DDI_CUB_2006_MICS_v01_M
Ana Margarita Clua Calderin
Lester Gutiérrez Campo
Emma Holmberg
2008-02-06
NADA
Version 01 (September 2011) - Slightly edited version of UNICEF's DDI ref. DDI-CUB-UNICEF-MICS2006/v1
Encuestas de Indicadores Múltiples por Conglomerados 2006
MICS 2006
Multiple Indicator Cluster Survey
CUB_2006_MICS_v01_M
Dirección Nacional de Estadística
Población Cubana
Fondo de Naciones Unidas para la Infancia
NADA
Ministerio de Salud Pública Cuba
Fondo de Naciones Unidas para la Infancia
Estadísticas de Salud
General Inquiries
MICS Programme Manager
Multiple Indicator Cluster Survey - Round 3 [hh/mics-3]
Encuesta de Indicadores Múltiples por Conglomerados, Ronda 3 (MICS3) es la tercera ronda de las encuestas MICS. Las rondas anteriores fueron llevadas a cabo sobre el año 1995 (MICS1) y 2000 (MICS2). La mayoria de los indicadores son concistentes y comparables con la ronda previa de la MICS (MICS2) aunque menos con la MICS1, no obstante ha habido cambios en las definiciones de los indicadores entre rondas. Los detalles pueden ser revisados en la Definición de los indicadores.
Version 1.0: Datos utilizados para el informe final
Miembros del Hogar
Agua y Saneamiento
Anticoncepción y necesidades insatisfechas
VIH/SIDA
Lactancia materna
Immunization
Suplementación con Hierro
La Encuesta de Indicadores Múltiples por Conglomerados 2006 de Cuba (Multiple Indicator Cluster Survey: MICS) es una encuesta nacional representativa de hogares, mujeres, niños y niñas basada en un programa desarrollado por el UNICEF.
Objetivos de la Encuesta
- Proporcionar información actualizada para evaluar la situación de los niños, las niñas y las mujeres en Cuba en áreas no cubiertas por el Sistema de Información Estadístico Nacional.
- Complementar los datos requeridos para monitorear el progreso hacia las metas definidas en los objetivos de Desarrollo del Milenio y de Un Mundo Apropiado para los Niños y las Niñas como base para la acción futura.
- Contribuir al mejoramiento de los sistemas de datos y monitoreo en Cuba y fortalecer la pericia técnica en el diseño, implementación y análisis de dichos sistemas.
Contenido de la Encuesta
Se usaron tres tipos de cuestionarios:
Cuestionario para los hogares que recogía información sobre Agua y saneamiento y el listado de los miembros del hogar con su nivel educación
Cuestionario individual para mujeres de 15 a 49 años con temas sobre anticoncepción y necesidades insatisfechas de planificación familiar y conocimientos y actitudes sobre el VIH/SIDA Cuestionario para niños menores de dos años para explorar mediante entrevistas a las madres o responsable sobre lactancia materna e inmunización
Implementación de la Encuesta
La encuesta fue implementada por la Dirección Nacional de Estadísticas y Registros Médicos del Ministerio de Salud Pública de Cuba, con la colaboración del UNICEF. Mediante una serie de Talleres regionales donde se proporcionó asistencia técnica y entrenamiento sobre el contenido de los cuestionarios, muestreo, procesamiento de datos, control de calidad y análisis de datos, confección del informe y su diseminación.
Resultados
Entre los resultados que contribuirán a evaluar y orientar el trabajo de la sociedad cubana para mejorar la salud de sus infantes y mujeres, aparece la situación de la lactancia materna, el nivel de inmunización contra un grupo de enfermedades prevenibles por vacuna, el uso de métodos anticonceptivos, así como los conocimientos y aptitudes de las mujeres sobre VIH/SIDA. Estarán disponibles en el sitio www.sld.cu/sitios/dne/temas.php?idv=17897
La publicación estará disponible también en la Red de Bibliotecas del Sistema Nacional de Información en Salud de Cuba.
Cuba
La muestra para la Encuesta de Indicadores Múltiples por Conglomerados (MICS) de Cuba se diseñó para proporcionar estimados de algunos de los indicadores sobre la situación de niños y mujeres a nivel nacional, para áreas urbanas y rurales y para cuatro regiones: Occidente, Ciudad de La Habana, Centro y Oriente.
Hogares (definido como un grupo de personas que usualmente viven y comen juntas)
Mujeres de 15 a 49 años
Niños menores de 2 años
La encuesta abarca la población residentes habituales de los hogares, todas las mujeres de 15 a 49 años que residen en el hogar y todos los niños menores de 2 años tambien residentes en el hogar.
Sample survey data [ssd]
Se usaron tres cuestionarios en la encuesta. Además de un cuestionario para los hogares, el cual se usó para recoger información sobre todos los miembros del hogar y la vivienda, se aplicaron cuestionarios en cada hogar a las mujeres entre los 15 y 49 años de edad, se identificaron madres o cuidadoras de niños menores de 2 años en cada hogar y se entrevistó a esas personas sobre los niños menores de 2 años. Los cuestionarios incluyeron los módulos siguientes:
Cuestionario para los hogares:
Listado de los miembros del hogar
Nivel educación
Agua y saneamiento
Cuestionario individual para mujeres de 15 a 49 años:
Anticoncepción y necesidades insatisfechas
VIH/SIDA
Cuestionario para niños menores de 2 años:
Lactancia materna
Inmunización
Los cuestionarios se basan en el modelo de la MICS 3.
Dirección Nacional de Estadísticas
La muestra para la Encuesta de Indicadores Múltiples por Conglomerados (MICS) de Cuba se diseñó para proporcionar estimados de algunos de los indicadores sobre la situación de niños y mujeres a nivel nacional, para áreas urbanas y rurales y para cuatro regiones: Occidente, Ciudad de La Habana, Centro y Oriente. Las 14 provincias y el municipio especial Isla de la Juventud se identificaron como los dominios principales de muestreo y la selección se realizó en dos etapas. Dentro de cada provincia y como primera etapa de muestreo, se seleccionaron consultorios del Médico de la Familia con una probabilidad proporcional a su tamaño en cuanto a población atendida. La asignación del número de consultorios a seleccionar en cada provincia fue proporcional a la población residente. En total se seleccionaron 501 consultorios.
Se logró una estratificación implícita de las unidades de primera etapa (consultorios) al utilizar los listados de población por consultorios, para una selección sistemática, previamente ordenados por partes urbana, rural, municipal y área de salud.
La segunda etapa de selección se hizo a partir de las historias clínicas familiares. Se crearon dos estratos al interior de cada consultorio seleccionado, dividiéndolos en dos grupos: Estrato «SIN» -hogares que no tienen ningún menor de dos años entre sus miembros- y estrato «CON» -los hogares que tuvieran al menos un miembro menor de dos años-. Se seleccionaron 10 viviendas por consultorio del estrato «SIN» de manera sistemática con arranque aleatorio y un número variable de hogares (5 cada 8) del estrato «CON», también de forma sistemática, para garantizar suficiente cantidad de niños en las edades de interés. El hecho de que la natalidad en Cuba sea muy baja (10.7 x 1000 hab.) justificó que se usara un diseño muestral algo más complejo que los estándares recomendados por la metodología MICS. Las propias entrevistadoras, luego de ser adiestradas al efecto, fueron las encargadas de realizar la selección de los hogares.
Para el cálculo del tamaño de muestra se tuvo en cuenta mayormente las características de la estructura etaria de la población cubana, caracterizada por su baja natalidad, así como las experiencias adquiridas en la realización de la MICS 2 en el año 2000.
Al concluir el trabajo de campo, se había visitado los 501 consultorios seleccionados. Resulta de interés mencionar que en 63 consultorios (estrato «SIN») se encontraron 76 niños menores de 2 años en los hogares visitados y que, en cuatro consultorios, no se encontraron hogares con niños menores de dos años entre sus integrantes, es decir, que eran unidades vacías con respecto al estrato «CON».
Una descripción más completa puede ser consultada en el apéndice A. DISEÑO MUESTRAL del informe final.
(Información extraído del informe final: Dirección Nacional de Estadísticas, MINSAP, Cuba, 2007: Cuba Encuesta de Indicadores Múltiples por Conglomerados 2006)
No hubo desviaciones del diseño muestral original. Se pudieron visitar todos los consultorios (conglomerados) y se obtuvieron buenas tasas de respuesta.
Face-to-face [f2f]
Se usaron tres cuestionarios en la encuesta. Además de un cuestionario para los hogares, el cual se usó para recoger información sobre todos los miembros del hogar y la vivienda, se aplicaron cuestionarios en cada hogar a las mujeres entre los 15 y 49 años de edad, se identificaron madres o cuidadoras de niños menores de 2 años en cada hogar y se entrevistó a esas personas sobre los niños menores de 2 años. Los cuestionarios incluyeron los módulos siguientes:
Cuestionario para los hogares:
Listado de los miembros del hogar
Nivel educación
Agua y saneamiento
Cuestionario individual para mujeres de 15 a 49 años:
Anticoncepción y necesidades insatisfechas
VIH/SIDA
Cuestionario para niños menores de 2 años:
Lactancia materna
Inmunización
Los cuestionarios se basan en el modelo de la MICS 3. A partir de su versión en inglés, se tradujeron al español y se realizó un ensayo previo en noviembre del 2005. Sobre la base de los resultados previos del ensayo, se hicieron modificaciones a la redacción y la traducción de estos.
El ensayo previo de la encuesta se realizó en noviembre del 2005 e incluyó a un grupo de 4 entrevistadoras.
Se creó un equipo provincial de entrevistadoras compuesto por dos entrevistadoras por cada uno de los 157 municipios con muestra En cada equipo provincial se disponia de una supervisora, un editor y un coordinador provincial. Todas las entrevistadoras fueron mujeres para facilitar las entrevistas sobre temas sencibles. El procesamiento de los datos comenzó simultáneamente con la recolección de estos en marzo de 2006 y se terminó en agosto del propio año.
Tres miembros de la Dirección Nacional de Estadísticas coordinaron todo el trabajo y la supervisión.
Fue entrenada una supervisora por cada equipo provincial
La supervisora era el enlace primario entre el Coordinador de la Encuesta Provincial y las entrevistadoras. Como tal tienía la responsabilidad de asegurar tanto el progreso como la calidad del trabajo de campo
Entre sus responsabilidades estaba recibir las Guías de visita correspondiente a su provincia, los cuestionarios necesarios, preparar el trabajo de campo, chequear la selección de los hogares, hacer una revisión minuciosa de los cuestionarios aplicados y ser el enlace con el coordinador y el editor provincial.
La Encuesta de Indicadores Múltiples cubana no es autoponderada. Aunque la afijación por provincias fue proporcional a la población residente se usaron diferentes fracciones de muestreo en los estratos conformados en el interior de los consultorios seleccionados. Es por esto que se computaron las ponderaciones necesarias para el cálculo de los indicadores de la encuesta.
El componente principal de la ponderación es el recíproco de la fracción de muestreo empleada para seleccionar los hogares en cada estrato:
Wh = 1 / fh
El término fh, la fracción de muestreo en el estrato h, es el producto de la probabilidad de selección en cada etapa en el estrato:
fh = P1h * P2h
donde Pih es la probabilidad de selección de la unidad de muestreo en la i-ésima etapa para el estrato h.
Debido a que el número estimado de hogares por consultorios previo a su selección (primera etapa de selección) es diferente al número de hogares actualizado para cada subestrato dentro del consultorio5, se calcularon fracciones de muestreo individuales para cada consultorio/subestrato. La fracción de muestreo para cada hogar en cada consultorio incluye la probabilidad de selección del consultorio dentro de la provincia y la probabilidad de selección del hogar dentro del consultorio.
Una segunda componente que se ha tenido en cuenta en el cálculo de las ponderaciones es el nivel de no respuesta para hogares y entrevistas individuales. El ajuste para la no respuesta de hogares es igual al inverso de:
RR = Número de hogares entrevistados / Número de hogares ocupados listados
Después de terminado el trabajo de campo se calcularon las tasas de respuestas para cada provincia. Estas tasas se usaron para ajustar las ponderaciones para cada consultorio/subestrato.
De manera similar, el ajuste por no respuesta en las entrevistas individuales (mujeres y niños menores de 2 años) es igual al inverso de:
RR = cuestionarios completos a mujeres (de niños menores de 2 años) /Mujeres elegibles (o niños menores de 2 años)
El número de mujeres elegibles y de menores de dos años se obtuvo del listado del hogar en el cuestionario del hogar, en aquellos con entrevistas completas.
Es así que las ponderaciones originalmente calculadas se ajustaron multiplicando por este factor para cada consultorio/subestrato. Estas ponderaciones fueron estandarizadas (o normalizadas). Uno de los propósitos de este procedimiento es hacer que la suma de las unidades muestrales entrevistadas sea igual al tamaño de muestra total al nivel nacional. La normalización se realiza multiplicando las ponderaciones anteriormente mencionadas por el cociente entre el total de hogares con entrevistas completas y el total de hogares calculado con las ponderaciones no ajustadas. Un procedimiento de estandarización similar se hizo para obtener las ponderaciones para los cuestionarios de mujeres y para el de los niños menores de dos años.
Las ponderaciones ajustadas (normalizadas) varían entre 0,3 y 4,5 con un valor medio de 1,6 en los hogares sin menores de dos años de los 501 consultorios (conglomerados) y 0,03 y 0,55, con un valor medio de 0,15 en los hogares con menores de dos años.
Se agregaron las ponderaciones a todos los conjuntos de datos y los análisis se realizaron ponderando cada hogar, mujer o niño menor de dos años.
(Información extraído del informe final: Dirección Nacional de Estadísticas, MINSAP, Cuba, 2007: Cuba Encuesta de Indicadores Múltiples por Conglomerados 2006)
Los datos se introdujeron en 30 microcomputadoras (2 en cada provincia y en el municipio especial) utilizando el programa (software) CSPro. Para garantizar el control de la calidad, todos los cuestionarios se introdujeron dos veces y se realizaron verificaciones de la consistencia interna. Se emplearon en todo el proceso los procedimientos y programas estándares desarrollados bajo el proyecto global de la MICS 3 y adaptados al cuestionario de Cuba. El procesamiento de los datos comenzó simultáneamente con la recolección de estos en marzo de 2006 y se terminó en agosto del propio año. Para el análisis se utilizó el programa (software) SPSS, y la sintaxis modelo y los planes de tabulación desarrollados con este propósito.
De los 8 466 hogares seleccionados, 8 425 estaban ocupados. De estos se realizaron entrevistas en 8 343, para una tasa de respuesta en hogares del 99,0%. En el total de hogares entrevistados fueron identificadas 8 681 mujeres elegibles (de 15 a 49 años). De estas, fueron entrevistadas 8 448, para una tasa de respuesta del 97,3 %. En el total de hogares entrevistados, fueron identificados 3 516 niños elegibles (menores de 2 años). De ellos, se recibió información de 3 486, para una tasa de respuesta del 99,1%.
La muestra de respondientes seleccionados en la Encuesta de Indicadores Múltiples por Conglomerados de Cuba es sólo una de las posibles muestras que pudiera haberse seleccionado de la misma población, usando el mismo diseño y tamaño de muestra. Cada una de estas muestras posibles hubiera arrojado resultados que difieren de los obtenidos con la muestra efectivamente seleccionada. Los errores muestrales son una medida de la variabilidad entre todas las muestras posibles. La magnitud de la variabilidad no se conoce de manera exacta, pero puede ser estimada estadísticamente a partir de los resultados de la encuesta.
Las siguientes mediciones de error muestral se presentan en este apéndice para cada uno de los indicadores seleccionados:
– Error estandar (se): Los errores muestrales se miden usualmente en términos del error estandar para un indicador en particular (promedios, proporciones, etc.). El error estandar es la raíz cuadrada de la varianza. Para la estimación de los errores estandares se usó el método de linearización de Taylor.
– Coeficiente de variación (se/r): Es el cociente entre el error estandar y el valor del indicador.
– Efecto del diseño (deff): Es la razón de la varianza de un indicador calculada según el diseño muestral usado en la encuesta y la varianza calculada suponiendo que la muestra se seleccionó de manera simple aleatoria. La raíz cuadrada del efecto del diseño (deft) se usa para mostrar la eficiencia del diseño muestral. Un valor de deft de 1,0 indica que el diseño muestral es tan eficiente como un simple aleatorio, mientras que un valor del deft por encima de 1,0 indica un incremento del error estandar debido al uso de un diseño muestral más complejo.
– Los límites de confianza se calculan para mostrar el intervalo dentro del cual se puede asumir razonablemente que está el verdadero valor poblacional del indicador.
Para un indicador dado, estimado a partir de la encuesta, el valor de dicho indicador caerá en un rango de más o menos dos veces el error estándar (p + 2.se o p – 2.se) del indicador en 95 % de todas las muestras posibles de igual tamaño y diseño.
Para el cálculo de los errores muestrales de los datos de la MICS, se usó el módulo de Muestras Complejas de la versión 14 del SPSS. Los resultados se muestran en las tablas incluidas en el informe final incluido como Material de Referencia Externo. Adicionalmente a las mediciones del error muestral descritas anteriormente, las tablas también incluyen el recuento ponderado y no ponderado de los denominadores para cada indicador.
Se calcularon los errores muestrales para los indicadores más importantes, del total nacional y para cada región y áreas urbana y rural. Dos de los indicadores seleccionados están basados en los miembros del hogar, 5 en las mujeres y 10 se basan en los niños menores de 2 años. Todos los indicadores se presentan en forma de proporciones. La Tabla SE.1 muestra la lista de los indicadores para los que se calcularon los errores muestrales, incluyendo la población base (denominador) para cada indicador. Las Tablas SE.2 a SE.8 muestran los errores muestrales calculados.
(Información extraído del informe final: Dirección Nacional de Estadísticas, MINSAP, Cuba, 2007: Cuba Encuesta de Indicadores Múltiples por Conglomerados 2006)
Una serie de tablas de calidad de los datos y gráficos están disponibles para valorar la calidad de los datos e incluyen los siguientes temas:
Distribución por edades simples de la población de los hogares por sexo.
Población de mujeres de 10-54 años de los hogares, Mujeres de 15-49 años entrevistadas, y porcentaje de mujeres elegibles que fueron entrevistadas, por grupos quinquenales de edad.
Población de niños de 0-1 años, niños cuyas madres/responsables fueron entrevistadas, y porcentaje de menores de dos años cuyas madres/responsables fueron entrevistadas.
Distribución por edad de niños menores de dos años por grupos de 3 meses.
Proporción entre la edad y el período en las fronteras de elegibilidad por tipo de información recolectada.
Pirámide poblacional según la encuesta y según las estadísticas del sistema demográfico nacional.
Los usuarios de los datos deben comprometerse a mantener la confidencialidad de todos los datos contenidos en los ficheros y no deberán contactar o identificar a ninguno de los individuos cuyos datos se incluyeron en el estudio.
Dirección Nacional de Estadísticas
Dirección Nacional de Estadísticas, MINSAP, Cuba. Encuesta de Indicadores Múltiples por Conglomerados; 4 ficheros: Hogares, miembros de hogares, mujeres y niños, 2006 [fichero de computadora]. Havana, Cuba: Dirección Nacional de Estadísticas, MINSAP, Cuba [productor], 2006. Havana, Cuba: Dirección Nacional de Estadísticas, MINSAP, Cuba y Nueva York: Strategic Information Section, Division of Policy and Planning, UNICEF [distribuidor], 2006.
Acceso a los micro datos es gratuito para investigaciones legítimas. Los usuarios deben proporcionar una descripción de los objetivos de la investigación para acceder las bases de datos. Copias de informes y publicaciones basados en los datos deben ser enviados a Dirección Nacional de Estadísticas de Cuba (direccion@mspdne.sld.cu) y a UNICEF(havana@unicef.org).
El formulario para solicitar acceso a las bases de datos esta disponible en la siguiente página Web: www.childinfo.org
La Dirección Nacional de Estadísticas y UNICEF proporcionan estos datos para usuarios externos sin que esto implique ninguna garantía o responsabilidad. La Dirección Nacional de Estadísticas y UNICEF no se hacen responsables por los resultados y/o implicaciones de ninguna acción resultante del uso de estos datos.
hh
Datos recogidos en el hogar: modulos Panel de Informacion del Hogar, Agua y Saneamiento
0
44
hl
Listado de miembros del hogar. Incluye nivel educacional
0
52
wm
Datos de las mujeres de 15 a 49 años. Incluye los módulos de anticoncepción y necesidades insatisfechas y VIH/SIDA
0
104
ch
Datos sobre los niños menores de dos años. Incluye los módulos de lactancia materna e inmunización
0
264
Numero del Cluster
Numero del Cluster
Numero del Cluster
Numero del Cluster
Numero del Cluster
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 this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. During this time I would like to speak with the household head and all mothers or others who take care of children in the household. May I start now? If permission is given, begin the interview. Cluster number:
Enter the cluster number as instructed by your supervisor.
Households
Unique identifier for the cluster in which the household exists
Numero del Hogar
Numero del Hogar
Numero del Hogar
Numero del Hogar
Numero del Hogar
Household number:
Enter the household number as instructed by your supervisor.
Households
Houshold number within the cluster
Numero del entrevistador
Numero del entrevistador
Numero del entrevistador
Numero del entrevistador
Numero del entrevistador
Interviewer name and number:
Enter your own name and identification number provided to you at the time of training.
Households
Numero de supervisor
Numero de supervisor
Numero de supervisor
Numero de supervisor
Numero de supervisor
Supervisor name and number:
Enter your supervisor's name and identification number. You will be provided with your supervisor's identification number as soon as you know who you will be working with.
Households
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
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.
Households
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
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.
Households
Año de la entrevista
Año de la entrevista
Año de la entrevista
Año de la entrevista
Año de la entrevista
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.
Households
Area
Area
Area
Area
Area
Area:
Circle the code for area of residence as instructed 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.
Households
1
Urbana
2
Rural
Region
Region
Region
Region
Region
Region:
Circle the code for region.
Households
1
Occidente
2
C.Habana
3
Centro
4
Oriente
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
After all questionnaires for the household have been completed, fill in the following information: Result of HH interview:
If the Household Questionnaire is completed, circle '1' for 'Completed'. If you have not been able to contact the household after repeated visits, circle '2' for 'Not at home'. If the household refuses to be interviewed, circle '3' for 'Refused'. If you are unable to locate the household or if the dwelling is destroyed, circle '4' for 'HH not found/destroyed'. If you have not been able to complete the Household Questionnaire for another reason, you should circle '6' for 'Other' 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; adult household members were not found at home after repeated visits.
Households
1
Completo
2
Ausente
3
Rechazada
4
Hogar no encontrado/destruido
6
Otro
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondent to HH questionnaire:
Enter the name and line number (from the Household Listing, columns HL1 and HL2) of the respondent to the Household Questionnaire.
Households
99
Missing
Numero de miembros del hogar
Numero de miembros del hogar
Numero de miembros del hogar
Numero de miembros del hogar
Numero de miembros del hogar
Total number of household members:
Count the number of household members recorded in column HL1 of the Household Listing and enter the total here.
Households
Total de Mujeres elegibles
Total de Mujeres elegibles
Total de Mujeres elegibles
Total de Mujeres elegibles
Total de Mujeres elegibles
No.of women eligible for interview:
Enter the total number of women eligible for interview for the Questionnaire for Individual Women - you will copy this from the row for totals at the bottom of the Household Listing, for HL6.
Households
Entrevistas de mujeres completas
Entrevistas de mujeres completas
Entrevistas de mujeres completas
Entrevistas de mujeres completas
Entrevistas de mujeres completas
No.of women questionnaires completed:
Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here.
Households
Total de niños menores de dos años
Total de niños menores de dos años
Total de niños menores de dos años
Total de niños menores de dos años
Total de niños menores de dos años
No.of children under age 5:
Enter the total number of children under five eligible for inclusion in the survey from the row for totals at the bottom of the Household Listing, for HL8. You will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children.
Households
Encuestas de niños completas
Encuestas de niños completas
Encuestas de niños completas
Encuestas de niños completas
Encuestas de niños completas
No.of under-5 questionnaires completed:
Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here.
Households
Digitador
Digitador
Digitador
Digitador
Digitador
Data entry clerk:
Leave this space blank. The data clerk will enter his/her number in the space provided.
Households
Numero total de mujeres entre 15-49
Numero total de mujeres entre 15-49
Numero total de mujeres entre 15-49
Numero total de mujeres entre 15-49
Numero total de mujeres entre 15-49
Are there any other persons living here - even if they are not members of your family or do not have parents living in this household? Including children at work or at school? If yes, insert child's name and complete form. Then, complete the totals below.
Hogares
Numero total de niños menores de 2 años
Numero total de niños menores de 2 años
Numero total de niños menores de 2 años
Numero total de niños menores de 2 años
Numero total de niños menores de 2 años
Hogares
Fuente principal de agua para beber
Fuente principal de agua para beber
Fuente principal de agua para beber
Fuente principal de agua para beber
Fuente principal de agua para beber
What is the main source of drinking water for members of your household?
The purpose of the first two questions of this module is to assess the type of household water used for drinking as well as for other purposes, such as cooking and washing hands. Definitions of the various sources of water are as follows (codes refer to those used in WS1 and WS2): '11' - Piped into dwelling, also called a house connection, is defined as water service connected by pipe with in-house plumbing to one or more taps, for example, in the kitchen and/or bathroom. '12' - Piped water to yard/plot, also called a yard connection, is defined as a piped water connection to a tap placed in the yard or plot outside the house. '13' - A public tap or standpipe is a water point from which the public may collect their water. A standpipe may also be known as a public fountain or public tap. Public standpipes can have one or more taps and are typically made of brickwork, masonry or concrete. '21' - A tube-well or borehole is a deep hole that has been driven, bored or drilled with the purpose of reaching groundwater supplies. Boreholes/tube-wells are constructed with casing, or pipes, which prevent the small-diameter hole from caving in and provide protection from infiltration of run-off water. Water is delivered from a tube-well or borehole through a pump that may be powered by humans, animals, wind, electricity, diesel fuel or solar energy. '31' - A protected dug well is a dug well that is protected from run-off water through a well lining or casing that is raised above ground level and a platform that diverts spilled water away from the well. Additionally, a protected dug well is covered so that bird droppings and animals cannot fall down the hole. '32' - An unprotected dug well is a dug well for which one or both of the following are true: (1) the well is not protected from run-off water; (2) the well is not protected from bird droppings and animals. If at least one of these conditions is true, the well is unprotected. '41' - A protected spring is a spring that is free from run-off and from bird droppings and animals. A spring is typically protected by a 'spring box' that is constructed of brick, masonry or concrete and is built around the spring so that water flows directly out of the box into a pipe without being exposed to outside pollution. '42' - An unprotected spring is a spring that is subject to run-off or bird droppings or animals. Unprotected springs typically do not have a 'spring box' (described above). '51' - Rainwater collection refers to rain that is collected or harvested from surfaces by roof or ground catchment and stored in a container, tank or cistern until used. '61' - A tanker-truck water source transports and sells water by means of a tanker truck. '71' - Cart with small tank/drum is used by a water provider who transports water into a community and then sells the water. Types of transports may include donkey cart, motorized vehicle or other means. '81' - Surface water is water located above ground and includes rivers, dams, lakes, ponds, streams, canals and irrigation channels from which water is taken directly. '91' - Bottled water is purchased water sold in bottles. Note that the code refers only to bottled water that is commercially available. Sometimes household members may store water from other sources in bottles - this should not be coded as bottled water. --- Circle the code for the most usual source. If several sources are mentioned, probe to determine the most usual source. If the source varies by season, record the source for the season of the interview. Note that the next question is only asked if the response to this question is 'Bottled water'. You should skip WS2 if the response to WS1 is other than 'Bottled water'. If the response is 'Piped into dwelling' or 'Piped into yard/plot', circle '11' or '12', respectively, and skip to WS5. Otherwise, skip to WS3.
Households
11
Tubería al hogar
12
Tubería en el patio/parcela
13
Llave pública
21
Manantial/Noria
31
Pozo protegido
32
Pozo sin proteger
41
Arroyo protegido
42
Arroyo sin proteger
51
Colección de aguas lluvia
61
Camión
71
Carro con sifón
81
Agua de superficie
91
Agua embasada
96
Otro
99
Missing
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
What is the main source of water used by your household for other purposes such as cooking and handwashing?
The purpose of the first two questions of this module is to assess the type of household water used for drinking as well as for other purposes, such as cooking and washing hands. Definitions of the various sources of water are as follows (codes refer to those used in WS1 and WS2): '11' - Piped into dwelling, also called a house connection, is defined as water service connected by pipe with in-house plumbing to one or more taps, for example, in the kitchen and/or bathroom. '12' - Piped water to yard/plot, also called a yard connection, is defined as a piped water connection to a tap placed in the yard or plot outside the house. '13' - A public tap or standpipe is a water point from which the public may collect their water. A standpipe may also be known as a public fountain or public tap. Public standpipes can have one or more taps and are typically made of brickwork, masonry or concrete. '21' - A tube-well or borehole is a deep hole that has been driven, bored or drilled with the purpose of reaching groundwater supplies. Boreholes/tube-wells are constructed with casing, or pipes, which prevent the small-diameter hole from caving in and provide protection from infiltration of run-off water. Water is delivered from a tube-well or borehole through a pump that may be powered by humans, animals, wind, electricity, diesel fuel or solar energy. '31' - A protected dug well is a dug well that is protected from run-off water through a well lining or casing that is raised above ground level and a platform that diverts spilled water away from the well. Additionally, a protected dug well is covered so that bird droppings and animals cannot fall down the hole. '32' - An unprotected dug well is a dug well for which one or both of the following are true: (1) the well is not protected from run-off water; (2) the well is not protected from bird droppings and animals. If at least one of these conditions is true, the well is unprotected. '41' - A protected spring is a spring that is free from run-off and from bird droppings and animals. A spring is typically protected by a 'spring box' that is constructed of brick, masonry or concrete and is built around the spring so that water flows directly out of the box into a pipe without being exposed to outside pollution. '42' - An unprotected spring is a spring that is subject to run-off or bird droppings or animals. Unprotected springs typically do not have a 'spring box' (described above). '51' - Rainwater collection refers to rain that is collected or harvested from surfaces by roof or ground catchment and stored in a container, tank or cistern until used. '61' - A tanker-truck water source transports and sells water by means of a tanker truck. '71' - Cart with small tank/drum is used by a water provider who transports water into a community and then sells the water. Types of transports may include donkey cart, motorized vehicle or other means. '81' - Surface water is water located above ground and includes rivers, dams, lakes, ponds, streams, canals and irrigation channels from which water is taken directly. '91' - Bottled water is purchased water sold in bottles. Note that the code refers only to bottled water that is commercially available. Sometimes household members may store water from other sources in bottles - this should not be coded as bottled water. --- 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' or 'Piped into yard/plot', circle '11' or '12', respectively, and skip to WS5. Otherwise continue to the next question.
Households
11
Cañería al hogar
12
Cañería al sitio/lote
13
Llave pública
21
Manantial/Noria
31
Pozo protegido
32
Pozo sin proteger
41
Arroyo protegido
42
Arroyo sin proteger
51
Colección de aguas lluvia
61
Camión
71
Carro con sifón
81
Agua de superficie
96
Otro
99
Missing
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
How long does it take to go there, get water, and come back?
This question is used to find out how convenient the source of water is to the dwelling. Note that the question is asked for water sources coded as '13-81' and '96' in WS1, or water sources coded as '13-96' in WS2. 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 water source is on the dwelling premises or if water is delivered to the dwelling by a vendor, circle '995' for 'Water on premises' and skip to WS5. If the respondent does not know how long it takes, circle '998' and continue on to the next question.
Households
995
En el lugar
998
NS
999
Missing
Persona que busca el agua
Persona que busca el agua
Persona que busca el agua
Persona que busca el agua
Persona que busca el agua
Who usually goes to this source to fetch the water for your household? Probe: Is this person under age 15? What sex?
Circle code that best describes this person.
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 IS THIS PERSON?" 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.
Households
1
Mujer adulta
2
Hombre adulto
3
Niña menor de 15
4
Niño menor de 15
8
NS
9
Missing
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Do you treat your water in any way to make it safer to drink?
The purpose of the following two questions, WS5 and WS6, 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. --- 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 WS7.
Households
1
Si
2
No
8
NS
9
Missing
Hervir
Hervir
Hervir
Hervir
Hervir
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
A
Hervir
Agregar cloro
Agregar cloro
Agregar cloro
Agregar cloro
Agregar cloro
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
B
Agregar cloro
Colarla con un paño
Colarla con un paño
Colarla con un paño
Colarla con un paño
Colarla con un paño
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
C
Colarla con un paño
Usar un filtro de agua
Usar un filtro de agua
Usar un filtro de agua
Usar un filtro de agua
Usar un filtro de agua
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
D
Usar filtro de agua
Desinfección solar
Desinfección solar
Desinfección solar
Desinfección solar
Desinfección solar
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
E
Desinfección solar
Dejarla reposar
Dejarla reposar
Dejarla reposar
Dejarla reposar
Dejarla reposar
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
F
Dejarla reposar
Otro
Otro
Otro
Otro
Otro
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
X
Otro
NS
NS
NS
NS
NS
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
Z
NS
Quienes beben
Quienes beben
Quienes beben
Quienes beben
Quienes beben
1
Todos
2
El/los niño/s
3
Una parte
9
Missing
cuantos beben
cuantos beben
cuantos beben
cuantos beben
cuantos beben
99
Missing
Tipo de toilet
Tipo de toilet
Tipo de toilet
Tipo de toilet
Tipo de toilet
What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to?
If necessary, ask permission to observe the facility.
Questions WS7, WS8 and WS9 are about the toilet facility household members use. --- The purpose of this question is to obtain a measure of the cleanliness 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. . '14' - A flush/pour flush to somewhere else refers to excreta being deposited in or nearby the household environment (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 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 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 or hanging latrine is a toilet built over the sea, a river, or other body of water into which excreta drops directly. '95' - No facilities or bush or 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).
Households
11
Evacuación a alcantarillado
12
Evacuación a pozo séptico
13
Evacuación a letrina
14
Evacuación a otro lugar
15
Evacuación con destino ignorado
21
Letrina ventilada/mejorada
22
Letrina con taza/excusado
23
Letrina abierta
31
Toilet para compostación (fertilizante)
41
Balde, cubeta
51
Toilet colgante
95
Sin toilet, campo
96
Otro
99
Missing
Baño compartido
Baño compartido
Baño compartido
Baño compartido
Baño compartido
Do you share this facility with other households?
Questions WS7, WS8 and WS9 are about the toilet facility household members use. --- 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. --- Circle the code corresponding to the response given. If 'No', go to the next module.
Households
1
Si
2
No
9
Missing
Hogares compartiendo este baño
Hogares compartiendo este baño
Hogares compartiendo este baño
Hogares compartiendo este baño
Hogares compartiendo este baño
How many households in total use this toilet facility?
Questions WS7, WS8 and WS9 are about the toilet facility household members use. --- 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. --- 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 this household that uses the facility; if that is the case, you should go back to WS8 and correct the response there). Circle '98' for 'DK' ('Doesn't know').
Households
10
Diez o más
98
NS
99
Missing
Nivel educacional del jefe del hogar
Nivel educacional del jefe del hogar
Nivel educacional del jefe del hogar
Nivel educacional del jefe del hogar
Nivel educacional del jefe del hogar
Recoded variable
De jure household members (usual residents)
1
Primaria o menor
2
Secundaria/Obrera Calificada
3
Pre/Tec
4
Superior
9
Omitido/No sabe
Sexo del jefe del hogar
Sexo del jefe del hogar
Sexo del jefe del hogar
Sexo del jefe del hogar
Sexo del jefe del hogar
Recoded variable
Hogares
1
Masculino
2
Femenino
9
Omitido/NS
Provincia
Provincia
Provincia
Provincia
Provincia
1
Pinar
2
Prov. Hab.
3
C. Hab.
4
Mat
5
V.Clara
6
Cienf
7
S.Spiritus
8
Ciego
9
Camag.
10
Las Tunas
11
Holg
12
Granma
13
Stgo
14
Guant
15
Isla
subestrato con o sin niños <2
subestrato con o sin niños <2
subestrato con o sin niños <2
subestrato con o sin niños <2
subestrato con o sin niños <2
1
Con
2
Sin
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Ponderación hogar
Ponderación hogar
Ponderación hogar
Ponderación hogar
Ponderación hogar
Recoded variable
De jure household members (usual residents)
Numero del Cluster
Numero del Cluster
Numero del Cluster
Numero del Cluster
Numero del Cluster
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 this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. During this time I would like to speak with the household head and all mothers or others who take care of children in the household. May I start now? If permission is given, begin the interview. Cluster number:
Enter the cluster number as instructed by your supervisor.
Households
Unique identifier for the cluster in which the household exists
Numero del Hogar
Numero del Hogar
Numero del Hogar
Numero del Hogar
Numero del Hogar
Household number:
Enter the household number as instructed by your supervisor.
Households
Houshold number within the cluster
Numero de linea
Numero de linea
Numero de linea
Numero de linea
Numero de linea
Child's line number:
Children aged 0-4
Numero de linea
Numero de linea
Numero de linea
Numero de linea
Numero de linea
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? (THESE MAY INCLUDE CHILDREN IN SCHOOL OR AT WORK). If yes, complete listing. Then, ask questions starting with HL5 for each person at a time. Add a continuation sheet if there are more than 15 household members. Tick here if continuation sheet used
A household is a person or group of persons who usually live and eat together. Any adult member of the household can serve as the respondent for this section. As described below, there are a number of modules in the Household Questionnaire that you have to administer to mothers or primary caretakers of children. Therefore, it can be an advantage if you begin the Household Questionnaire with a mother or primary caretaker. While you should not make a specific effort to ensure this, you will indeed start the interview with such persons in many cases, since, in practice, these persons are more likely to be at home than, say, male household heads. Note that the Household Listing Form includes HL1. Line No. 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 as the Household Listing is being completed, they are identified with these line numbers throughout the questionnaires administered in this 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? (THESE MAY INCLUDE CHILDREN AT SCHOOL OR AT WORK). If yes, complete the listing. Note that the household head is determined solely on the basis of what the respondent tells you. You are not required to assess who the household head is most likely to be, or whether the person stated as the household head has the necessary characteristics to be the household head. Also note that if there are more than 15 household members, you will need to use a continuation sheet to record the additional household members. Please remember to change the line numbers of household members on the continuation sheet to read '16', '17', '18', etc., and to tick the box provided at the top of the Household Listing indicating that a continuation sheet has been used. The Household Listing will be completed in two stages: first, names (HL2), relationship codes (HL3) and sex (HL4) of all household members are recorded until all household members are included in the list. When the respondent is asked to provide the names of persons living in the household, their relationship to the head of the household and their sex is naturally mentioned during the course of listing the names. For this reason, the list is completed vertically for HL2, HL3 and HL4 during the first stage. Then, questions from HL5 to HL12 are asked for each person before moving to the next person. Fill in the name of each household member, starting with the head of household (the person who is considered to be responsible for the household). It is up to the respondent to define who the head of the household is. The head of the household should always be on the first row of the list. Never contest the respondent's answer. Also note that the names of household members will never be used for analysis purposes. However, recording the names of all household members is important since you will be using these names to address the questions.
De jure household members (usual residents)
Sexo
Sexo
Sexo
Sexo
Sexo
Children aged 0-4
1
Masculino
2
Femenino
9
Missing
Edad
Edad
Edad
Edad
Edad
97
97+
98
NS
99
Missing
Numero de linea de mujer elegible
Numero de linea de mujer elegible
Numero de linea de mujer elegible
Numero de linea de mujer elegible
Numero de linea de mujer elegible
Circle Line no. if woman is age 15-49
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.
De jure household members (usual residents)
Not eligible
Numero de linea de la madre/guardian para modulo de salud in
Numero de linea de la madre/guardian para modulo de salud in
Numero de linea de la madre/guardian para modulo de salud in
Numero de linea de la madre/guardian para modulo de salud in
Numero de linea de la madre/guardian para modulo de salud in
For each child under 5:
Who is the mother or primary caretaker of this child?
Record Line no. of mother/caretaker
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.
De jure household members (usual residents)
Not eligible
Aguna vez asistió al colegio
Aguna vez asistió al colegio
Aguna vez asistió al colegio
Aguna vez asistió al colegio
Aguna vez asistió al colegio
For household members age 5 and above
Has (name) ever attended school or preschool?
For each household member age five or older, ask ED2 and ED3. These questions ask about educational attainment for all household members in this age group. (If children younger than five attend school or pre-school, this information will be recorded in the Questionnaire for Children Under Five.) Any adult member of the household may provide this information for those not present. --- Circle '1' if the answer is 'Yes'. 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 are also included here. Ensure that respondents understand what is meant by 'non-standard curriculum'. 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 school. 'Pre-school' is listed for children who do not attend grade 1 at age 5, but do attend some form of organized learning or early childhood education programme, whether or not such a programme is considered part of the school system. The definition of organized early learning programme does not refer to programmes offering only babysitting or child-minding.
De jure household members (usual residents)
1
Si
2
No
9
Missing
Nivel escolar máximo alcanzado
Nivel escolar máximo alcanzado
Nivel escolar máximo alcanzado
Nivel escolar máximo alcanzado
Nivel escolar máximo alcanzado
What is the highest level of school (name) attended?
Children aged 0-4
Preescolar
1
Primaria
2
Secundaria
3
Obrero
4
PreUniv/Téc
5
Superior
8
NS
9
Missing
Mayor grado en ese nivel
Mayor grado en ese nivel
Mayor grado en ese nivel
Mayor grado en ese nivel
Mayor grado en ese nivel
For household members age 5 and above
What is the highest grade (name) completed at this level?
For each household member age five or older, ask ED2 and ED3. These questions ask about educational attainment for all household members in this age group. (If children younger than five attend school or pre-school, this information will be recorded in the Questionnaire for Children Under Five.) Any adult member of the household may provide this information for those not present. --- 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'. Then ask, "WHAT IS THE HIGHEST GRADE (name) COMPLETED AT THIS LEVEL?" 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', and the grade will be entered as '00'. 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 '4', since this person has not yet completed grade 5.
De jure household members (usual residents)
97
Inconsistente
98
NS
99
Missing
Numero del entrevistador
Numero del entrevistador
Numero del entrevistador
Numero del entrevistador
Numero del entrevistador
Interviewer name and number:
Enter your own name and identification number provided to you at the time of training.
Households
Numero de supervisor
Numero de supervisor
Numero de supervisor
Numero de supervisor
Numero de supervisor
Supervisor name and number:
Enter your supervisor's name and identification number. You will be provided with your supervisor's identification number as soon as you know who you will be working with.
Households
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
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.
Households
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
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.
Households
Año de la entrevista
Año de la entrevista
Año de la entrevista
Año de la entrevista
Año de la entrevista
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.
Households
Area
Area
Area
Area
Area
Area:
Circle the code for area of residence as instructed 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.
Households
1
Urbana
2
Rural
Region
Region
Region
Region
Region
Region:
Circle the code for region.
Households
1
Occidente
2
C.Habana
3
Centro
4
Oriente
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
After all questionnaires for the household have been completed, fill in the following information: Result of HH interview:
If the Household Questionnaire is completed, circle '1' for 'Completed'. If you have not been able to contact the household after repeated visits, circle '2' for 'Not at home'. If the household refuses to be interviewed, circle '3' for 'Refused'. If you are unable to locate the household or if the dwelling is destroyed, circle '4' for 'HH not found/destroyed'. If you have not been able to complete the Household Questionnaire for another reason, you should circle '6' for 'Other' 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; adult household members were not found at home after repeated visits.
Households
1
Completo
2
Ausente
3
Rechazada
4
Hogar no encontrado/destruido
6
Otro
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondent to HH questionnaire:
Enter the name and line number (from the Household Listing, columns HL1 and HL2) of the respondent to the Household Questionnaire.
Households
99
Missing
Numero de miembros del hogar
Numero de miembros del hogar
Numero de miembros del hogar
Numero de miembros del hogar
Numero de miembros del hogar
Total number of household members:
Count the number of household members recorded in column HL1 of the Household Listing and enter the total here.
Households
Total de Mujeres elegibles
Total de Mujeres elegibles
Total de Mujeres elegibles
Total de Mujeres elegibles
Total de Mujeres elegibles
No.of women eligible for interview:
Enter the total number of women eligible for interview for the Questionnaire for Individual Women - you will copy this from the row for totals at the bottom of the Household Listing, for HL6.
Households
Entrevistas de mujeres completas
Entrevistas de mujeres completas
Entrevistas de mujeres completas
Entrevistas de mujeres completas
Entrevistas de mujeres completas
No.of women questionnaires completed:
Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here.
Households
Total de niños menores de dos años
Total de niños menores de dos años
Total de niños menores de dos años
Total de niños menores de dos años
Total de niños menores de dos años
No.of children under age 5:
Enter the total number of children under five eligible for inclusion in the survey from the row for totals at the bottom of the Household Listing, for HL8. You will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children.
Households
Encuestas de niños completas
Encuestas de niños completas
Encuestas de niños completas
Encuestas de niños completas
Encuestas de niños completas
No.of under-5 questionnaires completed:
Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here.
Households
Digitador
Digitador
Digitador
Digitador
Digitador
Data entry clerk:
Leave this space blank. The data clerk will enter his/her number in the space provided.
Households
Fuente principal de agua para beber
Fuente principal de agua para beber
Fuente principal de agua para beber
Fuente principal de agua para beber
Fuente principal de agua para beber
What is the main source of drinking water for members of your household?
The purpose of the first two questions of this module is to assess the type of household water used for drinking as well as for other purposes, such as cooking and washing hands. Definitions of the various sources of water are as follows (codes refer to those used in WS1 and WS2): '11' - Piped into dwelling, also called a house connection, is defined as water service connected by pipe with in-house plumbing to one or more taps, for example, in the kitchen and/or bathroom. '12' - Piped water to yard/plot, also called a yard connection, is defined as a piped water connection to a tap placed in the yard or plot outside the house. '13' - A public tap or standpipe is a water point from which the public may collect their water. A standpipe may also be known as a public fountain or public tap. Public standpipes can have one or more taps and are typically made of brickwork, masonry or concrete. '21' - A tube-well or borehole is a deep hole that has been driven, bored or drilled with the purpose of reaching groundwater supplies. Boreholes/tube-wells are constructed with casing, or pipes, which prevent the small-diameter hole from caving in and provide protection from infiltration of run-off water. Water is delivered from a tube-well or borehole through a pump that may be powered by humans, animals, wind, electricity, diesel fuel or solar energy. '31' - A protected dug well is a dug well that is protected from run-off water through a well lining or casing that is raised above ground level and a platform that diverts spilled water away from the well. Additionally, a protected dug well is covered so that bird droppings and animals cannot fall down the hole. '32' - An unprotected dug well is a dug well for which one or both of the following are true: (1) the well is not protected from run-off water; (2) the well is not protected from bird droppings and animals. If at least one of these conditions is true, the well is unprotected. '41' - A protected spring is a spring that is free from run-off and from bird droppings and animals. A spring is typically protected by a 'spring box' that is constructed of brick, masonry or concrete and is built around the spring so that water flows directly out of the box into a pipe without being exposed to outside pollution. '42' - An unprotected spring is a spring that is subject to run-off or bird droppings or animals. Unprotected springs typically do not have a 'spring box' (described above). '51' - Rainwater collection refers to rain that is collected or harvested from surfaces by roof or ground catchment and stored in a container, tank or cistern until used. '61' - A tanker-truck water source transports and sells water by means of a tanker truck. '71' - Cart with small tank/drum is used by a water provider who transports water into a community and then sells the water. Types of transports may include donkey cart, motorized vehicle or other means. '81' - Surface water is water located above ground and includes rivers, dams, lakes, ponds, streams, canals and irrigation channels from which water is taken directly. '91' - Bottled water is purchased water sold in bottles. Note that the code refers only to bottled water that is commercially available. Sometimes household members may store water from other sources in bottles - this should not be coded as bottled water. --- Circle the code for the most usual source. If several sources are mentioned, probe to determine the most usual source. If the source varies by season, record the source for the season of the interview. Note that the next question is only asked if the response to this question is 'Bottled water'. You should skip WS2 if the response to WS1 is other than 'Bottled water'. If the response is 'Piped into dwelling' or 'Piped into yard/plot', circle '11' or '12', respectively, and skip to WS5. Otherwise, skip to WS3.
Households
11
Tubería al hogar
12
Tubería en el patio/parcela
13
Llave pública
21
Manantial/Noria
31
Pozo protegido
32
Pozo sin proteger
41
Arroyo protegido
42
Arroyo sin proteger
51
Colección de aguas lluvia
61
Camión
71
Carro con sifón
81
Agua de superficie
91
Agua embasada
96
Otro
99
Missing
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
What is the main source of water used by your household for other purposes such as cooking and handwashing?
The purpose of the first two questions of this module is to assess the type of household water used for drinking as well as for other purposes, such as cooking and washing hands. Definitions of the various sources of water are as follows (codes refer to those used in WS1 and WS2): '11' - Piped into dwelling, also called a house connection, is defined as water service connected by pipe with in-house plumbing to one or more taps, for example, in the kitchen and/or bathroom. '12' - Piped water to yard/plot, also called a yard connection, is defined as a piped water connection to a tap placed in the yard or plot outside the house. '13' - A public tap or standpipe is a water point from which the public may collect their water. A standpipe may also be known as a public fountain or public tap. Public standpipes can have one or more taps and are typically made of brickwork, masonry or concrete. '21' - A tube-well or borehole is a deep hole that has been driven, bored or drilled with the purpose of reaching groundwater supplies. Boreholes/tube-wells are constructed with casing, or pipes, which prevent the small-diameter hole from caving in and provide protection from infiltration of run-off water. Water is delivered from a tube-well or borehole through a pump that may be powered by humans, animals, wind, electricity, diesel fuel or solar energy. '31' - A protected dug well is a dug well that is protected from run-off water through a well lining or casing that is raised above ground level and a platform that diverts spilled water away from the well. Additionally, a protected dug well is covered so that bird droppings and animals cannot fall down the hole. '32' - An unprotected dug well is a dug well for which one or both of the following are true: (1) the well is not protected from run-off water; (2) the well is not protected from bird droppings and animals. If at least one of these conditions is true, the well is unprotected. '41' - A protected spring is a spring that is free from run-off and from bird droppings and animals. A spring is typically protected by a 'spring box' that is constructed of brick, masonry or concrete and is built around the spring so that water flows directly out of the box into a pipe without being exposed to outside pollution. '42' - An unprotected spring is a spring that is subject to run-off or bird droppings or animals. Unprotected springs typically do not have a 'spring box' (described above). '51' - Rainwater collection refers to rain that is collected or harvested from surfaces by roof or ground catchment and stored in a container, tank or cistern until used. '61' - A tanker-truck water source transports and sells water by means of a tanker truck. '71' - Cart with small tank/drum is used by a water provider who transports water into a community and then sells the water. Types of transports may include donkey cart, motorized vehicle or other means. '81' - Surface water is water located above ground and includes rivers, dams, lakes, ponds, streams, canals and irrigation channels from which water is taken directly. '91' - Bottled water is purchased water sold in bottles. Note that the code refers only to bottled water that is commercially available. Sometimes household members may store water from other sources in bottles - this should not be coded as bottled water. --- 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' or 'Piped into yard/plot', circle '11' or '12', respectively, and skip to WS5. Otherwise continue to the next question.
Households
11
Cañería al hogar
12
Cañería al sitio/lote
13
Llave pública
21
Manantial/Noria
31
Pozo protegido
32
Pozo sin proteger
41
Arroyo protegido
42
Arroyo sin proteger
51
Colección de aguas lluvia
61
Camión
71
Carro con sifón
81
Agua de superficie
96
Otro
99
Missing
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
How long does it take to go there, get water, and come back?
This question is used to find out how convenient the source of water is to the dwelling. Note that the question is asked for water sources coded as '13-81' and '96' in WS1, or water sources coded as '13-96' in WS2. 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 water source is on the dwelling premises or if water is delivered to the dwelling by a vendor, circle '995' for 'Water on premises' and skip to WS5. If the respondent does not know how long it takes, circle '998' and continue on to the next question.
Households
995
En el lugar
998
NS
999
Missing
Persona que busca el agua
Persona que busca el agua
Persona que busca el agua
Persona que busca el agua
Persona que busca el agua
Who usually goes to this source to fetch the water for your household? Probe: Is this person under age 15? What sex?
Circle code that best describes this person.
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 IS THIS PERSON?" 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.
Households
1
Mujer adulta
2
Hombre adulto
3
Niña menor de 15
4
Niño menor de 15
8
NS
9
Missing
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Do you treat your water in any way to make it safer to drink?
The purpose of the following two questions, WS5 and WS6, 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. --- 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 WS7.
Households
1
Si
2
No
8
NS
9
Missing
Hervir
Hervir
Hervir
Hervir
Hervir
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
A
Hervir
Agregar cloro
Agregar cloro
Agregar cloro
Agregar cloro
Agregar cloro
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
B
Agregar cloro
Colarla con un paño
Colarla con un paño
Colarla con un paño
Colarla con un paño
Colarla con un paño
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
C
Colarla con un paño
Usar un filtro de agua
Usar un filtro de agua
Usar un filtro de agua
Usar un filtro de agua
Usar un filtro de agua
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
D
Usar filtro de agua
Desinfección solar
Desinfección solar
Desinfección solar
Desinfección solar
Desinfección solar
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
E
Desinfección solar
Dejarla reposar
Dejarla reposar
Dejarla reposar
Dejarla reposar
Dejarla reposar
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
F
Dejarla reposar
Otro
Otro
Otro
Otro
Otro
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
X
Otro
NS
NS
NS
NS
NS
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
Z
NS
Quienes beben
Quienes beben
Quienes beben
Quienes beben
Quienes beben
1
Todos
2
El/los niño/s
3
Una parte
9
Missing
cuantos beben
cuantos beben
cuantos beben
cuantos beben
cuantos beben
99
Missing
Tipo de toilet
Tipo de toilet
Tipo de toilet
Tipo de toilet
Tipo de toilet
What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to?
If necessary, ask permission to observe the facility.
Questions WS7, WS8 and WS9 are about the toilet facility household members use. --- The purpose of this question is to obtain a measure of the cleanliness 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. . '14' - A flush/pour flush to somewhere else refers to excreta being deposited in or nearby the household environment (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 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 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 or hanging latrine is a toilet built over the sea, a river, or other body of water into which excreta drops directly. '95' - No facilities or bush or 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).
Households
11
Evacuación a alcantarillado
12
Evacuación a pozo séptico
13
Evacuación a letrina
14
Evacuación a otro lugar
15
Evacuación con destino ignorado
21
Letrina ventilada/mejorada
22
Letrina con taza/excusado
23
Letrina abierta
31
Toilet para compostación (fertilizante)
41
Balde, cubeta
51
Toilet colgante
95
Sin toilet, campo
96
Otro
99
Missing
Baño compartido
Baño compartido
Baño compartido
Baño compartido
Baño compartido
Do you share this facility with other households?
Questions WS7, WS8 and WS9 are about the toilet facility household members use. --- 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. --- Circle the code corresponding to the response given. If 'No', go to the next module.
Households
1
Si
2
No
9
Missing
Hogares compartiendo este baño
Hogares compartiendo este baño
Hogares compartiendo este baño
Hogares compartiendo este baño
Hogares compartiendo este baño
How many households in total use this toilet facility?
Questions WS7, WS8 and WS9 are about the toilet facility household members use. --- 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. --- 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 this household that uses the facility; if that is the case, you should go back to WS8 and correct the response there). Circle '98' for 'DK' ('Doesn't know').
Households
10
Diez o más
98
NS
99
Missing
Número de línea de la madre
Número de línea de la madre
Número de línea de la madre
Número de línea de la madre
Número de línea de la madre
Recoded variable
De jure household members (usual residents)
Nivel educacional de las madres
Nivel educacional de las madres
Nivel educacional de las madres
Nivel educacional de las madres
Nivel educacional de las madres
Recoded variable
Children aged 0-4
1
Primaria o menor
2
Secundaria/Obrera Calificada
3
Pre/Tec
4
Superior
9
Omitido/No sabe
Nivel educacional del jefe del hogar
Nivel educacional del jefe del hogar
Nivel educacional del jefe del hogar
Nivel educacional del jefe del hogar
Nivel educacional del jefe del hogar
Recoded variable
De jure household members (usual residents)
1
Primaria o menor
2
Secundaria/Obrera Calificada
3
Pre/Tec
4
Superior
9
Omitido/No sabe
Provincia
Provincia
Provincia
Provincia
Provincia
1
Pinar
2
Prov. Hab.
3
C. Hab.
4
Mat
5
V.Clara
6
Cienf
7
S.Spiritus
8
Ciego
9
Camag.
10
Las Tunas
11
Holg
12
Granma
13
Stgo
14
Guant
15
Isla
subestrato con o sin niños <2
subestrato con o sin niños <2
subestrato con o sin niños <2
subestrato con o sin niños <2
subestrato con o sin niños <2
1
Con
2
Sin
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Ponderación hogar
Ponderación hogar
Ponderación hogar
Ponderación hogar
Ponderación hogar
Recoded variable
De jure household members (usual residents)
Numero del Cluster
Numero del Cluster
Numero del Cluster
Numero del Cluster
Numero del Cluster
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 this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. During this time I would like to speak with the household head and all mothers or others who take care of children in the household. May I start now? If permission is given, begin the interview. Cluster number:
Enter the cluster number as instructed by your supervisor.
Households
Unique identifier for the cluster in which the household exists
Numero del Hogar
Numero del Hogar
Numero del Hogar
Numero del Hogar
Numero del Hogar
Household number:
Enter the household number as instructed by your supervisor.
Households
Houshold number within the cluster
Line number
Line number
Line number
Line number
Line number
Child's line number:
Children aged 0-4
Número del Cluster
Número del Cluster
Número del Cluster
Número del Cluster
Número del Cluster
Cluster number:
Enter the cluster number from the Household Questionnaire, question HH1.
Women aged 15-49
Número del hogar
Número del hogar
Número del hogar
Número del hogar
Número del hogar
Household number:
Enter the household number from the Household Questionnaire, question HH2.
Women aged 15-49
Número de línea de la mujer
Número de línea de la mujer
Número de línea de la mujer
Número de línea de la mujer
Número de línea de la mujer
Woman's Line Number:
Enter the woman's line number from the Household Questionnaire, column HL1 of the Household Listing.
Women aged 15-49
Número del entrevistador
Número del entrevistador
Número del entrevistador
Número del entrevistador
Número del entrevistador
Interviewer name and number:
Enter your own name and identifying number. You will be provided with these identification numbers at the time of training.
Women aged 15-49
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
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 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.
Women aged 15-49
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
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 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.
Women aged 15-49
Año de la entrevista
Año de la entrevista
Año de la entrevista
Año de la entrevista
Año de la entrevista
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 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.
Women aged 15-49
Resultado de la entrevista de mujer
Resultado de la entrevista de mujer
Resultado de la entrevista de mujer
Resultado de la entrevista de mujer
Resultado de la entrevista de mujer
Result of women'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 '1' for 'Completed'. If you have not been able to contact the woman after repeated visits, circle '2' for 'Not at home'. If the woman refuses to be interviewed, circle '3' for 'Refused'. If you were able to only partly complete the questionnaire, circle '4' for 'Partly completed'. If the woman is incapacitated, circle '5'. If you have not been able to complete this questionnaire for another reason, you should circle '6' for 'Other' and specify the reason in the space provided. Make every attempt to carry out the woman's interview in privacy. Ask all other household members or anyone else who is present (including male members of the survey team) to leave in a courteous manner. If the respondent is a mother/caretaker, ask her to collect all the birth certificates and health/ immunization cards she has for her children or the children she cares for before you begin the interview. You will need these when you go on to interview her about her children under age five. Repeat greeting if not already read to this woman: "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 THIS. THE INTERVIEW WILL TAKE ABOUT (number) MINUTES. ALL THE INFORMATION WE OBTAIN WILL REMAIN STRICTLY CONFIDENTIAL AND YOUR ANSWERS WILL NEVER BE IDENTIFIED. ALSO, YOU ARE NOT OBLIGED TO ANSWER ANY QUESTION YOU DON'T WANT TO, AND YOU MAY WITHDRAW FROM THE INTERVIEW AT ANY TIME. MAY I START NOW?" As with the similar sentence at the beginning of the Household Questionnaire, you may change the wording of these introductory sentences as appropriate. You must make sure, however, 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 her and go on to the next interview. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the woman for a second time. This will depend on your description of the refusal. However, remember that a woman's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate.
Women aged 15-49
1
Completo
2
No estaban en casa
3
Rehusado
4
Parcialmente completo
5
Incapacitado
6
Otro
Mes de nacimiento de la mujer
Mes de nacimiento de la mujer
Mes de nacimiento de la mujer
Mes de nacimiento de la mujer
Mes de nacimiento de la mujer
Repeat greeting if not already read to this woman: 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 this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the woman does not agree to continue, thank her, complete WM7, and go to the next interview. Discuss this result with your supervisor for a future revisit.
In what month and year were you born?
Age (WM8 or WM9) is one of the most important questions in the interview, since almost all analysis of the data depends on the respondent's age. This question must be asked independently of the information on the Household Questionnaire. Even if you already asked the respondent her age when you were completing the Household Questionnaire, you must ask again for her date of birth and age on the Questionnaire for Individual Women. --- 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'.
Women aged 15-49
97
Inconsistent
98
NS
99
Missing
Año de nacimiento de la mujer
Año de nacimiento de la mujer
Año de nacimiento de la mujer
Año de nacimiento de la mujer
Año de nacimiento de la mujer
Repeat greeting if not already read to this woman: 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 this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the woman does not agree to continue, thank her, complete WM7, and go to the next interview. Discuss this result with your supervisor for a future revisit.
In what month and year were you born?
Age (WM8 or WM9) is one of the most important questions in the interview, since almost all analysis of the data depends on the respondent's age. This question must be asked independently of the information on the Household Questionnaire. Even if you already asked the respondent her age when you were completing the Household Questionnaire, you must ask again for her date of birth and age on the Questionnaire for Individual Women. --- 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'.
Women aged 15-49
9997
Inconsistent
9998
NS
9999
Missing
Edad de la mujer
Edad de la mujer
Edad de la mujer
Edad de la mujer
Edad de la mujer
How old were you at your last birthday?
Age (WM8 or WM9) is one of the most important questions in the interview, since almost all analysis of the data depends on the respondent's age. This question must be asked independently of the information on the Household Questionnaire. Even if you already asked the respondent her age when you were completing the Household Questionnaire, you must ask again for her date of birth and age on the Questionnaire for Individual Women. --- 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. 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. 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 HL5 and HL6 of the Household Questionnaire.
Women aged 15-49
Asistió al colegio
Asistió al colegio
Asistió al colegio
Asistió al colegio
Asistió al colegio
Have you ever attended school?
Questions WM10-WM14 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 WM14. 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 are also included here. Ensure that the woman understands what is meant by 'non-standard curriculum'. 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 school.
Women aged 15-49
1
Si
2
No
9
Missing
Máximo nivel escolar asistido
Máximo nivel escolar asistido
Máximo nivel escolar asistido
Máximo nivel escolar asistido
Máximo nivel escolar asistido
What is the highest level of school you attended: primary, secondary, or higher?
Questions WM10-WM14 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'.
Women aged 15-49
Preescolar
1
Primaria
2
Secundaria
3
Obrero Calificado
4
Pre Universitaria/Técnico
5
Superior
9
Missing
Mayor grado completado en ese nivel
Mayor grado completado en ese nivel
Mayor grado completado en ese nivel
Mayor grado completado en ese nivel
Mayor grado completado en ese nivel
What is the highest grade you completed at that level?
Questions WM10-WM14 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 WM11. 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.
Women aged 15-49
97
Inconsistente
98
NS
99
Missing
Embarazada
Embarazada
Embarazada
Embarazada
Embarazada
I would like to talk with you about another subject - family planning - and your reproductive health.
Are you pregnant now?
The module should be administered to all women aged 15-49 years (including women age 15 and age 49). These questions and the ones in the HIV/AIDS module deal with private behaviour and attitudes. These questions are designed to collect the basic information needed to estimate contraceptive prevalence rates and types of methods used, as well as to measure the need for family planning by identifying women who want no more children or want to postpone their next birth. If present, male members of field teams (such as supervisors, editors and drivers) should be asked to leave the interview area. Even in cases where women are being interviewed alone, they will be reluctant to answer these questions if they sense that you are part of a team that includes males and that her responses may be shared with the males in the team. 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'. In both cases, skip to CP2.
Women aged 15-49
1
Si, actualmente embarazada
2
No
8
No segura o NS
9
Missing
Queria esperar a después o no tener más hijos
Queria esperar a después o no tener más hijos
Queria esperar a después o no tener más hijos
Queria esperar a después o no tener más hijos
Queria esperar a después o no tener más hijos
At the time you became pregnant did you want to become pregnant <u>then</u>, did you want to wait until <u>later</u>, or did you <u>not want</u> to have any more children?
This question is asked only to women who are pregnant at the time of interview (CP1=1), and the answer is used to assess the woman's need for contraception: If she did not want to become pregnant, she is considered to have 'unmet need'. Read the entire question to the respondent before accepting an answer, stressing the underlined words. Circle the code corresponding to the response given. Whatever the woman's response to this question, you should skip to CP4B.
Women aged 15-49
1
Ahora
2
Despues
3
No quería mas hijos
9
Missing
Actualmente usando un método para evitar el embarazo
Actualmente usando un método para evitar el embarazo
Actualmente usando un método para evitar el embarazo
Actualmente usando un método para evitar el embarazo
Actualmente usando un método para evitar el embarazo
Some people 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.
Women aged 15-49
1
Si
2
No
9
Missing
Método actual: esterilización femenina
Método actual: esterilización femenina
Método actual: esterilización femenina
Método actual: esterilización femenina
Método actual: esterilización femenina
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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.
Women aged 15-49
?
Missing
A
Esterilización femenina
Método actual: esterilización masculina
Método actual: esterilización masculina
Método actual: esterilización masculina
Método actual: esterilización masculina
Método actual: esterilización masculina
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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 necessary, 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.
Women aged 15-49
?
Missing
B
Esterilización masculina
Método actual: Píldora
Método actual: Píldora
Método actual: Píldora
Método actual: Píldora
Método actual: Píldora
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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.
Women aged 15-49
?
Missing
C
Pildora
Método actual: DIU
Método actual: DIU
Método actual: DIU
Método actual: DIU
Método actual: DIU
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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.
Women aged 15-49
?
Missing
D
DIU
Método actual: Inyecciones
Método actual: Inyecciones
Método actual: Inyecciones
Método actual: Inyecciones
Método actual: Inyecciones
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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.
Women aged 15-49
?
Missing
E
Inyecciones
Método actual: Implantes
Método actual: Implantes
Método actual: Implantes
Método actual: Implantes
Método actual: Implantes
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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.
Women aged 15-49
?
Missing
F
Implantes
Método actual: Condón
Método actual: Condón
Método actual: Condón
Método actual: Condón
Método actual: Condón
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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.
Women aged 15-49
?
Missing
G
Condón
Método actual: Condón femenino
Método actual: Condón femenino
Método actual: Condón femenino
Método actual: Condón femenino
Método actual: Condón femenino
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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.
Women aged 15-49
?
Missing
H
Condón femenino
Método actual: Diafragma
Método actual: Diafragma
Método actual: Diafragma
Método actual: Diafragma
Método actual: Diafragma
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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.
Women aged 15-49
?
Missing
I
Diafragma
Método actual: Espuma/jalea
Método actual: Espuma/jalea
Método actual: Espuma/jalea
Método actual: Espuma/jalea
Método actual: Espuma/jalea
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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.
Women aged 15-49
?
Missing
J
Espuma/Jalea
Método actual: Método de amenorrea por lactancia
Método actual: Método de amenorrea por lactancia
Método actual: Método de amenorrea por lactancia
Método actual: Método de amenorrea por lactancia
Método actual: Método de amenorrea por lactancia
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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.
Women aged 15-49
?
Missing
K
Amenorrea por lactancia
Método actual: Abstinencia periodica
Método actual: Abstinencia periodica
Método actual: Abstinencia periodica
Método actual: Abstinencia periodica
Método actual: Abstinencia periodica
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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.
Women aged 15-49
?
Missing
L
Abstinencia periodica
Método actual: Retiro
Método actual: Retiro
Método actual: Retiro
Método actual: Retiro
Método actual: Retiro
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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.
Women aged 15-49
?
Missing
M
Retiro
Método actual: Otro
Método actual: Otro
Método actual: Otro
Método actual: Otro
Método actual: Otro
Which method are you using?
Do not prompt. If more than one method is mentioned, circle each one.
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.
Women aged 15-49
?
Missing
X
Otro
Prefiere tener o no tener más hijos
Prefiere tener o no tener más hijos
Prefiere tener o no tener más hijos
Prefiere tener o no tener más hijos
Prefiere tener o no tener más hijos
a. Now I would like to ask some questions about the future. Would you like to have (a/another) child, or would you prefer not to have any (more) children? b. If currently pregnant: Now I would like to ask some questions about the future. After the child you are now expecting, would you like to have another child, or would you prefer not to have any (more) children?
CP4A. Ask the question choosing the appropriate wording, based on what you know about the woman. If she is not pregnant, and has no living children, ask: "NOW I WOULD LIKE TO ASK SOME QUESTIONS ABOUT THE FUTURE. WOULD YOU LIKE TO HAVE A CHILD OR WOULD YOU PREFER NOT TO HAVE ANY CHILDREN?" Ask the entire question before accepting an answer. If she is not pregnant and has one or more children, you will have to word the question differently, saying "WOULD YOU LIKE TO HAVE ANOTHER CHILD OR WOULD YOU PREFER NOT TO HAVE ANY MORE CHILDREN?" Circle the code corresponding to the response given. Note that each response leads to a different skip instruction. If the woman wants to have a/another child, you should circle '1' and continue with CP4C. If she wants no more children or does not want to have children at all, you should circle '2' and skip to CP4D. If she says she cannot get pregnant, circle '3' and skip to the next module. If she is undecided or does not know, circle '8' and skip to CP4D. For women who are currently pregnant, you will not be asking CP4A. Instead, you will be asking CP4B, which uses the same response categories and is essentially the same question as CP4A, worded slightly differently: CP4B. Note that we want to make sure that pregnant women do not think that we are asking them if they want the child they are pregnant with now. Response categories and skip instructions are the same as those for CP4A.
Women aged 15-49
1
Tener otro hijo
2
No más / ninguno
3
Dice no poder quedar embarazada
8
Indecisa /no sabe
9
Missing
Tiempo deseado de espera (unidad)
Tiempo deseado de espera (unidad)
Tiempo deseado de espera (unidad)
Tiempo deseado de espera (unidad)
Tiempo deseado de espera (unidad)
How long would you like to wait before the birth of (a/another) child?
Here, you will also need to choose the appropriate phrasing for the question, based on what you already know about the respondent. This question should be asked of all women (pregnant or not pregnant) who say that they want to have another child. Note that the answer can be given in months or years. Circle '1' if the response is in months or '2' if in years, and record the answer in the appropriate spaces. If she says she would like to have a baby right away, record 993 for 'Soon/now'. If the woman says she cannot get pregnant, circle '994'. If the woman tells you she would like to wait until after she is married to have a child, record '995' for 'After marriage'. If she gives a different answer, circle '996' for 'Other'. If she says she does not know, circle '998'. For women who say that they cannot get pregnant, you should skip to the next module.
Women aged 15-49
1
Meses
2
Años
9
Special
Tiempo deseado de espera (número)
Tiempo deseado de espera (número)
Tiempo deseado de espera (número)
Tiempo deseado de espera (número)
Tiempo deseado de espera (número)
How long would you like to wait before the birth of (a/another) child?
Here, you will also need to choose the appropriate phrasing for the question, based on what you already know about the respondent. This question should be asked of all women (pregnant or not pregnant) who say that they want to have another child. Note that the answer can be given in months or years. Circle '1' if the response is in months or '2' if in years, and record the answer in the appropriate spaces. If she says she would like to have a baby right away, record 993 for 'Soon/now'. If the woman says she cannot get pregnant, circle '994'. If the woman tells you she would like to wait until after she is married to have a child, record '995' for 'After marriage'. If she gives a different answer, circle '996' for 'Other'. If she says she does not know, circle '998'. For women who say that they cannot get pregnant, you should skip to the next module.
Women aged 15-49
93
Pronto/ahora
94
Dice no poder quedar embarazada
95
Después del matrimonio
96
Otro
98
No sabe
99
Missing
Puede quedar embarazada
Puede quedar embarazada
Puede quedar embarazada
Puede quedar embarazada
Puede quedar embarazada
Check CP1: Currently pregnant? Go to Next Module Not currently pregnant or unsure? Continue with CP4E
Do you think you are physically able to get pregnant at this time?
This is a filter that you will use to make sure that you do not ask question CP4E to women who are pregnant at the time of the interview. Check her response to CP1: If the woman is currently pregnant, mark the corresponding box and skip to the next module. If she is currently not pregnant or is unsure, continue with the next question, CP4E. --- A woman who believes that she is incapable of becoming pregnant cannot be considered to have 'unmet need' for contraception. This question aims to learn whether the woman thinks she can conceive a child. Circle the code corresponding to the response given. Make sure that the woman does not relate her current physical ability to get pregnant with her current marital status. It is important to emphasize to the woman, if necessary, that we are interested in her current physical ability - she may be physically able to get pregnant, but may think that this is not possible because she currently does not have a partner. In such cases, the woman should obviously be coded as 'Yes'.
Women aged 15-49
1
Si
2
No
8
No Sabe
9
Missing
Escucho del HIV o SIDA
Escucho del HIV o SIDA
Escucho del HIV o SIDA
Escucho del HIV o SIDA
Escucho del HIV o SIDA
Now I would like to talk with you about something else.
Have you ever heard of the virus HIV or an illness called AIDS?
This module is to be administered to all women aged 15-49 years (including woman age 15 and age 49). The purpose of this module is to obtain information to help programme managers and policy makers plan more effective programmes to prevent HIV infection. The questions assess knowledge, attitudes and behaviour related to AIDS transmission, prevention and testing for the virus that causes AIDS. First, questions are asked to estimate the respondent's basic knowledge about HIV transmission and 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 HIV virus or AIDS, go to the next module.
Women aged 15-49
1
Si
2
No
9
Missing
Puede evitar SIDA con una pareja única no infectada
Puede evitar SIDA con una pareja única no infectada
Puede evitar SIDA con una pareja única no infectada
Puede evitar SIDA con una pareja única no infectada
Puede evitar SIDA con una pareja única no infectada
Can people protect themselves from getting infected with the AIDS virus by having one sex partner who is not infected and also has no other partners?
The following questions ask the respondent about specific ways to avoid HIV transmission. They focus on programmatically important ways to avoid HIV - by limiting the number of partners and by using condoms. They also probe into misconceptions concerning HIV transmission, through mosquito bites or sharing food, for example. For questions HA2-HA8, 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. ---
Women aged 15-49
1
Si
2
No
8
NS
9
Missing
Puede contagiarse de SIDA por medios sobrenaturales
Puede contagiarse de SIDA por medios sobrenaturales
Puede contagiarse de SIDA por medios sobrenaturales
Puede contagiarse de SIDA por medios sobrenaturales
Puede contagiarse de SIDA por medios sobrenaturales
Can people get infected with the AIDS virus because of witchcraft or other supernatural means?
The following questions ask the respondent about specific ways to avoid HIV transmission. They focus on programmatically important ways to avoid HIV - by limiting the number of partners and by using condoms. They also probe into misconceptions concerning HIV transmission, through mosquito bites or sharing food, for example. For questions HA2-HA8, 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. ---
Women aged 15-49
1
Si
2
No
8
NS
9
Missing
Puede evitar SIDA usando un condón correctamente cada vez
Puede evitar SIDA usando un condón correctamente cada vez
Puede evitar SIDA usando un condón correctamente cada vez
Puede evitar SIDA usando un condón correctamente cada vez
Puede evitar SIDA usando un condón correctamente cada vez
Can people reduce their chance of getting the AIDS virus by using a condom every time they have sex?
The following questions ask the respondent about specific ways to avoid HIV transmission. They focus on programmatically important ways to avoid HIV - by limiting the number of partners and by using condoms. They also probe into misconceptions concerning HIV transmission, through mosquito bites or sharing food, for example. For questions HA2-HA8, 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. ---
Women aged 15-49
1
Si
2
No
8
NS
9
Missing
Puede infectarse de SIDA por picada de mosquito
Puede infectarse de SIDA por picada de mosquito
Puede infectarse de SIDA por picada de mosquito
Puede infectarse de SIDA por picada de mosquito
Puede infectarse de SIDA por picada de mosquito
Can people get the AIDS virus from mosquito bites?
The following questions ask the respondent about specific ways to avoid HIV transmission. They focus on programmatically important ways to avoid HIV - by limiting the number of partners and by using condoms. They also probe into misconceptions concerning HIV transmission, through mosquito bites or sharing food, for example. For questions HA2-HA8, 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. ---
Women aged 15-49
1
Si
2
No
8
NS
9
Missing
Puede evitar el sida con abstinencia
Puede evitar el sida con abstinencia
Puede evitar el sida con abstinencia
Puede evitar el sida con abstinencia
Puede evitar el sida con abstinencia
Can people reduce their chance of getting infected with the AIDS virus by not having sex at all?
The following questions ask the respondent about specific ways to avoid HIV transmission. They focus on programmatically important ways to avoid HIV - by limiting the number of partners and by using condoms. They also probe into misconceptions concerning HIV transmission, through mosquito bites or sharing food, for example. For questions HA2-HA8, 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. ---
Women aged 15-49
1
Si
2
No
8
NS
9
Missing
Puede contagiarse por compartir comida con una persona conta
Puede contagiarse por compartir comida con una persona conta
Puede contagiarse por compartir comida con una persona conta
Puede contagiarse por compartir comida con una persona conta
Puede contagiarse por compartir comida con una persona conta
Can people get the AIDS virus by sharing food with a person who has AIDS?
The following questions ask the respondent about specific ways to avoid HIV transmission. They focus on programmatically important ways to avoid HIV - by limiting the number of partners and by using condoms. They also probe into misconceptions concerning HIV transmission, through mosquito bites or sharing food, for example. For questions HA2-HA8, 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. ---
Women aged 15-49
1
Si
2
No
8
NS
9
Missing
Puede infectarse usando una jeringa usada por otra persona
Puede infectarse usando una jeringa usada por otra persona
Puede infectarse usando una jeringa usada por otra persona
Puede infectarse usando una jeringa usada por otra persona
Puede infectarse usando una jeringa usada por otra persona
Can people get the AIDS virus by getting injections with a needle that was already used by someone else?
The following questions ask the respondent about specific ways to avoid HIV transmission. They focus on programmatically important ways to avoid HIV - by limiting the number of partners and by using condoms. They also probe into misconceptions concerning HIV transmission, through mosquito bites or sharing food, for example. For questions HA2-HA8, 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. ---
Women aged 15-49
1
Si
2
No
8
NS
9
Missing
Persona de aspecto saludable que tenga SIDA
Persona de aspecto saludable que tenga SIDA
Persona de aspecto saludable que tenga SIDA
Persona de aspecto saludable que tenga SIDA
Persona de aspecto saludable que tenga SIDA
Is it possible for a healthy-looking person to have the AIDS virus?
The following questions ask the respondent about specific ways to avoid HIV transmission. They focus on programmatically important ways to avoid HIV - by limiting the number of partners and by using condoms. They also probe into misconceptions concerning HIV transmission, through mosquito bites or sharing food, for example. For questions HA2-HA8, 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. ---
Women aged 15-49
1
Si
2
No
8
NS
9
Missing
SIDA de madre a hijo durante el embarazo
SIDA de madre a hijo durante el embarazo
SIDA de madre a hijo durante el embarazo
SIDA de madre a hijo durante el embarazo
SIDA de madre a hijo durante el embarazo
Can the AIDS virus be transmitted from a mother to a 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'.
Women aged 15-49
1
Si
2
No
8
NS
9
Missing
SIDA de madre a hijo durante el parto
SIDA de madre a hijo durante el parto
SIDA de madre a hijo durante el parto
SIDA de madre a hijo durante el parto
SIDA de madre a hijo durante el parto
Can the AIDS virus be transmitted from a mother to a 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'.
Women aged 15-49
1
Si
2
No
8
NS
9
Missing
SIDA de madre a hijo por lactancia
SIDA de madre a hijo por lactancia
SIDA de madre a hijo por lactancia
SIDA de madre a hijo por lactancia
SIDA de madre a hijo por lactancia
Can the AIDS virus be transmitted from a mother to a baby? By breastfeeding?
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'.
Women aged 15-49
1
Si
2
No
8
NS
9
Missing
Debiera permitírsele a un profesor con HIV/SIDA enseñar
Debiera permitírsele a un profesor con HIV/SIDA enseñar
Debiera permitírsele a un profesor con HIV/SIDA enseñar
Debiera permitírsele a un profesor con HIV/SIDA enseñar
Debiera permitírsele a un profesor con HIV/SIDA enseñar
If a female teacher has the AIDS virus but is not sick, should she be allowed to continue teaching in school?
The following four questions are meant to ascertain the respondent's personal opinion and attitude towards people with 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'. --- 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 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 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 teacher be allowed to continue teaching?
Women aged 15-49
1
Si
2
No
8
NS/No está seguro/depende
9
Missing
Compraria verduras frescas de vendedor con SIDA
Compraria verduras frescas de vendedor con SIDA
Compraria verduras frescas de vendedor con SIDA
Compraria verduras frescas de vendedor con SIDA
Compraria verduras frescas de vendedor con SIDA
Would you buy fresh vegetables from a shopkeeper or vendor if you knew that this person had the AIDS virus?
The following four questions are meant to ascertain the respondent's personal opinion and attitude towards people with 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'. ---
Women aged 15-49
1
Si
2
No
8
NS/No está seguro/depende
9
Missing
Si un miembro se infecta de SIDA lo dejaria secreto
Si un miembro se infecta de SIDA lo dejaria secreto
Si un miembro se infecta de SIDA lo dejaria secreto
Si un miembro se infecta de SIDA lo dejaria secreto
Si un miembro se infecta de SIDA lo dejaria secreto
If a member of your family became infected with the AIDS virus, would you want it to remain a secret?
The following four questions are meant to ascertain the respondent's personal opinion and attitude towards people with 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'. ---
Women aged 15-49
1
Si
2
No
8
NS/No está seguro/depende
9
Missing
Dispuesto a cuidar de miembro de hogar con SIDA
Dispuesto a cuidar de miembro de hogar con SIDA
Dispuesto a cuidar de miembro de hogar con SIDA
Dispuesto a cuidar de miembro de hogar con SIDA
Dispuesto a cuidar de miembro de hogar con SIDA
If a member of your family became sick with the AIDS virus, would you be willing to care for him or her in your household?
The following four questions are meant to ascertain the respondent's personal opinion and attitude towards people with 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'. ---
Women aged 15-49
1
Si
2
No
8
NS/No está seguro/depende
9
Missing
Ha sido examinado de HIV
Ha sido examinado de HIV
Ha sido examinado de HIV
Ha sido examinado de HIV
Ha sido examinado de HIV
Check MN5: Tested for HIV during antenatal care? Yes. Go to HA18A No. Continue with HA15
I do not want to know the results, but have you ever been tested to see if you have HIV, the virus that causes AIDS?
The following questions aim to obtain information about the level of 'unmet need' for HIV-testing. They first ask about experience of HIV testing. Voluntary testing and counselling are now encouraged, in the belief that if a person knows his or her status, he or she is more likely to adopt behaviours to prevent contracting the virus or (if positive) transmitting it. Many of those who get tested do not return to learn the results of the test, but the proportion of those who return should rise as the quality of pre-test counselling improves. It is important to obtain an estimate of the number of those tested who return to learn the results, in order to monitor this proxy indicator of the quality of available counselling and the level of demand for such services. --- Check the respondent's answer to MN5 in the Maternal and Newborn Health module regarding whether or not she was tested for HIV during her antenatal care visits. If the respondent has already answered that she was tested during antenatal care visits, you do not need to ask her questions HA15-HA18. In such cases, check the box marked 'Yes' and go to HA18A. If her answer was 'No', check the corresponding box and continue to HA15. --- Ask the respondent if she was tested for the HIV. Be clear to the respondent that you are not asking to know the results of the test. Circle the code for the response given. If her answer is 'No', skip to HA18.
Women aged 15-49
1
Si
2
No
9
Missing
Recibió resultados del examen de HIV
Recibió resultados del examen de HIV
Recibió resultados del examen de HIV
Recibió resultados del examen de HIV
Recibió resultados del examen de HIV
I do not want you to tell me the results of the test, but have you been told the results?
The following questions aim to obtain information about the level of 'unmet need' for HIV-testing. They first ask about experience of HIV testing. Voluntary testing and counselling are now encouraged, in the belief that if a person knows his or her status, he or she is more likely to adopt behaviours to prevent contracting the virus or (if positive) transmitting it. Many of those who get tested do not return to learn the results of the test, but the proportion of those who return should rise as the quality of pre-test counselling improves. It is important to obtain an estimate of the number of those tested who return to learn the results, in order to monitor this proxy indicator of the quality of available counselling and the level of demand for such services. --- Sometimes people are tested for the AIDS virus but are not told whether or not they have the virus, or do not go to get the results. It is important that you do not attempt to find out the HIV status of any respondent who has been tested, or imply that you have any interest in knowing her HIV status. Ask the question, ensuring that the respondent knows that you are not interested in learning the results of any test she may have undergone. Circle the code corresponding to her response.
Women aged 15-49
1
Si
2
No
9
Missing
Pidió la prueba o se le ofreció
Pidió la prueba o se le ofreció
Pidió la prueba o se le ofreció
Pidió la prueba o se le ofreció
Pidió la prueba o se le ofreció
Did you, yourself, ask for the test, was it offered to you and you accepted, or was it required?
The following questions aim to obtain information about the level of 'unmet need' for HIV-testing. They first ask about experience of HIV testing. Voluntary testing and counselling are now encouraged, in the belief that if a person knows his or her status, he or she is more likely to adopt behaviours to prevent contracting the virus or (if positive) transmitting it. Many of those who get tested do not return to learn the results of the test, but the proportion of those who return should rise as the quality of pre-test counselling improves. It is important to obtain an estimate of the number of those tested who return to learn the results, in order to monitor this proxy indicator of the quality of available counselling and the level of demand for such services. --- If the respondent has been tested for HIV, we want to know whose idea it was to get the test. There are three options, so read the entire question before expecting an answer. Perhaps the respondent asked to be tested for HIV. Perhaps a health worker offered to test the respondent and the respondent accepted being tested. Perhaps the test was required for some reason. Circle the code corresponding to the response. If the respondent got tested because her partner asked her to do so, you would circle '1', corresponding to 'Asked for the test', because she got the test of her own volition, in response to someone asking her to do so. This would be the case if a girlfriend or boyfriend or spouse or other concerned person personally asked them to get tested. If the respondent was offered the test during a normal health centre visit, for instance, and the respondent accepted the test, this would be coded as '2', 'Offered and accepted'. By 'required', we mean formally required. For example, an employer may require their employees to get tested for the AIDS virus. If so, you would circle '3' for 'Required'. Also, some countries require applicants applying for work permits or applicants applying for visas to show proof of an AIDS test.
Women aged 15-49
1
Pidió el test
2
Ofrecido y aceptado
3
Requerido
4
Control de embarazo
9
Missing
Saber donde hacerse el examen
Saber donde hacerse el examen
Saber donde hacerse el examen
Saber donde hacerse el examen
Saber donde hacerse el examen
At this time, do you know of a place where you can go to get such a test to see if you have the AIDS virus? A. If tested for HIV during antenatal care: Other than at the antenatal clinic, do you know of a place where you can go to get a test to see if you have the AIDS virus?
Note that some women will be asked HA18 and others will be asked HA18A, but the same set of response codes will be used to indicate the woman's response. Specifically, women who have not been tested for HIV during antenatal care ('No' marked in HA14) or any other time ('2' circled in HA15) are asked HA18. For women who have been tested for HIV during antenatal care, you should ask HA18A. Even if the respondent has been tested for HIV during antenatal care, we still ask this question, since the original testing place may no longer be accessible to the respondent. Circle the code corresponding to the response. When you have finished asking HA18 or HA18A, thank the woman. Check whether she is the mother or primary caretaker of any children that live with her and that are under the age of five by checking the Household Questionnaire, column HL8, for the woman's line number. If so, start interviewing her with the Questionnaire for Children Under Five for those children. If this woman is not the mother or primary caretaker of any children under five in the household, check if there is another eligible woman residing in the same household. If so, go on to administer the Questionnaire for Individual Women to the next eligible woman. Continue until you have completed questionnaires for all eligible women and children in the household.
Women aged 15-49
1
Si
2
No
9
Missing
Numero del entrevistador
Numero del entrevistador
Numero del entrevistador
Numero del entrevistador
Numero del entrevistador
Interviewer name and number:
Enter your own name and identification number provided to you at the time of training.
Households
Numero de supervisor
Numero de supervisor
Numero de supervisor
Numero de supervisor
Numero de supervisor
Supervisor name and number:
Enter your supervisor's name and identification number. You will be provided with your supervisor's identification number as soon as you know who you will be working with.
Households
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
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.
Households
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
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.
Households
Año de la entrevista
Año de la entrevista
Año de la entrevista
Año de la entrevista
Año de la entrevista
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.
Households
Area
Area
Area
Area
Area
Area:
Circle the code for area of residence as instructed 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.
Households
1
Urbana
2
Rural
Region
Region
Region
Region
Region
Region:
Circle the code for region.
Households
1
Occidente
2
C.Habana
3
Centro
4
Oriente
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
After all questionnaires for the household have been completed, fill in the following information: Result of HH interview:
If the Household Questionnaire is completed, circle '1' for 'Completed'. If you have not been able to contact the household after repeated visits, circle '2' for 'Not at home'. If the household refuses to be interviewed, circle '3' for 'Refused'. If you are unable to locate the household or if the dwelling is destroyed, circle '4' for 'HH not found/destroyed'. If you have not been able to complete the Household Questionnaire for another reason, you should circle '6' for 'Other' 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; adult household members were not found at home after repeated visits.
Households
1
Completo
2
Ausente
3
Rechazada
4
Hogar no encontrado/destruido
6
Otro
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondent to HH questionnaire:
Enter the name and line number (from the Household Listing, columns HL1 and HL2) of the respondent to the Household Questionnaire.
Households
99
Missing
Numero de miembros del hogar
Numero de miembros del hogar
Numero de miembros del hogar
Numero de miembros del hogar
Numero de miembros del hogar
Total number of household members:
Count the number of household members recorded in column HL1 of the Household Listing and enter the total here.
Households
Total de Mujeres elegibles
Total de Mujeres elegibles
Total de Mujeres elegibles
Total de Mujeres elegibles
Total de Mujeres elegibles
No.of women eligible for interview:
Enter the total number of women eligible for interview for the Questionnaire for Individual Women - you will copy this from the row for totals at the bottom of the Household Listing, for HL6.
Households
Entrevistas de mujeres completas
Entrevistas de mujeres completas
Entrevistas de mujeres completas
Entrevistas de mujeres completas
Entrevistas de mujeres completas
No.of women questionnaires completed:
Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here.
Households
Total de niños menores de dos años
Total de niños menores de dos años
Total de niños menores de dos años
Total de niños menores de dos años
Total de niños menores de dos años
No.of children under age 5:
Enter the total number of children under five eligible for inclusion in the survey from the row for totals at the bottom of the Household Listing, for HL8. You will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children.
Households
Encuestas de niños completas
Encuestas de niños completas
Encuestas de niños completas
Encuestas de niños completas
Encuestas de niños completas
No.of under-5 questionnaires completed:
Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here.
Households
Digitador
Digitador
Digitador
Digitador
Digitador
Data entry clerk:
Leave this space blank. The data clerk will enter his/her number in the space provided.
Households
Fuente principal de agua para beber
Fuente principal de agua para beber
Fuente principal de agua para beber
Fuente principal de agua para beber
Fuente principal de agua para beber
What is the main source of drinking water for members of your household?
The purpose of the first two questions of this module is to assess the type of household water used for drinking as well as for other purposes, such as cooking and washing hands. Definitions of the various sources of water are as follows (codes refer to those used in WS1 and WS2): '11' - Piped into dwelling, also called a house connection, is defined as water service connected by pipe with in-house plumbing to one or more taps, for example, in the kitchen and/or bathroom. '12' - Piped water to yard/plot, also called a yard connection, is defined as a piped water connection to a tap placed in the yard or plot outside the house. '13' - A public tap or standpipe is a water point from which the public may collect their water. A standpipe may also be known as a public fountain or public tap. Public standpipes can have one or more taps and are typically made of brickwork, masonry or concrete. '21' - A tube-well or borehole is a deep hole that has been driven, bored or drilled with the purpose of reaching groundwater supplies. Boreholes/tube-wells are constructed with casing, or pipes, which prevent the small-diameter hole from caving in and provide protection from infiltration of run-off water. Water is delivered from a tube-well or borehole through a pump that may be powered by humans, animals, wind, electricity, diesel fuel or solar energy. '31' - A protected dug well is a dug well that is protected from run-off water through a well lining or casing that is raised above ground level and a platform that diverts spilled water away from the well. Additionally, a protected dug well is covered so that bird droppings and animals cannot fall down the hole. '32' - An unprotected dug well is a dug well for which one or both of the following are true: (1) the well is not protected from run-off water; (2) the well is not protected from bird droppings and animals. If at least one of these conditions is true, the well is unprotected. '41' - A protected spring is a spring that is free from run-off and from bird droppings and animals. A spring is typically protected by a 'spring box' that is constructed of brick, masonry or concrete and is built around the spring so that water flows directly out of the box into a pipe without being exposed to outside pollution. '42' - An unprotected spring is a spring that is subject to run-off or bird droppings or animals. Unprotected springs typically do not have a 'spring box' (described above). '51' - Rainwater collection refers to rain that is collected or harvested from surfaces by roof or ground catchment and stored in a container, tank or cistern until used. '61' - A tanker-truck water source transports and sells water by means of a tanker truck. '71' - Cart with small tank/drum is used by a water provider who transports water into a community and then sells the water. Types of transports may include donkey cart, motorized vehicle or other means. '81' - Surface water is water located above ground and includes rivers, dams, lakes, ponds, streams, canals and irrigation channels from which water is taken directly. '91' - Bottled water is purchased water sold in bottles. Note that the code refers only to bottled water that is commercially available. Sometimes household members may store water from other sources in bottles - this should not be coded as bottled water. --- Circle the code for the most usual source. If several sources are mentioned, probe to determine the most usual source. If the source varies by season, record the source for the season of the interview. Note that the next question is only asked if the response to this question is 'Bottled water'. You should skip WS2 if the response to WS1 is other than 'Bottled water'. If the response is 'Piped into dwelling' or 'Piped into yard/plot', circle '11' or '12', respectively, and skip to WS5. Otherwise, skip to WS3.
Households
11
Tubería al hogar
12
Tubería en el patio/parcela
13
Llave pública
21
Manantial/Noria
31
Pozo protegido
32
Pozo sin proteger
41
Arroyo protegido
42
Arroyo sin proteger
51
Colección de aguas lluvia
61
Camión
71
Carro con sifón
81
Agua de superficie
91
Agua embasada
96
Otro
99
Missing
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
What is the main source of water used by your household for other purposes such as cooking and handwashing?
The purpose of the first two questions of this module is to assess the type of household water used for drinking as well as for other purposes, such as cooking and washing hands. Definitions of the various sources of water are as follows (codes refer to those used in WS1 and WS2): '11' - Piped into dwelling, also called a house connection, is defined as water service connected by pipe with in-house plumbing to one or more taps, for example, in the kitchen and/or bathroom. '12' - Piped water to yard/plot, also called a yard connection, is defined as a piped water connection to a tap placed in the yard or plot outside the house. '13' - A public tap or standpipe is a water point from which the public may collect their water. A standpipe may also be known as a public fountain or public tap. Public standpipes can have one or more taps and are typically made of brickwork, masonry or concrete. '21' - A tube-well or borehole is a deep hole that has been driven, bored or drilled with the purpose of reaching groundwater supplies. Boreholes/tube-wells are constructed with casing, or pipes, which prevent the small-diameter hole from caving in and provide protection from infiltration of run-off water. Water is delivered from a tube-well or borehole through a pump that may be powered by humans, animals, wind, electricity, diesel fuel or solar energy. '31' - A protected dug well is a dug well that is protected from run-off water through a well lining or casing that is raised above ground level and a platform that diverts spilled water away from the well. Additionally, a protected dug well is covered so that bird droppings and animals cannot fall down the hole. '32' - An unprotected dug well is a dug well for which one or both of the following are true: (1) the well is not protected from run-off water; (2) the well is not protected from bird droppings and animals. If at least one of these conditions is true, the well is unprotected. '41' - A protected spring is a spring that is free from run-off and from bird droppings and animals. A spring is typically protected by a 'spring box' that is constructed of brick, masonry or concrete and is built around the spring so that water flows directly out of the box into a pipe without being exposed to outside pollution. '42' - An unprotected spring is a spring that is subject to run-off or bird droppings or animals. Unprotected springs typically do not have a 'spring box' (described above). '51' - Rainwater collection refers to rain that is collected or harvested from surfaces by roof or ground catchment and stored in a container, tank or cistern until used. '61' - A tanker-truck water source transports and sells water by means of a tanker truck. '71' - Cart with small tank/drum is used by a water provider who transports water into a community and then sells the water. Types of transports may include donkey cart, motorized vehicle or other means. '81' - Surface water is water located above ground and includes rivers, dams, lakes, ponds, streams, canals and irrigation channels from which water is taken directly. '91' - Bottled water is purchased water sold in bottles. Note that the code refers only to bottled water that is commercially available. Sometimes household members may store water from other sources in bottles - this should not be coded as bottled water. --- 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' or 'Piped into yard/plot', circle '11' or '12', respectively, and skip to WS5. Otherwise continue to the next question.
Households
11
Cañería al hogar
12
Cañería al sitio/lote
13
Llave pública
21
Manantial/Noria
31
Pozo protegido
32
Pozo sin proteger
41
Arroyo protegido
42
Arroyo sin proteger
51
Colección de aguas lluvia
61
Camión
71
Carro con sifón
81
Agua de superficie
96
Otro
99
Missing
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
How long does it take to go there, get water, and come back?
This question is used to find out how convenient the source of water is to the dwelling. Note that the question is asked for water sources coded as '13-81' and '96' in WS1, or water sources coded as '13-96' in WS2. 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 water source is on the dwelling premises or if water is delivered to the dwelling by a vendor, circle '995' for 'Water on premises' and skip to WS5. If the respondent does not know how long it takes, circle '998' and continue on to the next question.
Households
995
En el lugar
998
NS
999
Missing
Persona que busca el agua
Persona que busca el agua
Persona que busca el agua
Persona que busca el agua
Persona que busca el agua
Who usually goes to this source to fetch the water for your household? Probe: Is this person under age 15? What sex?
Circle code that best describes this person.
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 IS THIS PERSON?" 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.
Households
1
Mujer adulta
2
Hombre adulto
3
Niña menor de 15
4
Niño menor de 15
8
NS
9
Missing
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Do you treat your water in any way to make it safer to drink?
The purpose of the following two questions, WS5 and WS6, 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. --- 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 WS7.
Households
1
Si
2
No
8
NS
9
Missing
Hervir
Hervir
Hervir
Hervir
Hervir
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
A
Hervir
Agregar cloro
Agregar cloro
Agregar cloro
Agregar cloro
Agregar cloro
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
B
Agregar cloro
Colarla con un paño
Colarla con un paño
Colarla con un paño
Colarla con un paño
Colarla con un paño
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
C
Colarla con un paño
Usar un filtro de agua
Usar un filtro de agua
Usar un filtro de agua
Usar un filtro de agua
Usar un filtro de agua
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
D
Usar filtro de agua
Desinfección solar
Desinfección solar
Desinfección solar
Desinfección solar
Desinfección solar
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
E
Desinfección solar
Dejarla reposar
Dejarla reposar
Dejarla reposar
Dejarla reposar
Dejarla reposar
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
F
Dejarla reposar
Otro
Otro
Otro
Otro
Otro
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
X
Otro
NS
NS
NS
NS
NS
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
Z
NS
Quienes beben
Quienes beben
Quienes beben
Quienes beben
Quienes beben
1
Todos
2
El/los niño/s
3
Una parte
9
Missing
cuantos beben
cuantos beben
cuantos beben
cuantos beben
cuantos beben
99
Missing
Tipo de toilet
Tipo de toilet
Tipo de toilet
Tipo de toilet
Tipo de toilet
What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to?
If necessary, ask permission to observe the facility.
Questions WS7, WS8 and WS9 are about the toilet facility household members use. --- The purpose of this question is to obtain a measure of the cleanliness 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. . '14' - A flush/pour flush to somewhere else refers to excreta being deposited in or nearby the household environment (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 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 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 or hanging latrine is a toilet built over the sea, a river, or other body of water into which excreta drops directly. '95' - No facilities or bush or 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).
Households
11
Evacuación a alcantarillado
12
Evacuación a pozo séptico
13
Evacuación a letrina
14
Evacuación a otro lugar
15
Evacuación con destino ignorado
21
Letrina ventilada/mejorada
22
Letrina con taza/excusado
23
Letrina abierta
31
Toilet para compostación (fertilizante)
41
Balde, cubeta
51
Toilet colgante
95
Sin toilet, campo
96
Otro
99
Missing
Baño compartido
Baño compartido
Baño compartido
Baño compartido
Baño compartido
Do you share this facility with other households?
Questions WS7, WS8 and WS9 are about the toilet facility household members use. --- 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. --- Circle the code corresponding to the response given. If 'No', go to the next module.
Households
1
Si
2
No
9
Missing
Hogares compartiendo este baño
Hogares compartiendo este baño
Hogares compartiendo este baño
Hogares compartiendo este baño
Hogares compartiendo este baño
How many households in total use this toilet facility?
Questions WS7, WS8 and WS9 are about the toilet facility household members use. --- 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. --- 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 this household that uses the facility; if that is the case, you should go back to WS8 and correct the response there). Circle '98' for 'DK' ('Doesn't know').
Households
10
Diez o más
98
NS
99
Missing
Fecha de entrevista de la mujer (CMC)
Fecha de entrevista de la mujer (CMC)
Fecha de entrevista de la mujer (CMC)
Fecha de entrevista de la mujer (CMC)
Fecha de entrevista de la mujer (CMC)
Recoded variable
Women aged 15-49
Fecha de nacimiento (CMC)
Fecha de nacimiento (CMC)
Fecha de nacimiento (CMC)
Fecha de nacimiento (CMC)
Fecha de nacimiento (CMC)
Recoded variable
Women aged 15-49
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
variable auxiliar para el cálculo de la fecha de nacimiento CMC
Edad
Edad
Edad
Edad
Edad
1
15-19
2
20-24
3
25-29
4
30-34
5
35-39
6
40-44
7
45-49
Nivel educacional de la Mujer
Nivel educacional de la Mujer
Nivel educacional de la Mujer
Nivel educacional de la Mujer
Nivel educacional de la Mujer
Recoded variable
Children aged 0-4
1
Primaria o menor
2
Secundaria/Obrera Calificada
3
Pre/Tec
4
Superior
9
Omitido/No sabe
Provincia
Provincia
Provincia
Provincia
Provincia
1
Pinar
2
Prov. Hab.
3
C. Hab.
4
Mat
5
V.Clara
6
Cienf
7
S.Spiritus
8
Ciego
9
Camag.
10
Las Tunas
11
Holg
12
Granma
13
Stgo
14
Guant
15
Isla
subestrato con o sin niños <2
subestrato con o sin niños <2
subestrato con o sin niños <2
subestrato con o sin niños <2
subestrato con o sin niños <2
1
Con
2
Sin
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Ponderación mujer
Ponderación mujer
Ponderación mujer
Ponderación mujer
Ponderación mujer
Recoded variable
Women aged 15-49
Numero del Cluster
Numero del Cluster
Numero del Cluster
Numero del Cluster
Numero del Cluster
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 this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. During this time I would like to speak with the household head and all mothers or others who take care of children in the household. May I start now? If permission is given, begin the interview. Cluster number:
Enter the cluster number as instructed by your supervisor.
Households
Unique identifier for the cluster in which the household exists
Numero del Hogar
Numero del Hogar
Numero del Hogar
Numero del Hogar
Numero del Hogar
Household number:
Enter the household number as instructed by your supervisor.
Households
Houshold number within the cluster
Line number
Line number
Line number
Line number
Line number
Child's line number:
Children aged 0-4
Número del Cluster
Número del Cluster
Número del Cluster
Número del Cluster
Número del Cluster
Cluster number:
Enter the cluster number from the Household Questionnaire, question HH1.
Children aged 0-4
Número de Hogar
Número de Hogar
Número de Hogar
Número de Hogar
Número de Hogar
Household number:
Enter the household number from the Household Questionnaire, question HH2.
Children aged 0-4
Número de línea del niño
Número de línea del niño
Número de línea del niño
Número de línea del niño
Número de línea del niño
Child's line number:
Enter the child's line number from the Household Questionnaire, column HL1 of the Household Listing.
Children aged 0-4
Numero de linea del cuidador
Numero de linea del cuidador
Numero de linea del cuidador
Numero de linea del cuidador
Numero de linea del cuidador
Mother's/Caretaker's Line Number:
Enter the mother's/primary caretaker's line number from the Household Questionnaire, column HL1 of the Household Listing.
Children aged 0-4
Número del entrevistador
Número del entrevistador
Número del entrevistador
Número del entrevistador
Número del entrevistador
Interviewer name and number:
Enter your own name and identifying number. You will be provided with these identification numbers during training.
Children aged 0-4
Día de la entrevista
Día de la entrevista
Día de la entrevista
Día de la entrevista
Día de la entrevista
Day/Month/Year of 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.
Children aged 0-4
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
Day/Month/Year of 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.
Children aged 0-4
Año de la entrevista
Año de la entrevista
Año de la entrevista
Año de la entrevista
Año de la entrevista
Day/Month/Year of 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.
Children aged 0-4
Resultado de la entrevista para niños menores de 5 años
Resultado de la entrevista para niños menores de 5 años
Resultado de la entrevista para niños menores de 5 años
Resultado de la entrevista para niños menores de 5 años
Resultado de la entrevista para niños menores de 5 años
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 '1' for 'Completed'. If you have not been able to contact the mother/primary caretaker after repeated visits, circle '2' for 'Not at home'. If the mother/primary caretaker refuses to be interviewed, circle '3' for 'Refused'. If you were able to only partly complete the questionnaire, circle '4' for 'Partly completed'. If the mother/primary caretaker is incapacitated, circle '5'. If you have not been able to complete this questionnaire for another reason, you should circle '6' for 'Other' and specify the reason in the space provided. Ask the mother/primary caretaker to collect all the birth certificates and health/ immunization cards she has for this child before you begin the interview. You will need these during the interview. Repeat greeting if not already read to this mother/primary caretaker: "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 THIS. THE INTERVIEW WILL TAKE ABOUT (number) MINUTES. ALL THE INFORMATION WE OBTAIN WILL REMAIN STRICTLY CONFIDENTIAL AND YOUR ANSWERS WILL NEVER BE IDENTIFIED. ALSO, YOU ARE NOT OBLIGED TO ANSWER ANY QUESTION YOU DON'T WANT TO, AND YOU MAY WITHDRAW FROM THE INTERVIEW AT ANY TIME. MAY I START NOW?" As with similar sentences at the beginning of the Household Questionnaire and Questionnaire for Individual Women, you may change the wording of these introductory sentences as appropriate. You must make sure, however, to include the following when you are introducing yourself: The name of the implementing agency; the topic of the survey; the 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 her/him and go to the next interview. Later, discuss the refusal with your supervisor; you or another person from the team may attempt to interview the respondent for a second time. This will depend on your description of the refusal. However, remember that the respondent's participation in the survey must be on a voluntary basis, and potential respondents must never be forced to participate.
Children aged 0-4
1
Completa
2
No estaba en casa
3
Rehusada
4
Parcialmente completa
5
Incapacitada
6
Otra
Dia de nacimiento del niño
Dia de nacimiento del niño
Dia de nacimiento del niño
Dia de nacimiento del niño
Dia de nacimiento del niño
Repeat greeting if not already read to this 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 this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit.
Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday?
If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day.
You will begin the interview with questions about the child's date of birth and age. These are two of the most important questions in the interview, since almost all analysis of the data depends on the child's exact age. While completed age in years is sufficient for women's interviews, we need to obtain accurate information on the child's age in months. This is necessary because some of the analysis of the information that you will be collecting can only be done on the basis of age in months. You will collect this information by learning the child's date of birth. It will then be possible to compare the date of interview with the date of birth of the child and, after the data is collected, calculate the child's age in months by comparing these two pieces of information. The questions on age and date of birth must be asked independently from similar questions on the Household Questionnaire and Questionnaire for Individual Women. The person you may be interviewing for this questionnaire may be the same woman you interviewed for the Questionnaire for Individual Women, and you may have obtained dates of birth of her children in that questionnaire. Also, you may have obtained the child's age in the Household Questionnaire. Even in such cases, you must ask these questions again. --- Note that you may modify the first sentence based on the number of children in the respondent's care. If this is the only child the respondent cares for, change the sentences to "NOW I WOULD LIKE TO ASK YOU SOME QUESTIONS ABOUT THE HEALTH OF (name). IN WHAT 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. Since all MICS3 surveys will be conducted in 2005 or 2006, the year of birth of the child cannot be earlier than 2000 (for surveys in 2005) or 2001 (for surveys in 2006). 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.
Children aged 0-4
97
Inconsistent
98
NS
99
Missing
Mes de nacimiento del niño
Mes de nacimiento del niño
Mes de nacimiento del niño
Mes de nacimiento del niño
Mes de nacimiento del niño
Repeat greeting if not already read to this 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 this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit.
Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday?
If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day.
You will begin the interview with questions about the child's date of birth and age. These are two of the most important questions in the interview, since almost all analysis of the data depends on the child's exact age. While completed age in years is sufficient for women's interviews, we need to obtain accurate information on the child's age in months. This is necessary because some of the analysis of the information that you will be collecting can only be done on the basis of age in months. You will collect this information by learning the child's date of birth. It will then be possible to compare the date of interview with the date of birth of the child and, after the data is collected, calculate the child's age in months by comparing these two pieces of information. The questions on age and date of birth must be asked independently from similar questions on the Household Questionnaire and Questionnaire for Individual Women. The person you may be interviewing for this questionnaire may be the same woman you interviewed for the Questionnaire for Individual Women, and you may have obtained dates of birth of her children in that questionnaire. Also, you may have obtained the child's age in the Household Questionnaire. Even in such cases, you must ask these questions again. --- Note that you may modify the first sentence based on the number of children in the respondent's care. If this is the only child the respondent cares for, change the sentences to "NOW I WOULD LIKE TO ASK YOU SOME QUESTIONS ABOUT THE HEALTH OF (name). IN WHAT 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. Since all MICS3 surveys will be conducted in 2005 or 2006, the year of birth of the child cannot be earlier than 2000 (for surveys in 2005) or 2001 (for surveys in 2006). 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.
Children aged 0-4
97
Inconsistent
98
NS
99
Missing
Año de nacimiento del niño
Año de nacimiento del niño
Año de nacimiento del niño
Año de nacimiento del niño
Año de nacimiento del niño
Repeat greeting if not already read to this 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 this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit.
Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday?
If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day.
You will begin the interview with questions about the child's date of birth and age. These are two of the most important questions in the interview, since almost all analysis of the data depends on the child's exact age. While completed age in years is sufficient for women's interviews, we need to obtain accurate information on the child's age in months. This is necessary because some of the analysis of the information that you will be collecting can only be done on the basis of age in months. You will collect this information by learning the child's date of birth. It will then be possible to compare the date of interview with the date of birth of the child and, after the data is collected, calculate the child's age in months by comparing these two pieces of information. The questions on age and date of birth must be asked independently from similar questions on the Household Questionnaire and Questionnaire for Individual Women. The person you may be interviewing for this questionnaire may be the same woman you interviewed for the Questionnaire for Individual Women, and you may have obtained dates of birth of her children in that questionnaire. Also, you may have obtained the child's age in the Household Questionnaire. Even in such cases, you must ask these questions again. --- Note that you may modify the first sentence based on the number of children in the respondent's care. If this is the only child the respondent cares for, change the sentences to "NOW I WOULD LIKE TO ASK YOU SOME QUESTIONS ABOUT THE HEALTH OF (name). IN WHAT 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. Since all MICS3 surveys will be conducted in 2005 or 2006, the year of birth of the child cannot be earlier than 2000 (for surveys in 2005) or 2001 (for surveys in 2006). 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.
Children aged 0-4
9997
Inconsistent
9998
NS
9999
Missing
Edad del niño
Edad del niño
Edad del niño
Edad del niño
Edad del niño
How old was (NAME) at his/her last birthday?
Record age in completed years.
You will begin the interview with questions about the child's date of birth and age. These are two of the most important questions in the interview, since almost all analysis of the data depends on the child's exact age. While completed age in years is sufficient for women's interviews, we need to obtain accurate information on the child's age in months. This is necessary because some of the analysis of the information that you will be collecting can only be done on the basis of age in months. You will collect this information by learning the child's date of birth. It will then be possible to compare the date of interview with the date of birth of the child and, after the data is collected, calculate the child's age in months by comparing these two pieces of information. The questions on age and date of birth must be asked independently from similar questions on the Household Questionnaire and Questionnaire for Individual Women. The person you may be interviewing for this questionnaire may be the same woman you interviewed for the Questionnaire for Individual Women, and you may have obtained dates of birth of her children in that questionnaire. Also, you may have obtained the child's age in the Household Questionnaire. Even in such cases, you must ask these questions again. --- 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. 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?" Ask UF10 and UF11 independently. Then, check for consistency between the date of birth and completed age. You have to be meticulous in checking for the consistency between the date of birth and age. You also have to be fairly quick in doing so. A good interviewer will perform the check without causing a lull in the conversation. Checking for consistency between date of birth (UF10) and completed age (UF11). After having obtained both date of birth and age, check for the consistency between the two. The child's age plus her year of birth must equal the year in which the child last had a birthday. Assuming that you were able to obtain a month and year of birth, you should check the consistency by following these steps: If the month of birth is before the month of interview (the child had his/her birthday this year), then her/his age plus her/his year of birth should equal the year of interview. . Example: A child who was born in October 2003, in a survey conducted in November 2005, should be age 2 (2003 + 2 = 2005). If the month of birth is after the month of interview (the child has not had his/her birthday this year), then her/his age plus year of birth should equal the previous year. . Example: A child who was born in December 2003, in a survey conducted in October 2005, should be age 1 (2003 + 1 = 2004). If the month of birth is the same as the month of interview, and the day of birth is not known, then a sum of either the current or the previous year is correct. . Example: A child born in November 2002, in a survey conducted in November 2005, could be age 3 or age 2. Probe further to see if the date of birth is correct and whether the child has completed age 2 or 3. If the month of birth is the same as the month of interview, and the day of birth is known, the sum of age and year of birth should equal the year of interview if the day of birth is before the day of interview, and the sum of age and year of birth should equal the previous year if the day of birth is after the day of interview. . Example: A child born on 8 February 2002, in an interview conducted on 15 February 2006, should be age four. A child born on 28 February 2002, in an interview conducted on 3 February 2006, should be age three, since this child will complete 4 full years on 28 February 2006. If you find that the date of birth and age are inconsistent, either the date of birth or the age, or both, are incorrect, and need to be corrected. Do not assume that one is more accurate than the other. Probe, using documents that may be available, dates of well-known events and ages of other children, of the respondent herself/himself, etc.
Children aged 0-4
El niño fue amamantado
El niño fue amamantado
El niño fue amamantado
El niño fue amamantado
El niño fue amamantado
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.
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
Veces al pecho (unidad)
Veces al pecho (unidad)
Veces al pecho (unidad)
Veces al pecho (unidad)
Veces al pecho (unidad)
Inmediatamente
1
Horas
2
Días
9
Missing
Veces al pecho (numero)
Veces al pecho (numero)
Veces al pecho (numero)
Veces al pecho (numero)
Veces al pecho (numero)
98
NS
99
Missing
El niño todavía está siendo amamantado
El niño todavía está siendo amamantado
El niño todavía está siendo amamantado
El niño todavía está siendo amamantado
El niño todavía está siendo amamantado
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.
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
El niño recibió vitamina, minerales, suplementos o medicina
El niño recibió vitamina, minerales, suplementos o medicina
El niño recibió vitamina, minerales, suplementos o medicina
El niño recibió vitamina, minerales, suplementos o medicina
El niño recibió vitamina, minerales, suplementos o medicina
Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Vitamin, mineral supplements or medicine?
This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Prompt by asking each listed item in turn, such as: "DID (name) RECEIVE VITAMIN OR MINERAL SUPPLEMENTS OR MEDICINE?" or "DID HE/SHE RECEIVE PLAIN WATER?" and so on through the list. Read each item aloud and record the response before proceeding to the next item. Use the local terms for these liquids or foods. Make sure that the respondent understands the question, particularly what is meant by 'since this time yesterday'. Specify to the mother/primary caretaker: mid-morning, mid-afternoon, etc., depending on the time of the interview. 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'
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
El niño recibió pura agua
El niño recibió pura agua
El niño recibió pura agua
El niño recibió pura agua
El niño recibió pura agua
Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Plain water?
This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Prompt by asking each listed item in turn, such as: "DID (name) RECEIVE VITAMIN OR MINERAL SUPPLEMENTS OR MEDICINE?" or "DID HE/SHE RECEIVE PLAIN WATER?" and so on through the list. Read each item aloud and record the response before proceeding to the next item. Use the local terms for these liquids or foods. Make sure that the respondent understands the question, particularly what is meant by 'since this time yesterday'. Specify to the mother/primary caretaker: mid-morning, mid-afternoon, etc., depending on the time of the interview. 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'
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
El niño recibió agua endulzada o jugo
El niño recibió agua endulzada o jugo
El niño recibió agua endulzada o jugo
El niño recibió agua endulzada o jugo
El niño recibió agua endulzada o jugo
Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Sweetened, flavoured water or fruit juice or tea or infusion?
This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Prompt by asking each listed item in turn, such as: "DID (name) RECEIVE VITAMIN OR MINERAL SUPPLEMENTS OR MEDICINE?" or "DID HE/SHE RECEIVE PLAIN WATER?" and so on through the list. Read each item aloud and record the response before proceeding to the next item. Use the local terms for these liquids or foods. Make sure that the respondent understands the question, particularly what is meant by 'since this time yesterday'. Specify to the mother/primary caretaker: mid-morning, mid-afternoon, etc., depending on the time of the interview. 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'
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
El niño recibió solución de hidratación oral
El niño recibió solución de hidratación oral
El niño recibió solución de hidratación oral
El niño recibió solución de hidratación oral
El niño recibió solución de hidratación oral
Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Oral rehydration solution (ORS)?
This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Prompt by asking each listed item in turn, such as: "DID (name) RECEIVE VITAMIN OR MINERAL SUPPLEMENTS OR MEDICINE?" or "DID HE/SHE RECEIVE PLAIN WATER?" and so on through the list. Read each item aloud and record the response before proceeding to the next item. Use the local terms for these liquids or foods. Make sure that the respondent understands the question, particularly what is meant by 'since this time yesterday'. Specify to the mother/primary caretaker: mid-morning, mid-afternoon, etc., depending on the time of the interview. 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'
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
El niño recibió formula infantil
El niño recibió formula infantil
El niño recibió formula infantil
El niño recibió formula infantil
El niño recibió formula infantil
Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Infant formula?
This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Prompt by asking each listed item in turn, such as: "DID (name) RECEIVE VITAMIN OR MINERAL SUPPLEMENTS OR MEDICINE?" or "DID HE/SHE RECEIVE PLAIN WATER?" and so on through the list. Read each item aloud and record the response before proceeding to the next item. Use the local terms for these liquids or foods. Make sure that the respondent understands the question, particularly what is meant by 'since this time yesterday'. Specify to the mother/primary caretaker: mid-morning, mid-afternoon, etc., depending on the time of the interview. 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'
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
El niño recibió leche
El niño recibió leche
El niño recibió leche
El niño recibió leche
El niño recibió leche
Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Tinned, powdered or fresh milk?
This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Prompt by asking each listed item in turn, such as: "DID (name) RECEIVE VITAMIN OR MINERAL SUPPLEMENTS OR MEDICINE?" or "DID HE/SHE RECEIVE PLAIN WATER?" and so on through the list. Read each item aloud and record the response before proceeding to the next item. Use the local terms for these liquids or foods. Make sure that the respondent understands the question, particularly what is meant by 'since this time yesterday'. Specify to the mother/primary caretaker: mid-morning, mid-afternoon, etc., depending on the time of the interview. 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'
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
El niño recibió otros liquidos
El niño recibió otros liquidos
El niño recibió otros liquidos
El niño recibió otros liquidos
El niño recibió otros liquidos
Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Any other liquids?
This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Prompt by asking each listed item in turn, such as: "DID (name) RECEIVE VITAMIN OR MINERAL SUPPLEMENTS OR MEDICINE?" or "DID HE/SHE RECEIVE PLAIN WATER?" and so on through the list. Read each item aloud and record the response before proceeding to the next item. Use the local terms for these liquids or foods. Make sure that the respondent understands the question, particularly what is meant by 'since this time yesterday'. Specify to the mother/primary caretaker: mid-morning, mid-afternoon, etc., depending on the time of the interview. 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'
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
El niño recibió sólidos o comida molida
El niño recibió sólidos o comida molida
El niño recibió sólidos o comida molida
El niño recibió sólidos o comida molida
El niño recibió sólidos o comida molida
Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Solid or semi-solid (mushy) food?
This question asks about what the child was fed in the preceding 24 hours. The purpose of this question is to determine what liquids or foods the child was given. Prompt by asking each listed item in turn, such as: "DID (name) RECEIVE VITAMIN OR MINERAL SUPPLEMENTS OR MEDICINE?" or "DID HE/SHE RECEIVE PLAIN WATER?" and so on through the list. Read each item aloud and record the response before proceeding to the next item. Use the local terms for these liquids or foods. Make sure that the respondent understands the question, particularly what is meant by 'since this time yesterday'. Specify to the mother/primary caretaker: mid-morning, mid-afternoon, etc., depending on the time of the interview. 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'
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
Cuando recibió comidas solidas, semi-solidas
Cuando recibió comidas solidas, semi-solidas
Cuando recibió comidas solidas, semi-solidas
Cuando recibió comidas solidas, semi-solidas
Cuando recibió comidas solidas, semi-solidas
Check BF3H: Child received solid or semi-solid (mushy) food? Yes. Continue with BF5 No or DK. Go to Next Module
Since this time yesterday, how many times did (NAME) eat solid, semisolid, or soft foods other than liquids?
If 7 or more times, record '7'.
If the child received solid or semi-solid (mushy) food (BF3H=1), check the box marked 'Yes' and continue to the next question. If 'No' or 'DK', check the corresponding box and go to the next module. --- In this question, we want to find out how many times the child was given non-liquid foods in the 24 hours prior to the interview. Record the number of times in the space provided. If the number is seven or more, record '7'. If the respondent does not know, circle '8'.
Children aged 0-4
7
7+
8
NS
9
Missing
Tarjeta de vacunas del niño
Tarjeta de vacunas del niño
Tarjeta de vacunas del niño
Tarjeta de vacunas del niño
Tarjeta de vacunas del niño
If an immunization card is available, copy the dates in IM2-IM8 for each type of immunization or vitamin A dose recorded on the card. IM10-IM18 are for recording vaccinations that are not recorded on the card. IM10-IM18 will only be asked when a card is not available.
Is there a vaccination card for (name)?
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 continue to the next question. If the card or other document is not seen, circle '2' and skip to IM10 - 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 skip to IM10.
Children aged 0-4
1
Si, vista
2
Si, no vista
3
No
9
Missing
Día BCG
Día BCG
Día BCG
Día BCG
Día BCG
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization BCG
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes BCG
Mes BCG
Mes BCG
Mes BCG
Mes BCG
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization BCG
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
99
Missing
Año BCG
Año BCG
Año BCG
Año BCG
Año BCG
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization BCG
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
9999
Missing
VACUNA APLICADA BCG
VACUNA APLICADA BCG
VACUNA APLICADA BCG
VACUNA APLICADA BCG
VACUNA APLICADA BCG
1
SI
2
NO
9
OMITIDO
MOTIVOS BCG
MOTIVOS BCG
MOTIVOS BCG
MOTIVOS BCG
MOTIVOS BCG
Día HB*12-24
Día HB*12-24
Día HB*12-24
Día HB*12-24
Día HB*12-24
No dada
44
Marcada en la tarjeta, sin fecha
66
Dada por la madre
99
Missing
Mes HB*12-24
Mes HB*12-24
Mes HB*12-24
Mes HB*12-24
Mes HB*12-24
99
Missing
Año HB*12-24
Año HB*12-24
Año HB*12-24
Año HB*12-24
Año HB*12-24
9999
Missing
VACUNA APLICADA HB*12-24
VACUNA APLICADA HB*12-24
VACUNA APLICADA HB*12-24
VACUNA APLICADA HB*12-24
VACUNA APLICADA HB*12-24
1
SI
2
NO
9
OMITIDO
MOTIVOS HB*12-24
MOTIVOS HB*12-24
MOTIVOS HB*12-24
MOTIVOS HB*12-24
MOTIVOS HB*12-24
Día HB*1
Día HB*1
Día HB*1
Día HB*1
Día HB*1
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes HB*1
Mes HB*1
Mes HB*1
Mes HB*1
Mes HB*1
99
Missing
Año HB*1
Año HB*1
Año HB*1
Año HB*1
Año HB*1
9999
Missing
VACUNA APLICADA HB*1
VACUNA APLICADA HB*1
VACUNA APLICADA HB*1
VACUNA APLICADA HB*1
VACUNA APLICADA HB*1
1
SI
2
NO
9
OMITIDO
MOTIVOS HB*1
MOTIVOS HB*1
MOTIVOS HB*1
MOTIVOS HB*1
MOTIVOS HB*1
Día HB*2
Día HB*2
Día HB*2
Día HB*2
Día HB*2
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes HB*2
Mes HB*2
Mes HB*2
Mes HB*2
Mes HB*2
99
Missing
Año HB*2
Año HB*2
Año HB*2
Año HB*2
Año HB*2
9999
Missing
VACUNA APLICADA HB*2
VACUNA APLICADA HB*2
VACUNA APLICADA HB*2
VACUNA APLICADA HB*2
VACUNA APLICADA HB*2
1
SI
2
NO
9
OMITIDO
MOTIVOS HB*2
MOTIVOS HB*2
MOTIVOS HB*2
MOTIVOS HB*2
MOTIVOS HB*2
Día HB*12
Día HB*12
Día HB*12
Día HB*12
Día HB*12
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes HB*12
Mes HB*12
Mes HB*12
Mes HB*12
Mes HB*12
99
Missing
Año HB*12
Año HB*12
Año HB*12
Año HB*12
Año HB*12
9999
Missing
VACUNA APLICADA HB*12
VACUNA APLICADA HB*12
VACUNA APLICADA HB*12
VACUNA APLICADA HB*12
VACUNA APLICADA HB*12
1
SI
2
NO
9
OMITIDO
MOTIVOS HB*12
MOTIVOS HB*12
MOTIVOS HB*12
MOTIVOS HB*12
MOTIVOS HB*12
Día HB**12-24
Día HB**12-24
Día HB**12-24
Día HB**12-24
Día HB**12-24
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes HB**12-24
Mes HB**12-24
Mes HB**12-24
Mes HB**12-24
Mes HB**12-24
99
Missing
Año HB**12-24
Año HB**12-24
Año HB**12-24
Año HB**12-24
Año HB**12-24
9999
Missing
VACUNA APLICADA HB**12-24
VACUNA APLICADA HB**12-24
VACUNA APLICADA HB**12-24
VACUNA APLICADA HB**12-24
VACUNA APLICADA HB**12-24
1
SI
2
NO
9
OMITIDO
MOTIVOS HB**12-24
MOTIVOS HB**12-24
MOTIVOS HB**12-24
MOTIVOS HB**12-24
MOTIVOS HB**12-24
Día HB**1
Día HB**1
Día HB**1
Día HB**1
Día HB**1
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes HB**1
Mes HB**1
Mes HB**1
Mes HB**1
Mes HB**1
99
Missing
Año HB**1
Año HB**1
Año HB**1
Año HB**1
Año HB**1
9999
Missing
VACUNA APLICADA HB**1
VACUNA APLICADA HB**1
VACUNA APLICADA HB**1
VACUNA APLICADA HB**1
VACUNA APLICADA HB**1
1
SI
2
NO
9
OMITIDO
MOTIVOS HB**1
MOTIVOS HB**1
MOTIVOS HB**1
MOTIVOS HB**1
MOTIVOS HB**1
Día HB**6
Día HB**6
Día HB**6
Día HB**6
Día HB**6
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes HB**6
Mes HB**6
Mes HB**6
Mes HB**6
Mes HB**6
99
Missing
Año HB**6
Año HB**6
Año HB**6
Año HB**6
Año HB**6
9999
Missing
VACUNA APLICADA HB**6
VACUNA APLICADA HB**6
VACUNA APLICADA HB**6
VACUNA APLICADA HB**6
VACUNA APLICADA HB**6
1
SI
2
NO
9
OMITIDO
MOTIVOS HB**6
MOTIVOS HB**6
MOTIVOS HB**6
MOTIVOS HB**6
MOTIVOS HB**6
Día DPT2
Día DPT2
Día DPT2
Día DPT2
Día DPT2
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes DPT2
Mes DPT2
Mes DPT2
Mes DPT2
Mes DPT2
99
Missing
Año DPT2
Año DPT2
Año DPT2
Año DPT2
Año DPT2
9999
Missing
VACUNA APLICADA DPT2
VACUNA APLICADA DPT2
VACUNA APLICADA DPT2
VACUNA APLICADA DPT2
VACUNA APLICADA DPT2
1
SI
2
NO
9
OMITIDO
MOTIVOS DPT2
MOTIVOS DPT2
MOTIVOS DPT2
MOTIVOS DPT2
MOTIVOS DPT2
Dia DPT4
Dia DPT4
Dia DPT4
Dia DPT4
Dia DPT4
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes DPT4
Mes DPT4
Mes DPT4
Mes DPT4
Mes DPT4
99
Missing
Año DPT4
Año DPT4
Año DPT4
Año DPT4
Año DPT4
9999
Missing
VACUNA APLICADA DPT4
VACUNA APLICADA DPT4
VACUNA APLICADA DPT4
VACUNA APLICADA DPT4
VACUNA APLICADA DPT4
1
SI
2
NO
9
OMITIDO
MOTIVOS DPT4
MOTIVOS DPT4
MOTIVOS DPT4
MOTIVOS DPT4
MOTIVOS DPT4
Día DPT6
Día DPT6
Día DPT6
Día DPT6
Día DPT6
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes DPT6
Mes DPT6
Mes DPT6
Mes DPT6
Mes DPT6
99
Missing
Año DPT6
Año DPT6
Año DPT6
Año DPT6
Año DPT6
9999
Missing
VACUNA APLICADA DPT6
VACUNA APLICADA DPT6
VACUNA APLICADA DPT6
VACUNA APLICADA DPT6
VACUNA APLICADA DPT6
1
SI
2
NO
9
OMITIDO
MOTIVOS DPT6
MOTIVOS DPT6
MOTIVOS DPT6
MOTIVOS DPT6
MOTIVOS DPT6
Día DPT+HB**2
Día DPT+HB**2
Día DPT+HB**2
Día DPT+HB**2
Día DPT+HB**2
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes DPT+HB**2
Mes DPT+HB**2
Mes DPT+HB**2
Mes DPT+HB**2
Mes DPT+HB**2
99
Missing
Año DPT+HB**2
Año DPT+HB**2
Año DPT+HB**2
Año DPT+HB**2
Año DPT+HB**2
9999
Missing
VACUNA APLICADA DPT+HB**2
VACUNA APLICADA DPT+HB**2
VACUNA APLICADA DPT+HB**2
VACUNA APLICADA DPT+HB**2
VACUNA APLICADA DPT+HB**2
1
SI
2
NO
9
OMITIDO
MOTIVOS DPT+HB**2
MOTIVOS DPT+HB**2
MOTIVOS DPT+HB**2
MOTIVOS DPT+HB**2
MOTIVOS DPT+HB**2
Día DPT+HB**4
Día DPT+HB**4
Día DPT+HB**4
Día DPT+HB**4
Día DPT+HB**4
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes DPT+HB**4
Mes DPT+HB**4
Mes DPT+HB**4
Mes DPT+HB**4
Mes DPT+HB**4
99
Missing
Año DPT+HB**4
Año DPT+HB**4
Año DPT+HB**4
Año DPT+HB**4
Año DPT+HB**4
9999
Missing
VACUNA APLICADA DPT+HB**4
VACUNA APLICADA DPT+HB**4
VACUNA APLICADA DPT+HB**4
VACUNA APLICADA DPT+HB**4
VACUNA APLICADA DPT+HB**4
1
SI
2
NO
9
OMITIDO
MOTIVOS DPT+HB**4
MOTIVOS DPT+HB**4
MOTIVOS DPT+HB**4
MOTIVOS DPT+HB**4
MOTIVOS DPT+HB**4
Día DPT+HB**6
Día DPT+HB**6
Día DPT+HB**6
Día DPT+HB**6
Día DPT+HB**6
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes DPT+HB**6
Mes DPT+HB**6
Mes DPT+HB**6
Mes DPT+HB**6
Mes DPT+HB**6
99
Missing
Año DPT+HB**6
Año DPT+HB**6
Año DPT+HB**6
Año DPT+HB**6
Año DPT+HB**6
9999
Missing
VACUNA APLICADA DPT+HB**6
VACUNA APLICADA DPT+HB**6
VACUNA APLICADA DPT+HB**6
VACUNA APLICADA DPT+HB**6
VACUNA APLICADA DPT+HB**6
1
SI
2
NO
9
OMITIDO
MOTIVOS DPT+HB**6
MOTIVOS DPT+HB**6
MOTIVOS DPT+HB**6
MOTIVOS DPT+HB**6
MOTIVOS DPT+HB**6
Día DPT15o18
Día DPT15o18
Día DPT15o18
Día DPT15o18
Día DPT15o18
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes DPT15o18
Mes DPT15o18
Mes DPT15o18
Mes DPT15o18
Mes DPT15o18
99
Missing
Año DPT15o18
Año DPT15o18
Año DPT15o18
Año DPT15o18
Año DPT15o18
9999
Missing
VACUNA APLICADA DPT15o18
VACUNA APLICADA DPT15o18
VACUNA APLICADA DPT15o18
VACUNA APLICADA DPT15o18
VACUNA APLICADA DPT15o18
1
SI
2
NO
9
OMITIDO
MOTIVOS DPT15o18
MOTIVOS DPT15o18
MOTIVOS DPT15o18
MOTIVOS DPT15o18
MOTIVOS DPT15o18
Día Hib2
Día Hib2
Día Hib2
Día Hib2
Día Hib2
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB1 (or DPTHepB1)
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes Hib2
Mes Hib2
Mes Hib2
Mes Hib2
Mes Hib2
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB1 (or DPTHepB1)
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
99
Missing
Año Hib2
Año Hib2
Año Hib2
Año Hib2
Año Hib2
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB1 (or DPTHepB1)
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
9999
Missing
VACUNA APLICADA Hib2
VACUNA APLICADA Hib2
VACUNA APLICADA Hib2
VACUNA APLICADA Hib2
VACUNA APLICADA Hib2
1
SI
2
NO
9
OMITIDO
MOTIVOS Hib2
MOTIVOS Hib2
MOTIVOS Hib2
MOTIVOS Hib2
MOTIVOS Hib2
Día Hib4
Día Hib4
Día Hib4
Día Hib4
Día Hib4
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB2 (or DPTHepB2)
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes Hib4
Mes Hib4
Mes Hib4
Mes Hib4
Mes Hib4
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB2 (or DPTHepB2)
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
99
Missing
Año Hib4
Año Hib4
Año Hib4
Año Hib4
Año Hib4
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB2 (or DPTHepB2)
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
9999
Missing
VACUNA APLICADA Hib4
VACUNA APLICADA Hib4
VACUNA APLICADA Hib4
VACUNA APLICADA Hib4
VACUNA APLICADA Hib4
1
SI
2
NO
9
OMITIDO
MOTIVOS Hib4
MOTIVOS Hib4
MOTIVOS Hib4
MOTIVOS Hib4
MOTIVOS Hib4
Día Hib6
Día Hib6
Día Hib6
Día Hib6
Día Hib6
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB3 (or DPTHepB3)
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes Hib6
Mes Hib6
Mes Hib6
Mes Hib6
Mes Hib6
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB3 (or DPTHepB3)
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
99
Missing
Año Hib6
Año Hib6
Año Hib6
Año Hib6
Año Hib6
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB3 (or DPTHepB3)
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
9999
Missing
VACUNA APLICADA Hib6
VACUNA APLICADA Hib6
VACUNA APLICADA Hib6
VACUNA APLICADA Hib6
VACUNA APLICADA Hib6
1
SI
2
NO
9
OMITIDO
MOTIVOS Hib6
MOTIVOS Hib6
MOTIVOS Hib6
MOTIVOS Hib6
MOTIVOS Hib6
Día Hib15
Día Hib15
Día Hib15
Día Hib15
Día Hib15
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes Hib15
Mes Hib15
Mes Hib15
Mes Hib15
Mes Hib15
99
Missing
Año Hib15
Año Hib15
Año Hib15
Año Hib15
Año Hib15
9999
Missing
VACUNA APLICADA Hib15
VACUNA APLICADA Hib15
VACUNA APLICADA Hib15
VACUNA APLICADA Hib15
VACUNA APLICADA Hib15
1
SI
2
NO
9
OMITIDO
MOTIVOS Hib15
MOTIVOS Hib15
MOTIVOS Hib15
MOTIVOS Hib15
MOTIVOS Hib15
Día AM-BC3
Día AM-BC3
Día AM-BC3
Día AM-BC3
Día AM-BC3
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes AM-BC3
Mes AM-BC3
Mes AM-BC3
Mes AM-BC3
Mes AM-BC3
99
Missing
Año AM-BC3
Año AM-BC3
Año AM-BC3
Año AM-BC3
Año AM-BC3
9999
Missing
VACUNA APLICADA AM-BC3
VACUNA APLICADA AM-BC3
VACUNA APLICADA AM-BC3
VACUNA APLICADA AM-BC3
VACUNA APLICADA AM-BC3
1
SI
2
NO
9
OMITIDO
MOTIVOS AM-BC3
MOTIVOS AM-BC3
MOTIVOS AM-BC3
MOTIVOS AM-BC3
MOTIVOS AM-BC3
Día AM-BC5
Día AM-BC5
Día AM-BC5
Día AM-BC5
Día AM-BC5
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes AM-BC5
Mes AM-BC5
Mes AM-BC5
Mes AM-BC5
Mes AM-BC5
99
Missing
Año AM-BC5
Año AM-BC5
Año AM-BC5
Año AM-BC5
Año AM-BC5
9999
Missing
VACUNA APLICADA AM-BC5
VACUNA APLICADA AM-BC5
VACUNA APLICADA AM-BC5
VACUNA APLICADA AM-BC5
VACUNA APLICADA AM-BC5
1
SI
2
NO
9
OMITIDO
MOTIVOS AM-BC5
MOTIVOS AM-BC5
MOTIVOS AM-BC5
MOTIVOS AM-BC5
MOTIVOS AM-BC5
Día PRS
Día PRS
Día PRS
Día PRS
Día PRS
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Yellow fever
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes PRS
Mes PRS
Mes PRS
Mes PRS
Mes PRS
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Yellow fever
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
99
Missing
Año PRS
Año PRS
Año PRS
Año PRS
Año PRS
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Yellow fever
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
9999
Missing
VACUNA APLICADA PRS
VACUNA APLICADA PRS
VACUNA APLICADA PRS
VACUNA APLICADA PRS
VACUNA APLICADA PRS
1
SI
2
NO
9
OMITIDO
MOTIVOS PRS
MOTIVOS PRS
MOTIVOS PRS
MOTIVOS PRS
MOTIVOS PRS
Día POL-11
Día POL-11
Día POL-11
Día POL-11
Día POL-11
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Vitamin A 1
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes POL-11
Mes POL-11
Mes POL-11
Mes POL-11
Mes POL-11
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Vitamin A 1
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
99
Missing
Año POL-11
Año POL-11
Año POL-11
Año POL-11
Año POL-11
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Vitamin A 1
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
9999
Missing
VACUNA APLICADA POL-11
VACUNA APLICADA POL-11
VACUNA APLICADA POL-11
VACUNA APLICADA POL-11
VACUNA APLICADA POL-11
1
SI
2
NO
9
OMITIDO
MOTIVOS POL-11
MOTIVOS POL-11
MOTIVOS POL-11
MOTIVOS POL-11
MOTIVOS POL-11
Día POL-12
Día POL-12
Día POL-12
Día POL-12
Día POL-12
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Vitamin A 2
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes POL-12
Mes POL-12
Mes POL-12
Mes POL-12
Mes POL-12
99
Missing
Año POL-12
Año POL-12
Año POL-12
Año POL-12
Año POL-12
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Vitamin A 2
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
9999
Missing
VACUNA APLICADA POL-12
VACUNA APLICADA POL-12
VACUNA APLICADA POL-12
VACUNA APLICADA POL-12
VACUNA APLICADA POL-12
1
SI
2
NO
9
OMITIDO
MOTIVOS POL-12
MOTIVOS POL-12
MOTIVOS POL-12
MOTIVOS POL-12
MOTIVOS POL-12
Día POL11
Día POL11
Día POL11
Día POL11
Día POL11
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes POL11
Mes POL11
Mes POL11
Mes POL11
Mes POL11
99
Missing
Año POL11
Año POL11
Año POL11
Año POL11
Año POL11
9999
Missing
VACUNA APLICADA POL11
VACUNA APLICADA POL11
VACUNA APLICADA POL11
VACUNA APLICADA POL11
VACUNA APLICADA POL11
1
SI
2
NO
9
OMITIDO
MOTIVOS POL11
MOTIVOS POL11
MOTIVOS POL11
MOTIVOS POL11
MOTIVOS POL11
Día POL12
Día POL12
Día POL12
Día POL12
Día POL12
No dada
44
Marcada en la tarjeta, sin fecha
66
Informada por la madre
99
Missing
Mes POL12
Mes POL12
Mes POL12
Mes POL12
Mes POL12
(a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Vitamin A 2
You will complete questions from IM2 through IM8B when respondents show you the vaccination card for the child: " Copy the dates in the spaces provided for IM2-IM8B for each type of immunization or vitamin A 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 2004, you would record '98' for 'Day', '07' for 'Month', and '2004' for 'Year'. " If the card shows that a vaccination or vitamin A dose 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. 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 IM9.
Children aged 0-4
99
Missing
Año POL12
Año POL12
Año POL12
Año POL12
Año POL12
9999
Missing
VACUNA APLICADA POL12
VACUNA APLICADA POL12
VACUNA APLICADA POL12
VACUNA APLICADA POL12
VACUNA APLICADA POL12
1
SI
2
NO
9
OMITIDO
MOTIVOS POL12
MOTIVOS POL12
MOTIVOS POL12
MOTIVOS POL12
MOTIVOS POL12
El niño recibió otras vacunas
El niño recibió otras vacunas
El niño recibió otras vacunas
El niño recibió otras vacunas
El niño recibió otras vacunas
In addition to the vaccinations and vitamin A capsules shown on this card, did (name) receive any other vaccinations - including vaccinations received in campaigns or immunization days?
Record 'Yes' only if respondent mentions BCG, OPV 0-3, DPT 1-3, Hepatitis B 1-3, Measles, Yellow Fever vaccine(s), or Vitamin A supplements. (If yes, Probe for vaccinations and write '66' in the corresponding day column on IM2 to IM8B.)
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 (name) 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 IM2-IM8B, 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, the answer to IM4C 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 all vaccinations, skip to IM19.
1
Si
2
No
8
NS
9
Missing
El niño recibió alguna vacuna
El niño recibió alguna vacuna
El niño recibió alguna vacuna
El niño recibió alguna vacuna
El niño recibió alguna vacuna
Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a campaign or immunization day?
Questions IM10 through IM18 are asked only to mothers/primary caretakers of children who do not have vaccination cards, or those children for whom vaccination cards were not shown. --- Only ask IM10-18 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'). Describe the vaccination techniques in detail to the caretaker and provide further explanations if needed. When mentioning the vaccines or the specific diseases, use local synonyms if needed. We are not interested in injections for treating a disease - antibiotics, antimalarials, etc. - but only in vaccines. 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 IM19.
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
Lo vacunaron alguna vez de BCG
Lo vacunaron alguna vez de BCG
Lo vacunaron alguna vez de BCG
Lo vacunaron alguna vez de BCG
Lo vacunaron alguna vez de BCG
Has (name) ever been given a BCG vaccination against tuberculosis - that is, an injection in the arm or shoulder that caused a scar?
Questions IM10 through IM18 are asked only to mothers/primary caretakers of children who do not have vaccination cards, or those children for whom vaccination cards were not shown. --- Circle the code corresponding to the response.
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
Lo vacunaron de Hepatitis B
Lo vacunaron de Hepatitis B
Lo vacunaron de Hepatitis B
Lo vacunaron de Hepatitis B
Lo vacunaron de Hepatitis B
Has (name) ever been given any "vaccination drops in the mouth" to protect him/her from getting diseases - that is, polio?
Questions IM10 through IM18 are asked only to mothers/primary caretakers of children who do not have vaccination cards, or those children for whom vaccination cards were not shown. --- 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 IM15.
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
Veces que lo vacunaron de Hepatitis B
Veces que lo vacunaron de Hepatitis B
Veces que lo vacunaron de Hepatitis B
Veces que lo vacunaron de Hepatitis B
Veces que lo vacunaron de Hepatitis B
How old was he/she when the first dose was given - just after birth (within two weeks) or later?
Questions IM10 through IM18 are asked only to mothers/primary caretakers of children who do not have vaccination cards, or those children for whom vaccination cards were not shown. --- Ask how old the child was at first dose, prompting "JUST AFTER BIRTH OR LATER?" Circle the code corresponding to the response.
Children aged 0-4
9
Omitido
Alguna vez le dieron vacuna DPT+HB
Alguna vez le dieron vacuna DPT+HB
Alguna vez le dieron vacuna DPT+HB
Alguna vez le dieron vacuna DPT+HB
Alguna vez le dieron vacuna DPT+HB
Has (name) ever been given "DPT vaccination injections" - that is, an injection in the thigh or buttocks - to prevent him/her from getting tetanus, whooping cough, diphtheria? (sometimes given at the same time as polio)
Questions IM10 through IM18 are asked only to mothers/primary caretakers of children who do not have vaccination cards, or those children for whom vaccination cards were not shown. --- Circle the code corresponding to the response. If the answer is 'Yes', continue to the next question. If 'No' or 'DK', skip to IM17.
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
Veces vacunaron DPT+HB
Veces vacunaron DPT+HB
Veces vacunaron DPT+HB
Veces vacunaron DPT+HB
Veces vacunaron DPT+HB
How many times?
Questions IM10 through IM18 are asked only to mothers/primary caretakers of children who do not have vaccination cards, or those children for whom vaccination cards were not shown. --- Fill in the number in the space provided.
Children aged 0-4
99
Missing
Alguna vez le dieron vacuna DPT
Alguna vez le dieron vacuna DPT
Alguna vez le dieron vacuna DPT
Alguna vez le dieron vacuna DPT
Alguna vez le dieron vacuna DPT
Has (name) ever been given "Measles vaccination injections" or MMR - that is, a shot in the arm at the age of 9 months or older - to prevent him/her from getting measles?
Questions IM10 through IM18 are asked only to mothers/primary caretakers of children who do not have vaccination cards, or those children for whom vaccination cards were not shown. --- 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'.
Children aged 0-4
1
Si
2
No
8
NS
9
Missing
Veces vacunaron DPT
Veces vacunaron DPT
Veces vacunaron DPT
Veces vacunaron DPT
Veces vacunaron DPT
Has (NAME) ever been given "Yellow Fever vaccination injections" - that is, a shot in the arm at the age of 9 months or older - to prevent him/her from getting yellow fever? (sometimes given at the same time as measles)
Questions IM10 through IM18 are asked only to mothers/primary caretakers of children who do not have vaccination cards, or those children for whom vaccination cards were not shown. --- Circle the code corresponding to the response.
Children aged 0-4
99
Missing
Alguna vez le dieron vacuna Hib
Alguna vez le dieron vacuna Hib
Alguna vez le dieron vacuna Hib
Alguna vez le dieron vacuna Hib
Alguna vez le dieron vacuna Hib
1
Si
2
No
8
NS
9
Missing
Veces vacunaron Hib
Veces vacunaron Hib
Veces vacunaron Hib
Veces vacunaron Hib
Veces vacunaron Hib
99
Missing
Alguna vez le dieron vacuna AM-BC
Alguna vez le dieron vacuna AM-BC
Alguna vez le dieron vacuna AM-BC
Alguna vez le dieron vacuna AM-BC
Alguna vez le dieron vacuna AM-BC
1
Si
2
No
8
NS
9
Missing
Veces vacunaron AM-BC
Veces vacunaron AM-BC
Veces vacunaron AM-BC
Veces vacunaron AM-BC
Veces vacunaron AM-BC
99
Missing
Le dieron alguna vez PRS
Le dieron alguna vez PRS
Le dieron alguna vez PRS
Le dieron alguna vez PRS
Le dieron alguna vez PRS
1
Si
2
No
8
NS
9
Missing
El niño participó en campaña Polio 1 2004
El niño participó en campaña Polio 1 2004
El niño participó en campaña Polio 1 2004
El niño participó en campaña Polio 1 2004
El niño participó en campaña Polio 1 2004
1
Si
2
No
8
NS
9
Missing
El niño participó en campaña Polio 1 2005
El niño participó en campaña Polio 1 2005
El niño participó en campaña Polio 1 2005
El niño participó en campaña Polio 1 2005
El niño participó en campaña Polio 1 2005
1
Si
2
No
8
NS
9
Missing
El niño participó en campaña Polio 1 2006
El niño participó en campaña Polio 1 2006
El niño participó en campaña Polio 1 2006
El niño participó en campaña Polio 1 2006
El niño participó en campaña Polio 1 2006
1
Si
2
No
8
NS
9
Missing
El niño participó en campaña Polio 2 2006
El niño participó en campaña Polio 2 2006
El niño participó en campaña Polio 2 2006
El niño participó en campaña Polio 2 2006
El niño participó en campaña Polio 2 2006
1
Si
2
No
8
NS
9
Missing
Le dijeron esperara media hora
Le dijeron esperara media hora
Le dijeron esperara media hora
Le dijeron esperara media hora
Le dijeron esperara media hora
1
Si
2
Algunas veces
3
Nunca
8
NS
Explicaron las contraindicaciones
Explicaron las contraindicaciones
Explicaron las contraindicaciones
Explicaron las contraindicaciones
Explicaron las contraindicaciones
1
Si
2
Algunas veces
3
Nunca
8
NS
Le han indicado FORFERR
Le han indicado FORFERR
Le han indicado FORFERR
Le han indicado FORFERR
Le han indicado FORFERR
1
Si
2
No
8
NS
Suministrado segun indicaciones
Suministrado segun indicaciones
Suministrado segun indicaciones
Suministrado segun indicaciones
Suministrado segun indicaciones
1
Si
2
No
8
NS
Por que NO suministro el FORFERR
Por que NO suministro el FORFERR
Por que NO suministro el FORFERR
Por que NO suministro el FORFERR
Por que NO suministro el FORFERR
1
No encontro Farmacia
2
Otro suplemento
3
Piensa no lo requiere
6
Otra
Sexo
Sexo
Sexo
Sexo
Sexo
Children aged 0-4
1
Masculino
2
Femenino
9
Missing
Nivel escolar máximo alcanzado
Nivel escolar máximo alcanzado
Nivel escolar máximo alcanzado
Nivel escolar máximo alcanzado
Nivel escolar máximo alcanzado
What is the highest level of school (name) attended?
Children aged 0-4
Preescolar
1
Primaria
2
Secundaria
3
Obrero
4
PreUniv/Téc
5
Superior
8
NS
9
Missing
Edad
Edad
Edad
Edad
Edad
97
97+
98
NS
99
Missing
Numero del entrevistador
Numero del entrevistador
Numero del entrevistador
Numero del entrevistador
Numero del entrevistador
Interviewer name and number:
Enter your own name and identification number provided to you at the time of training.
Households
Numero de supervisor
Numero de supervisor
Numero de supervisor
Numero de supervisor
Numero de supervisor
Supervisor name and number:
Enter your supervisor's name and identification number. You will be provided with your supervisor's identification number as soon as you know who you will be working with.
Households
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
Dia de la entrevista
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.
Households
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
Mes de la entrevista
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.
Households
Año de la entrevista
Año de la entrevista
Año de la entrevista
Año de la entrevista
Año de la entrevista
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.
Households
Area
Area
Area
Area
Area
Area:
Circle the code for area of residence as instructed 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.
Households
1
Urbana
2
Rural
Region
Region
Region
Region
Region
Region:
Circle the code for region.
Households
1
Occidente
2
C.Habana
3
Centro
4
Oriente
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
Resultado de la entrevista de hogar
After all questionnaires for the household have been completed, fill in the following information: Result of HH interview:
If the Household Questionnaire is completed, circle '1' for 'Completed'. If you have not been able to contact the household after repeated visits, circle '2' for 'Not at home'. If the household refuses to be interviewed, circle '3' for 'Refused'. If you are unable to locate the household or if the dwelling is destroyed, circle '4' for 'HH not found/destroyed'. If you have not been able to complete the Household Questionnaire for another reason, you should circle '6' for 'Other' 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; adult household members were not found at home after repeated visits.
Households
1
Completo
2
Ausente
3
Rechazada
4
Hogar no encontrado/destruido
6
Otro
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondente del cuestionario del Hogar
Respondent to HH questionnaire:
Enter the name and line number (from the Household Listing, columns HL1 and HL2) of the respondent to the Household Questionnaire.
Households
99
Missing
Numero de miembros del hogar
Numero de miembros del hogar
Numero de miembros del hogar
Numero de miembros del hogar
Numero de miembros del hogar
Total number of household members:
Count the number of household members recorded in column HL1 of the Household Listing and enter the total here.
Households
Total de Mujeres elegibles
Total de Mujeres elegibles
Total de Mujeres elegibles
Total de Mujeres elegibles
Total de Mujeres elegibles
No.of women eligible for interview:
Enter the total number of women eligible for interview for the Questionnaire for Individual Women - you will copy this from the row for totals at the bottom of the Household Listing, for HL6.
Households
Entrevistas de mujeres completas
Entrevistas de mujeres completas
Entrevistas de mujeres completas
Entrevistas de mujeres completas
Entrevistas de mujeres completas
No.of women questionnaires completed:
Once all of the Questionnaires for Individual Women have been completed for a particular household, enter the number completed here.
Households
Total de niños menores de dos años
Total de niños menores de dos años
Total de niños menores de dos años
Total de niños menores de dos años
Total de niños menores de dos años
No.of children under age 5:
Enter the total number of children under five eligible for inclusion in the survey from the row for totals at the bottom of the Household Listing, for HL8. You will be using the Questionnaire for Children Under Five to interview the mothers or primary caretakers of these children.
Households
Encuestas de niños completas
Encuestas de niños completas
Encuestas de niños completas
Encuestas de niños completas
Encuestas de niños completas
No.of under-5 questionnaires completed:
Once all of the Questionnaires for Children Under Five have been completed for a particular household, enter the number completed here.
Households
Digitador
Digitador
Digitador
Digitador
Digitador
Data entry clerk:
Leave this space blank. The data clerk will enter his/her number in the space provided.
Households
Fuente principal de agua para beber
Fuente principal de agua para beber
Fuente principal de agua para beber
Fuente principal de agua para beber
Fuente principal de agua para beber
What is the main source of drinking water for members of your household?
The purpose of the first two questions of this module is to assess the type of household water used for drinking as well as for other purposes, such as cooking and washing hands. Definitions of the various sources of water are as follows (codes refer to those used in WS1 and WS2): '11' - Piped into dwelling, also called a house connection, is defined as water service connected by pipe with in-house plumbing to one or more taps, for example, in the kitchen and/or bathroom. '12' - Piped water to yard/plot, also called a yard connection, is defined as a piped water connection to a tap placed in the yard or plot outside the house. '13' - A public tap or standpipe is a water point from which the public may collect their water. A standpipe may also be known as a public fountain or public tap. Public standpipes can have one or more taps and are typically made of brickwork, masonry or concrete. '21' - A tube-well or borehole is a deep hole that has been driven, bored or drilled with the purpose of reaching groundwater supplies. Boreholes/tube-wells are constructed with casing, or pipes, which prevent the small-diameter hole from caving in and provide protection from infiltration of run-off water. Water is delivered from a tube-well or borehole through a pump that may be powered by humans, animals, wind, electricity, diesel fuel or solar energy. '31' - A protected dug well is a dug well that is protected from run-off water through a well lining or casing that is raised above ground level and a platform that diverts spilled water away from the well. Additionally, a protected dug well is covered so that bird droppings and animals cannot fall down the hole. '32' - An unprotected dug well is a dug well for which one or both of the following are true: (1) the well is not protected from run-off water; (2) the well is not protected from bird droppings and animals. If at least one of these conditions is true, the well is unprotected. '41' - A protected spring is a spring that is free from run-off and from bird droppings and animals. A spring is typically protected by a 'spring box' that is constructed of brick, masonry or concrete and is built around the spring so that water flows directly out of the box into a pipe without being exposed to outside pollution. '42' - An unprotected spring is a spring that is subject to run-off or bird droppings or animals. Unprotected springs typically do not have a 'spring box' (described above). '51' - Rainwater collection refers to rain that is collected or harvested from surfaces by roof or ground catchment and stored in a container, tank or cistern until used. '61' - A tanker-truck water source transports and sells water by means of a tanker truck. '71' - Cart with small tank/drum is used by a water provider who transports water into a community and then sells the water. Types of transports may include donkey cart, motorized vehicle or other means. '81' - Surface water is water located above ground and includes rivers, dams, lakes, ponds, streams, canals and irrigation channels from which water is taken directly. '91' - Bottled water is purchased water sold in bottles. Note that the code refers only to bottled water that is commercially available. Sometimes household members may store water from other sources in bottles - this should not be coded as bottled water. --- Circle the code for the most usual source. If several sources are mentioned, probe to determine the most usual source. If the source varies by season, record the source for the season of the interview. Note that the next question is only asked if the response to this question is 'Bottled water'. You should skip WS2 if the response to WS1 is other than 'Bottled water'. If the response is 'Piped into dwelling' or 'Piped into yard/plot', circle '11' or '12', respectively, and skip to WS5. Otherwise, skip to WS3.
Households
11
Tubería al hogar
12
Tubería en el patio/parcela
13
Llave pública
21
Manantial/Noria
31
Pozo protegido
32
Pozo sin proteger
41
Arroyo protegido
42
Arroyo sin proteger
51
Colección de aguas lluvia
61
Camión
71
Carro con sifón
81
Agua de superficie
91
Agua embasada
96
Otro
99
Missing
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
Fuente principal de agua usada para otros propositos (si usa
What is the main source of water used by your household for other purposes such as cooking and handwashing?
The purpose of the first two questions of this module is to assess the type of household water used for drinking as well as for other purposes, such as cooking and washing hands. Definitions of the various sources of water are as follows (codes refer to those used in WS1 and WS2): '11' - Piped into dwelling, also called a house connection, is defined as water service connected by pipe with in-house plumbing to one or more taps, for example, in the kitchen and/or bathroom. '12' - Piped water to yard/plot, also called a yard connection, is defined as a piped water connection to a tap placed in the yard or plot outside the house. '13' - A public tap or standpipe is a water point from which the public may collect their water. A standpipe may also be known as a public fountain or public tap. Public standpipes can have one or more taps and are typically made of brickwork, masonry or concrete. '21' - A tube-well or borehole is a deep hole that has been driven, bored or drilled with the purpose of reaching groundwater supplies. Boreholes/tube-wells are constructed with casing, or pipes, which prevent the small-diameter hole from caving in and provide protection from infiltration of run-off water. Water is delivered from a tube-well or borehole through a pump that may be powered by humans, animals, wind, electricity, diesel fuel or solar energy. '31' - A protected dug well is a dug well that is protected from run-off water through a well lining or casing that is raised above ground level and a platform that diverts spilled water away from the well. Additionally, a protected dug well is covered so that bird droppings and animals cannot fall down the hole. '32' - An unprotected dug well is a dug well for which one or both of the following are true: (1) the well is not protected from run-off water; (2) the well is not protected from bird droppings and animals. If at least one of these conditions is true, the well is unprotected. '41' - A protected spring is a spring that is free from run-off and from bird droppings and animals. A spring is typically protected by a 'spring box' that is constructed of brick, masonry or concrete and is built around the spring so that water flows directly out of the box into a pipe without being exposed to outside pollution. '42' - An unprotected spring is a spring that is subject to run-off or bird droppings or animals. Unprotected springs typically do not have a 'spring box' (described above). '51' - Rainwater collection refers to rain that is collected or harvested from surfaces by roof or ground catchment and stored in a container, tank or cistern until used. '61' - A tanker-truck water source transports and sells water by means of a tanker truck. '71' - Cart with small tank/drum is used by a water provider who transports water into a community and then sells the water. Types of transports may include donkey cart, motorized vehicle or other means. '81' - Surface water is water located above ground and includes rivers, dams, lakes, ponds, streams, canals and irrigation channels from which water is taken directly. '91' - Bottled water is purchased water sold in bottles. Note that the code refers only to bottled water that is commercially available. Sometimes household members may store water from other sources in bottles - this should not be coded as bottled water. --- 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' or 'Piped into yard/plot', circle '11' or '12', respectively, and skip to WS5. Otherwise continue to the next question.
Households
11
Cañería al hogar
12
Cañería al sitio/lote
13
Llave pública
21
Manantial/Noria
31
Pozo protegido
32
Pozo sin proteger
41
Arroyo protegido
42
Arroyo sin proteger
51
Colección de aguas lluvia
61
Camión
71
Carro con sifón
81
Agua de superficie
96
Otro
99
Missing
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
Tiempo para llegar al agua y regresar
How long does it take to go there, get water, and come back?
This question is used to find out how convenient the source of water is to the dwelling. Note that the question is asked for water sources coded as '13-81' and '96' in WS1, or water sources coded as '13-96' in WS2. 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 water source is on the dwelling premises or if water is delivered to the dwelling by a vendor, circle '995' for 'Water on premises' and skip to WS5. If the respondent does not know how long it takes, circle '998' and continue on to the next question.
Households
995
En el lugar
998
NS
999
Missing
Persona que busca el agua
Persona que busca el agua
Persona que busca el agua
Persona que busca el agua
Persona que busca el agua
Who usually goes to this source to fetch the water for your household? Probe: Is this person under age 15? What sex?
Circle code that best describes this person.
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 IS THIS PERSON?" 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.
Households
1
Mujer adulta
2
Hombre adulto
3
Niña menor de 15
4
Niño menor de 15
8
NS
9
Missing
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Tratan el agua para hacerla bebestible
Do you treat your water in any way to make it safer to drink?
The purpose of the following two questions, WS5 and WS6, 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. --- 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 WS7.
Households
1
Si
2
No
8
NS
9
Missing
Hervir
Hervir
Hervir
Hervir
Hervir
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
A
Hervir
Agregar cloro
Agregar cloro
Agregar cloro
Agregar cloro
Agregar cloro
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
B
Agregar cloro
Colarla con un paño
Colarla con un paño
Colarla con un paño
Colarla con un paño
Colarla con un paño
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
C
Colarla con un paño
Usar un filtro de agua
Usar un filtro de agua
Usar un filtro de agua
Usar un filtro de agua
Usar un filtro de agua
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
D
Usar filtro de agua
Desinfección solar
Desinfección solar
Desinfección solar
Desinfección solar
Desinfección solar
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
E
Desinfección solar
Dejarla reposar
Dejarla reposar
Dejarla reposar
Dejarla reposar
Dejarla reposar
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
F
Dejarla reposar
Otro
Otro
Otro
Otro
Otro
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
X
Otro
NS
NS
NS
NS
NS
What do you usually do to the water to make it safer to drink? Anything else?
Record all items mentioned.
The purpose of the following two questions, WS5 and WS6, 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. --- 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'. 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. SURVEY COORDINATORS: FREE CHLORINE MAY BE USED IN THE FORM OF LIQUID SODIUM HYPOCHLORITE, SOLID CALCIUM HYPOCHLORITE AND BLEACHING POWDER (CHLORIDE OF LIME) '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. SURVEY COORDINATORS: CERAMIC MAY INCLUDE CLAYS, DIATOMACEOUS EARTH, GLASS AND OTHER FINE PARTICLES. '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.
Households
?
Missing
Z
NS
Quienes beben
Quienes beben
Quienes beben
Quienes beben
Quienes beben
1
Todos
2
El/los niño/s
3
Una parte
9
Missing
cuantos beben
cuantos beben
cuantos beben
cuantos beben
cuantos beben
99
Missing
Tipo de toilet
Tipo de toilet
Tipo de toilet
Tipo de toilet
Tipo de toilet
What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to?
If necessary, ask permission to observe the facility.
Questions WS7, WS8 and WS9 are about the toilet facility household members use. --- The purpose of this question is to obtain a measure of the cleanliness 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. . '14' - A flush/pour flush to somewhere else refers to excreta being deposited in or nearby the household environment (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 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 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 or hanging latrine is a toilet built over the sea, a river, or other body of water into which excreta drops directly. '95' - No facilities or bush or 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).
Households
11
Evacuación a alcantarillado
12
Evacuación a pozo séptico
13
Evacuación a letrina
14
Evacuación a otro lugar
15
Evacuación con destino ignorado
21
Letrina ventilada/mejorada
22
Letrina con taza/excusado
23
Letrina abierta
31
Toilet para compostación (fertilizante)
41
Balde, cubeta
51
Toilet colgante
95
Sin toilet, campo
96
Otro
99
Missing
Baño compartido
Baño compartido
Baño compartido
Baño compartido
Baño compartido
Do you share this facility with other households?
Questions WS7, WS8 and WS9 are about the toilet facility household members use. --- 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. --- Circle the code corresponding to the response given. If 'No', go to the next module.
Households
1
Si
2
No
9
Missing
Hogares compartiendo este baño
Hogares compartiendo este baño
Hogares compartiendo este baño
Hogares compartiendo este baño
Hogares compartiendo este baño
How many households in total use this toilet facility?
Questions WS7, WS8 and WS9 are about the toilet facility household members use. --- 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. --- 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 this household that uses the facility; if that is the case, you should go back to WS8 and correct the response there). Circle '98' for 'DK' ('Doesn't know').
Households
10
Diez o más
98
NS
99
Missing
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)
Recoded variable
Children aged 0-4
Fecha de nacimiento (CMC)
Fecha de nacimiento (CMC)
Fecha de nacimiento (CMC)
Fecha de nacimiento (CMC)
Fecha de nacimiento (CMC)
Recoded variable
Children aged 0-4
Edad (meses)
Edad (meses)
Edad (meses)
Edad (meses)
Edad (meses)
Recoded variable
Children aged 0-4
Edad
Edad
Edad
Edad
Edad
Recoded variable
Children aged 0-4
1
< 6 meses
2
6-11 meses
3
12-23 meses
4
24-35 meses
5
36-47 meses
6
48-59 meses
Edad
Edad
Edad
Edad
Edad
Recoded variable
Children aged 0-4
1
0-11 meses
2
12-23 meses
3
24-35 meses
4
36-47 meses
5
48-59 meses
Nivel educacional de la madre
Nivel educacional de la madre
Nivel educacional de la madre
Nivel educacional de la madre
Nivel educacional de la madre
Recoded variable
Children aged 0-4
1
Primaria o menor
2
Secundaria/Obrera Calificada
3
Pre/Tec
4
Superior
9
Omitido/No sabe
Edad de la madre
Edad de la madre
Edad de la madre
Edad de la madre
Edad de la madre
1
< 20
2
20-24
3
25-29
4
30-34
5
35-39
6
40 y +
BCG
BCG
BCG
BCG
BCG
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
Polio 0
Polio 0
Polio 0
Polio 0
Polio 0
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
Polio 1
Polio 1
Polio 1
Polio 1
Polio 1
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
Polio 2
Polio 2
Polio 2
Polio 2
Polio 2
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
Polio 3
Polio 3
Polio 3
Polio 3
Polio 3
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
DPT1
DPT1
DPT1
DPT1
DPT1
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
DPT2
DPT2
DPT2
DPT2
DPT2
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
DPT3
DPT3
DPT3
DPT3
DPT3
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
DPT4
DPT4
DPT4
DPT4
DPT4
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
DPT+HBV1
DPT+HBV1
DPT+HBV1
DPT+HBV1
DPT+HBV1
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
DPT+HBV2
DPT+HBV2
DPT+HBV2
DPT+HBV2
DPT+HBV2
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
DPT+HBV3
DPT+HBV3
DPT+HBV3
DPT+HBV3
DPT+HBV3
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
HepB1
HepB1
HepB1
HepB1
HepB1
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
HepB2 ó Tetra1
HepB2 ó Tetra1
HepB2 ó Tetra1
HepB2 ó Tetra1
HepB2 ó Tetra1
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
HepB3 o Tetra2
HepB3 o Tetra2
HepB3 o Tetra2
HepB3 o Tetra2
HepB3 o Tetra2
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
PRS
PRS
PRS
PRS
PRS
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
Meningo1
Meningo1
Meningo1
Meningo1
Meningo1
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
Meningo2
Meningo2
Meningo2
Meningo2
Meningo2
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
HIB1
HIB1
HIB1
HIB1
HIB1
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
HIB2
HIB2
HIB2
HIB2
HIB2
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
HIB3
HIB3
HIB3
HIB3
HIB3
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
HIB4
HIB4
HIB4
HIB4
HIB4
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
DPT o Tetra1
DPT o Tetra1
DPT o Tetra1
DPT o Tetra1
DPT o Tetra1
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
DPT o Tetra2
DPT o Tetra2
DPT o Tetra2
DPT o Tetra2
DPT o Tetra2
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
DPT o Tetra3
DPT o Tetra3
DPT o Tetra3
DPT o Tetra3
DPT o Tetra3
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No vacunado
Todas las vacunas
Todas las vacunas
Todas las vacunas
Todas las vacunas
Todas las vacunas
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No tiene todas las vacunas
Todas las vacunas esq cubano
Todas las vacunas esq cubano
Todas las vacunas esq cubano
Todas las vacunas esq cubano
Todas las vacunas esq cubano
1
Tarjeta de vacunación
2
Reporte de la Madre
3
No tiene todas las vacunas
No vacunación
No vacunación
No vacunación
No vacunación
No vacunación
1
Según tarjeta de vacunación
2
Según reporte de la Madre
3
Tiene alguna vacuna
Tiene tarjeta de vacunación
Tiene tarjeta de vacunación
Tiene tarjeta de vacunación
Tiene tarjeta de vacunación
Tiene tarjeta de vacunación
1
Si
2
No
Provincia
Provincia
Provincia
Provincia
Provincia
1
Pinar
2
Prov. Hab.
3
C. Hab.
4
Mat
5
V.Clara
6
Cienf
7
S.Spiritus
8
Ciego
9
Camag.
10
Las Tunas
11
Holg
12
Granma
13
Stgo
14
Guant
15
Isla
subestrato con o sin niños <2
subestrato con o sin niños <2
subestrato con o sin niños <2
subestrato con o sin niños <2
subestrato con o sin niños <2
1
Con
2
Sin
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + provincia
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Código de subestrato con/sin + número de cluster
Ponderación niño
Ponderación niño
Ponderación niño
Ponderación niño
Ponderación niño
Recoded variable
Children aged 0-4