Literal question
DECLARATION OF CONSENT FOR ANEMIA TEST:
As part of this survey, we would like to know anemia levels in women and children. Anemia is a serious health problem that is caused by poor nutrition. The results of this survey will help the government to put in place programs to treat and prevent anemia.
We would like you (and all of your children born in 1998 or later) to participate in the anemia test by giving a few drops of blood from your finger. For this test, we use sterilized, individual instruments that are clean and risk-free. The blood will be analyzed using new equipment and the results will be given to you immediately after the blood draw. Results are confidential.
Now, can you tell me if you agree to participate in the anemia test?
46. READ CONSENT STATEMENT TO THE PARENT/RESPONSIBLE ADULT:
CIRCLE CODE AND SIGN.
ACCEPTED 1 (SIGN) ______
REFUSED 2 (GO TO NEXT LINE)