Literal question
46. READ CONSENT STATEMENT TO WOMAN/PARENT/RESPONSIBLE ADULT:
CIRCLE CODE (AND SIGN).
GRANTED 1 (SIGN) _____
REFUSED 2 (GO TO 49)
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 2000 or later) participate in the anemia testing part of this survey and give a few drops of blood from a finger. The equipment used in taking the blood is clean and completely safe. It has never been used before and will be thrown away after each test. The blood will be tested for anemia immediately, and the results told to you right away. The results will be kept strictly confidential.
May I now ask that you (and NAME OF CHILD(REN)) 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.