Literal question
221) ASK FOR CONSENT FOR ANEMIA TEST FROM PARENT/OTHER RESPONSIBLE ADULT IDENTIFIED IN 220 AS RESPONSIBLE FOR NEVER IN UNION WOMEN AGE 15-17.
[##translator note: There is no text here in French, only in the other language (likely Swahili). The consent script that follows from the standard English questionnaire. It is not a translation from the Burundi 2010 survey, as there is not French text here, only Swahili]
As part of this survey, we are asking people all over the country to take an anemia test. Anemia is a serious health problem that usually results from poor nutrition, infection, or chronic disease. This survey will assist the government to develop programs to prevent and treat anemia.
For the anemia testing, we will need few drops of blood from a finger. The equipment used to take 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 result will be told to you and (name of adolescent) right away. The result will be kept strictly confidential and will not be shared with anyone other than member of our survey team.
Do you have any questions?
You can say yes to the test for (name of adolescent), or you can say no. It is up to you to decide.
Will you allow (name of adolescent) to participate in the anemia test?