Maternal mortality refers to deaths among women who are pregnant, women who die during childbirth and women who die during the post-partum period. For this questionnaire, the post-partum period is defined as the 6-week period following the end of pregnancy. This module is administered to adult household members only. For the purposes of this module, adults are defined as persons aged 15 years or older. MM1. Line number: This is the number used to identify each household member eligible for this module (household members aged 15 years and older). You do not need to fill in or do anything in this column since the numbers are already provided. MM2. Name: Insert the name of each adult (those at least 15 years of age) in the household in this column next to his/her line number (from Household Listing, HL1), copying from the Household Listing, column HL2. After completing the list of adults, you will need to try and speak with everyone on the list available in the household at the time of your visit. Ask the following questions MM3 through MM8 to each adult, in turn, and then continue to the next adult on the list, until you have recorded answers for each adult listed. In the case of adults who are not available during your visit, you will ask for a proxy report (see MM3 below). Note that it is not necessary to do call-back visits to the household to complete this information.
Administer to each adult household member. Copy name and line number of each adult (age 15 or over) in the household. If one of these adults is not at home, another adult may respond for him/her. Indicate this by placing a '1' in MM3, and insert line number of proxy respondent in MM4. For household members below age 15, leave rows blank
De jure household members (usual residents)
Source of information
Head of household or other responsible household member