Health Results Based Financing Impact Evaluation 2015, Household Baseline Survey

Tajikistan, 2015

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Reference ID

TJK_2015_HRBFIE-HBL_v01_M

DOI

https://doi.org/10.48529/egfr-6b87

Producer(s)

Damien de Walque, Aneesa Arur, Gil Shapira

Collection(s)

Impact Evaluation Surveys

Metadata

Documentation in PDF DDI/XML JSON

Created on

Mar 30, 2017

Last modified

Mar 30, 2017

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77133

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Data file: module10

Module 10: Health Status and Utilization

Cases:	42852
Variables:	79

Variables

HHID

PID

LINE

REGION

Region

DISTRICT

District

S10_Q1

ID CODE OF CAREGIVER (PERSON WHO RESPONDED ON BEHALF OF CHILD <15 yrs)

S10_Q2

Currently, how is YOUR/[NAME]?s health in a normal day, would you say it is exce

S10_Q3

Do YOU/Does [NAME} suffer from any disabilities or chronic illnesses?

S10_Q4

What disabilities or chronic illnesses do YOU/[NAME] suffer from?

S10_Q5

Given YOUR/[NAME]'s current health, how are YOU/[NAME] currently able to do dail

S10_Q6

In the last 2 weeks, have YOU/[NAME] been sick or suffering from any illness or

S10_Q7_1

What were YOU/[NAME] mainly suffering from?

S10_Q7_1_OTHER

s10_q7_1_OTHER

S10_Q7_2

What were YOU/[NAME] mainly suffering from?

S10_Q7_2_OTHER

s10_q7_2_OTHER

S10_Q7_3

What were YOU/[NAME] mainly suffering from?

S10_Q7_3_OTHER

s10_q7_3_OTHER

S10_Q8

How long ago did the illness start?

S10_Q9

How long did the illness last?

S10_Q10

In the last 2 weeks, how many days of work , school, playing, or other main acti

S10_Q11

In the last 2 weeks, how many days was YOU/[NAME] confined to bed due to poor he

S10_Q12

Did YOU/[NAME] go to any health facility, health personnel or traditional heale

S10_Q13_1

FIRST / Why didn't YOU/[NAME] go to a health facility or health personnel for

S10_Q13_1_OTHER

s10_q13_1_OTHER

S10_Q13_2

SECOND / Why didn't YOU/[NAME] go to a health facility or health personnel for

S10_Q13_2_OTHER

s10_q13_2_OTHER

S10_Q13_3

THIRD / Why didn't YOU/[NAME] go to a health facility or health personnel for

S10_Q13_3_OTHER

s10_q13_3_OTHER

S10_Q14

How long after the illness started did YOU/[NAME] seek care?

S10_Q14_OTHER

S10_Q15

Where did YOU/[NAME] seek care?

S10_Q15_OTHER

S10_Q16_CODE

IF HOSPITAL, CLINIC OR CENTER, PROBE FOR NAME OF FACILITY_CODE

S10_Q17

For the last visit, how much time did it take to travel to the health care provi

S10_Q18

For the last visit, did YOU/[NAME] have a direct interaction with a health worke

S10_Q19

Why did YOU/[NAME] not have a direct interaction with a health worker?

S10_Q19_OTHER

s10_q19_OTHER

S10_Q20

For the last visit, how much time did YOU/[NAME] wait to be seen by a health wor

S10_Q21

For the last visit, who attended YOU/[NAME]?

S10_Q21_OTHER

s10_q21_OTHER

S10_Q22

Did this health care provider ask questions about how YOU/[NAME] was feeling or

S10_Q23

Did this health care provider do any physical exams on YOU/[NAME] such as taking

S10_Q24

Did this health care provider administer any rapid test (such as a fingerprick)?

S10_Q25

Did this health care provider order any X-rays or laboratory examinations such a

S10_Q26

Did YOU/[NAME] have these tests done?

S10_Q27

Did YOU/[NAME] receive results?

S10_Q28

Did this health care provider prescribe any medicines?

S10_Q29A

Official provider fees

S10_Q29B

Laboratory and X-ray Fees

S10_Q29C

Any other payments to the provider?

S10_Q29D

Transportation

S10_Q30

Did an employer pay for any of the provider fees, laboratory and X ray fees or t

S10_Q30_OTHER

s10_q30_OTHER

S10_Q31

In the last 2 weeks, did YOU/[NAME] have to spend the night in a health facility

S10_Q32

Over the last 2 weeks, how many nights did YOU/[NAME] spend in the health facili

S10_Q33

In the last 2 weeks, how much did your household spend out of its own pocket on

S10_Q34

Now I am going to ask some questions regarding medicines that YOU/[NAME] may hav

S10_Q35

How many different kinds of medicines did YOU/[NAME] take?

S10_Q36_1

S10_Q36_2

S10_Q36_3

S10_Q37_1

Medication 1 / Did YOU/[NAME] obtain this medication with a doctor's prescript

S10_Q37_2

Medication 2 / Did YOU/[NAME] obtain this medication with a doctor's prescript

S10_Q37_3

Medication 3 / Did YOU/[NAME] obtain this medication with a doctor's prescript

S10_Q38

In the last 2 weeks, how much did your household spend out of pocket in total to

S10_Q39

Did your employer or insurance pay for any of this medication?

S10_Q39_OTHER

s10_q39_OTHER

S10_Q40

What is the main reason YOU/[NAME] did not take medication for the illness?

S10_Q40_OTHER

s10_q40_OTHER

S10_Q41

ARE YOU/[NAME] 5 YEARS OLD OR OLDER? SEE QUESTION

S10_Q42

In the last 2 weeks, did YOU/[NAME] stop regular activities at any time to take

S10_Q43_1

CODE1 / Who did YOU/[NAME] take care of?

S10_Q43_1_OTHER

s10_q43_1_OTHER

S10_Q43_2

CODE2 / Who did YOU/[NAME] take care of?

S10_Q43_2_OTHER

s10_q43_2_OTHER

S10_Q43_3

CODE3 / Who did YOU/[NAME] take care of?

S10_Q43_3_OTHER

s10_q43_3_OTHER

S10_Q44

In the last 2 weeks, how many days of regular activities did YOU/[NAME] miss to

weight_ind

Sample weight: Individual

weight

Sample weight: Household

Total: 79

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