently married or in an informal union but was previously married or living with someone else two or more times, record 'More than once' by circling '2'. If she has married or lived with someone else only once, circle '1.' Note that the question refers to periods of marriage or informal unions, and not to numbers of husbands or partners. If a woman was married to a man and divorced him, and then married the same person again, she should be considered as having married 'More than once'. The same applies to informal unions with the same person. 14879 7174 1 9 1 Only once 2 More than once 9 Missing Sysmiss Month of first union Month of first union Month of first union Month of first union Month of first union In what month and year did you first marry or start living with a man as if married? If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc. If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'. 14879 7174 1 99 1 2 3 4 5 6 7 8 9 10 11 12 97 Inconsistent 98 DK 99 Missing Sysmiss Year of first union Year of first union Year of first union Year of first union Year of first union In what month and year did you first marry or start living with a man as if married? If the respondent knows the date that she first married or started living with a man as if married, write it in the appropriate spaces for 'Month' and 'Year'. You will need to convert the month into numbers, as instructed earlier. For example, January is '01,' February is '02,' March is '03,' etc. If she does not recall the date that she first married or started living with a man as if married, ask whether she has any documentation that might give the date. If she does not know or have documentation of the month, circle '98' for 'DK month' and ask her the year that she first married or started living with a man as if married. Enter the year in the space provided and go to next module. If she does not know and does not have documentation of the year that she first married or started living with a man as if married, circle '9998' for 'DK year'. 14879 7174 1968 9999 9997 Inconsistent 9998 DK 9999 Missing Age at first union Age at first union Age at first union Age at first union Age at first union How old were you when you started living with your first husband/partner? As with other age questions, if she does not know, probe. For instance, ask how old she was when her first child was born and then ask how long before or after giving birth she began living with her first husband or partner. Do not leave this question blank. 2744 19309 5 99 97 Inconsistent 99 Missing Ever heard of AIDS Ever heard of AIDS Ever heard of AIDS Ever heard of AIDS Ever heard of AIDS Now I would like to talk with you about something else. Have you ever heard of an illness called AIDS? This question serves as an introduction and allows us to verify whether a respondent has heard of AIDS. If there is a local term for AIDS, use the local term in addition to 'AIDS'. If a respondent has never heard of the AIDS, skip to next module. 21290 763 1 9 1 Yes 2 No 9 Missing Sysmiss Can avoid AIDS virus by having one uninfected partner Can avoid AIDS virus by having one uninfected partner Can avoid AIDS virus by having one uninfected partner Can avoid AIDS virus by having one uninfected partner Can avoid AIDS virus by having one uninfected partner Can people reduce their chance of getting the HIV/AIDS virus by having just one uninfected sex partner who has no other sex partners? For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way. 5840 16213 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Can get AIDS virus through supernatural means Can get AIDS virus through supernatural means Can get AIDS virus through supernatural means Can get AIDS virus through supernatural means Can get AIDS virus through supernatural means Can people get the AIDS virus because of witchcraft or other supernatural means? For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way. 5840 16213 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Can avoid AIDS virus by using a condom correctly every time Can avoid AIDS virus by using a condom correctly every time Can avoid AIDS virus by using a condom correctly every time Can avoid AIDS virus by using a condom correctly every time Can avoid AIDS virus by using a condom correctly every time Can people reduce their chance of getting the AIDS virus by using a condom every time they have sex? For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way. 5840 16213 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Can get AIDS virus from mosquito bites Can get AIDS virus from mosquito bites Can get AIDS virus from mosquito bites Can get AIDS virus from mosquito bites Can get AIDS virus from mosquito bites Can people get the AIDS virus from mosquito bites? For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way. 5840 16213 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Can get AIDS virus by sharing food with a person who has AID Can get AIDS virus by sharing food with a person who has AID Can get AIDS virus by sharing food with a person who has AID Can get AIDS virus by sharing food with a person who has AID Can get AIDS virus by sharing food with a person who has AID Can people get the AIDS virus by sharing food with a person who has AIDS virus? For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way. 5840 16213 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Healthy-looking person may have AIDS virus Healthy-looking person may have AIDS virus Healthy-looking person may have AIDS virus Healthy-looking person may have AIDS virus Healthy-looking person may have AIDS virus Is it possible for a healthy-looking person to have the AIDS virus? For questions HA2-HA7 circle the code for the response given. If the respondent cannot provide a 'Yes' or 'No' answer, circle '8' for 'DK'. Do not prompt the respondent or indicate the 'correct' answer in any way. 5840 16213 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss AIDS virus from mother to child during pregnancy AIDS virus from mother to child during pregnancy AIDS virus from mother to child during pregnancy AIDS virus from mother to child during pregnancy AIDS virus from mother to child during pregnancy Can the virus that causes AIDS be transmitted from a mother to her baby: During pregnancy? An understanding of more in-depth AIDS-related knowledge is obtained with this question, which aims to determine whether the woman knows that a mother who has AIDS can pass on the disease to her baby. Ask each item one at a time and circle the code for the response given. The items ask whether the respondent thinks that a mother with AIDS can transfer the disease to her baby 'During pregnancy', 'During delivery' or 'By breastfeeding' him/her. Circle '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, circle '8'. The following four questions are meant to ascertain the respondent's personal opinion and accepting attitude towards people with HIV/AIDS. We present a situation to the respondent, asking her to imagine a particular scenario. Then we ask her to tell us how she would react to the situation. Circle the code for the response given. Once again, do not prompt the respondent or indicate the 'correct' answer in any way. If a respondent says she doesn't know, is unsure, or that it depends, circle '8' for 'DK/not sure/depends'. 5840 16213 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss AIDS virus from mother to child during delivery AIDS virus from mother to child during delivery AIDS virus from mother to child during delivery AIDS virus from mother to child during delivery AIDS virus from mother to child during delivery Can the virus that causes AIDS be transmitted from a mother to her baby: During delivery? An understanding of more in-depth AIDS-related knowledge is obtained with this question, which aims to determine whether the woman knows that a mother who has AIDS can pass on the disease to her baby. Ask each item one at a time and circle the code for the response given. The items ask whether the respondent thinks that a mother with AIDS can transfer the disease to her baby 'During pregnancy', 'During delivery' or 'By breastfeeding' him/her. Circle '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, circle '8'. The following four questions are meant to ascertain the respondent's personal opinion and accepting attitude towards people with HIV/AIDS. We present a situation to the respondent, asking her to imagine a particular scenario. Then we ask her to tell us how she would react to the situation. Circle the code for the response given. Once again, do not prompt the respondent or indicate the 'correct' answer in any way. If a respondent says she doesn't know, is unsure, or that it depends, circle '8' for 'DK/not sure/depends'. 5840 16213 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss AIDS virus from mother to child through breastfeeding AIDS virus from mother to child through breastfeeding AIDS virus from mother to child through breastfeeding AIDS virus from mother to child through breastfeeding AIDS virus from mother to child through breastfeeding Can the virus that causes AIDS be transmitted from a mother to her baby: By breasfeeding? An understanding of more in-depth AIDS-related knowledge is obtained with this question, which aims to determine whether the woman knows that a mother who has AIDS can pass on the disease to her baby. Ask each item one at a time and circle the code for the response given. The items ask whether the respondent thinks that a mother with AIDS can transfer the disease to her baby 'During pregnancy', 'During delivery' or 'By breastfeeding' him/her. Circle '1' for 'Yes' and '2' for 'No' for each of the items. If the woman does not know the answer or is unsure, circle '8'. The following four questions are meant to ascertain the respondent's personal opinion and accepting attitude towards people with HIV/AIDS. We present a situation to the respondent, asking her to imagine a particular scenario. Then we ask her to tell us how she would react to the situation. Circle the code for the response given. Once again, do not prompt the respondent or indicate the 'correct' answer in any way. If a respondent says she doesn't know, is unsure, or that it depends, circle '8' for 'DK/not sure/depends'. 5840 16213 1 9 1 Yes 2 No 8 DK 9 Missing Sysmiss Should female teacher with AIDS virus be allowed to teach in Should female teacher with AIDS virus be allowed to teach in Should female teacher with AIDS virus be allowed to teach in Should female teacher with AIDS virus be allowed to teach in Should female teacher with AIDS virus be allowed to teach in In your opinion, if a female teacher has the AIDS virus but is not sick, should she be allowed to continue teaching in school? If a school learns that a female teacher has the AIDS virus, but she is not sick, how should the school handle this information? Should the female teacher be allowed to continue teaching at the school, or should she be removed from her teaching position? We are not asking about whether or not a female teacher has actually been asked to leave a teaching position, but rather, what is the respondent's opinion about how such a case should be handled; should the female teacher be allowed to continue teaching? 5840 16213 1 9 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Would buy fresh vegetables from shopkeeper with AIDS virus Would buy fresh vegetables from shopkeeper with AIDS virus Would buy fresh vegetables from shopkeeper with AIDS virus Would buy fresh vegetables from shopkeeper with AIDS virus Would buy fresh vegetables from shopkeeper with AIDS virus Would you buy fresh vegetables from a shopkeeper or vendor if you knew that this person had the AIDS virus? 5840 16213 1 9 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss If HH member became infected with AIDS virus, would want it If HH member became infected with AIDS virus, would want it If HH member became infected with AIDS virus, would want it If HH member became infected with AIDS virus, would want it If HH member became infected with AIDS virus, would want it If a member of your family got infected with the AIDS virus, would you want it to remain a secret? 5840 16213 1 9 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household If a member of your family became sick with AIDS, would you be willing to care for him or her in your household? 5840 16213 1 9 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Measure'rs ID Measure'rs ID Measure'rs ID Measure'rs ID Measure'rs ID Measurer s name and number: 10589 11464 1 999 result of height and measurement result of height and measurement result of height and measurement result of height and measurement result of height and measurement Result of height and weight measurement 9097 12956 1 9 1 Either or both measured 3 Woman refused 6 Other 7 Inconsistent 9 Missing Sysmiss Woman's weight Woman's weight Woman's weight Woman's weight Woman's weight 8816 13237 30 99.9 95 0 "95+" 99 9 "Missing" Woman's height Woman's height Woman's height Woman's height Woman's height 8816 13237 71.2 999.9 999 9 "Missing" Muac Muac Muac Muac Muac Observe and record 9097 12956 100 999 777 Not checked 999 Missing Measurer's ID Measurer's ID Measurer's ID Measurer's ID Measurer's ID Interviewer name and number: 10589 11464 1 999 Checked blood Checked blood Checked blood Checked blood Checked blood May I take blood from the child? 10589 11464 1 9 1 No/Refused 2 Yes 9 Missing Sysmiss filled in two lines filled in two lines filled in two lines filled in two lines filled in two lines Have you taken sufficient blood? 9199 12854 1 9 1 No 2 Yes 9 Missing Sysmiss Glomobine result Glomobine result Glomobine result Glomobine result Glomobine result Results of the haemoglobin level 9199 12854 1.8 99.9 Area Area Area Area Area Area: Circle the code for area of residence as instructed/provided by your supervisor. This will have been pre-determined; you will not be required to assess whether the household is in an urban or rural area. 22053 1 2 1 Urban 2 Rural Region Region Region Region Region Circle the code for region as instructed/provided by your supervisor. After the HH1-HH7 has been filled out, begin by saying the following to the respondent: We are from (country-specific affiliation). We are working on a project concerned with family health and education. I would like to talk to you about these subjects. The interview will take about (number) minutes. All the information we obtain will remain strictly confidential and your answers will never be shared with anyone other than our project team. May I start now? You may change the wording of these introductory sentences as appropriate. However, you must make sure to include the following when you are introducing yourself: the name of the implementing agency; the topic of the survey; approximate duration of the interview; the issue of confidentiality; and with whom you would like to speak. If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and leave the household to go the next household. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the household for a second time. This will depend on your description of the refusal. However, remember that a household's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate. 22053 1 8 1 Region C 2 Region CH 3 Region E 4 Region N 5 Region NE 6 Region S 7 Region SE 8 Region W Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) 22053 1330 1339 1330 1331 1332 1333 1334 1335 1336 1337 1338 1339 Date of birth of woman (CMC) Date of birth of woman (CMC) Date of birth of woman (CMC) Date of birth of woman (CMC) Date of birth of woman (CMC) 21290 763 733 1158 Age Age Age Age Age 21290 763 1 7 1 15-19 2 20-24 3 25-29 4 30-34 5 35-39 6 40-44 7 45-49 Sysmiss Date of marriage (CMC) Date of marriage (CMC) Date of marriage (CMC) Date of marriage (CMC) Date of marriage (CMC) 14871 7182 824 1342 Age at first marriage/union Age at first marriage/union Age at first marriage/union Age at first marriage/union Age at first marriage/union 14871 7182 -1 99 Date of birth of first child (CMC) Date of birth of first child (CMC) Date of birth of first child (CMC) Date of birth of first child (CMC) Date of birth of first child (CMC) 13468 8585 891 1336 Date of birth of last child (CMC) Date of birth of last child (CMC) Date of birth of last child (CMC) Date of birth of last child (CMC) Date of birth of last child (CMC) 11904 10149 956 1337 Marital/Union status Marital/Union status Marital/Union status Marital/Union status Marital/Union status 21290 763 1 9 1 Currently married/in union 2 Formerly married/in union 3 Never married/in union 9 Missing/DK Sysmiss Children ever born Children ever born Children ever born Children ever born Children ever born 21290 763 19 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Sysmiss Children surviving Children surviving Children surviving Children surviving Children surviving 21290 763 18 1 2 3 4 5 6 7 8 9 10 11 12 13 14 17 18 Sysmiss Children dead Children dead Children dead Children dead Children dead 21290 763 12 1 2 3 4 5 6 7 8 9 10 11 12 Sysmiss Education Education Education Education Education 21290 763 1 9 1 None 2 Primary 3 Secondary + 9 Missing/DK Sysmiss Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head Ethnicity of household head 21317 736 1 9 1 Pashto 2 Dari 3 Uzbek/Turkmen 9 Missing/DK Sysmiss Relative women weight Relative women weight Relative women weight Relative women weight Relative women weight 22053 5.18 Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 22053 -1.795 3.47 Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles 22053 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Province Province Province Province Province 22053 01 KABUL 02 KAPISA 03 PARWAN 04 WARDAK 05 LOGAR 06 NANGARHAR 07 LAGHMAN 08 PANJSHER 09 BAGHLAN 10 BAMYAN 11 GHAZNI 12 PAKTIKA 13 PAKTYA 14 KHOST 15 KUNARHA 16 NOORISTAN 17 BADAKHSHAN 18 TAKHAR 19 KUNDUZ 20 SAMANGAN 21 BALKH 22 SAR-E-PUL 23 GHOR 24 DAYKUNDI 25 UROZGAN 26 ZABUL 27 KANDAHAR 28 JAWZJAN 29 FARYAB 30 HELMAND 31 BADGHIS 32 HERAT 33 FARAH 34 NIMROZ