Literal question
46) HEMOGLOBIN MEASUREMENT OF WOMEN 15-49: READ CONSENT STATEMENT TO WOMAN/PARENT/RESPONSIBLE ADULT. CIRCLE CODE AND SIGN.
CONSENT STATEMENT
As part of this survey, we are studying anemia in women, men, and children. Anemia is a serious health problem that results from poor nutrition. This survey will assist the government to develop programs to prevent and treat anemia.
We request that you (and all children born in 1999 or later) participate in the anemia testing part of this survey and give a few drops of blood from a finger. To take these drops we use disposable sterile instruments. They were never used before you, and they will not be used again after. The blood is taken with new materials and the results of the test will be given to you right after the blood is taken. The results will be kept confidential.
May I now ask that you and (NAME OF CHILDREN) participate in the anemia test. However, if you decide not to have the test done, it is your right and we will respect your decision. Now please tell me if you agree to have the test(s) done.
GO TO COLUMN 46 AND CIRCLE THE APPROPRIATE CODE.
GRANTED 1 (SIGN): __________
REFUSED 2 (GO TO 49)