DDI_BFA_2003_WHS_v01_M
2012-01-24
NADA
Version 01 (January 2012)
World Health Survey 2003
WHS 2003
BFA_2003_WHS_v01_M
World Health Organization (WHO)
NADA
World Health Organization
Multi-Country Studies, Measurement and Health Information Systems
World Health Survey [hh/whs]
WHO has developed and implemented a Survey Programme and a World Health Survey to compile comprehensive baseline information on the health of populations and on the outcomes associated with the investment in health systems; baseline evidence on the way health systems are currently functioning; and, ability to monitor inputs, functions, and outcomes.
The Survey Programme was developed in individual countries through consultation with policy-makers and in collaboration with the people involved in routine HIS. It was complementary to their efforts, to ensure periodic data input in a cost-effective way so that important gaps in health information are covered. It also established a baseline for efforts to scale-up health activities.
The World Health Survey has been completed in 70 countries and the data sets have been cleaned and weighted and prepared for analysis by country teams. The majority of the data sets are ready and have been distributed to the partners in the countries with the basic tabulations and discussions are in progress to interpret the results. Many countries have produced a country report.
World Health Survey (WHS)
Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers.
The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters.
The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules.
The objectives of the survey programme are to:
1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems.
2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes.
3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary.
Burkina Faso
The survey sampling frame must cover 100% of the country's eligible population, meaning that the entire national territory must be included. This does not mean that every province or territory need be represented in the survey sample but, rather, that all must have a chance (known probability) of being included in the survey sample.
There may be exceptional circumstances that preclude 100% national coverage. Certain areas in certain countries may be impossible to include due to reasons such as accessibility or conflict. All such exceptions must be discussed with WHO sampling experts. If any region must be excluded, it must constitute a coherent area, such as a particular province or region. For example if ¾ of region D in country X is not accessible due to war, the entire region D will be excluded from analysis.
Households and individuals
The WHS will include all male and female adults (18 years of age and older) who are not out of the country during the survey period. It should be noted that this includes the population who may be institutionalized for health reasons at the time of the survey: all persons who would have fit the definition of household member at the time of their institutionalisation are included in the eligible population.
If the randomly selected individual is institutionalized short-term (e.g. a 3-day stay at a hospital) the interviewer must return to the household when the individual will have come back to interview him/her. If the randomly selected individual is institutionalized long term (e.g. has been in a nursing home the last 8 years), the interviewer must travel to that institution to interview him/her.
The target population includes any adult, male or female age 18 or over living in private households. Populations in group quarters, on military reservations, or in other non-household living arrangements will not be eligible for the study. People who are in an institution due to a health condition (such as a hospital, hospice, nursing home, home for the aged, etc.) at the time of the visit to the household are interviewed either in the institution or upon their return to their household if this is within a period of two weeks from the first visit to the household.
Sample survey data [ssd]
SAMPLING GUIDELINES FOR WHS
Surveys in the WHS program must employ a probability sampling design. This means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. While a Single Stage Random Sample is ideal if feasible, it is recognized that most sites will carry out Multi-stage Cluster Sampling.
The WHS sampling frame should cover 100% of the eligible population in the surveyed country. This means that every eligible person in the country has a chance of being included in the survey sample. It also means that particular ethnic groups or geographical areas may not be excluded from the sampling frame.
The sample size of the WHS in each country is 5000 persons (exceptions considered on a by-country basis). An adequate number of persons must be drawn from the sampling frame to account for an estimated amount of non-response (refusal to participate, empty houses etc.). The highest estimate of potential non-response and empty households should be used to ensure that the desired sample size is reached at the end of the survey period. This is very important because if, at the end of data collection, the required sample size of 5000 has not been reached additional persons must be selected randomly into the survey sample from the sampling frame. This is both costly and technically complicated (if this situation is to occur, consult WHO sampling experts for assistance), and best avoided by proper planning before data collection begins.
All steps of sampling, including justification for stratification, cluster sizes, probabilities of selection, weights at each stage of selection, and the computer program used for randomization must be communicated to WHO
STRATIFICATION
Stratification is the process by which the population is divided into subgroups. Sampling will then be conducted separately in each subgroup. Strata or subgroups are chosen because evidence is available that they are related to the outcome (e.g. health, responsiveness, mortality, coverage etc.). The strata chosen will vary by country and reflect local conditions. Some examples of factors that can be stratified on are geography (e.g. North, Central, South), level of urbanization (e.g. urban, rural), socio-economic zones, provinces (especially if health administration is primarily under the jurisdiction of provincial authorities), or presence of health facility in area. Strata to be used must be identified by each country and the reasons for selection explicitly justified.
Stratification is strongly recommended at the first stage of sampling. Once the strata have been chosen and justified, all stages of selection will be conducted separately in each stratum. We recommend stratifying on 3-5 factors. It is optimum to have half as many strata (note the difference between stratifying variables, which may be such variables as gender, socio-economic status, province/region etc. and strata, which are the combination of variable categories, for example Male, High socio-economic status, Xingtao Province would be a stratum).
Strata should be as homogenous as possible within and as heterogeneous as possible between. This means that strata should be formulated in such a way that individuals belonging to a stratum should be as similar to each other with respect to key variables as possible and as different as possible from individuals belonging to a different stratum. This maximises the efficiency of stratification in reducing sampling variance.
MULTI-STAGE CLUSTER SELECTION
A cluster is a naturally occurring unit or grouping within the population (e.g. enumeration areas, cities, universities, provinces, hospitals etc.); it is a unit for which the administrative level has clear, nonoverlapping boundaries. Cluster sampling is useful because it avoids having to compile exhaustive lists of every single person in the population. Clusters should be as heterogeneous as possible within and as homogenous as possible between (note that this is the opposite criterion as that for strata). Clusters should be as small as possible (i.e. large administrative units such as Provinces or States are not good clusters) but not so small as to be homogenous.
In cluster sampling, a number of clusters are randomly selected from a list of clusters. Then, either all members of the chosen cluster or a random selection from among them are included in the sample. Multistage sampling is an extension of cluster sampling where a hierarchy of clusters are chosen going from larger to smaller.
In order to carry out multi-stage sampling, one needs to know only the population sizes of the sampling units. For the smallest sampling unit above the elementary unit however, a complete list of all elementary units (households) is needed; in order to be able to randomly select among all households in the TSU, a list of all those households is required. This information may be available from the most recent population census. If the last census was >3 years ago or the information furnished by it was of poor quality or unreliable, the survey staff will have the task of enumerating all households in the smallest randomly selected sampling unit. It is very important to budget for this step if it is necessary and ensure that all households are properly enumerated in order that a representative sample is obtained.
It is always best to have as many clusters in the PSU as possible. The reason for this is that the fewer the number of respondents in each PSU, the lower will be the clustering effect which increases sample variance and effectively reduces our estimating power. WHO requires an absolute maximum of 50 respondents per PSU, and ideally would suggest 20-30. This means that for a sample size of 5000 respondents, 100- 200 PSU clusters should be taken into the sample. Calculating that, roughly, one fifth of the total number of PSU clusters in a country will be randomly selected into the survey sample, the sampling frame should consist of 500-1000 PSU clusters.
PROBABILITY SAMPLING
Probability sampling means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. Non-probability methods of sampling such as quota or convenience sampling and random walk, may introduce bias into the survey, will throw survey findings into question, and are not accepted by WHO.
The probability of selection into the survey sample for each cluster will be proportional to its relative size. Systematic Sampling Systematic sampling is the ordered sampling at fixed intervals from a list, starting from a randomly chosen point. Typically, systematic sampling is not used at the first stage of sampling (selection of PSUs) because it renders the estimation of sampling error difficult.
Systematic sampling is recommended at the SSU, TSU, and household selection stages of sampling. Systematic sampling may be linear or circular.
SELECTION OF HOUSEHOLDS
The Household is a device used to get at the individual. The household is the sampling unit while the individual is the observational unit. While it would be preferable to randomly select from a list of all eligible persons in a country, such lists, with a few exceptions, are not available, so we must employ a final cluster, the household, to get at our observational units.
Households will be selected from lists of dwelling units. Non-probabilistic methods of household selection such as the random walk are not acceptable. Such lists are typically available from population registries, household listings, voter lists and census list. As it is essential to include all households in the sampling frame, an assessment of the methodology employed to select households must be made:
- How much has the population changed since these lists were made?
- Completeness of coverage. Are there unregistered populations (e.g. slums)
- Population shifts
- Changes in Registry
QUALITY
Almost all lists will suffer from routine problems. WHO recommends that survey institutions manually enumerate all the households in the sampling units randomly selected into the survey sample. If existing lists or registries will be used, then a detailed analysis of their quality must be made and they must be updated to ensure that there is no exclusion of households from the survey sampling frame.
SELECTION OF INDIVIDUALS FROM HOUSEHOLD ROSTER
All members of each household selected into the survey sample will be enumerated on the household roster. A member of the household is defined as someone who usually stays in the household, sleeps and shares meals, who has that address as primary place of residence, or who spends more than 6 months a year living there. Country-specific variations in this standard definition are allowed in consultation with WHO.
KISH TABLES
The respondent for the survey will be selected among all eligible members of the household using Kish tables. Kish tables provide a method by which each eligible person in a household has an equal probability of selection into the survey sample. It is extremely important for the representativeness of the survey sample and the integrity of the survey that the Kish tables are properly implemented. All interviews where the Kish selection method is not properly implemented will be rejected. The Kish technique allows adequate representation for all the persons in the household.
Face-to-face [f2f]
Participation in the survey is voluntary and the respondent can refuse to be interviewed. The interviewer is responsible for explaining what the survey is about, providing all the necessary information, and making sure the respondent understands the implications of his / her participation before giving his / her consent. The information given should be simple and clear and adapted to the respondent's level of understanding.
Consents must be documented by asking the respondents to sign an Informed Consent Forms ( Household Informant Consent Form; Individual Consent Form) before doing the interview. These forms must mention who will be doing the study, the types of questions that will be asked, why the study is being done, and who will have access to the information provided. The interviewer must check that the respondent has read and understood the form before signing, and should offer to go over it with him /her emphasizing the different items mentioned. If the respondent is illiterate or unable to read for himself / herself (e.g. due to a visual impairment), the form will be read and explained to him / her. In cases where it is not appropriate for the respondent to sign the form, the interviewer alone will sign the form.
In cases where the respondent is being dissuaded from, or coerced into, participating in the study by a third party such as a spouse, relative or any other member in the community, the interviewer should make it clear that it is the respondent alone who must decide whether or not s/he wishes to be interviewed.
FIELD SUPERVISION
The role of the supervisor is to monitor the progress and quality of the data collection, and ensure that interviewers are performing work. This includes handling the logistics of the survey, coordinating with other staff, recruiting and training additional interviewers, and supervision.
Supervision must be given to interviewers before, during, and after the interview. Supervisors must not only check that contact procedures are followed correctly but that interviews are conducted appropriately. They should be present for 10 interviews and ensure that standardized interviewing techniques are observed when asking questions, clarifying, probing and giving feedback in a non-directive manner. After the interview has been conducted, they must also check that data is coded and entered correctly. Supervisors must give feedback and debrief on a regular basis, in order to update the organization responsible for the study on the progress of the survey and any problems that have arisen.
Countries has provided WHO with the population sizes, probabilities of selection and sampling weights of all sampling units for each stage of the sampling process Since clusters are often of unequal size, sampling weights are necessary to be able to reconstruct population estimates from our sample estimates.
The weights essentially describe the number of persons in the sampling frame represented by each person in the cluster (i.e. each person in County 1 represents 12.5 people, each person in County 2 represents 9.1 persons etc.). Weights for SSUs, TSUs, etc. are calculated in the same way. The probability of selection of the elementary unit, the household, is not proportional to the number of people in the household. Rather, the household level weights will be generated at the time of respondent selection within the household. The number of households selected within each chosen sampling unit will be proportional to the total number of households in that sampling unit. All households in each unit will have equal probability of selection.
The proper and complete enumeration and description of the entire household is a critical component of the survey process. The household roster must be completed for all households selected randomly into the survey sample, whether they agreed to participate in the survey or not. It is only in this way that we can collect the basic information required to estimate the non-response bias in the survey.
The requirement of augmenting the survey sample size to adjust for estimated non-response is necessary to ensure that we have adequate persons in the sample to have the power to make precise estimates. This does not, however, account for the bias that is created by non-response, since non-responders are often different from responders with respect to key variables that are linked to the domains under study in the survey. All effort, therefore, must be made to minimise non-response, and to interview as many people in the survey sample as possible. A detailed discussion of refusal conversion methods, survey awareness raising, and call-backs is found in the WHS Survey Manual.
There are two possible scenarios of non-response:
1) The interviewer completes the household roster and the randomly chosen respondent refuses to participate.
2) The interviewer is refused access to the household and is unable to fill in the household roster.
In second scenario, sites must ensure that, at least, pages 00.1 and 00.3 of the Coversheet are completed for the household. In addition, if available from census information, the number of adult (18 years of age or older) males and females in the household, and their respective ages should be provided. It is important to note that the completion of the household roster serves a purpose above and beyond providing a list from which a respondent will be selected.
The demographic and other information collected in the household roster and requested from sites serves to calculate the denominators for statistical analysis of the survey data; without the information in the household roster, we would not be able to determine the health-related outcome rates in your country.
World Health Organization (WHO)
Citation requirement is the way that the dataset should be referenced when cited in any publication. This will guarantee that the data producer gets proper credit, and that analytical results can be linked to the proper version of the dataset.
The citation should include at least the primary investigator, the name and abbreviation of the dataset, the reference year, and the version number (and website address and date of download when the dataset was obtained on-line).
The user of the data undertakes to carry out work on the data of the WHO surveys, in accordance with the following conditions:
(1) He/she undertakes to keep confidential any information concerning individual persons or households.
(2) He/she undertakes not to distribute the data to any other user.
(3) He/she undertakes to use the data for scientific research only.
The undersigned will provide a reference of all publications based on the data to the WHO co-ordination team and will include the following acknowledgement: "This paper uses data from the WHO World Health Surveys / Multi-Country Survey Study (as appropriate)."
See also the citation requirement.
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
Burkina-ID
4948
8
WHS-Burkina_F2
4945
101
WHS-Burkina_F3
28511
16
WHS-Burkina_F4
130
27
WHS-Burkina_F5
4825
681
WHS-Burkina_F6
6429
26
WHS-Burkina_F7
27104
29
Identification
Identification
Identification
Identification
Identification
4948
18000460
18705180
18702407.186
10088.156
country code
country code
country code
country code
country code
4948
BFA
4948
1
2
3
4
4948
1
150
77.316
43.487
Household probability weight
Household probability weight
Household probability weight
Household probability weight
Household probability weight
4948
39.393
952.326
290.911
198.025
Probability weight
Probability weight
Probability weight
Probability weight
Probability weight
4943
5
39.393
7618.61
781.863
680.858
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
Post-stratified probablity weight
4827
121
195.97
21976.766
4057.585
3504.514
Post stratified household weight
Post stratified household weight
Post stratified household weight
Post stratified household weight
Post stratified household weight
4948
141.574
3195.673
986.422
655.927
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
4945
18000460
18705180
18702407.102
10091.207
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days
If retest interview, indicate number of days between initial and
retest
226
4719
25
1.15
1.672
1
2
3
5
25
Sysmiss
Rotation Code
Rotation Code
Rotation Code
Rotation Code
Rotation Code
4945
A
B
C
D
Interviewer ID
Interviewer ID
Interviewer ID
Interviewer ID
Interviewer ID
3875
1070
1
38
20.855
11.083
Name of interviewer
Name of interviewer
Name of interviewer
Name of interviewer
Name of interviewer
4939
.TRAORE AR
AOUBA MAI
AOUBA K MA
AOUBA K. M
AOUBA MAIM
AOUBA MAÏM
AOUOBA K M
BAMIBA
BARRY
BARRY SID
BARRY S
BARRY S.
BARRY SIDI
BELEM KOAB
BELEMKOABA
BELEMKOABG
BELEMKOAGA
CONGO MONI
COULIBALY
D. EMMANUE
DAH DAOUDA
DAH KOFFI
DAHANI HUB
DAHINI HUB
DAKRUYO W
DAKUYO W B
DAKUYO W.
DAKUYO WOT
DAKYUO W.
DAKYUOW. B
DAMANI HUB
DAMIBA
DAMIBA E
DAMIBA E.
DAMIBA E/
DAMIBA EMM
DAO ABASS
DAO ABASSE
DAO ABASSS
DAO ABLASS
DAOUDA K M
HIEN N TOU
HIEN TOUSS
ILBOUDO I
ILBOUDO IS
K ZALISSA
K ZALISSA
K. ZALISSA
K.ZALISSA
KABORE MIC
KABORE ZAL
KOBORE ZAL
KOFFI
LANKOANDE
LANKOUANDE
MARCEL NAN
N DO NICOL
N TOUSAAIN
N TOUSSAIN
N'DI NICOL
N'DO NICOL
N'DO NIKOL
N. TOSSAIN
N. TOUSAIN
N. TOUSSAI
NANAMA MAR
NANEMA
NANEMA MA
NANEMA MAR
NANEMA MIC
NDO NICOLA
NIDO NICOL
NIKIEMA PE
OUA DIO MA
OUABA S JO
OUADIA MAR
OUADIO
OUADIO MAR
OUAOBA S J
OUBA S JOA
OUEDRAOGO
OUEDRAOO D
OUEDROGO D
OUOBA S.
OUOBA JOAN
OUOBA K MA
OUOBA S JO
OUOBA S. J
OUOBA S.JO
PASCAL
PASCAL T
PASCAL T.
PASCAL TIE
PASSCAL T
SAMAMDOUGO
SAMANDOUGO
SAMANDOULG
SAMANDOULO
SAMNADOULG
SAWADODO F
SAWADOGO A
SAWADOGO B
SAWADOGO C
SAWADOGO F
SAWADOGO K
SAWADOGO S
SE YAYA
SINDOGO F
SINDOGO FL
SINDORE FL
SIRIMA AMI
SOME KOFF
SOME KOFFI
SOME KOFI
SOMEKOFFI
SOMME KOFF
Sawadogo C
T D VINAMA
T PASCAL
T. D. VINA
T. PASCAL
THIAMOUNOU
THIEMONOU
THIEMOUMOU
THIEMOUNA
THIEMOUNOU
THIENOUNOU
TIEMOUNOU
TIEMTORE
TIEMTORE L
TIEMTORE M
TIEMTORE S
TIEMTOREL.
TIENDREBEO
TIENIN
TIENIN KAL
TIENIN KOK
TIENIN KOL
TIIENIN KO
TRAORE A
TRAORE ADJ
TRAORE ARD
TRAORE ARI
YAMEOGO PA
ZABRE BRUN
ZARA BRUNO
ZARE BRUNO
ZERBO V
ZERBO VINC
ZERBO VINV
ZIBA ADAMA
ZIENIN KOL
ZONG-NABA
ZONGNABA
ZONGNABA C
ZONGNBA CH
ZONGO ABE
ZONGO ABEL
ZONGO T A
ZONGO T AB
ZONGO T MA
ZONGO T.
ZONGO T. A
ZONGO T.AB
ZONGO TIGA
ZONGONABA
ZONGOT. AB
ZOUNGONABA
ZRBO VINCE
congo moni
Total calls
Total calls
Total calls
Total calls
Total calls
5
4940
1
0.2
0.447
Date of final results (dd/mm/yyyyy)
Date of final results (dd/mm/yyyyy)
Date of final results (dd/mm/yyyyy)
Date of final results (dd/mm/yyyyy)
Date of final results (dd/mm/yyyyy)
4945
.
01/02/2003
01/03/2003
01/04/2003
01/11/2002
01/11/2003
01/12/2002
01/12/2003
02/01/2003
02/02/2003
02/03/2003
02/04/2003
02/05/2003
02/11/2002
02/11/2003
02/12/2002
02/12/2003
03/01/2003
03/02/2003
03/12/2002
03/12/2003
04/01/2003
04/02/2003
04/04/2003
04/12/2002
04/12/2003
05/01/2003
05/02/2003
05/06/2003
05/12/2002
05/12/2003
06/01/2003
06/02/2003
06/04/2003
06/11/2002
06/12/2002
06/12/2003
07/01/2003
07/02/2003
07/03/2003
07/04/2003
07/12/2002
07/12/2003
08/01/2003
08/02/2003
08/08/2003
08/12/2002
08/12/2003
09/01/2003
09/02/2003
09/04/2003
09/12/2002
09/12/2003
10/01/2003
10/02/2003
10/03/2003
10/04/2003
10/12/2002
10/12/2003
11/01/2003
11/02/2003
11/09/2003
11/12/2002
11/12/2003
12/01/2003
12/02/2003
12/11/2002
12/12/2002
12/12/2003
13/01/2003
13/02/2003
13/11/2002
13/12/2002
13/12/2003
14/01/2003
14/02/2003
14/11/2002
14/12/2002
14/12/2003
15/01/2003
15/02/2003
15/04/2003
15/12/2002
15/12/2003
16/01/2003
16/02/2003
16/12/2002
16/12/2003
17/01/2003
17/02/2003
17/03/2003
17/10/2003
17/12/2002
17/12/2003
18/01/2003
18/02/2003
18/03/2003
18/11/2002
18/12/2002
18/12/2003
19/01/2003
19/02/2003
19/03/2003
19/04/2003
19/05/2003
19/12/2002
19/12/2003
20/01/2003
20/02/2003
20/03/2003
20/12/2002
20/12/2003
21/01/2003
21/02/2003
21/03/2003
21/04/2003
21/12/2002
21/12/2003
22/01/2003
22/02/2003
22/03/2003
22/09/2003
22/12/2002
22/12/2003
23/01/2003
23/02/2003
23/03/2003
23/04/2003
23/11/2002
23/12/2002
23/12/2003
24/01/2003
24/02/2003
24/03/2003
24/12/2002
24/12/2003
25/01/2003
25/02/2003
25/03/2003
25/12/2002
25/12/2003
26/01/2003
26/02/2003
26/03/2003
26/12/2002
26/12/2003
27/01/2003
27/03/2003
27/12/2002
27/12/2003
28/01/2003
28/02/2003
28/03/2003
28/11/2002
28/11/2003
28/12/2002
28/12/2003
29/01/2003
29/03/2003
29/11/2002
29/11/2003
29/12/2002
29/12/2003
30/01/2003
30/03/2003
30/10/2002
30/10/2003
30/11/2002
30/11/2003
30/12/2002
30/12/2003
31/01/2003
31/03/2003
31/10/2002
31/10/2003
31/12/2002
31/12/2003
Final result code
Final result code
Final result code
Final result code
Final result code
4872
73
6
7
8
9
10
11
12
13
Sysmiss
Date of editing (dd/mm/yyyyy)
Date of editing (dd/mm/yyyyy)
Date of editing (dd/mm/yyyyy)
Date of editing (dd/mm/yyyyy)
Date of editing (dd/mm/yyyyy)
3348
01/01/03
01/02/2003
01/04/03
01/04/2003
01/11/02
02/01/03
02/01/2003
02/03/03
02/03/2003
02/04/03
02/04/2003
02/11/02
02/11/2002
02/12/02
02/12/2002
03/02/03
03/03/2003
03/12/02
03/12/2002
04/01/03
04/02/03
04/02/2003
04/03/2003
04/04/03
04/04/2003
04/12/2002
05/01/03
05/01/2003
05/02/02
05/02/03
05/02/2003
05/03/03
05/03/2003
05/04/03
05/04/2003
05/12/02
05/12/2002
06/01/03
06/01/2003
06/02/02
06/02/03
06/02/2003
06/03/03
06/03/2003
06/04/2003
06/11/02
06/11/2002
06/12/02
07/01/03
07/01/2003
07/02/03
07/04/03
07/12/02
07/12/03
07/12/2002
08/01/03
08/02/03
08/04/03
08/12/02
08/12/2002
09/01/02
09/01/03
09/02/03
09/03/2003
09/04/03
09/12/02
09/12/2002
10/01/03
10/01/2003
10/02/03
10/02/2003
10/04/03
10/04/2003
10/06/03
10/12/02
10/12/2002
10/12/2003
11/01/02
11/01/03
11/01/2003
11/02/03
11/03/03
11/03/2003
11/04/03
11/04/2003
11/12/2002
12/01/03
12/01/2003
12/01/2033
12/02/02
12/02/2002
12/02/2003
12/04/2003
12/10/02
12/11/02
12/11/03
12/11/2002
12/12/02
12/12/2002
13/01/03
13/01/2003
13/02/03
13/02/2003
13/04/03
13/04/2003
13/11/02
13/11/2002
13/11/2003
13/12/2002
14/01/2003
14/02/03
14/02/2003
14/02/3
14/04/03
14/04/2003
14/11/2002
14/12/02
14/12/2002
15/01/2003
15/02/03
15/02/2002
15/02/2003
15/04/2003
15/12/2002
16/01/2003
16/02/03
16/02/2003
16/04/03
16/04/2003
16/12/02
16/12/2002
17/01/03
17/01/2003
17/02/03
17/02/2003
17/03/02
18/01/2003
18/02/03
18/02/2003
18/03/03
18/12/02
18/12/2002
19/01/03
19/01/2003
19/02/03
19/02/2003
19/03/03
19/04/2003
19/12/02
19/12/09
19/12/2002
2/02/2003
20/01/03
20/01/2003
20/02/03
20/02/2003
20/03/03
20/03/2003
20/12/02
20/12/2002
21/02/2003
21/03/03
21/03/2003
21/12/2002
22/01/03
22/01/2003
22/02/03
22/02/2003
22/03/03
22/04/03
22/12/02
22/12/2002
23/01/03
23/01/2003
23/02/03
23/02/2003
23/03/03
23/03/2003
23/11/2002
23/12/02
23/12/2002
24/01/2003
24/02/03
24/02/2003
24/03/03
24/03/2003
24/12/02
24/12/2002
25/01/2003
25/02/2003
25/03/2003
26/01/03
26/01/2003
26/02/03
26/02/2003
26/12/02
26/12/2002
27/01/2003
27/02/03
27/02/2003
27/03/03
27/03/2003
27/12/02
27/12/2002
28/01/03
28/01/2003
28/02/2003
28/03/2003
28/12/02
28/12/2002
29/01/03
29/01/2003
29/03/2003
29/10/2002
29/12/02
29/12/2002
3/02/2003
30/01/03
30/01/2003
30/03/03
30/03/2003
30/04/03
30/04/2003
30/12/2002
31/01/03
31/01/2002
31/01/2003
31/03/03
31/03/2003
31/10/2002
31/12/2002
31/12/2003
4/02/03
6/02/03
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
Data entry 1st date (dd/mm/yyyyy)
3826
008/02/2003
01/02/03
01/02/2002
01/02/2003
01/03/03
01/03/2003
01/04/03
01/04/2002
01/04/2003
01/05/03
01/05/04
01/05/2003
02/03/2003
02/03/2004
02/04/03
02/04/2003
02/05/03
02/05/04
02/05/2003
02/06/2003
03/01/2003
03/02/03
03/02/2003
03/03/03
03/03/06
03/03/2003
03/04/03
03/04/2003
03/05/2003
03/06/03
03/06/2003
04/01/03
04/02/03
04/02/2002
04/02/2003
04/03/03
04/03/04
04/03/2003
04/03/2004
04/04
04/04/03
04/04/2003
04/05/2003
04/06/03
04/06/2003
04/12/2003
05/01/2003
05/02/03
05/02/2002
05/02/2003
05/03/2003
05/04/03
05/04/2003
05/05/2003
06/02/03
06/02/2003
06/03/2003
06/04/2003
06/06/03
06/06/2003
06/11/2002
07/02/03
07/02/2003
07/03/2003
07/04/03
07/04/04
07/04/2003
07/05/03
07/05/2002
07/05/2003
07/06/03
07/06/2003
07/07/2003
07/12/2002
08/02/03
08/02/2002
08/02/2003
08/04/03
08/04/2003
08/05/03
08/05/2003
08/06/03
09/01/2003
09/04/03
09/04/2003
09/05/03
09/06/03
10/02/03
10/02/2003
10/03/2003
10/04/03
10/04/05
10/04/2003
10/05/02
10/05/03
10/05/2002
10/05/2003
10/06/03
10/12/02
11/02/03
11/02/2003
11/03/2003
11/04/03
11/04/2003
11/05/2002
11/05/2003
11/06/03
12/01/2003
12/02/03
12/02/2003
12/04/03
12/04/2003
12/06/03
13/02/03
13/02/2003
13/06/03
14/02/03
14/02/2003
14/03/2003
14/04/03
14/04/2003
14/06/03
15/02/03
15/02/2003
15/04/03
15/04/2003
15/06/03
16/02/03
16/02/2003
16/03/04
16/03/2003
16/04/03
16/04/2003
16/04/2004
17/02/03
17/02/2003
17/03/2003
17/04/03
17/04/2003
17/04/2004
18/02/03
18/02/2003
18/03/03
18/03/2003
18/04/03
18/04/2003
18/04/2004
18/12/2002
19/02/03
19/02/2003
19/03/03
19/03/2003
19/04/03
19/04/06
19/04/2003
19/04/2004
2/04/2004
20/01/03
20/01/2003
20/02/03
20/02/2002
20/02/2003
20/03/03
20/03/2003
20/04/2003
21/02/03
21/02/2003
21/03/03
21/03/2003
21/04/2003
22/02/03
22/02/2003
22/03/03
22/03/2003
22/04/03
23/01/03
23/02/03
23/03/2002
23/03/2003
23/04/03
23/04/2003
23/04/2004
24/01/2003
24/02/03
24/02/2003
24/03/03
24/03/2002
24/03/2003
24/04/03
24/04/2003
24/04/2004
24/12/2002
25/02/03
25/02/04
25/02/2003
25/03/03
25/03/2003
25/04/03
25/04/2003
26/02/03
26/02/2003
26/03/03
26/03/2002
26/03/2003
26/04/03
26/04/2003
26/04/2004
26/05/03
26/05/2003
27/02/03
27/02/2003
27/03/03
27/03/2003
27/04/2003
27/05/03
27/12/2003
28/01/03
28/02/03
28/02/2003
28/03/03
28/03/2003
28/04/2003
28/05/2003
28/12/2003
29/01/02
29/01/03
29/01/2003
29/03
29/03/03
29/03/2003
29/04/03
29/04/2003
29/04/2004
3/03/2003
30/01/03
30/01/2003
30/03/2003
30/04/03
30/04/2003
30/05/03
31/01/03
31/01/2003
31/03/03
31/03/2003
4/03/2003
5/03/2003
5/04/2003
6/03/2003
7/03/2003
8/03/2003
8/04/2003
9/03/2003
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
Data entry 2nd date (dd/mm/yyyyy)
8
03/03/03
08/04/2003
09/04/2003
10/02/03
10/12/02
24/02/03
25/02/03
25/03/2003
psu
psu
psu
psu
psu
Sampling Information
Primary Sampling Unit (PSU) Name/Code
4945
1
40
13.196
12.315
ssu
ssu
ssu
ssu
ssu
Sampling Information
Secondary Sampling Unit (SSU) Name/Code
4945
1
150
77.324
43.497
tsu
tsu
tsu
tsu
tsu
Sampling Information
Tertiary Sampling Unit (TSU) Name/Code
4945
1
5180
2548.659
1466.635
qsu
qsu
qsu
qsu
qsu
Sampling Information
Quarternary Sampling Unit (QSU) Name/Code
3
4942
3
2408
804.667
1388.527
settings
settings
settings
settings
settings
Sampling information: Additional information
Setting
4945
1
Urban
2
Peri-urban/Semi-urban
3
rural
4
Other
Specify
Specify
Specify
Specify
Specify
latitude N/S
latitude N/S
latitude N/S
latitude N/S
latitude N/S
The Geocoding information is recorded for the cluster that the respondent belongs to, in
the smallest sampling unit above the household level.
Latitude
4930
N
latitude (degree)
latitude (degree)
latitude (degree)
latitude (degree)
latitude (degree)
The Geocoding information is recorded for the cluster that the respondent belongs to, in
the smallest sampling unit above the household level.
Latitude
4931
14
9
10
11
12
13
14
Sysmiss
latitude (decimal degree)
latitude (decimal degree)
latitude (decimal degree)
latitude (decimal degree)
latitude (decimal degree)
The Geocoding information is recorded for the cluster that the respondent belongs to, in
the smallest sampling unit above the household level.
Latitude
4931
14
99989
43572.7
27179.15
longitude (E/W)
longitude (E/W)
longitude (E/W)
longitude (E/W)
longitude (E/W)
Longitude
4930
E
W
Longitude (degree)
Longitude (degree)
Longitude (degree)
Longitude (degree)
Longitude (degree)
Longitude
4931
14
1
2
3
4
5
Sysmiss
Longitude (decimal degree)
Longitude (decimal degree)
Longitude (decimal degree)
Longitude (decimal degree)
Longitude (decimal degree)
Longitude
4931
14
99752
42566.58
25033.434
Waypoint
Waypoint
Waypoint
Waypoint
Waypoint
Waypoint
4943
2
1
center of gravity of the cluster
2
In front of the household
3
Nearby location
Sysmiss
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Time begin section 0400 - Household roster
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the household should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
You have said there are (REPEAT LISTING); does that include everyone living here at the present time or who is in an institution because of their health?
IF NO, CORRECT LISTING Now, I will use a selection procedure - I am going to number the persons in household to determine whom we need to interview - (it will take a second)
4520
01:15
01:30
03:00
03:01
04:14
05:05
05:37
05:41
05:58
06:00
06:01
06:02
06:04
06:05
06:10
06:17
06:22
06:24
06:30
06:32
06:35
06:37
06:40
06:41
06:43
06:45
06:47
06:48
06:49
06:50
06:52
06:53
07:00
07:01
07:02
07:03
07:04
07:05
07:06
07:07
07:08
07:09
07:10
07:11
07:12
07:13
07:14
07:15
07:16
07:17
07:18
07:19
07:20
07:21
07:22
07:23
07:24
07:25
07:26
07:27
07:28
07:29
07:30
07:31
07:32
07:33
07:34
07:35
07:36
07:37
07:38
07:40
07:41
07:42
07:43
07:44
07:45
07:46
07:47
07:48
07:49
07:50
07:51
07:52
07:53
07:54
07:55
07:56
07:57
07:58
07:59
08:00
08:01
08:02
08:03
08:04
08:05
08:06
08:07
08:08
08:09
08:10
08:11
08:12
08:13
08:14
08:15
08:16
08:17
08:18
08:19
08:20
08:21
08:22
08:23
08:24
08:25
08:26
08:27
08:28
08:29
08:30
08:31
08:32
08:33
08:34
08:35
08:36
08:37
08:38
08:39
08:40
08:41
08:42
08:43
08:44
08:45
08:46
08:47
08:48
08:49
08:50
08:51
08:52
08:53
08:54
08:55
08:56
08:57
08:59
09:00
09:01
09:02
09:03
09:04
09:05
09:06
09:07
09:08
09:09
09:10
09:11
09:12
09:13
09:14
09:15
09:16
09:17
09:18
09:19
09:20
09:21
09:22
09:23
09:24
09:25
09:26
09:27
09:28
09:29
09:30
09:31
09:32
09:33
09:34
09:35
09:36
09:37
09:38
09:39
09:40
09:41
09:42
09:43
09:44
09:45
09:46
09:47
09:48
09:49
09:50
09:51
09:52
09:53
09:54
09:55
09:56
09:57
09:58
09:59
10:00
10:01
10:02
10:03
10:04
10:05
10:06
10:07
10:08
10:09
10:10
10:11
10:12
10:13
10:14
10:15
10:16
10:17
10:18
10:19
10:20
10:21
10:22
10:23
10:24
10:25
10:26
10:27
10:28
10:29
10:30
10:31
10:32
10:33
10:34
10:35
10:36
10:37
10:38
10:39
10:40
10:41
10:42
10:43
10:44
10:45
10:46
10:47
10:48
10:49
10:50
10:51
10:52
10:53
10:54
10:55
10:56
10:57
10:58
10:59
11:00
11:01
11:02
11:03
11:04
11:05
11:06
11:07
11:08
11:09
11:10
11:11
11:12
11:13
11:14
11:15
11:16
11:17
11:18
11:19
11:20
11:21
11:22
11:23
11:24
11:25
11:26
11:27
11:28
11:29
11:30
11:31
11:32
11:33
11:34
11:35
11:36
11:37
11:38
11:39
11:40
11:41
11:42
11:43
11:44
11:45
11:46
11:47
11:48
11:49
11:50
11:51
11:52
11:53
11:54
11:55
11:56
11:57
11:58
11:59
12:00
12:01
12:02
12:03
12:04
12:05
12:06
12:07
12:08
12:09
12:10
12:11
12:12
12:13
12:14
12:15
12:16
12:17
12:18
12:19
12:20
12:21
12:22
12:23
12:24
12:25
12:26
12:27
12:28
12:30
12:31
12:32
12:33
12:34
12:35
12:36
12:37
12:38
12:39
12:40
12:41
12:42
12:43
12:44
12:45
12:46
12:47
12:48
12:49
12:50
12:51
12:52
12:53
12:54
12:55
12:56
12:57
12:58
12:59
13:00
13:01
13:02
13:04
13:05
13:06
13:07
13:08
13:09
13:10
13:11
13:12
13:13
13:14
13:15
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13:17
13:18
13:19
13:20
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13:22
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13:25
13:26
13:27
13:29
13:30
13:31
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13:34
13:35
13:36
13:37
13:38
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13:40
13:41
13:42
13:43
13:44
13:45
13:46
13:47
13:48
13:50
13:51
13:52
13:53
13:54
13:55
13:56
13:57
13:58
14:00
14:01
14:02
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14:37
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14:41
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14:47
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14:49
14:50
14:52
14:53
14:54
14:55
14:56
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14:58
14:59
15:00
15:01
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15:59
16:00
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18:00
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18:48
18:50
18:52
18:55
19:00
19:01
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19:10
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19:27
19:28
19:30
19:31
19:34
19:35
19:45
19:46
19:50
19:57
20:00
20:01
20:02
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20:05
20:07
20:11
20:12
20:14
20:15
20:17
20:19
20:30
20:31
20:33
20:37
20:38
20:40
20:41
21:02
21:14
21:20
21:25
21:30
21:43
22:10
Kish table code
Kish table code
Kish table code
Kish table code
Kish table code
4935
A
B1
B2
C
D
E1
E2
F
head of household
head of household
head of household
head of household
head of household
To be asked to all households
Who is the person who provides the main economic support for the
household?
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
4880
65
400
411
400.804
2.233
Household informant
Household informant
Household informant
Household informant
Household informant
To be asked to all households
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
4885
60
400
401
402
403
404
406
407
408
409
410
411
412
413
Sysmiss
Have mosquito bed
Have mosquito bed
Have mosquito bed
Have mosquito bed
Have mosquito bed
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Do you have a mosquito bed-net in the house?
4933
12
1
Yes
5
No
8
Do not know
Sysmiss
Bed nets treated with insecticide
Bed nets treated with insecticide
Bed nets treated with insecticide
Bed nets treated with insecticide
Bed nets treated with insecticide
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Were the bed-nets treated with insecticide, a product that kills insects?
1881
3064
1
Yes
5
No
8
Do not know
Sysmiss
When were bed nets treated
When were bed nets treated
When were bed nets treated
When were bed nets treated
When were bed nets treated
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Were the bed-nets treated with insecticide, a product that kills insects?
If Yes: When was the last time the bed-net was (re-)treated with this product?
234
4711
1
within last 6 months
2
7-12 months
3
more than 1 year ago
8
Do not know
Sysmiss
Number of Children age under 5
Number of Children age under 5
Number of Children age under 5
Number of Children age under 5
Number of Children age under 5
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Can you please tell me how many children aged under 5 years live in this household?
1906
3039
8
0.969
0.997
How many children slept under mosquito bed
How many children slept under mosquito bed
How many children slept under mosquito bed
How many children slept under mosquito bed
How many children slept under mosquito bed
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
How many of these children slept under a mosquito (bed) net last night?
1122
3823
5
1.141
0.901
Number of pregnant women
Number of pregnant women
Number of pregnant women
Number of pregnant women
Number of pregnant women
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
Can you please tell me how many women who live in this household are currently pregnant?
1889
3056
4
0.121
0.363
Number of pregnant women slept under bed net
Number of pregnant women slept under bed net
Number of pregnant women slept under bed net
Number of pregnant women slept under bed net
Number of pregnant women slept under bed net
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
How many of the pregnant women in this household slept under a mosquito bed-net last night?
225
4720
3
0.662
0.51
Number of other perosns slept under bed net
Number of other perosns slept under bed net
Number of other perosns slept under bed net
Number of other perosns slept under bed net
Number of other perosns slept under bed net
The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501.
Malaria Prevention: Use of (bed) nets
How many other persons who live in this household slept under a mosquito bed-net last night? (That is, all the other household members except for young children or pregnant women).
1896
3049
18
2.147
2.115
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Anyone in institution due to health conditions
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
4926
19
1
Yes
5
No
Sysmiss
Household member 1 in institution
Household member 1 in institution
Household member 1 in institution
Household member 1 in institution
Household member 1 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
14
4931
400
401
404
407
408
410
411
Sysmiss
Household member 2 in institution
Household member 2 in institution
Household member 2 in institution
Household member 2 in institution
Household member 2 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
4945
Sysmiss
household member 3 in institution
household member 3 in institution
household member 3 in institution
household member 3 in institution
household member 3 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
4945
Sysmiss
household member 4 in institution
household member 4 in institution
household member 4 in institution
household member 4 in institution
household member 4 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
4945
Sysmiss
household member 5 in institution
household member 5 in institution
household member 5 in institution
household member 5 in institution
household member 5 in institution
Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition?
1
4944
411
Sysmiss
needs care because of a long term illness
needs care because of a long term illness
needs care because of a long term illness
needs care because of a long term illness
needs care because of a long term illness
Is there anyone in your home, a child or adult) who needs care because of a long-term physical or mental illness or disability, or is getting old and weak?
4925
20
1
Yes
5
No
Sysmiss
How much care does this person need
How much care does this person need
How much care does this person need
How much care does this person need
How much care does this person need
How much care does this person need?
214
4731
1
Needs help/ watching all the time (day and night)
2
Cannot be without help/ watching or be left alone at home for more than an hour
3
Can be left on his/her own at home for several hours but requires accompaniment when leaving home
4
Needs some help at home and sometimes needs to be accompanied when leaving home
Sysmiss
Time end section 0500
Time end section 0500
Time end section 0500
Time end section 0500
Time end section 0500
4656
01:25
02:30
03:35
05:05
05:17
05:38
05:46
06:05
06:06
06:08
06:09
06:10
06:12
06:14
06:15
06:17
06:18
06:20
06:30
06:32
06:36
06:38
06:40
06:44
06:45
06:46
06:47
06:49
06:50
06:52
06:53
06:54
06:57
06:59
07:00
07:01
07:02
07:03
07:04
07:05
07:06
07:07
07:08
07:09
07:10
07:11
07:12
07:13
07:14
07:15
07:16
07:17
07:18
07:19
07:20
07:21
07:22
07:23
07:24
07:25
07:26
07:27
07:28
07:29
07:30
07:31
07:32
07:33
07:34
07:35
07:36
07:37
07:38
07:39
07:40
07:41
07:42
07:43
07:44
07:45
07:46
07:47
07:48
07:49
07:50
07:51
07:52
07:53
07:54
07:55
07:56
07:57
07:58
07:59
08:00
08:01
08:02
08:03
08:04
08:05
08:06
08:07
08:08
08:09
08:10
08:11
08:12
08:13
08:14
08:15
08:16
08:17
08:18
08:19
08:20
08:21
08:22
08:23
08:24
08:25
08:26
08:27
08:28
08:29
08:30
08:31
08:32
08:33
08:34
08:35
08:36
08:37
08:38
08:39
08:40
08:41
08:42
08:43
08:44
08:45
08:46
08:47
08:48
08:49
08:50
08:51
08:52
08:53
08:54
08:55
08:56
08:57
08:58
08:59
09:00
09:01
09:02
09:03
09:04
09:05
09:06
09:07
09:08
09:09
09:10
09:11
09:12
09:13
09:14
09:15
09:16
09:17
09:18
09:19
09:20
09:21
09:22
09:23
09:24
09:25
09:26
09:27
09:28
09:29
09:30
09:31
09:32
09:33
09:34
09:35
09:36
09:37
09:38
09:39
09:40
09:41
09:42
09:43
09:44
09:45
09:46
09:47
09:48
09:49
09:50
09:51
09:52
09:53
09:54
09:55
09:56
09:57
09:58
09:59
10:00
10:01
10:02
10:03
10:04
10:05
10:06
10:07
10:08
10:09
10:10
10:11
10:12
10:13
10:14
10:15
10:16
10:17
10:18
10:19
10:20
10:21
10:22
10:23
10:24
10:25
10:26
10:27
10:28
10:29
10:30
10:31
10:32
10:33
10:34
10:35
10:36
10:37
10:38
10:39
10:40
10:41
10:42
10:43
10:44
10:45
10:46
10:47
10:48
10:49
10:50
10:51
10:52
10:53
10:54
10:55
10:56
10:57
10:58
10:59
11:00
11:01
11:02
11:03
11:04
11:05
11:06
11:07
11:08
11:09
11:10
11:11
11:12
11:13
11:14
11:15
11:16
11:17
11:18
11:19
11:20
11:21
11:22
11:23
11:24
11:25
11:26
11:27
11:28
11:29
11:30
11:31
11:32
11:33
11:34
11:35
11:36
11:37
11:38
11:39
11:40
11:41
11:42
11:43
11:44
11:45
11:46
11:47
11:48
11:49
11:50
11:51
11:52
11:53
11:54
11:55
11:56
11:57
11:58
11:59
12:00
12:01
12:02
12:03
12:04
12:05
12:06
12:07
12:08
12:09
12:10
12:11
12:12
12:13
12:14
12:15
12:16
12:17
12:18
12:19
12:20
12:21
12:22
12:23
12:24
12:25
12:26
12:27
12:28
12:29
12:30
12:31
12:32
12:33
12:34
12:35
12:36
12:37
12:38
12:39
12:40
12:41
12:42
12:43
12:44
12:45
12:46
12:47
12:48
12:49
12:50
12:51
12:52
12:53
12:54
12:55
12:56
12:57
12:58
12:59
13:00
13:01
13:02
13:03
13:04
13:05
13:06
13:07
13:08
13:09
13:10
13:11
13:12
13:13
13:14
13:15
13:16
13:17
13:18
13:19
13:20
13:21
13:22
13:23
13:24
13:25
13:26
13:27
13:28
13:29
13:30
13:31
13:32
13:33
13:34
13:35
13:36
13:37
13:38
13:39
13:40
13:41
13:42
13:43
13:44
13:45
13:46
13:47
13:48
13:49
13:50
13:51
13:52
13:53
13:54
13:55
13:56
13:57
13:58
13:59
14:00
14:01
14:02
14:03
14:04
14:05
14:06
14:07
14:08
14:09
14:10
14:11
14:12
14:13
14:14
14:15
14:16
14:17
14:18
14:19
14:20
14:21
14:22
14:23
14:24
14:25
14:26
14:27
14:28
14:29
14:30
14:31
14:32
14:33
14:34
14:35
14:36
14:37
14:38
14:39
14:40
14:41
14:42
14:43
14:44
14:45
14:46
14:47
14:48
14:49
14:50
14:51
14:52
14:53
14:54
14:55
14:57
14:58
14:59
15:00
15:01
15:02
15:03
15:05
15:06
15:07
15:08
15:09
15:10
15:11
15:12
15:13
15:14
15:15
15:16
15:17
15:18
15:19
15:20
15:21
15:22
15:23
15:24
15:25
15:26
15:27
15:28
15:29
15:30
15:31
15:32
15:33
15:34
15:35
15:36
15:37
15:38
15:39
15:40
15:41
15:42
15:43
15:44
15:45
15:46
15:47
15:48
15:49
15:50
15:51
15:52
15:53
15:54
15:55
15:56
15:57
15:58
15:59
16:00
16:01
16:02
16:03
16:04
16:05
16:06
16:07
16:08
16:09
16:10
16:11
16:12
16:13
16:14
16:15
16:16
16:17
16:18
16:19
16:20
16:21
16:22
16:23
16:24
16:25
16:26
16:27
16:28
16:29
16:30
16:31
16:32
16:33
16:34
16:35
16:36
16:37
16:38
16:39
16:40
16:41
16:42
16:43
16:44
16:45
16:46
16:47
16:48
16:49
16:50
16:51
16:52
16:53
16:54
16:55
16:56
16:57
16:58
16:59
17:00
17:01
17:02
17:03
17:04
17:05
17:06
17:07
17:08
17:09
17:10
17:11
17:12
17:13
17:14
17:15
17:16
17:17
17:18
17:19
17:20
17:21
17:22
17:23
17:24
17:25
17:26
17:27
17:28
17:29
17:30
17:31
17:32
17:33
17:34
17:35
17:36
17:37
17:38
17:39
17:40
17:41
17:42
17:44
17:45
17:46
17:47
17:48
17:49
17:50
17:52
17:53
17:54
17:55
17:57
17:58
18:00
18:01
18:03
18:04
18:05
18:06
18:07
18:08
18:09
18:10
18:11
18:12
18:14
18:15
18:16
18:17
18:18
18:19
18:20
18:21
18:22
18:23
18:24
18:25
18:26
18:27
18:30
18:33
18:34
18:35
18:36
18:37
18:38
18:40
18:41
18:42
18:43
18:44
18:45
18:48
18:50
18:52
18:55
18:57
18:58
19:02
19:03
19:05
19:06
19:07
19:09
19:10
19:13
19:14
19:15
19:16
19:17
19:20
19:24
19:27
19:32
19:35
19:37
19:39
19:43
19:44
19:45
19:48
19:52
19:55
20:03
20:04
20:08
20:10
20:11
20:12
20:14
20:15
20:16
20:18
20:19
20:20
20:21
20:25
20:30
20:35
20:37
20:42
20:48
20:53
21:07
21:09
21:24
21:28
21:40
21:45
21:51
22:07
Name of CHIP
Name of CHIP
Name of CHIP
Name of CHIP
Name of CHIP
Community Health Insurance Programs [CHIP]
Joining the plan
You indicated that someone in your household has health insurance with a
[CHIP]. What is the name of the [CHIP]?
8
AIR AFRI
COUVERTU
FONCIAS
GENERAL
MUTUEL S
SONAR
UAB MALA
When joined CHIP (dd/mm/yyyy)
When joined CHIP (dd/mm/yyyy)
When joined CHIP (dd/mm/yyyy)
When joined CHIP (dd/mm/yyyy)
When joined CHIP (dd/mm/yyyy)
Community Health Insurance Programs [CHIP]
Joining the plan
When did these household members first join [that CHIP]?
2
31/01/2000
31/12/1997
Reason for joining CHIP
Reason for joining CHIP
Reason for joining CHIP
Reason for joining CHIP
Reason for joining CHIP
Community Health Insurance Programs [CHIP]
Joining the plan
What was the main reason for joining [that CHIP]?
8
AM
DE
MA
PA
RA
SA
SP
TI
expect renewal
expect renewal
expect renewal
expect renewal
expect renewal
Community Health Insurance Programs [CHIP]
Joining the plan
Do you expect membership in [that CHIP] will be renewed?
8
4937
1
Yes
5
No
Sysmiss
household members join CHIP
household members join CHIP
household members join CHIP
household members join CHIP
household members join CHIP
Community Health Insurance Programs [CHIP]
Payments and Benefits
Did your household members join the [CHIP]…
8
4937
1
4
1
Individually
2
As a family
3
As members of a cooperative or credit program
4
Other (specify)
How high is contribution
How high is contribution
How high is contribution
How high is contribution
How high is contribution
Community Health Insurance Programs [CHIP]
Payments and Benefits
How high is the [contribution] compared to benefits you get from the [CHIP]?
8
4937
1
Too high
2
High
3
About right
4
Low
5
Very low
Sysmiss
How difficult is it to pay the CHIP
How difficult is it to pay the CHIP
How difficult is it to pay the CHIP
How difficult is it to pay the CHIP
How difficult is it to pay the CHIP
Community Health Insurance Programs [CHIP]
Payments and Benefits
How difficult is for your household to pay the [CHIP] [contribution]?
6
4939
1
Very difficult
2
Difficult
3
Not too difficult
4
Easy
5
Very easy
Sysmiss
Know where to ask questions
Know where to ask questions
Know where to ask questions
Know where to ask questions
Know where to ask questions
Community Health Insurance Programs [CHIP]
Communication and Information
If someone in your household had questions about the [CHIP], would they know whom to ask or where to go?
27
4918
1
Yes
5
No
Sysmiss
How difficult to reach the person
How difficult to reach the person
How difficult to reach the person
How difficult to reach the person
How difficult to reach the person
Community Health Insurance Programs [CHIP]
Communication and Information
How difficult is it to reach that person or place when information is needed?
8
4937
1
Very difficult
2
Difficult
3
Not too difficult
4
Easy
5
Very easy
Sysmiss
how much healthy should contribute
how much healthy should contribute
how much healthy should contribute
how much healthy should contribute
how much healthy should contribute
Community Health Insurance Programs [CHIP]
Attitudes towards risk pooling
How much do you think healthy people in [the country] should contribute
to pay for the health care used by sick people?
4077
868
1
None of the cost
2
Some of the cost
3
Half of the cost
4
Most of the cost
5
All of the cost
Sysmiss
how much should people contribute
how much should people contribute
how much should people contribute
how much should people contribute
how much should people contribute
Community Health Insurance Programs [CHIP]
Attitudes towards risk pooling
How much do you think people in [the country] should contribute to pay
for the health care used by poor people when they become sick?
4077
868
1
None of the cost
2
Some of the cost
3
Half of the cost
4
Most of the cost
5
All of the cost
Sysmiss
How many rooms there are in your home?
How many rooms there are in your home?
How many rooms there are in your home?
How many rooms there are in your home?
How many rooms there are in your home?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Can you please tell me how many rooms there are in your home?
4931
14
29
2.77
2.018
How many chairs are there in your home?
How many chairs are there in your home?
How many chairs are there in your home?
How many chairs are there in your home?
How many chairs are there in your home?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
How many chairs are there in your home?
4938
7
31
2.663
3.37
How many tables are there in your home?
How many tables are there in your home?
How many tables are there in your home?
How many tables are there in your home?
How many tables are there in your home?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
How many tables are there in your home?
4937
8
20
1.01
1.307
How many cars are there in your household?
How many cars are there in your household?
How many cars are there in your household?
How many cars are there in your household?
How many cars are there in your household?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
How many cars are there in your household?
4871
74
5
0.109
0.578
Your home have electricity
Your home have electricity
Your home have electricity
Your home have electricity
Your home have electricity
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does your home have electricity?
4907
38
1
Yes
5
No
Sysmiss
Anyone in your household have a bicycle?
Anyone in your household have a bicycle?
Anyone in your household have a bicycle?
Anyone in your household have a bicycle?
Anyone in your household have a bicycle?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a bicycle?
4937
8
1
Yes
5
No
Sysmiss
Anyone in your household have a clock?
Anyone in your household have a clock?
Anyone in your household have a clock?
Anyone in your household have a clock?
Anyone in your household have a clock?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a clock?
4930
15
1
Yes
5
No
Sysmiss
Anyone in your household have a bucket?
Anyone in your household have a bucket?
Anyone in your household have a bucket?
Anyone in your household have a bucket?
Anyone in your household have a bucket?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a bucket?
4935
10
1
Yes
5
No
Sysmiss
Anyone in your household have a washing machine for clothes?
Anyone in your household have a washing machine for clothes?
Anyone in your household have a washing machine for clothes?
Anyone in your household have a washing machine for clothes?
Anyone in your household have a washing machine for clothes?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a washing machine for clothes?
4931
14
1
Yes
5
No
Sysmiss
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a refrigerator? ?
4929
16
1
Yes
5
No
Sysmiss
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Anyone in your household have a refrigerator?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a refrigerator?
4934
11
1
Yes
5
No
Sysmiss
Anyone in your household have a fixed line telephone?
Anyone in your household have a fixed line telephone?
Anyone in your household have a fixed line telephone?
Anyone in your household have a fixed line telephone?
Anyone in your household have a fixed line telephone?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a fixed line telephone?
4931
14
1
Yes
5
No
Sysmiss
Anyone in your household have a mobile/cellular telephone?
Anyone in your household have a mobile/cellular telephone?
Anyone in your household have a mobile/cellular telephone?
Anyone in your household have a mobile/cellular telephone?
Anyone in your household have a mobile/cellular telephone?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a mobile/cellular telephone?
4933
12
1
Yes
5
No
Sysmiss
Anyone in your household have a television?
Anyone in your household have a television?
Anyone in your household have a television?
Anyone in your household have a television?
Anyone in your household have a television?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a television?
4930
15
1
Yes
5
No
Sysmiss
Anyone in your household have a computer?
Anyone in your household have a computer?
Anyone in your household have a computer?
Anyone in your household have a computer?
Anyone in your household have a computer?
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have a computer?
4926
19
1
Yes
5
No
Sysmiss
Radio
Radio
Radio
Radio
Radio
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have radio?
4935
10
1
Yes
5
No
Sysmiss
Charrette (cart)
Charrette (cart)
Charrette (cart)
Charrette (cart)
Charrette (cart)
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have charrette (cart)?
4934
11
1
Yes
5
No
Sysmiss
Work animal
Work animal
Work animal
Work animal
Work animal
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have work animal?
4937
8
1
Yes
5
No
Sysmiss
Charrue (plough)
Charrue (plough)
Charrue (plough)
Charrue (plough)
Charrue (plough)
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have charrue (plough)?
4939
6
1
Yes
5
No
Sysmiss
Mobylette (moped)
Mobylette (moped)
Mobylette (moped)
Mobylette (moped)
Mobylette (moped)
Permanent Income Indicators (Lower Income Countries).
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
Does anyone in your household have mobylette (moped)?
4937
8
1
Yes
5
No
Sysmiss
total household expenditure
total household expenditure
total household expenditure
total household expenditure
total household expenditure
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend in total?
4885
60
1
1048000
46371.336
57019.463
Amount spend on food
Amount spend on food
Amount spend on food
Amount spend on food
Amount spend on food
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on food, including such things as [rice], meat, fruits, vegetables, and cooking oils? Include the value of any food that was produced and consumed by the household, and exclude alcohol, tobacco and restaurant meals.
4911
34
1560000
25396.384
31080.212
Spent on Housing
Spent on Housing
Spent on Housing
Spent on Housing
Spent on Housing
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on housing, gas, electricity, water, telephone, and heating fuel?
4808
137
244400
5357.733
14337.143
Spent on Education
Spent on Education
Spent on Education
Spent on Education
Spent on Education
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on education fees and supplies?
4662
283
780000
3729.844
21925.491
Health care costs
Health care costs
Health care costs
Health care costs
Health care costs
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on health care costs, excluding any insurance reimbursements?
4862
83
300000
5208.741
15576.141
Insurance Premiums
Insurance Premiums
Insurance Premiums
Insurance Premiums
Insurance Premiums
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on voluntary insurance premiums or prepaid health plans?
4617
328
76500
318.426
3317.217
Other Goods and services
Other Goods and services
Other Goods and services
Other Goods and services
Other Goods and services
Household Expenditure:
I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential.
For all questions in this section report all values in local currency, whether paid in cash or in kind.
In the last 4 weeks, how much did your household spend on all other goods and services?
4671
274
568223
7313.687
19371.815
Care required staying overnight
Care required staying overnight
Care required staying overnight
Care required staying overnight
Care required staying overnight
Household Expenditure:
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on care that required staying overnight in a hospital or health facility?
4734
211
300000
621.826
7238.307
Care by doctors nurses and trained midwives
Care by doctors nurses and trained midwives
Care by doctors nurses and trained midwives
Care by doctors nurses and trained midwives
Care by doctors nurses and trained midwives
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on care by doctors, nurses, or trained midwives that did not require an overnight stay?
4733
212
60000
403.907
2614.895
Household spend on traditional healers
Household spend on traditional healers
Household spend on traditional healers
Household spend on traditional healers
Household spend on traditional healers
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on care by traditional or alternative healers?
4721
224
45000
334.134
1768.685
Amount spent on dentists
Amount spent on dentists
Amount spent on dentists
Amount spent on dentists
Amount spent on dentists
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on dentists?
4651
294
50000
95.314
1201.793
Amount spent on Medication or drugs
Amount spent on Medication or drugs
Amount spent on Medication or drugs
Amount spent on Medication or drugs
Amount spent on Medication or drugs
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on medication or drugs?
4843
102
200000
3359.927
10236.689
Amount spent on health care
Amount spent on health care
Amount spent on health care
Amount spent on health care
Amount spent on health care
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on health care products such prescription glasses, hearing aids, prosthetic devices, etc.?
4678
267
195000
224.664
4140.644
Diagnostic and Laboratory tests
Diagnostic and Laboratory tests
Diagnostic and Laboratory tests
Diagnostic and Laboratory tests
Diagnostic and Laboratory tests
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on diagnostic and laboratory tests such as X-rays or Blood tests?
4731
214
70000
248.798
2315.441
other
other
other
other
other
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 4 weeks, how much did your household spend on any other health care products or services that were not included above?
4641
304
110000
174.85
2739.857
overnight stay in hospital
overnight stay in hospital
overnight stay in hospital
overnight stay in hospital
overnight stay in hospital
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, how many times did members of your household go to a hospital and stay overnight?
4898
47
450000
327.982
9948.912
Household costs associated with overnight stay
Household costs associated with overnight stay
Household costs associated with overnight stay
Household costs associated with overnight stay
Household costs associated with overnight stay
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, how much did the household pay for all costs associated with overnight stays in a hospital? Please exclude any expenses in the last 4 weeks that you have already told me about, and exclude any reimbursement from insurance.
739
4206
1300000
34568.935
78790.863
Current Income of household
Current Income of household
Current Income of household
Current Income of household
Current Income of household
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Current income of any household members.
4882
63
1
Yes
5
No
Sysmiss
Savings
Savings
Savings
Savings
Savings
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Savings (e.g. bank account).
4883
62
1
Yes
5
No
Sysmiss
payment or reimbursement
payment or reimbursement
payment or reimbursement
payment or reimbursement
payment or reimbursement
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Payment or reimbursement from a health insurance plan.
4868
77
1
Yes
5
No
Sysmiss
Sold items
Sold items
Sold items
Sold items
Sold items
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Sold items (e.g. furniture, animals, jewellery, furniture).
4879
66
1
Yes
5
No
Sysmiss
family members
family members
family members
family members
family members
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Family members or friends from outside the household.
4878
67
1
Yes
5
No
Sysmiss
Borrowed from someone
Borrowed from someone
Borrowed from someone
Borrowed from someone
Borrowed from someone
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Borrowed from someone other than a friend or family.
4880
65
1
Yes
5
No
Sysmiss
Other
Other
Other
Other
Other
Household Expenditure
I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs.
In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures?
Other
4869
76
1
Yes
5
No
Sysmiss
Time end section 0800
Time end section 0800
Time end section 0800
Time end section 0800
Time end section 0800
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18:00
18:01
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18:18
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18:29
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18:50
18:52
18:53
18:54
18:58
19:00
19:01
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19:27
19:32
19:35
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20:04
20:10
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20:39
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20:43
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20:47
20:51
20:55
20:57
21:16
21:22
21:30
21:37
21:45
21:55
22:10
22:12
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
28511
18000460
18705180
18702420.861
10288.633
gender
gender
gender
gender
gender
28511
1
Female
2
Male
28511
1
2
3
4
5
6
7
8
9
10
11
12
13
relationship
relationship
relationship
relationship
relationship
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Household member's relationship to informant
28375
136
1
himself / herself
2
wife or husband
3
son or daughter
4
son or daughter in law
5
grand child
6
parent
7
parent in law
8
brother or sister
9
co-wife
10
grand parent
11
other relative
12
not related
13
don't know
Sysmiss
age
age
age
age
age
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Age
28487
24
118
21.68
17.95
education
education
education
education
education
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Education
27442
1069
1
No formal schooling
2
less than primary school
3
primary school completed
4
secondary school completed
5
high school (or equivalent) completed
6
college / pre-university / university completed
7
post graduate deegree completed
Sysmiss
marital status
marital status
marital status
marital status
marital status
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Marital status
18378
10133
1
Never married
2
Currently married
3
Separated
4
Divorced
5
Widowed
6
Chohabiting
Sysmiss
Ever worked or trained in health field
Ever worked or trained in health field
Ever worked or trained in health field
Ever worked or trained in health field
Ever worked or trained in health field
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Ever worked or trained in a health-related field
26261
2250
1
Yes
5
No
Sysmiss
Eligible person
Eligible person
Eligible person
Eligible person
Eligible person
Household roster
In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period.
All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female.
Don't forget to include yourself in the appropriate order.
Eligible person
17766
10745
not eligible
1
eligible
Sysmiss
Whs respondent
Whs respondent
Whs respondent
Whs respondent
Whs respondent
4942
R
covered by health insurance
covered by health insurance
covered by health insurance
covered by health insurance
covered by health insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by any kind of health insurance plan?
27369
1142
1
Yes
5
No
Sysmiss
covered by mandatory health insurance
covered by mandatory health insurance
covered by mandatory health insurance
covered by mandatory health insurance
covered by mandatory health insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by any mandatory health insurance plans?
597
27914
1
5
Sysmiss
covered by voluntary health insurance
covered by voluntary health insurance
covered by voluntary health insurance
covered by voluntary health insurance
covered by voluntary health insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by any voluntary health insurance plans?
586
27925
1
5
Sysmiss
How much for voluntary insurance
How much for voluntary insurance
How much for voluntary insurance
How much for voluntary insurance
How much for voluntary insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
How much does your household pay for this person’s voluntary health insurance each year?
24
28487
200000
27961.667
53490.546
Covered because of relationship to someone
Covered because of relationship to someone
Covered because of relationship to someone
Covered because of relationship to someone
Covered because of relationship to someone
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Is this person covered by insurance only because of his/her relationship to someone else who has health insurance?
549
27962
1
5
Sysmiss
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
who is enrolled in the insurance plan that gives this person insurance
I would like to ask you some questions about health insurance. When we say someone is "covered by health insurance", we mean that he or she is enrolled with an
organization that pays for health care costs if he or she gets sick or injured.
Who is enrolled in the insurance plan that gives this person health insurance?
27
28484
400
999
445.444
159.573
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
130
18700005
18705168
18702369.338
1802.354
18700005
18700020
18700028
18700038
18700074
18700085
18700095
18700096
18700112
18700116
18700120
18700121
18700124
18700128
18700142
18700170
18700197
18700198
18700220
18700278
18700304
18700323
18700376
18700421
18700453
18700455
18700473
18700498
18700507
18700514
18700529
18700565
18700730
18700827
18700850
18700863
18700885
18700914
18700942
18700977
18701090
18701099
18701104
18701110
18701121
18701145
18701217
18701260
18701264
18701268
18701416
18701471
18701479
18701687
18701831
18701936
18701945
18701958
18702065
18702110
18702191
18702260
18702533
18702562
18702569
18702593
18702608
18702617
18702622
18702697
18702698
18702735
18703217
18703269
18703275
18703383
18703448
18703513
18703514
18703535
18703562
18703657
18703666
18703680
18703798
18703810
18703856
18703886
18703901
18703915
18703917
18703928
18703942
18704031
18704234
18704269
18704289
18704290
18704345
18704486
18704551
18704588
18704607
18704670
18704688
18704691
18704701
18704763
18704807
18704811
18704834
18704870
18704872
18704877
18704887
18704897
18704917
18704956
18704975
18705045
18705058
18705061
18705149
18705152
18705168
116
14
9
2.974
3.5
130
1
2
Questionnaire completed
Questionnaire completed
Questionnaire completed
Questionnaire completed
Questionnaire completed
Questionnaire completed
Each adult member of the household who has ever worked or been trained in a Health-Related field.
125
5
1
Yes
2
No, respondent not found
3
No, respondent refused
Sysmiss
Main occupation or occupational trainingMain occupation or occupational training
Main occupation or occupational trainingMain occupation or occupational training
Main occupation or occupational trainingMain occupation or occupational training
Main occupation or occupational trainingMain occupation or occupational training
Main occupation or occupational trainingMain occupation or occupational training
How would you best describe your main occupation or occupational training?
127
3
1
Medical doctor (including psychiatrist, gynecologist, ophthalmologist, etc.)
2
Dentist, dental surgeon or oral/dentistry or periodontist
3
Pharmacist or pharmaceutical chemist
4
Nurse professional
5
Midwife professional or matron
6
Optometrist or optician
7
Physiotherapist, chiropractor or podiatrist
8
Medical assistant
9
Nutritionist or dietician
10
Dental associate (assistant, hygienist or technician)
11
Pharmaceutical assistant or technician
12
Nursing associate or auxiliary
13
Nursing aide, community health workers, hospital aide or dental aide
14
Midwife associate or auxiliary or traditional birth attendant
15
Sanitarian or health inspector
16
Traditional medicine practitioner
17
Faith healer
18
Other health occupation than above : Specify __
19
Other occupation (such as administrator, driver, sweeper, etc.)
Sysmiss
Worked during 12 months
Worked during 12 months
Worked during 12 months
Worked during 12 months
Worked during 12 months
Have you worked during the last 12 months?
122
8
1
Yes
5
No
Sysmiss
Place where usually worked over the last 12 months
Place where usually worked over the last 12 months
Place where usually worked over the last 12 months
Place where usually worked over the last 12 months
Place where usually worked over the last 12 months
How would you best describe the place where you usually worked over the last 12 months?
89
41
1
Public hospital (government, including military or railroad hospital)
2
Private hospital (for profit/not for profit)
3
Public health centre (including dental clinic, palliativile clinic,health post etc.
4
Private health centre, including dental clinic, palliative care centre, mobile clinic, health post, doctor's office etc.
5
Private home-based services) nursing, Medical etc.
6
Public health training or research institution (including medical faculty, dental college, etc.
7
Private health training or research institution (including medical faculty, dental college etc.
8
Laboratory centre
9
Pharmacy
10
Other health services (including district health administration, etc.)
11
Non-health services area
Sysmiss
Hours per week
Hours per week
Hours per week
Hours per week
Hours per week
How many hours a week do you usually work at this location, excluding unpaid mealtimes and on-call hours?
86
44
1
100
31.535
22.526
First main type of work
First main type of work
First main type of work
First main type of work
First main type of work
Select and rank the two main type of work that you usually perform at this location.
78
52
1
Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2
Administration / supervision/care coordination
3
Teaching / health education/research
4
Laboratory / diagnostic procedures
5
Dispensing (medications / health products)
6
Other health-related activities (such as attending in ward, assisting medical practitioners, etc.)
7
Consultation with agencies / professionals
8
Other non-health activities (such as driving car, maintaining equipment, etc.)
Sysmiss
First main type of work
Second type of work
Second type of work
Second type of work
Second type of work
Second type of work
Select and rank the two main type of work that you usually perform at this location.
59
71
1
Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2
Administration / supervision/care coordination
3
Teaching / health education/research
4
Laboratory / diagnostic procedures
5
Dispensing (medications / health products)
6
Other health-related activities (such as attending in ward, assisting medical practitioners, etc.)
7
Consultation with agencies / professionals
8
Other non-health activities (such as driving car, maintaining equipment, etc.)
Sysmiss
Second main type of work
Method of salary payment
Method of salary payment
Method of salary payment
Method of salary payment
Method of salary payment
How would you describe the method by which you are usually paid at this location?
89
41
1
Salary (such as weekly or hourly wage, etc.)
2
Salary plus bonus
3
Fee-for-service (according to type of service provided only)
4
Capitation (fixed amount per patient)
5
Capitation plus fees for extra services
6
Other methods
7
Not paid
Sysmiss
Regularly worked at another location over past 12 months
Regularly worked at another location over past 12 months
Regularly worked at another location over past 12 months
Regularly worked at another location over past 12 months
Regularly worked at another location over past 12 months
In addition to your main job location, have you regularly worked at another location over the last 12 months?
88
42
1
Yes
5
No
Sysmiss
Description of other place of work
Description of other place of work
Description of other place of work
Description of other place of work
Description of other place of work
If also worked at an other location
How would you best describe this other place where you worked?
16
114
1
Public hospital (government, including military or railroad hospital)
2
Private hospital (for profit/not for profit)
3
Public health centre (including dental clinic, palliative care centre, mobile clinic, health post, etc.
4
Private health centre, including dental clinic, palliative care centre, mobile clinic, health post, doctor's office etc.
5
Private home-based services (nursing, medical, etc.)
6
Public health training or research institution (including medical faculty, dental college, etc.
7
Private health training or research institution (including medical faculty, dental college, etc.
8
Laboratory centre
9
Pharmacy
10
Other health services (including district health administration etc.)
11
Non- health services area
Sysmiss
How many hours a week of work at other location
How many hours a week of work at other location
How many hours a week of work at other location
How many hours a week of work at other location
How many hours a week of work at other location
If also worked at an other location
How many hours a week do you usually work at this other location
excluding unpaid mealtimes and on-call hours?
14
116
1
60
20
19.247
First main type of work at second job location
First main type of work at second job location
First main type of work at second job location
First main type of work at second job location
First main type of work at second job location
If also worked at an other location
Select and rank the two main type of work that you usually perform at this location?
13
117
1
Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2
Administration / supervision/care coordination
3
Teaching / health education/research
4
Laboratory / diagnostic procedures
5
Dispensing (medications / health products)
6
Other health-related activities (such as attending in ward, assisting medical practitioners, etc.)
7
Consultation with agencies / professionals
8
Other non-health activities (such as driving car, maintaining equipment, etc.)
Sysmiss
First main type of work (second job location)
Second type of work at second job location
Second type of work at second job location
Second type of work at second job location
Second type of work at second job location
Second type of work at second job location
If also worked at an other location
Select and rank the two main type of work that you usually perform at this location?
9
121
1
Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.)
2
Administration / supervision/care coordination
3
Teaching / health education/research
4
Laboratory / diagnostic procedures
5
Dispensing (medications / health products)
6
Other health-related activities (such as attending in ward, assisting medical practitioners, etc.)
7
Consultation with agencies / professionals
8
Other non-health activities (such as driving car, maintaining equipment, etc.)
Sysmiss
Second main type of work (second job location)
Method of salary payment at second job
Method of salary payment at second job
Method of salary payment at second job
Method of salary payment at second job
Method of salary payment at second job
If also worked at an other location
How would you describe the method by which you are usually paid at this other location?
17
113
1
Salary (such as weekly or hourly wage, etc.)
2
Salary plus bonus Go to Q0917
3
Fee-for-service (according to type of service provided only)
4
Capitation (fixed amount per patient)
5
Capitation plus fees for extra services
6
Other methods
7
Not paid
Sysmiss
Reason not worked over last 12 months
Reason not worked over last 12 months
Reason not worked over last 12 months
Reason not worked over last 12 months
Reason not worked over last 12 months
What is the main reason you have not been working over the last 12 months
33
97
1
Looked but can't find a job
2
Doing unpaid work / voluntary activities
3
Studies / training
4
Caring for family / Homemaker
5
Retired / too old to work
6
Ill health
7
Other
Sysmiss
Worked for at least 6 months in another country
Worked for at least 6 months in another country
Worked for at least 6 months in another country
Worked for at least 6 months in another country
Worked for at least 6 months in another country
Over the last 2-3 years, did you worked for at least 6 months in a country other than this one?
125
5
1
Yes
5
No
Sysmiss
Highest level of schooling completed
Highest level of schooling completed
Highest level of schooling completed
Highest level of schooling completed
Highest level of schooling completed
What was the highest level of schooling you completed?
126
4
1
No formal schooling
2
Less than primary school
3
Primary school completed
4
Secondary school completed
5
High school (or equivalent) completed
6
College/ pre-university/ University completed
7
University post-graduate degree completed
Sysmiss
In what year did you reach this level
In what year did you reach this level
In what year did you reach this level
In what year did you reach this level
In what year did you reach this level
In what year did you reach this level?
87
43
1955
2002
1984.46
13.196
Which country did you reach highest level of schooling
Which country did you reach highest level of schooling
Which country did you reach highest level of schooling
Which country did you reach highest level of schooling
Which country did you reach highest level of schooling
In what country did you reach this level?
86
44
1
Country of residence
2
Other country
Sysmiss
Number of days of proffesional training/continuing education program
Number of days of proffesional training/continuing education program
Number of days of proffesional training/continuing education program
Number of days of proffesional training/continuing education program
Number of days of proffesional training/continuing education program
In the past 12 months, have you been on any professional training or continuing education programmes?
121
9
275
4.248
25.568
Average earnings per week
Average earnings per week
Average earnings per week
Average earnings per week
Average earnings per week
Thinking over the past year, can you tell me what have been your
average earnings? (Please, tell me the amount per week, per month or per one year, whichever is easiest for you).
62
68
680000
20458.161
88465.712
7
Refusal
8
Do not know
Average earnings per month
Average earnings per month
Average earnings per month
Average earnings per month
Average earnings per month
Thinking over the past year, can you tell me what have been your
average earnings? (Please, tell me the amount per week, per month or per one year, whichever is easiest for you).
73
57
800000
62892.219
107996.319
7
Refusal
8
Do not know
Average earnings per year
Average earnings per year
Average earnings per year
Average earnings per year
Average earnings per year
Thinking over the past year, can you tell me what have been your
average earnings? (Please, tell me the amount per week, per month or per one year, whichever is easiest for you).
31
99
3600000
7
Refusal
8
Do not know
18
1
5
AGENT DE BUREAU ADMINIST
ANIMATRICE SUR LA PRISE
PANSEMENT PLAIE
SECOURISME / CROIX ROUGE
SECOURISTE
SENSIBILISATION (SIDA /
SOINS PRIMAIRES / DISTRI
VENDEUSE EN PHARMACIE
VOLONTAIRE
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
4825
18000460
18705180
18702398.442
10211.417
Time begin section 1000
Time begin section 1000
Time begin section 1000
Time begin section 1000
Time begin section 1000
4546
01:35
01:45
01:50
03:29
05:55
06:00
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06:07
06:09
06:10
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06:19
06:20
06:23
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06:28
06:30
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06:49
06:50
06:51
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06:55
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06:58
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18:35
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18:48
18:50
18:53
18:55
18:56
19:00
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19:07
19:10
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19:21
19:24
19:25
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19:29
19:30
19:32
19:33
19:35
19:36
19:40
19:41
19:45
19:48
19:50
19:53
19:57
19:58
20:03
20:05
20:06
20:08
20:10
20:15
20:16
20:19
20:20
20:21
20:22
20:25
20:26
20:30
20:31
20:32
20:35
20:39
20:40
20:45
20:46
20:48
20:50
20:56
21:00
21:02
21:09
21:15
21:17
21:20
21:23
21:24
21:26
21:27
21:30
21:40
21:45
22:00
22:07
Mother tongue
Mother tongue
Mother tongue
Mother tongue
Mother tongue
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your mother tongue?
4808
07:13
1
13:23
16:33
1PEULH
2
34
ACHANTI
ADJOUKAO
ALLA
ALLEMAND
ASHANTI
BAMBARA
BAOULE
BENINOIS
BISSA
BOBO
BOBO - D
BOBO DIA
BOBO DIO
BOBO DJO
BOBO FIN
BOBO WUL
BOBO-FIN
BOBOFING
BOLON
BOUABA
BWABA
BWABO
BWAMOU
BWAMU
BWAMUI
BWANA
BWANU
BWANUE
BWUMU
COTUFON
DAFFIN
DAFFING
DAFI
DAFIN
DAFING
DAFINKAN
DAGARA
DAGARE
DIAM
DIAN
DIOUALA
DIOULA
DIOULASS
DJAN
DJERMA
DOGON
EPHE
EVE
FAFARCE
FAFENES
FARFACE
FARFAGA
FARFARCE
FARFARE
FARFARGA
FLFULDE
FOLFOLDE
FON
FON (BEN
FOUFOULD
FOULDE
FOULFOUD
FOULFOUL
FOULFULD
FOULLE
FOULSE
FRANCAIS
FRANçAIS
FUFULDE
FULFOULD
FULFUDE
FULFULDE
GERMA
GOIME
GOIN
GOROUSSI
GOUASSI
GOUIN
GOULMANT
GOURMACE
GOURMACH
GOURMANC
GOURMANK
GOURMANT
GOURMATC
GOURMATH
GOURMMAN
GOUROUND
GOUROUNS
GOUROUSS
GOUTMACE
GUIN
GULAMCEM
GULAMTCH
GULMACEM
GULMACHE
GULMANCE
GULMANCH
GULMANTC
GULMATCH
GURMANCH
GURMANCT
GURMANTC
GURMATCH
HAOUSSA
IBO
KADO
KARABORO
KASINA
KASSENA
KASSIM
KASSINA
KASSINE
KO
KOMONO
KOSSINA
KOUSALE
KYANSI
KÖO
LEBRE
LELE
LIELE
LOBI
LOBIRI
LOBIRII
LOGON
MARAKA
MARANDE
MARANGA
MARKA
MIAKA
MIANKA
MINA
MOBA
MOORE
MOORE1
MOOSI
MORE
MOSSI
NAKANA
NANKANA
NANKANAN
NANKONA
NIMA
NIOU / G
NOUNI
NOUNMA
NOUNOUMA
NOUNOUNA
PEUHL
PEUL
PEULH
RAGANDE
SAM
SAMO
SAMO NAN
SAMOGHO
SAMOGO
SAN
SENOUFO
SIAMOU
SONRAÏ
TACHEQUE
TAMACHEC
TAMACHEQ
TIEFO
TOUNE
TOUSSAIN
TOUSSIAN
TURKA
TURQUA
VASSINA
WOLOF
YANA
YARCE
YARGA
YORUBA
ZERMA
ZERMAN
dagara
dian
djan
gourmatc
moore
mooré
Sex -- Male/female
Sex -- Male/female
Sex -- Male/female
Sex -- Male/female
Sex -- Male/female
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
Record sex as observed.
4825
1
Female
2
Male
Age in years
Age in years
Age in years
Age in years
Age in years
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
How old are you? (Years)
4823
2
18
112
36.229
15.249
Age range
Age range
Age range
Age range
Age range
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
If you don’t know/don’t want to tell me your age could you tell me the age range if I read the different options to you (choose what is most appropriate)?
26
4799
1
18-19
2
20-29
3
30-39
4
40-49
5
50-59
6
60-69
7
70+
Sysmiss
Weight in kilos
Weight in kilos
Weight in kilos
Weight in kilos
Weight in kilos
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your weight in Kilos?
1811
3014
180
64.021
14.7
Weight in pounds
Weight in pounds
Weight in pounds
Weight in pounds
Weight in pounds
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your weight in Pounds?
2
4823
6
67
36.5
43.134
height in cms
height in cms
height in cms
height in cms
height in cms
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your height in Centimeters?
3104
1721
55
198
168.113
9.106
Height in (feet)
Height in (feet)
Height in (feet)
Height in (feet)
Height in (feet)
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your height in Feet/Inches?
6
4819
1
5
2.333
1.366
Height in (inches)
Height in (inches)
Height in (inches)
Height in (inches)
Height in (inches)
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your height in Feet/Inches?
5
4820
1
5
2.4
1.517
Marital Status
Marital Status
Marital Status
Marital Status
Marital Status
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your current marital status?
4823
2
1
never married
2
currently married
3
separated
4
divorced
5
widowed
6
cohabiting
Sysmiss
education
education
education
education
education
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is the highest level of education that you have completed?
4825
1
No formal schoolong
2
less than primary school
3
primary school completed
4
secondary school completed
5
high school completed
6
college completed
7
post graduate degree completed
Years of formal education completed
Years of formal education completed
Years of formal education completed
Years of formal education completed
Years of formal education completed
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
How many years of school, including higher education, have you completed?
3829
996
26
2.262
4.482
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
Sysmiss
Background
Background
Background
Background
Background
Respondent’s Socio Demographic Characteristics
I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes.
What is your [ethnic group/ racial group/ cultural subgroup/ others] background?
4805
3
5
ADJOUKAO
ALLEMAND
ASHANTI
BAMABARA
BAMBARA
BAYANSI
BEELA
BELLA
BELLAH
BENIN
BENINOIS
BISSA
BOBO
BOBO DIO
BOBO FIN
BOBO WUL
BOBO-DIO
BOBO-FIN
BOBOFING
BOLON
BOUABA
BOUAMOU
BWA
BWABA
BWABU
BWALA
BWAMU
BWUBA
DAFFINF
DAFFING
DAFI
DAFIN
DAFING
DAGARA
DAGARI
DIAN
DIOULA
DJAN
DJARANKE
DOGON
EPHE
EVE
EWE
FON
FOULDE
FOULFOUD
FOULFOUL
FOULGA
FOULLE
FOULS5E
FOULSE
FRANCAIS
FULFUDE
FULFULDE
GAIN
GERMA (n
GHANEENN
GOIN
GOIN (TU
GONSAI
GOUIN
GOUMANTC
GOURISSI
GOURMA
GOURMACT
GOURMANT
GOURMATC
GOURMATH
GOURONSI
GOUROUNS
GOUROUSI
GOUROUSS
GOURSSI
GUIN
GULAMTCH
GULMANTC
GULMATCH
GURMANTC
GURUNSI
HAOUSA
HAOUSSA
IBO
KADO
KADÔ
KARABORO
KASSEMA
KASSENA
KIRAMA
KO
KOMONO
KOUSSAGA
KÖO
LELE
LOBI
LOBIRI
LOBY
MANDE
MARAKA
MARANGA
MARANSE
MARKA
MIANKA
MINA
MIOSSI
MOAGA
MOORE
MOOSI
MOOSSI
MOSI
MOSSE
MOSSI
MOSSI PE
MOSSI-PE
MOSSII
MOSSIN
NAKANA
NANKANA
NOAGA
NOUMNA
NOUNOUMA
NOUNOUNA
NUNI
PEUHL
PEUL
PEULH
PEULH SE
SAMBLA
SAMO
SAMOGHO
SAMOGO
SANA
SENOUFO
SENOUFOU
SIAMOU
SIAMOU D
SILMI MO
SILMIMOS
SONRAÏ
TIEFO
TOUNA
TOUNAN
TOUREG
TOUSSAIN
TOUSSIAN
TURKA
TURQUA
WALA
WOLOF
YARSE
YOUBA
ZERMA
djan
mossi
current job
current job
current job
current job
current job
Respondent’s Socio Demographic Characteristics
Now, I would like to ask you a few questions about your work status.
What is your current job?
4806
19
1
Government employee
2
Non-government employee
3
Self-employed
4
Employer
5
Not working for pay
Sysmiss
main occupation
main occupation
main occupation
main occupation
main occupation
Respondent’s Socio Demographic Characteristics
Now, I would like to ask you a few questions about your work status.
During the last 12 months, what has been your main occupation?
2833
1992
1
Legislator, Senior Official, or Manager
2
Professional
3
Technician or Associate Professional
4
Clerk
5
Service or sales worker
6
Agricultural or fishery worker
7
Craft or trades worker
8
Plant/machine operator or assembler
9
Elementary worker
10
Armed forces
Sysmiss
reason not working
reason not working
reason not working
reason not working
reason not working
Respondent’s Socio Demographic Characteristics
Now, I would like to ask you a few questions about your work status.
What is the main reason why you are not working for pay?
1967
2858
1
Homemaker / caring for family
2
Looked but cant find a job
3
Doing unpaid work / voluntary activities
4
Studies / training
5
Retired / too old to work
6
Ill health
7
Other
Sysmiss
Time end section 1000
Time end section 1000
Time end section 1000
Time end section 1000
Time end section 1000
4537
01:35
06:02
06:03
06:10
06:12
06:14
06:17
06:18
06:19
06:20
06:21
06:22
06:25
06:26
06:27
06:28
06:30
06:31
06:33
06:35
06:40
06:42
06:43
06:44
06:45
06:47
06:49
06:50
06:51
06:52
06:53
06:55
06:58
07:00
07:01
07:02
07:03
07:04
07:05
07:06
07:07
07:08
07:10
07:11
07:12
07:13
07:14
07:15
07:16
07:17
07:18
07:19
07:20
07:21
07:22
07:23
07:24
07:25
07:26
07:27
07:28
07:29
07:30
07:31
07:32
07:33
07:34
07:35
07:36
07:37
07:38
07:39
07:40
07:41
07:42
07:43
07:44
07:45
07:46
07:47
07:48
07:49
07:50
07:51
07:52
07:53
07:54
07:55
07:56
07:57
07:58
07:59
08:00
08:01
08:02
08:03
08:04
08:05
08:06
08:07
08:08
08:09
08:10
08:11
08:12
08:13
08:14
08:15
08:16
08:17
08:18
08:19
08:20
08:21
08:22
08:23
08:24
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Time begin section 2000
Time begin section 2000
Time begin section 2000
Time begin section 2000
Time begin section 2000
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rate your health
rate your health
rate your health
rate your health
rate your health
Health State Descriptions Time Begin
Overall Health
The first questions are about your overall health, including both your physical and your mental health.
In general, how would you rate your health today?
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6
1
Very good
2
Good
3
Moderate
4
Bad
5
Very Bad
Sysmiss
work or household activities
work or household activities
work or household activities
work or household activities
work or household activities
Health State Descriptions Time Begin
Overall Health
The first questions are about your overall health, including both your physical and your mental health.
Overall in the last 30 days, how much difficulty did you have with work or household activities?
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11
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
difficulty in moving around
difficulty in moving around
difficulty in moving around
difficulty in moving around
difficulty in moving around
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Mobility
Overall in the last 30 days how much difficulty did you have with moving around?
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1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
vigorous activities
vigorous activities
vigorous activities
vigorous activities
vigorous activities
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Mobility
In the last 30 days, how much difficulty did you have in vigorous activities, such as running 3km (or equivalent) or cycling?
4819
6
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
self-care, such as washing & dressing
self-care, such as washing & dressing
self-care, such as washing & dressing
self-care, such as washing & dressing
self-care, such as washing & dressing
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Self Care
Overall in the last 30 days, how much difficulty did you have with self-care, such as washing or dressing yourself?
4819
6
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
maintaining general appearance
maintaining general appearance
maintaining general appearance
maintaining general appearance
maintaining general appearance
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Self Care
In the last 30 days, how much difficulty did you have in taking care of and maintaining your general appearance (e.g. grooming, looking neat and tidy etc.)
4816
9
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
amount of pain/discomfort
amount of pain/discomfort
amount of pain/discomfort
amount of pain/discomfort
amount of pain/discomfort
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Pain and Discomfort
Overall in the last 30 days, how much of bodily aches or pains did you have?
4817
8
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Bodily discomfort
Bodily discomfort
Bodily discomfort
Bodily discomfort
Bodily discomfort
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Pain and Discomfort
In the last 30 days, how much bodily discomfort did you have?
4816
9
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
concentrating / remembering things
concentrating / remembering things
concentrating / remembering things
concentrating / remembering things
concentrating / remembering things
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Cognition
Overall in the last 30 days, how much difficulty did you have with concentrating or remembering things?
4786
39
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
learning a new task
learning a new task
learning a new task
learning a new task
learning a new task
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Cognition
In the last 30 days, how much difficulty did you have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe etc.)?
4816
9
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
personal relationships / participation
personal relationships / participation
personal relationships / participation
personal relationships / participation
personal relationships / participation
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Interpersonal Activities
Overall in the last 30 days, how much difficulty did you have with personal relationship or participation in the community?
4817
8
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
dealing with conflicts / tension with others
dealing with conflicts / tension with others
dealing with conflicts / tension with others
dealing with conflicts / tension with others
dealing with conflicts / tension with others
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Interpersonal Activities
In the last 30 days, how much difficulty did you have in dealing with conflicts and tensions with others?
4808
17
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
wear glasses or contact lenses
wear glasses or contact lenses
wear glasses or contact lenses
wear glasses or contact lenses
wear glasses or contact lenses
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Vision
Do you wear glasses or contact lenses?
4817
8
1
Yes
5
No
Sysmiss
seeing and recognizing person from across road
seeing and recognizing person from across road
seeing and recognizing person from across road
seeing and recognizing person from across road
seeing and recognizing person from across road
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Vision
In the last 30 days, how much difficulty did you have in Seeing and recognizing a person you know across the road (i.e. from a distance of about 20 meters)?
4815
10
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
seeing and recognizing object at arms length
seeing and recognizing object at arms length
seeing and recognizing object at arms length
seeing and recognizing object at arms length
seeing and recognizing object at arms length
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Vision
In the last 30 days, how much difficulty did you have in seeing and recognizing an object at arm’s length or in reading?
4810
15
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
falling asleep, waking up during night or early in the morning
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Sleep and Energy
Overall in the last 30 days, how much of a problem did you have with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
4817
8
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Problem with feeling rested
Problem with feeling rested
Problem with feeling rested
Problem with feeling rested
Problem with feeling rested
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Sleep and Energy
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day?
4812
13
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
feeling sad, low or depressed
feeling sad, low or depressed
feeling sad, low or depressed
feeling sad, low or depressed
feeling sad, low or depressed
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Affect
Overall in the last 30 days, how much of a problem did you have with feeling sad, low or depressed?
4798
27
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Worry or anxiety
Worry or anxiety
Worry or anxiety
Worry or anxiety
Worry or anxiety
Health State Descriptions Time Begin
Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available.
Affect
Overall in the last 30 days, how much of a problem did you have with worry or anxiety?
4797
28
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Record Set
Record Set
Record Set
Record Set
Record Set
4817
A
B
C
D
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
H-Vignette - Set A Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Jan] feels nervous and anxious. He worries and thinks negatively about the future, but feels better in the company of people or when doing something that really interests him. When he is alone he tends to feel useless and empty.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
1219
3606
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-2
H-Vignette - Set A Q-2
H-Vignette - Set A Q-2
H-Vignette - Set A Q-2
H-Vignette - Set A Q-2
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Jan] feels nervous and anxious. He worries and thinks negatively about the future, but feels better in the company of people or when doing something that really interests him. When he is alone he tends to feel useless and empty.
In the last 30 days, how much of a problem did [name of person] have
with worry or anxiety?
1218
3607
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
H-Vignette - Set A Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Mary] has no problems with walking, running or using her hands, arms and legs. She jogs 4 kilometres twice a week.
Overall in the last 30 days, how much of a problem did [name of person]
have with moving around?
1219
3606
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-4
H-Vignette - Set A Q-4
H-Vignette - Set A Q-4
H-Vignette - Set A Q-4
H-Vignette - Set A Q-4
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Mary] has no problems with walking, running or using her hands, arms and legs. She jogs 4 kilometres twice a week.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
1218
3607
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
H-Vignette - Set A Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Anton] does not exercise. He cannot climb stairs or do other physical activities because he is obese. He is able to carry the groceries and do some light
household work.
Overall in the last 30 days, how much of a problem did [name of person]
have with moving around?
1219
3606
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-6
H-Vignette - Set A Q-6
H-Vignette - Set A Q-6
H-Vignette - Set A Q-6
H-Vignette - Set A Q-6
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Anton] does not exercise. He cannot climb stairs or do other physical activities because he is obese. He is able to carry the groceries and do some light
household work.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
1217
3608
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
H-Vignette - Set A Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[David] is paralyzed from the neck down. He is unable to move his arms and legs or to shift body position. He is confined to bed.
Overall in the last 30 days, how much difficulty did [name of person]
have with moving around?
1219
3606
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-8
H-Vignette - Set A Q-8
H-Vignette - Set A Q-8
H-Vignette - Set A Q-8
H-Vignette - Set A Q-8
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[David] is paralyzed from the neck down. He is unable to move his arms and legs or to shift body position. He is confined to bed.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
1219
3606
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
H-Vignette - Set A Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Ken] loves life and is happy all the time. He never worries or gets upset about anything and deals with things as they come.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
1217
3608
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-10
H-Vignette - Set A Q-10
H-Vignette - Set A Q-10
H-Vignette - Set A Q-10
H-Vignette - Set A Q-10
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Ken] loves life and is happy all the time. He never worries or gets upset about anything and deals with things as they come.
In the last 30 days, how much of a problem did [name of person] have
with worry or anxiety?
1215
3610
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
H-Vignette - Set A Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Rob] is able to walk distances of up to 200 metres without any problems but feels tired after walking one kilometre or climbing up more than one flight of stairs. He has no problems with day-to-day physical activities, such as carrying food from the market.
Overall in the last 30 days, how much difficulty did [name of person]
have with moving around?
1218
3607
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-12
H-Vignette - Set A Q-12
H-Vignette - Set A Q-12
H-Vignette - Set A Q-12
H-Vignette - Set A Q-12
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Rob] is able to walk distances of up to 200 metres without any problems but feels tired after walking one kilometre or climbing up more than one flight of stairs. He has no problems with day-to-day physical activities, such as carrying food from the market.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
1219
3606
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
H-Vignette - Set A Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vincent] has a lot of swelling in his legs due to his health condition. He has to make an effort to walk around his home as his legs feel heavy.
Overall in the last 30 days, how much of a problem did [name of person]
have with moving around?
1216
3609
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-14
H-Vignette - Set A Q-14
H-Vignette - Set A Q-14
H-Vignette - Set A Q-14
H-Vignette - Set A Q-14
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vincent] has a lot of swelling in his legs due to his health condition. He has to make an effort to walk around his home as his legs feel heavy.
In the last 30 days, how much difficulty did [name of person] have in
vigorous activities, such as running 3 km (or equivalent) or cycling?
1214
3611
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
H-Vignette - Set A Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vivian] has already had five admissions into the hospital because she has attempted suicide twice in the past year and has harmed herself on three other
occasions. She is very distressed every day for the most part of the day, and sees no hope of things ever getting better. She is thinking of trying to end her life
again.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
1218
3607
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-16
H-Vignette - Set A Q-16
H-Vignette - Set A Q-16
H-Vignette - Set A Q-16
H-Vignette - Set A Q-16
VIGNETTES FOR HEALTH STATE DESCRIPTIONS.
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Vivian] has already had five admissions into the hospital because she has attempted suicide twice in the past year and has harmed herself on three other
occasions. She is very distressed every day for the most part of the day, and sees no hope of things ever getting better. She is thinking of trying to end her life
again.
In the last 30 days, how much of a problem did [name of person] have
with worry or anxiety?
1219
3606
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
H-Vignette - Set A Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Roberta] feels depressed most of the time. She weeps frequently and feels hopeless about the future. She feels that she has become a burden on others and
that she would be better dead.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
1216
3609
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-18
H-Vignette - Set A Q-18
H-Vignette - Set A Q-18
H-Vignette - Set A Q-18
H-Vignette - Set A Q-18
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Roberta] feels depressed most of the time. She weeps frequently and feels hopeless about the future. She feels that she has become a burden on others and
that she would be better dead.
In the last 30 days, how much of a problem did [name of person] have
with worry or anxiety?
1215
3610
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
H-Vignette - Set A Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Henriette] enjoys her work and social activities and is generally satisfied with her life. She gets depressed every 3 weeks for a day or two and loses interest in
what she usually enjoys but is able to carry on with her day to day activities.
Overall in the last 30 days, how much of a problem did [name of person]
have with feeling sad, low, or depressed?
1219
3606
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set A Q-20
H-Vignette - Set A Q-20
H-Vignette - Set A Q-20
H-Vignette - Set A Q-20
H-Vignette - Set A Q-20
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Mobility and Affect
[Henriette] enjoys her work and social activities and is generally satisfied with her life. She gets depressed every 3 weeks for a day or two and loses interest in
what she usually enjoys but is able to carry on with her day to day activities.
Overall in the last 30 days, how much of a problem did [name of person]
have with distress, sadness or worry?
1217
3608
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
H-Vignette - Set B Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Mark] has pain in his knees, elbows, wrists and fingers, and the pain is present almost all the time. It gets worse during the first half of the day. Although
medication helps, he feels uncomfortable when moving around, holding and lifting things.
Overall in the last 30 days, how much of bodily aches or pains did [name
of person] have?
1202
3623
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-2
H-Vignette - Set B Q-2
H-Vignette - Set B Q-2
H-Vignette - Set B Q-2
H-Vignette - Set B Q-2
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Mark] has pain in his knees, elbows, wrists and fingers, and the pain is present almost all the time. It gets worse during the first half of the day. Although
medication helps, he feels uncomfortable when moving around, holding and lifting things.
In the last 30 days, how much bodily discomfort did [name of person]
have?
1201
3624
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
H-Vignette - Set B Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Elizabeth] has difficulty climbing up and down the stairs and walking. She is not able to go out as much as she would like to but has many friends who come
and visit her at home. Her friends find her a source of great comfort.
Overall in the last 30 days, how much difficulty did [name of person]
have with personal relationships or participation in the community?
1202
3623
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-4
H-Vignette - Set B Q-4
H-Vignette - Set B Q-4
H-Vignette - Set B Q-4
H-Vignette - Set B Q-4
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Elizabeth] has difficulty climbing up and down the stairs and walking. She is not able to go out as much as she would like to but has many friends who come
and visit her at home. Her friends find her a source of great comfort.
In the last 30 days, how much difficulty did [name of person] have in
dealing with conflicts and tensions with others?
1202
3623
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
H-Vignette - Set B Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Amala] suffered a stroke three months ago. Her friends do not come and visit anymore as Amala cannot communicate with them. She is constantly upset and
shouts at her family members which causes them to avoid her.
Overall in the last 30 days, how much difficulty did [name of person]
have with personal relationship or participation in the community?
1200
3625
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-6
H-Vignette - Set B Q-6
H-Vignette - Set B Q-6
H-Vignette - Set B Q-6
H-Vignette - Set B Q-6
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Amala] suffered a stroke three months ago. Her friends do not come and visit anymore as Amala cannot communicate with them. She is constantly upset and
shouts at her family members which causes them to avoid her.
In the last 30 days, how much difficulty did [name of person] have in
dealing with conflicts and tensions with others?
1201
3624
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
H-Vignette - Set B Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Katie] cannot remember when she last felt pain as this has not happened for the last several years now. She does not experience any pain even after hard
physical labor or exercise.
Overall in the last 30 days, how much of bodily aches or pains did [name
of person] have?
1201
3624
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-8
H-Vignette - Set B Q-8
H-Vignette - Set B Q-8
H-Vignette - Set B Q-8
H-Vignette - Set B Q-8
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Katie] cannot remember when she last felt pain as this has not happened for the last several years now. She does not experience any pain even after hard
physical labor or exercise.
In the last 30 days, how much bodily discomfort did [name of person]
have?
1200
3625
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
H-Vignette - Set B Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Charlie] can join in any community activities that interest him, whenever he wants to, without any restrictions. He gets on well with everybody and enjoys
meeting new people.
Overall in the last 30 days, how much difficulty did [name of person]
have with personal relationship or participation in the community?
1200
3625
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-10
H-Vignette - Set B Q-10
H-Vignette - Set B Q-10
H-Vignette - Set B Q-10
H-Vignette - Set B Q-10
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Charlie] can join in any community activities that interest him, whenever he wants to, without any restrictions. He gets on well with everybody and enjoys
meeting new people.
In the last 30 days, how much difficulty did [name of person] have in
dealing with conflicts and tensions with others?
1200
3625
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
H-Vignette - Set B Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Steve] has pain in the neck radiating to the arms that is not relieved by any medicines or other treatment. The pain is sharp at all times and keeps him awake
most of the night. During the day the pain has made him completely incapacitated. It has necessitated complete confinement to the bed and often makes him
think of ending his life.
Overall in the last 30 days, how much of bodily aches or pains did [name
of person] have?
1199
3626
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-12
H-Vignette - Set B Q-12
H-Vignette - Set B Q-12
H-Vignette - Set B Q-12
H-Vignette - Set B Q-12
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Steve] has pain in the neck radiating to the arms that is not relieved by any medicines or other treatment. The pain is sharp at all times and keeps him awake
most of the night. During the day the pain has made him completely incapacitated. It has necessitated complete confinement to the bed and often makes him
think of ending his life.
In the last 30 days, how much bodily discomfort did [name of person] have?
1200
3625
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
H-Vignette - Set B Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Johanna] gets on well with the people she knows but has no close friends. She has not spoken to her mother in 5 years and does not want to see her. Because
of this tension, her family usually excludes her from family gatherings.
Overall in the last 30 days, how much difficulty did [name of person] have with personal relationship or participation in the community?
1200
3625
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-14
H-Vignette - Set B Q-14
H-Vignette - Set B Q-14
H-Vignette - Set B Q-14
H-Vignette - Set B Q-14
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Johanna] gets on well with the people she knows but has no close friends. She has not spoken to her mother in 5 years and does not want to see her. Because
of this tension, her family usually excludes her from family gatherings.
In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others?
1200
3625
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
H-Vignette - Set B Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Laura] has a headache once a month that is relieved one hour after taking a pill. During the headache she can carry on with her day to day affairs.
Overall in the last 30 days, how much of bodily aches or pains did [name of person] have?
1200
3625
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-16
H-Vignette - Set B Q-16
H-Vignette - Set B Q-16
H-Vignette - Set B Q-16
H-Vignette - Set B Q-16
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Laura] has a headache once a month that is relieved one hour after taking a pill. During the headache she can carry on with her day to day affairs.
In the last 30 days, how much bodily discomfort did [name of person]have?
1200
3625
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
H-Vignette - Set B Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Nobu] is blind and lives in a remote rural area. His family does not allow him to leave the house because they fear he will get hurt. His family tells him that
he is a burden to them. Their criticism upsets him and he cries.
Overall in the last 30 days, how much difficulty did [name of person] have with personal relationships or participation in the community?
1198
3627
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-18
H-Vignette - Set B Q-18
H-Vignette - Set B Q-18
H-Vignette - Set B Q-18
H-Vignette - Set B Q-18
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Nobu] is blind and lives in a remote rural area. His family does not allow him to leave the house because they fear he will get hurt. His family tells him that
he is a burden to them. Their criticism upsets him and he cries.
In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others?
1199
3626
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
H-Vignette - Set B Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Isabelle] has pain that radiates down her right arm and wrist during her day at work. This is slightly relieved in the evenings when she is no longer working
on her computer.
Overall in the last 30 days, how much of bodily aches or pains did [name of person] have?
1199
3626
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set B Q-20
H-Vignette - Set B Q-20
H-Vignette - Set B Q-20
H-Vignette - Set B Q-20
H-Vignette - Set B Q-20
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Pain and Personal Relationships
[Isabelle] has pain that radiates down her right arm and wrist during her day at work. This is slightly relieved in the evenings when she is no longer working
on her computer.
In the last 30 days, how much bodily discomfort did [name of person]have?
1197
3628
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
H-Vignette - Set C Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Jennifer] only reads if the text is in very large print, such as 10 lines per page. Otherwise she does not read anything. Even when people are close to her, she
sees them blurred.
In the last 30 days, how much difficulty did you think [name of person]have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
1202
3623
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-2
H-Vignette - Set C Q-2
H-Vignette - Set C Q-2
H-Vignette - Set C Q-2
H-Vignette - Set C Q-2
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Jennifer] only reads if the text is in very large print, such as 10 lines per page. Otherwise she does not read anything. Even when people are close to her, she
sees them blurred.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
1202
3623
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
H-Vignette - Set C Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Paolo] has no trouble falling asleep at night and does not wake up during the night, but every morning he finds it difficult to wake up. He uses an alarm clock
but falls back asleep after the alarm goes off. He is late to work on four out of five days and feels tired in the mornings.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
1202
3623
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-4
H-Vignette - Set C Q-4
H-Vignette - Set C Q-4
H-Vignette - Set C Q-4
H-Vignette - Set C Q-4
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Paolo] has no trouble falling asleep at night and does not wake up during the night, but every morning he finds it difficult to wake up. He uses an alarm clock
but falls back asleep after the alarm goes off. He is late to work on four out of five days and feels tired in the mornings.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
1201
3624
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
H-Vignette - Set C Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Hector] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize familiar people’s faces all the time
and picks out most details in pictures from across 20 metres.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e. from a distance of about 20 meters)?
1201
3624
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-6
H-Vignette - Set C Q-6
H-Vignette - Set C Q-6
H-Vignette - Set C Q-6
H-Vignette - Set C Q-6
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Hector] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize familiar people’s faces all the time
and picks out most details in pictures from across 20 metres.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm's length or in reading?
1202
3623
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
H-Vignette - Set C Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Damien] wakes up almost once every hour during the night. When she wakes up in the night, it takes around 15 minutes for her to go back to sleep. In the morning she does not feel well-rested and feels slow and tired all day.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
1201
3624
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-8
H-Vignette - Set C Q-8
H-Vignette - Set C Q-8
H-Vignette - Set C Q-8
H-Vignette - Set C Q-8
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Damien] wakes up almost once every hour during the night. When she wakes up in the night, it takes around 15 minutes for her to go back to sleep. In the morning she does not feel well-rested and feels slow and tired all day.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
1201
3624
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
H-Vignette - Set C Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Daniel] takes about two hours every night to fall asleep. He wakes up once or twice a night feeling panicked and takes more than one hour to fall asleep
again. Three to four nights a week he wakes up in the middle of the night and cannot go back to sleep for the rest of the night. He is fatigued all day, every day
and misses work several times a week. He cannot take part in sports or social activities.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
1201
3624
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-10
H-Vignette - Set C Q-10
H-Vignette - Set C Q-10
H-Vignette - Set C Q-10
H-Vignette - Set C Q-10
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Daniel] takes about two hours every night to fall asleep. He wakes up once or twice a night feeling panicked and takes more than one hour to fall asleep
again. Three to four nights a week he wakes up in the middle of the night and cannot go back to sleep for the rest of the night. He is fatigued all day, every day
and misses work several times a week. He cannot take part in sports or social activities.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
1201
3624
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
H-Vignette - Set C Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Norman] needs a magnifying glass to read small print and look at details on pictures. He also takes a while to recognize objects if they are too far from him.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
1199
3626
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-12
H-Vignette - Set C Q-12
H-Vignette - Set C Q-12
H-Vignette - Set C Q-12
H-Vignette - Set C Q-12
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Norman] needs a magnifying glass to read small print and look at details on pictures. He also takes a while to recognize objects if they are too far from him.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
1202
3623
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
H-Vignette - Set C Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Antonio] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize shapes and colours from across 20
metres but misses out the fine details.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
1200
3625
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-14
H-Vignette - Set C Q-14
H-Vignette - Set C Q-14
H-Vignette - Set C Q-14
H-Vignette - Set C Q-14
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Antonio] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize shapes and colours from across 20
metres but misses out the fine details.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
1199
3626
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
H-Vignette - Set C Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Noemi] falls asleep easily at night, but two nights a week she wakes up in the middle of the night and cannot go back to sleep for the rest of the night. On
these days she is exhausted at work and cannot concentrate on her job.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
1201
3624
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-16
H-Vignette - Set C Q-16
H-Vignette - Set C Q-16
H-Vignette - Set C Q-16
H-Vignette - Set C Q-16
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Noemi] falls asleep easily at night, but two nights a week she wakes up in the middle of the night and cannot go back to sleep for the rest of the night. On
these days she is exhausted at work and cannot concentrate on her job.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)?
1200
3625
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
H-Vignette - Set C Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Sebastian] cannot detect any movement close to the eyes or even the presence of a light.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e. from a distance of about 20 meters)?
1202
3623
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-18
H-Vignette - Set C Q-18
H-Vignette - Set C Q-18
H-Vignette - Set C Q-18
H-Vignette - Set C Q-18
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Sebastian] cannot detect any movement close to the eyes or even the presence of a light.
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
1202
3623
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
H-Vignette - Set C Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Mark] falls asleep every night within five minutes of going to bed. He sleeps soundly during the whole night and wakes up in the morning feeling well-rested
and feels full of energy all day.
In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
1202
3623
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set C Q-20
H-Vignette - Set C Q-20
H-Vignette - Set C Q-20
H-Vignette - Set C Q-20
H-Vignette - Set C Q-20
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Vision, Sleep and Energy
[Mark] falls asleep every night within five minutes of going to bed. He sleeps soundly during the whole night and wakes up in the morning feeling well-rested
and feels full of energy all day.
In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having
energy)?
1198
3627
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
H-Vignette - Set D Q-1
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Helena] pays a lot of attention to the way she looks. She requires no assistance with cleanliness, dressing and eating.
Overall in the last 30 days, how much difficulty did [name of person] have with self-care, such as washing or dressing himself/herself?
1190
3635
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-2
H-Vignette - Set D Q-2
H-Vignette - Set D Q-2
H-Vignette - Set D Q-2
H-Vignette - Set D Q-2
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Helena] pays a lot of attention to the way she looks. She requires no assistance with cleanliness, dressing and eating.
In the last 30 days, how much difficulty did [name of person] have in taking care of and maintaining his/her general appearance (e.g. grooming, looking neat and tidy etc.)
1189
3636
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
H-Vignette - Set D Q-3
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] can find her way around the neighborhood and know where her own belongings are kept, but struggles to remember how to get to a place she has only visited once or twice. She is keen to learn new recipes but finds that she often makes mistakes and has to reread several times before she is able to do them properly.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
1190
3635
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-4
H-Vignette - Set D Q-4
H-Vignette - Set D Q-4
H-Vignette - Set D Q-4
H-Vignette - Set D Q-4
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] can find her way around the neighborhood and know where her own belongings are kept, but struggles to remember how to get to a place she has only visited once or twice. She is keen to learn new recipes but finds that she often makes mistakes and has to reread several times before she is able to do them properly.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
1190
3635
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
H-Vignette - Set D Q-5
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] is quadriplegic and must be washed, groomed, dressed and fed by somebody else.
Overall in the last 30 days, how much difficulty did [name of person]
have with self-care, such as washing or dressing himself/herself?
1190
3635
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-6
H-Vignette - Set D Q-6
H-Vignette - Set D Q-6
H-Vignette - Set D Q-6
H-Vignette - Set D Q-6
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sue] is quadriplegic and must be washed, groomed, dressed and fed by somebody else.
In the last 30 days, how much difficulty did [name of person] have in
taking care of and maintaining his/her general appearance(e.g. grooming,
looking neat and tidy etc.)
1189
3636
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
H-Vignette - Set D Q-7
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Malcolm] can concentrate while watching TV, reading a magazine or playing a game of cards or chess. He can learn new variations in these games with
small effort. Once a week he forgets where his keys or glasses are, but finds them within five minutes.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
1190
3635
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-8
H-Vignette - Set D Q-8
H-Vignette - Set D Q-8
H-Vignette - Set D Q-8
H-Vignette - Set D Q-8
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Malcolm] can concentrate while watching TV, reading a magazine or playing a game of cards or chess. He can learn new variations in these games with
small effort. Once a week he forgets where his keys or glasses are, but finds them within five minutes.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
1188
3637
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
H-Vignette - Set D Q-9
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Rob] is very quick to learn new skills at his work. He can pay attention to the task at hand for long uninterrupted periods of time. He can remember names of
people, addresses, phone numbers and such details that go back several years.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
1189
3636
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-10
H-Vignette - Set D Q-10
H-Vignette - Set D Q-10
H-Vignette - Set D Q-10
H-Vignette - Set D Q-10
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Rob] is very quick to learn new skills at his work. He can pay attention to the task at hand for long uninterrupted periods of time. He can remember names of
people, addresses, phone numbers and such details that go back several years.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
1188
3637
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
H-Vignette - Set D Q-11
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Theo] cannot concentrate for more than 15 minutes and has difficulty paying attention to what is being said to him. Whenever he starts a task, he never
manages to finish it and often forgets what he was doing. He is able to learn the names of people he meets but cannot be trusted to follow directions to a store
by himself.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
1188
3637
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-12
H-Vignette - Set D Q-12
H-Vignette - Set D Q-12
H-Vignette - Set D Q-12
H-Vignette - Set D Q-12
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Theo] cannot concentrate for more than 15 minutes and has difficulty paying attention to what is being said to him. Whenever he starts a task, he never
manages to finish it and often forgets what he was doing. He is able to learn the names of people he meets but cannot be trusted to follow directions to a store
by himself.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
1184
3641
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
H-Vignette - Set D Q-13
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Anne] takes twice as long as others to put on and take off clothes, but needs no help with this. Although it requires an effort, she is able to bathe and groom
herself, though less frequently than before. She does not require help with feeding.
Overall in the last 30 days, how much difficulty did [name of person]
have with self-care, such as washing or dressing himself/herself?
1189
3636
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-14
H-Vignette - Set D Q-14
H-Vignette - Set D Q-14
H-Vignette - Set D Q-14
H-Vignette - Set D Q-14
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Anne] takes twice as long as others to put on and take off clothes, but needs no help with this. Although it requires an effort, she is able to bathe and groom
herself, though less frequently than before. She does not require help with feeding.
In the last 30 days, how much difficulty did [name of person] have in
taking care of and maintaining his/her general appearance(e.g. grooming,
looking neat and tidy etc.)
1187
3638
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
H-Vignette - Set D Q-15
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Peter] does not recognize even close relatives and gets lost when he leaves the house unaccompanied. Even when prompted, he shows no recollection of
events or recognition of relatives. It is impossible for him to acquire any new knowledge as even simple instructions leave him confused.
Overall in the last 30 days overall how much difficulty did [name of the
person] have with concentrating or remembering things?
1189
3636
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-16
H-Vignette - Set D Q-16
H-Vignette - Set D Q-16
H-Vignette - Set D Q-16
H-Vignette - Set D Q-16
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Peter] does not recognize even close relatives and gets lost when he leaves the house unaccompanied. Even when prompted, he shows no recollection of
events or recognition of relatives. It is impossible for him to acquire any new knowledge as even simple instructions leave him confused.
In the last 30 days, how much difficulty did [name of person] have in
learning a new task (for example, learning how to get to a new place,
learning a new game, learning a new recipe etc.)?
1189
3636
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
H-Vignette - Set D Q-17
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sandra] lives on her own and has no relatives or friends nearby. Because of her arthritis, she is house-bound. She often stays all day in the same clothes that
she has slept in, as changing clothes is too painful. A neighbour helps her wash herself.
Overall in the last 30 days, how much difficulty did [name of person]
have with self-care, such as washing or dressing himself/herself?
1186
3639
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-18
H-Vignette - Set D Q-18
H-Vignette - Set D Q-18
H-Vignette - Set D Q-18
H-Vignette - Set D Q-18
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Sandra] lives on her own and has no relatives or friends nearby. Because of her arthritis, she is house-bound. She often stays all day in the same clothes that
she has slept in, as changing clothes is too painful. A neighbour helps her wash herself.
In the last 30 days, how much difficulty did [name of person] have in
taking care of and maintaining his/her general appearance (e.g. grooming,
looking neat and tidy etc.)
1187
3638
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
H-Vignette - Set D Q-19
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Victor] requires no assistance with cleanliness, dressing and eating. He occasionally suffers from back pain and when this happens he needs help with bathing
and dressing. He always keeps himself tidy.
Overall in the last 30 days, how much difficulty did [name of person]
have with self-care, such as washing or dressing himself/herself?
1188
3637
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
H-Vignette - Set D Q-20
H-Vignette - Set D Q-20
H-Vignette - Set D Q-20
H-Vignette - Set D Q-20
H-Vignette - Set D Q-20
VIGNETTES FOR HEALTH STATE DESCRIPTIONS
I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background.
Cognition and Self Care
[Victor] requires no assistance with cleanliness, dressing and eating. He occasionally suffers from back pain and when this happens he needs help with bathing
and dressing. He always keeps himself tidy.
In the last 30 days, how much difficulty did [name of person] have in
taking care of and maintaining his/her general appearance (e.g. grooming,
looking neat and tidy etc.)
1186
3639
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
Time end section 2000
Time end section 2000
Time end section 2000
Time end section 2000
Time end section 2000
4516
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Time begin section 3000
Time begin section 3000
Time begin section 3000
Time begin section 3000
Time begin section 3000
4514
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HSV Set code
HSV Set code
HSV Set code
HSV Set code
HSV Set code
4822
A
B
HSV - Set A Q-1
HSV - Set A Q-1
HSV - Set A Q-1
HSV - Set A Q-1
HSV - Set A Q-1
Health State Valuations
Descriptions
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing himself / herself?
2418
2407
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-2
HSV - Set A Q-2
HSV - Set A Q-2
HSV - Set A Q-2
HSV - Set A Q-2
Health State Valuations
Descriptions
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much difficulty would a person in this state have with
moving around?
2417
2408
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-3
HSV - Set A Q-3
HSV - Set A Q-3
HSV - Set A Q-3
HSV - Set A Q-3
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much of bodily aches and pains would a person in this state
have?
2413
2412
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-4
HSV - Set A Q-4
HSV - Set A Q-4
HSV - Set A Q-4
HSV - Set A Q-4
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Alcohol dependence, marked by excessive drinking that cannot be controlled.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing himself / herself?
2417
2408
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-5
HSV - Set A Q-5
HSV - Set A Q-5
HSV - Set A Q-5
HSV - Set A Q-5
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Alcohol dependence, marked by excessive drinking that cannot be controlled.
Overall, how much difficulty would a person in this state have with
concentrating or remembering things?
2418
2407
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-6
HSV - Set A Q-6
HSV - Set A Q-6
HSV - Set A Q-6
HSV - Set A Q-6
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Alcohol dependence, marked by excessive drinking that cannot be controlled.
Overall, how much of a problem would a person in this state have with
sleeping, such as falling asleep, waking up frequently during the night or
waking up too early in the morning?
2414
2411
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-7
HSV - Set A Q-7
HSV - Set A Q-7
HSV - Set A Q-7
HSV - Set A Q-7
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: having limited long-distance vision - able to read and recognize objects at
arm’s length but not to distinguish faces across a room (i.e., at distance of 5 meters); no glasses available.
How much difficulty would a person in this state have with vigorous
activities, such as running 3 km (or equivalent) or cycling?
2415
2410
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-8
HSV - Set A Q-8
HSV - Set A Q-8
HSV - Set A Q-8
HSV - Set A Q-8
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: having limited long-distance vision - able to read and recognize objects at
arm’s length but not to distinguish faces across a room (i.e., at distance of 5 meters); no glasses available.
Overall, how much difficulty would a person in this state have with
personal relationships or participation in the community?
2418
2407
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-9
HSV - Set A Q-9
HSV - Set A Q-9
HSV - Set A Q-9
HSV - Set A Q-9
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Please try to imagine what it would be like to live in the following health state: having limited long-distance vision - able to read and recognize objects at
arm’s length but not to distinguish faces across a room (i.e., at distance of 5 meters); no glasses available.
How much difficulty would a person in this state have with seeing and
recognizing a person he or she knows across the road (i.e. from a distance
of about 20 meters)?
2418
2407
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-10
HSV - Set A Q-10
HSV - Set A Q-10
HSV - Set A Q-10
HSV - Set A Q-10
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Chronic lower back pain, with stiffness in the morning, problems sitting or bending and to a lesser degree walking; difficulties in all physical activities.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing himself / herself?
2418
2407
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-11
HSV - Set A Q-11
HSV - Set A Q-11
HSV - Set A Q-11
HSV - Set A Q-11
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Chronic lower back pain, with stiffness in the morning, problems sitting or bending and to a lesser degree walking; difficulties in all physical activities.
Overall, how much of bodily aches and pains would a person in this state
have?
2417
2408
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-12
HSV - Set A Q-12
HSV - Set A Q-12
HSV - Set A Q-12
HSV - Set A Q-12
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine what it would be like to live in the following health state: Chronic lower back pain, with stiffness in the morning, problems sitting or bending and to a lesser degree walking; difficulties in all physical activities.
Overall how much difficulty would a person in this state have with
moving around?
2417
2408
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-13
HSV - Set A Q-13
HSV - Set A Q-13
HSV - Set A Q-13
HSV - Set A Q-13
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine the following health state: total blindness in both eyes, acquired as an adult.
Overall, how much difficulty would a person in this state have with
feeling sad, low or depressed?
2417
2408
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-14
HSV - Set A Q-14
HSV - Set A Q-14
HSV - Set A Q-14
HSV - Set A Q-14
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine the following health state: total blindness in both eyes, acquired as an adult.
Overall, how much difficulty would a person in this state have with
moving around?
2418
2407
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-15
HSV - Set A Q-15
HSV - Set A Q-15
HSV - Set A Q-15
HSV - Set A Q-15
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it
would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects
of health.
Now please try to imagine the following health state: total blindness in both eyes, acquired as an adult.
Overall, how much difficulty would a person in this state have with
personal relationships or participation in the community?
2417
2408
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set A Q-16
HSV - Set A Q-16
HSV - Set A Q-16
HSV - Set A Q-16
HSV - Set A Q-16
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 1 (BEST)
2407
ALC
AMP
BAK
BLI
VIS
HSV - Set A Q-17
HSV - Set A Q-17
HSV - Set A Q-17
HSV - Set A Q-17
HSV - Set A Q-17
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 2
2402
ALC
AMP
BAK
BLI
VIS
HSV - Set A Q-18
HSV - Set A Q-18
HSV - Set A Q-18
HSV - Set A Q-18
HSV - Set A Q-18
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 3
2402
ALC
AMP
BAK
BLI
VIS
HSV - Set A Q-19
HSV - Set A Q-19
HSV - Set A Q-19
HSV - Set A Q-19
HSV - Set A Q-19
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 4
2404
ALC
AMP
BAK
BLI
VIS
HSV - Set A Q-20
HSV - Set A Q-20
HSV - Set A Q-20
HSV - Set A Q-20
HSV - Set A Q-20
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life.
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health.
Rank 5 (WORST)
2402
ALC
AMP
BAK
BLI
VIS
HSV - Set B Q-1
HSV - Set B Q-1
HSV - Set B Q-1
HSV - Set B Q-1
HSV - Set B Q-1
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing yourself?
2400
2425
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-2
HSV - Set B Q-2
HSV - Set B Q-2
HSV - Set B Q-2
HSV - Set B Q-2
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall, how much difficulty would a person in this state have with
moving around?
2401
2424
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-3
HSV - Set B Q-3
HSV - Set B Q-3
HSV - Set B Q-3
HSV - Set B Q-3
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available.
Overall how much of bodily aches and pains would a person in this state
have?
2399
2426
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-4
HSV - Set B Q-4
HSV - Set B Q-4
HSV - Set B Q-4
HSV - Set B Q-4
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: insomnia: difficulty falling asleep, waking up earlier than wanted and frequently during the night.
Overall, how much difficulty would a person in this state have with
concentrating or remembering things?
2400
2425
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-5
HSV - Set B Q-5
HSV - Set B Q-5
HSV - Set B Q-5
HSV - Set B Q-5
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: insomnia: difficulty falling asleep, waking up earlier than wanted and frequently during the night.
Overall, how much of a problem would a person in this state have due to
not feeling rested and refreshed during the day?
2400
2425
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-6
HSV - Set B Q-6
HSV - Set B Q-6
HSV - Set B Q-6
HSV - Set B Q-6
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: insomnia: difficulty falling asleep, waking up earlier than wanted and frequently during the night.
Overall how much difficulty would a person in this state have with feeling
sad, low or depressed?
2400
2425
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-7
HSV - Set B Q-7
HSV - Set B Q-7
HSV - Set B Q-7
HSV - Set B Q-7
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: arthritis in both hands and wrists, causing major pain, stiffness, swelling and deformities.
Overall, how much difficulty would a person in this state have with selfcare,
such as washing or dressing himself/herself?
2400
2425
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-8
HSV - Set B Q-8
HSV - Set B Q-8
HSV - Set B Q-8
HSV - Set B Q-8
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: arthritis in both hands and wrists, causing major pain, stiffness, swelling and deformities.
Overall how much of bodily aches and pains would a person in this state
have?
2399
2426
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-9
HSV - Set B Q-9
HSV - Set B Q-9
HSV - Set B Q-9
HSV - Set B Q-9
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: arthritis in both hands and wrists, causing major pain, stiffness, swelling and deformities.
Overall, how much of a problem would a person in this state have due to
not feeling rested and refreshed during the day?
2399
2426
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-10
HSV - Set B Q-10
HSV - Set B Q-10
HSV - Set B Q-10
HSV - Set B Q-10
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: major depression, with profound sadness, loss of pleasure in activities, slowness and irritability, poor
sleep and appetite and suicidal thoughts.
Overall, how much difficulty would a person in this state have with
personal relationships or participation in the community?
2398
2427
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-11
HSV - Set B Q-11
HSV - Set B Q-11
HSV - Set B Q-11
HSV - Set B Q-11
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: major depression, with profound sadness, loss of pleasure in activities, slowness and irritability, poor
sleep and appetite and suicidal thoughts.
Overall, how much difficulty would a person in this state have with
concentrating or remembering things?
2397
2428
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-12
HSV - Set B Q-12
HSV - Set B Q-12
HSV - Set B Q-12
HSV - Set B Q-12
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: major depression, with profound sadness, loss of pleasure in activities, slowness and irritability, poor
sleep and appetite and suicidal thoughts.
Overall how much difficulty would a person in this state have with feeling
sad, low or depressed?
2394
2431
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-13
HSV - Set B Q-13
HSV - Set B Q-13
HSV - Set B Q-13
HSV - Set B Q-13
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: quadriplegia, or paralysis from the neck down, unable to move arms or legs or use hands, but able to
breathe independently; basic wheelchair available.
Overall, how much difficulty would a person in this state have with
personal relationships or participation in the community?
2397
2428
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-14
HSV - Set B Q-14
HSV - Set B Q-14
HSV - Set B Q-14
HSV - Set B Q-14
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: quadriplegia, or paralysis from the neck down, unable to move arms or legs or use hands, but able to
breathe independently; basic wheelchair available.
Overall, how much bodily discomfort would a person in this state have?
2397
2428
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-15
HSV - Set B Q-15
HSV - Set B Q-15
HSV - Set B Q-15
HSV - Set B Q-15
Health State Valuations
Descriptions:
The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states.
If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health.
Now please try to imagine the following health state: quadriplegia, or paralysis from the neck down, unable to move arms or legs or use hands, but able to
breathe independently; basic wheelchair available.
Overall how much difficulty would a person in this state have with feeling
sad, low or depressed?
2398
2427
1
None
2
Mild
3
Moderate
4
Severe
5
Extreme
Sysmiss
HSV - Set B Q-16
HSV - Set B Q-16
HSV - Set B Q-16
HSV - Set B Q-16
HSV - Set B Q-16
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 1 (BEST)
2396
AMP
ART
DEP
INS
QUA
HSV - Set B Q-17
HSV - Set B Q-17
HSV - Set B Q-17
HSV - Set B Q-17
HSV - Set B Q-17
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 2
2394
AMP
ART
DEP
INS
QUA
HSV - Set B Q-18
HSV - Set B Q-18
HSV - Set B Q-18
HSV - Set B Q-18
HSV - Set B Q-18
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 3
2395
AMP
ART
DEP
INS
QUA
HSV - Set B Q-19
HSV - Set B Q-19
HSV - Set B Q-19
HSV - Set B Q-19
HSV - Set B Q-19
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 4
2391
AMP
ART
DEP
INS
QUA
HSV - Set B Q-20
HSV - Set B Q-20
HSV - Set B Q-20
HSV - Set B Q-20
HSV - Set B Q-20
Health State Valuations
Ordinal Ranking Exercise:
Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how
healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would
be like to live in that state for the rest of your life
I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst.
(READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.)
Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card
at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like
for you to place the rest of the cards in order from the best to the worst health.
Rank 5 (WORST)
2395
AMP
ART
DEP
INS
QUA
Time end section 3000
Time end section 3000
Time end section 3000
Time end section 3000
Time end section 3000
4511
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Time begin section 4000
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Currently smoke
Currently smoke
Currently smoke
Currently smoke
Currently smoke
Do you currently smoke any tobacco products such as cigarettes, cigars, or pipes?
4813
12
1
Daily
2
Yes, but not daily
5
No, not at all
Sysmiss
How many years
How many years
How many years
How many years
How many years
For how many years are you been smoking daily?
601
4224
100
15.943
15.3
how many each day manufactured cigarettes
how many each day manufactured cigarettes
how many each day manufactured cigarettes
how many each day manufactured cigarettes
how many each day manufactured cigarettes
On average, how many manufactured cigarettes do you smoke each day?
434
4391
60
5.152
5.799
Hand-rolled cigarette
Hand-rolled cigarette
Hand-rolled cigarette
Hand-rolled cigarette
Hand-rolled cigarette
On average, how many hand-rolled cigarettes do you smoke each day?
299
4526
30
1.251
3.699
How many each day pipeful tobacco
How many each day pipeful tobacco
How many each day pipeful tobacco
How many each day pipeful tobacco
How many each day pipeful tobacco
On average, how many pipefuls of tobacco do you smoke each day?
289
4536
50
1.128
5.306
other tobacco
other tobacco
other tobacco
other tobacco
other tobacco
On average, how many other tobacco products do you smoke each day? (excluding manufactured cigarettes, hand-rolled cigarettes, pipefuls of tobacco)
470
4355
100
5.645
11.439
ever drink alcohol
ever drink alcohol
ever drink alcohol
ever drink alcohol
ever drink alcohol
Have you ever consumed a drink that contains alcohol (such as beer, wine, etc.)?
4807
18
1
Yes
5
Never
Sysmiss
How many each day - Monday
How many each day - Monday
How many each day - Monday
How many each day - Monday
How many each day - Monday
How many standard drinks of any alcoholic beverage did you have on Monday?
1523
3302
25
2.408
3.444
How many each day_Tuesday
How many each day_Tuesday
How many each day_Tuesday
How many each day_Tuesday
How many each day_Tuesday
How many standard drinks of any alcoholic beverage did you have on Tuesday?
1477
3348
30
2.322
3.615
How many each day_Wednesday
How many each day_Wednesday
How many each day_Wednesday
How many each day_Wednesday
How many each day_Wednesday
How many standard drinks of any alcoholic beverage did you have on Wednesday?
1483
3342
30
2.414
3.84
How many each day_Thursday
How many each day_Thursday
How many each day_Thursday
How many each day_Thursday
How many each day_Thursday
How many standard drinks of any alcoholic beverage did you have on Thursday?
1491
3334
25
2.321
3.609
How many each day_Friday
How many each day_Friday
How many each day_Friday
How many each day_Friday
How many each day_Friday
How many standard drinks of any alcoholic beverage did you have on Friday?
1470
3355
25
2.399
3.923
How many each day_Saturday
How many each day_Saturday
How many each day_Saturday
How many each day_Saturday
How many each day_Saturday
How many standard drinks of any alcoholic beverage did you have on Saturday?
1479
3346
27
2.526
3.905
How many each day_Sunday
How many each day_Sunday
How many each day_Sunday
How many each day_Sunday
How many each day_Sunday
How many standard drinks of any alcoholic beverage did you have on Sunday?
1513
3312
30
2.571
3.82
Number of servings of fruit per day
Number of servings of fruit per day
Number of servings of fruit per day
Number of servings of fruit per day
Number of servings of fruit per day
Now I am going to ask you about the fruit and vegetables you usually eat.
How many servings of fruit do you eat on a typical day?
4751
74
40
1.419
2.598
1
2
3
4
5
6
7
8
9
10
14
15
20
30
40
Sysmiss
Number of servings of vegetables per day
Number of servings of vegetables per day
Number of servings of vegetables per day
Number of servings of vegetables per day
Number of servings of vegetables per day
Now I am going to ask you about the fruit and vegetables you usually eat.
How many servings of vegetables do you eat on a typical day?
4648
177
40
1.827
2.033
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
20
36
40
Sysmiss
vigorous physical activities
vigorous physical activities
vigorous physical activities
vigorous physical activities
vigorous physical activities
I am going to ask you about the time you spent being physically active in the last 7 days. Please answer each question even if you do not consider yourself to be an active person. Think about the activities you do at work, as part of your house and yard work, to get from place to place, and in your spare time for recreation, exercise or sport.
Now, think about all the vigorous activities which take hard physical effort that you did in the last 7 days. Vigorous activities make you breathe much harder than normal and may include heavy lifting, digging, aerobics, or fast bicycling.
Think about only those physical activities that you did for at least 10 minutes at a time.
During the last 7 days, on how many days did you do vigorous physical activities?
4718
107
1
2
3
4
5
6
7
Sysmiss
Vigorous PA hours
Vigorous PA hours
Vigorous PA hours
Vigorous PA hours
Vigorous PA hours
How much time did you usually spend doing vigorous physical activities on one of those days? (in hours per day)
2420
2405
20
3.794
2.737
How much time in total vigorous physical activities (minutes)
How much time in total vigorous physical activities (minutes)
How much time in total vigorous physical activities (minutes)
How much time in total vigorous physical activities (minutes)
How much time in total vigorous physical activities (minutes)
How much time did you usually spend doing vigorous physical activities on one of those days? (in minutes per day)
491
4334
59
23.255
16.441
How many days of moderate physical activities
How many days of moderate physical activities
How many days of moderate physical activities
How many days of moderate physical activities
How many days of moderate physical activities
Now think about activities which take moderate physical effort that you did in the last 7 days. Moderate physical activities make you breathe somewhat harder than normal and may include carrying light loads, bicycling at a regular pace, or doubles tennis. Do not include walking. Again, think about only those physical activities that you did for at least 10 minutes at a time.
During the last 7 days, on how many days did you do moderate physical activities?
4773
52
1
2
3
4
5
6
7
Sysmiss
Moderate PA hours
Moderate PA hours
Moderate PA hours
Moderate PA hours
Moderate PA hours
How much time did you usually spend doing moderate physical activities on one of those days? (hours per day)
3553
1272
20
3.412
2.435
How much time in total moderate physical activities (hours/minutes)
How much time in total moderate physical activities (hours/minutes)
How much time in total moderate physical activities (hours/minutes)
How much time in total moderate physical activities (hours/minutes)
How much time in total moderate physical activities (hours/minutes)
How much time did you usually spend doing moderate physical activities on one of those days? (minutes per day)
854
3971
59
25.499
15.975
how many days did you walk
how many days did you walk
how many days did you walk
how many days did you walk
how many days did you walk
Now think about the time you spent walking in the last 7 days. This includes at work and at home, walking to travel from place to place, and any other walking that you might do solely for recreation, sport, exercise, or leisure.
During the last 7 days, on how many days did you walk for at least 10 minutes at a time?
4784
41
7
5.784
2.221
Walking - hours per day
Walking - hours per day
Walking - hours per day
Walking - hours per day
Walking - hours per day
How much time did you usually spend walking on one of those days? (in hours per day)
2903
1922
20
3.441
3.176
Walking minutes per day
Walking minutes per day
Walking minutes per day
Walking minutes per day
Walking minutes per day
How much time did you usually spend walking on one of those days? (in minutes per day)
1876
2949
59
24.319
14.201
What type of floor
What type of floor
What type of floor
What type of floor
What type of floor
What type of floor does your dwelling / house have?
4777
48
1
Hard floor
2
Earth floor
Sysmiss
Type of wall
Type of wall
Type of wall
Type of wall
Type of wall
What type of wall does your dwelling / house have?
4773
52
1
Cement, brick, stone or wood
2
Mud brick
3
Thatch and other
4
Plastic sheet
5
Metal sheet
6
Other
Sysmiss
main source of drinking water
main source of drinking water
main source of drinking water
main source of drinking water
main source of drinking water
What is the main source of drinking water for members of this household?
4807
18
1
Piped water through house connection or yard
2
Public standpipe
3
Protected tube well or bore hole
4
Protected dug well or protected spring
5
Unprotected dug well or spring
6
Rainwater (into tank or cistern )
7
Water taken directly from pond-water or stream
8
Tanker-truck, vendor
Sysmiss
How long does it take to get water and come back
How long does it take to get water and come back
How long does it take to get water and come back
How long does it take to get water and come back
How long does it take to get water and come back
How long does it take to get there, get water and come back?
4554
271
1
5
1
Less than 5 minutes
2
Between 5 to 30 minutes
3
Between 30 to 60 minutes
4
Between 60 to 90 minutes
5
More than 90 minutes
20 liter water available
20 liter water available
20 liter water available
20 liter water available
20 liter water available
Are there at least 20 litres of water per person (about one bucket) available per day (for drinking, cooking, personal hygiene etc.) in the household?
4469
356
1
Yes
5
No
Sysmiss
What type of toilet facilities
What type of toilet facilities
What type of toilet facilities
What type of toilet facilities
What type of toilet facilities
What type of toilet facilities does your household use?
4815
10
1
Flush to piped sewage system
2
Flush to septic tank
3
Pour flush latrine
4
Covered dry latrine (with privacy)
5
Uncovered dry latrine (without privacy)
6
Bucket latrine (where fresh excreta are manually removed)
7
No facilities (open defecation)
8
Other
Sysmiss
How far is the facility from your dwellings
How far is the facility from your dwellings
How far is the facility from your dwellings
How far is the facility from your dwellings
How far is the facility from your dwellings
How far is the facility from your dwelling/house?
4638
187
1
Within property / yard, used by single household
2
Within property / yard, used by multiple household
3
Outside property / yard, private
4
Outside property / yard, shared
Sysmiss
What type of fuel
What type of fuel
What type of fuel
What type of fuel
What type of fuel
What type of fuel does your household mainly use for cooking?
4816
9
1
Gas
2
Electricity
3
Kerosene
4
Coal
5
Charcoal
6
Wood
7
Agriculture/crop
8
Animal dung
9
Shrubs/grass
10
Other
Sysmiss
Type of cooking stove
Type of cooking stove
Type of cooking stove
Type of cooking stove
Type of cooking stove
What type of cooking stove is used in your house?
4641
184
1
Open fire or stove without chimney or hood
2
Open fire or stove with chimney or hood
3
Closed stove with chimney
4
Other
Sysmiss
Where cooking done
Where cooking done
Where cooking done
Where cooking done
Where cooking done
Where is cooking usually done?
4617
208
1
In a room used for living or sleeping
2
In a separate room used as kitchen
3
In a separate building used as kitchen
4
Outdoors
Sysmiss
Do you heat your house when cold
Do you heat your house when cold
Do you heat your house when cold
Do you heat your house when cold
Do you heat your house when cold
Do you heat your house when it is cold?
4811
14
1
Yes
5
No
Sysmiss
What type of fuel for heating
What type of fuel for heating
What type of fuel for heating
What type of fuel for heating
What type of fuel for heating
What type of fuel does your household mainly use for heating?
1181
3644
1
Gas
2
Electricity
3
Kerosene
4
Coal
5
Charcoal
6
Wood
7
Agriculture/crop
8
Animal dung
9
Shrubs/grass
10
Other
Sysmiss
Type of heating stove
Type of heating stove
Type of heating stove
Type of heating stove
Type of heating stove
What type of heating stove is used in your house?
1149
3676
1
Open fire or stove without chimney or hood
2
Open fire or stove with chimney or hood
3
Closed stove with chimney
4
Other
Sysmiss
Time end section 4000
Time end section 4000
Time end section 4000
Time end section 4000
Time end section 4000
4395
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Ever given birth
Ever given birth
Ever given birth
Ever given birth
Ever given birth
Now I would like to aks you about all the births you have had during your life. Have you ever given birth?
These questions are to be asked of all women respondents of reproductive (18-49) years age.
2029
2796
1
Yes
5
No
Sysmiss
Household roster line number
Household roster line number
Household roster line number
Household roster line number
Household roster line number
4758
67
400
401
402
403
404
405
406
407
408
409
410
411
412
Sysmiss
number of births to natural mother
number of births to natural mother
number of births to natural mother
number of births to natural mother
number of births to natural mother
How many children did your mother give birth to, including you ? No. of
births to natural mother:
4795
30
1
19
5.761
2.503
number of preceding births
number of preceding births
number of preceding births
number of preceding births
number of preceding births
How many births did your mother have before you were born? No. of
preceding births:
3442
1383
1
15
2.829
1.916
number of succeeding births
number of succeeding births
number of succeeding births
number of succeeding births
number of succeeding births
How many births did your mother have after you were born? No. of
succeeding births:
3859
966
1
11
3.381
2.024
Time begin section 6000
Time begin section 6000
Time begin section 6000
Time begin section 6000
Time begin section 6000
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Arthritis
Arthritis
Arthritis
Arthritis
Arthritis
Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received.
Have you ever been diagnosed with arthritis (a disease of the joints)?
4799
26
1
Yes
5
No
8
Do not know
Sysmiss
Arthritis treated
Arthritis treated
Arthritis treated
Arthritis treated
Arthritis treated
Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received.
Have you ever been treated for it (referring to the disease asked about question Q6001)?
4803
22
1
Yes
5
No
8
Do not know
Sysmiss
medication for arthritis
medication for arthritis
medication for arthritis
medication for arthritis
medication for arthritis
Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received.
Have you been taking any medication or other treatment for it (referring to the disease asked about in question Q6001) during the last two weeks?
4801
24
1
Yes
5
No
8
Do not know
Sysmiss
pain, aching or stiffness
pain, aching or stiffness
pain, aching or stiffness
pain, aching or stiffness
pain, aching or stiffness
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
During the last 12 months, have you experienced pain, aching, stiffness or swelling in or around the joint, which were not related to an injury and lasted more than a month?
4809
16
1
Yes
5
No
Sysmiss
stiffness in joint in morning
stiffness in joint in morning
stiffness in joint in morning
stiffness in joint in morning
stiffness in joint in morning
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
During the last 12 months, have you experienced stiffness in the joint in the morning after getting up from bed or after a long rest of the joint without movement?
4799
26
1
Yes
5
No
Sysmiss
length of stiffness
length of stiffness
length of stiffness
length of stiffness
length of stiffness
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
How long does this stiffness last?
653
4172
1
About 30 minutes or less
2
More than 30 minutes
Sysmiss
stiffness go away after exercise/movement
stiffness go away after exercise/movement
stiffness go away after exercise/movement
stiffness go away after exercise/movement
stiffness go away after exercise/movement
During the last 12 months, have you experienced any of the following….
This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs.
The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine).
Does the stiffness go away after exercise or movement in the joint?
654
4171
1
Yes
5
No
Sysmiss
Back Pain
Back Pain
Back Pain
Back Pain
Back Pain
Have you experienced back pain (including disc problems) during the last 30 days?
4798
27
1
Yes
5
No
Sysmiss
How many days did you have back pain
How many days did you have back pain
How many days did you have back pain
How many days did you have back pain
How many days did you have back pain
How many days did you have this back pain during the last 30 days?
1234
3591
1
30
8.591
9.265
diagnosis of angina pectoris
diagnosis of angina pectoris
diagnosis of angina pectoris
diagnosis of angina pectoris
diagnosis of angina pectoris
Have you ever been diagnosed with angina or angina pectoris (a heart disease)?
4800
25
1
Yes
5
No
8
Do not know
Sysmiss
Angina treated
Angina treated
Angina treated
Angina treated
Angina treated
Have you ever been treated for it (referring to the disease asked about in question Q6009)?
4779
46
1
Yes
5
No
8
Do not know
Sysmiss
Medication or other treatment for angina
Medication or other treatment for angina
Medication or other treatment for angina
Medication or other treatment for angina
Medication or other treatment for angina
Have you been taking any medication or other treatment for it (referring to the disease asked about in question Q6009) during the last two weeks?
4798
27
1
Yes
5
No
8
Do not know
Sysmiss
Pain or discomfort in chest
Pain or discomfort in chest
Pain or discomfort in chest
Pain or discomfort in chest
Pain or discomfort in chest
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced pain or discomfort in your chest when you walk uphill or hurry?
4726
99
1
Yes
5
No
9
Never walks uphill or hurries
Sysmiss
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
pain or discomfort when walking at ordinary pace
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced pain or discomfort in your chest when you walk at an ordinary pace on level ground?
If the respondent has neither exertional pain nor pain at rest or mild physical activity (questions Q6012 and Q6013), then questions Q6014, Q6015, and Q6016 should not be asked.
4789
36
1
Yes
5
No
Sysmiss
what do you do when you get pain while walking
what do you do when you get pain while walking
what do you do when you get pain while walking
what do you do when you get pain while walking
what do you do when you get pain while walking
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
What do you do if you get the pain or discomfort when you are walking?
755
4070
1
Stop or slow down
2
Carry on after taking a pain relieving medicine
3
Carry on
Sysmiss
if you stand still, what happens to pain
if you stand still, what happens to pain
if you stand still, what happens to pain
if you stand still, what happens to pain
if you stand still, what happens to pain
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
If you stand still, what happens to the pain or discomfort?
741
4084
1
Relieved
2
Not relieved
Sysmiss
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
location of pain (upper or middle chest) (1-checked, 5 unchecked)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
722
4103
1
Yes
5
No
Sysmiss
location of pain (lower chest)
location of pain (lower chest)
location of pain (lower chest)
location of pain (lower chest)
location of pain (lower chest)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
513
4312
1
Yes
5
No
Sysmiss
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
location of pain (Left arm) (1-checked, 5 unchecked)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
503
4322
1
Yes
5
No
Sysmiss
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
location of pain (Other) (1-checked, 5 unchecked)
During the last 12 months, have you experienced…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Will you show me where the pain or discomfort was?
500
4325
1
Yes
5
No
Sysmiss
Asthma Diagnosed
Asthma Diagnosed
Asthma Diagnosed
Asthma Diagnosed
Asthma Diagnosed
Have you ever been diagnosed with asthma (an allergic respiratory disease)?
4793
32
1
Yes
5
No
8
Do not know
Sysmiss
Asthma Treated
Asthma Treated
Asthma Treated
Asthma Treated
Asthma Treated
Have you ever been treated for it (referring to the disease asked about in Q6017)?
4802
23
1
Yes
5
No
8
Do not know
Sysmiss
Medication or other treatment for asthma
Medication or other treatment for asthma
Medication or other treatment for asthma
Medication or other treatment for asthma
Medication or other treatment for asthma
Have you been taking any medications or other treatment for it (referring to the disease asked about in Q6017), during the last two weeks?
4804
21
1
Yes
5
No
8
Do not know
Sysmiss
wheezing or whistling breathing
wheezing or whistling breathing
wheezing or whistling breathing
wheezing or whistling breathing
wheezing or whistling breathing
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced attacks of wheezing or whistling breathing?
4808
17
1
Yes
5
No
Sysmiss
attack of wheezing after physical activity
attack of wheezing after physical activity
attack of wheezing after physical activity
attack of wheezing after physical activity
attack of wheezing after physical activity
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced an attack of wheezing that came on after you stopped exercising or some other physical activity?
4808
17
1
Yes
5
No
Sysmiss
Tightness in chest
Tightness in chest
Tightness in chest
Tightness in chest
Tightness in chest
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you experienced feeling of tightness in your chest?
4805
20
1
Yes
5
No
Sysmiss
tightness in chest upon waking
tightness in chest upon waking
tightness in chest upon waking
tightness in chest upon waking
tightness in chest upon waking
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you woken up with a feeling of tightness in your chest in the morning or at any other time?
4801
24
1
Yes
5
No
Sysmiss
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
attack of shortness of breath without obvious cause
During the last 12 months, have you experienced the following….
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During the last 12 months, have you had an attack of shortness of breath that came on without obvious cause when you were not exercising or doing some physical activity?
4805
20
1
Yes
5
No
Sysmiss
diagnosis of depression
diagnosis of depression
diagnosis of depression
diagnosis of depression
diagnosis of depression
During the last 12 months, have you ever been diagnosed with depression?
4803
22
1
Yes
5
No
8
Do not know
Sysmiss
Depression treated
Depression treated
Depression treated
Depression treated
Depression treated
During the last 12 months, have you ever been diagnosed with depression?
Have you ever been treated for it? (referring to condition asked in Q6025)
4803
22
1
Yes
5
No
8
Do not know
Sysmiss
medication for depression
medication for depression
medication for depression
medication for depression
medication for depression
During the last 12 months, have you ever been diagnosed with depression?
Have you been taking any medications or other treatment for it in the last two weeks?
4795
30
1
Yes
5
No
8
Do not know
Sysmiss
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
Feeling of sadness, emptiness or depression
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During last 12 months, have you had a period lasting several days when you felt sad, empty or depressed?
4808
17
1
Yes
5
No
8
Do not know
Sysmiss
period lasting several days when lost interest
period lasting several days when lost interest
period lasting several days when lost interest
period lasting several days when lost interest
period lasting several days when lost interest
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During last 12 months, have you had a period lasting several days when you lost interest in most things you usually enjoy such as hobbies, personal relationships or work?
4805
20
1
Yes
5
No
8
Do not know
Sysmiss
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
period lasting several days when energy decreased or tired all the time
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During last 12 months, have you had a period lasting several days when you have been feeling your energy decreased or that you are tired all the time?
4803
22
1
Yes
5
No
8
Do not know
Sysmiss
depression more than two weeks
depression more than two weeks
depression more than two weeks
depression more than two weeks
depression more than two weeks
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Was this period [of sadness/loss of interest/low energy] more than 2 weeks?
1731
3094
1
Yes
5
No
Sysmiss
depression most of the day nearly every day
depression most of the day nearly every day
depression most of the day nearly every day
depression most of the day nearly every day
depression most of the day nearly every day
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
Was this period [of sadness/loss of interest/low energy] most of the day, nearly every day?
1732
3093
1
Yes
5
No
Sysmiss
loss of appetite
loss of appetite
loss of appetite
loss of appetite
loss of appetite
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During this period, did you lose your appetite?
1729
3096
1
Yes
5
No
Sysmiss
slowing down in thinking
slowing down in thinking
slowing down in thinking
slowing down in thinking
slowing down in thinking
During last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks").
During this period, did you notice any slowing down in your thinking?
1729
3096
1
Yes
5
No
Sysmiss
Schizophrenia diagnosis
Schizophrenia diagnosis
Schizophrenia diagnosis
Schizophrenia diagnosis
Schizophrenia diagnosis
Have you ever been diagnosed for a mental health problem such as schizophrenia or psychosis?
4804
21
1
Yes
5
No
8
Do not know
Sysmiss
Schizophrenia Treated
Schizophrenia Treated
Schizophrenia Treated
Schizophrenia Treated
Schizophrenia Treated
Have you ever been diagnosed for a mental health problem such as schizophrenia or psychosis?
Have you ever been treated for it ? (referring to the condition asked about in Q6035)
4797
28
1
Yes
5
No
8
Do not know
Sysmiss
Received medication for schizophrenia
Received medication for schizophrenia
Received medication for schizophrenia
Received medication for schizophrenia
Received medication for schizophrenia
Have you been taking any medications or other treatment for it during the last 2 weeks?
4803
22
1
Yes
5
No
8
Do not know
Sysmiss
feel strange unexplainable going on
feel strange unexplainable going on
feel strange unexplainable going on
feel strange unexplainable going on
feel strange unexplainable going on
During the last 12 months, have you experienced any of the following…
For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable.
A feeling that something strange and unexplainable was going on that other people would find hard to believe?
4801
24
1
Yes
5
No
8
Do not know
Sysmiss
Feel people were too interested
Feel people were too interested
Feel people were too interested
Feel people were too interested
Feel people were too interested
During the last 12 months, have you experienced any of the following…
For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable.
A feeling that people were too interested in you or there was a plot to harm you?
4797
28
1
Yes
5
No
6
Do not know
Sysmiss
Feel your thoughts were controlled by others
Feel your thoughts were controlled by others
Feel your thoughts were controlled by others
Feel your thoughts were controlled by others
Feel your thoughts were controlled by others
During the last 12 months, have you experienced any of the following…
For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable.
A feeling that your thoughts are being directly interfered or controlled by another person, or your mind was being taken over by strange forces.
4784
41
1
Yes
5
No
8
Do not know
Sysmiss
Hallucinations
Hallucinations
Hallucinations
Hallucinations
Hallucinations
During the last 12 months, have you experienced any of the following…
For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time
period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable.
An experience of seeing visions or hearing voices that others could not see or hear when you were not half asleep, dreaming or under the influence of alcohol or drugs?
4789
36
1
Yes
5
No
8
Do not know
Sysmiss
Diagnosed with Diabetes
Diagnosed with Diabetes
Diagnosed with Diabetes
Diagnosed with Diabetes
Diagnosed with Diabetes
Have you ever been diagnosed with diabetes (or high blood sugar)?
4792
33
1
Yes
5
No
8
Do not know
Sysmiss
Treatment for Diabetes
Treatment for Diabetes
Treatment for Diabetes
Treatment for Diabetes
Treatment for Diabetes
Have you ever been diagnosed with diabetes (or high blood sugar)?
Have you been treated for it? (referring to the condition asked about in Q6042)
4795
30
1
Yes
5
No
8
Do not know
Sysmiss
Medications for diabetes
Medications for diabetes
Medications for diabetes
Medications for diabetes
Medications for diabetes
Have you been taking insulin, or any other blood sugar lowering medications in the last 2 weeks?
4792
33
1
Yes
5
No
8
Do not know
Sysmiss
Program for diabetes
Program for diabetes
Program for diabetes
Program for diabetes
Program for diabetes
Are you following a special diet, exercise regime or weight control program for diabetes?
4786
39
1
Yes
5
No
8
Do not know
Sysmiss
Cough that lasted 3 weeks or longer
Cough that lasted 3 weeks or longer
Cough that lasted 3 weeks or longer
Cough that lasted 3 weeks or longer
Cough that lasted 3 weeks or longer
During the last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have tuberculosis (TB). Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease.
During the last 12 months, have you experienced cough that lasted for 3 weeks or longer?
4806
19
1
Yes
5
No
Sysmiss
Blood in sputum of phlegm or have you coughed blood
Blood in sputum of phlegm or have you coughed blood
Blood in sputum of phlegm or have you coughed blood
Blood in sputum of phlegm or have you coughed blood
Blood in sputum of phlegm or have you coughed blood
During the last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have tuberculosis (TB). Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease.
During the last 12 months, have you had blood in your phlegm, or have you coughed blood?
4789
36
1
Yes
5
No
Sysmiss
had a TB test
had a TB test
had a TB test
had a TB test
had a TB test
During the last 12 months, have you experienced any of the following…
For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have tuberculosis (TB). Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease.
In the last 12 months, have you had a tuberculosis (TB) test, I mean has a doctor examined your sputum or made an X-ray of your chest?
4775
50
1
Yes
5
No
Sysmiss
Keeping medicines or drugs in the house
Keeping medicines or drugs in the house
Keeping medicines or drugs in the house
Keeping medicines or drugs in the house
Keeping medicines or drugs in the house
We are interested in knowing about the availability and use of certain medicines and drugs. Remember that whatever information you give me is confidential and will only be used for research purposes.
Do you keep any medicines or drugs in the house?
4777
48
1
Yes
5
No
Sysmiss
may I see medications
may I see medications
may I see medications
may I see medications
may I see medications
May I see what drugs or medicines you personally have been using in the last two weeks?
1164
3661
1
Yes
5
No
Sysmiss
Arthritis medicine 1
Arthritis medicine 1
Arthritis medicine 1
Arthritis medicine 1
Arthritis medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
178
4647
11
12
11.146
0.354
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
239
4586
1
Yes
5
No
Sysmiss
Arthritis medicine 2
Arthritis medicine 2
Arthritis medicine 2
Arthritis medicine 2
Arthritis medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
86
4739
11
12
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
102
4723
1
Yes
5
No
Sysmiss
Arthritis medicine 3
Arthritis medicine 3
Arthritis medicine 3
Arthritis medicine 3
Arthritis medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
8
4817
11
12
11.5
0.535
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
13
4812
1
Yes
5
No
Sysmiss
Angina medicine 1
Angina medicine 1
Angina medicine 1
Angina medicine 1
Angina medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4824
21
21
21
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
10
4815
1
Yes
5
No
Sysmiss
Angina medicine 2
Angina medicine 2
Angina medicine 2
Angina medicine 2
Angina medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4824
22
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
5
4820
1
Yes
5
No
Sysmiss
Angina medicine 3
Angina medicine 3
Angina medicine 3
Angina medicine 3
Angina medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4824
1
Yes
5
No
Sysmiss
Asthma medicine 1
Asthma medicine 1
Asthma medicine 1
Asthma medicine 1
Asthma medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
6
4819
31
32
33
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
9
4816
1
Yes
5
No
Sysmiss
Asthma medicine 2
Asthma medicine 2
Asthma medicine 2
Asthma medicine 2
Asthma medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
2
4823
32
33
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4
4821
1
Yes
5
No
Sysmiss
Asthma medicine 3
Asthma medicine 3
Asthma medicine 3
Asthma medicine 3
Asthma medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
1
Yes
5
No
Sysmiss
Depression medicine 1
Depression medicine 1
Depression medicine 1
Depression medicine 1
Depression medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
2
4823
42
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
2
4823
1
Yes
5
No
Sysmiss
Depression medicine 2
Depression medicine 2
Depression medicine 2
Depression medicine 2
Depression medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
1
Yes
5
No
Sysmiss
Depression medicine 3
Depression medicine 3
Depression medicine 3
Depression medicine 3
Depression medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
1
Yes
5
No
Sysmiss
Schizophrenia medicine 1
Schizophrenia medicine 1
Schizophrenia medicine 1
Schizophrenia medicine 1
Schizophrenia medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
2
4823
1
Yes
5
No
Sysmiss
Schizophrenia medicine 2
Schizophrenia medicine 2
Schizophrenia medicine 2
Schizophrenia medicine 2
Schizophrenia medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
1
Yes
5
No
Sysmiss
Schizophrenia medicine 3
Schizophrenia medicine 3
Schizophrenia medicine 3
Schizophrenia medicine 3
Schizophrenia medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
1
Yes
5
No
Sysmiss
Tuberculosis medicine 1
Tuberculosis medicine 1
Tuberculosis medicine 1
Tuberculosis medicine 1
Tuberculosis medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
5
4820
1
Yes
5
No
Sysmiss
Tuberculosis medicine 2
Tuberculosis medicine 2
Tuberculosis medicine 2
Tuberculosis medicine 2
Tuberculosis medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
2
4823
1
Yes
5
No
Sysmiss
Tuberculosis medicine 3
Tuberculosis medicine 3
Tuberculosis medicine 3
Tuberculosis medicine 3
Tuberculosis medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4824
1
Yes
5
No
Sysmiss
HIV/AIDS medicine 1
HIV/AIDS medicine 1
HIV/AIDS medicine 1
HIV/AIDS medicine 1
HIV/AIDS medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
1
Yes
5
No
Sysmiss
HIV/AIDS medicine 2
HIV/AIDS medicine 2
HIV/AIDS medicine 2
HIV/AIDS medicine 2
HIV/AIDS medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
1
Yes
5
No
Sysmiss
HIV/AIDS medicine 3
HIV/AIDS medicine 3
HIV/AIDS medicine 3
HIV/AIDS medicine 3
HIV/AIDS medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
1
Yes
5
No
Sysmiss
Diabetes medicine 1
Diabetes medicine 1
Diabetes medicine 1
Diabetes medicine 1
Diabetes medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4
4821
1
Yes
5
No
Sysmiss
Diabetes medicine 2
Diabetes medicine 2
Diabetes medicine 2
Diabetes medicine 2
Diabetes medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
1
4824
1
Yes
5
No
Sysmiss
Diabetes medicine 3
Diabetes medicine 3
Diabetes medicine 3
Diabetes medicine 3
Diabetes medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
4825
1
Yes
5
No
Sysmiss
Other medicine 1
Other medicine 1
Other medicine 1
Other medicine 1
Other medicine 1
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
568
4257
99
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
600
4225
1
Yes
5
No
Sysmiss
Other medicine 2
Other medicine 2
Other medicine 2
Other medicine 2
Other medicine 2
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
374
4451
99
99
99
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
389
4436
1
Yes
5
No
Sysmiss
Other medicine 3
Other medicine 3
Other medicine 3
Other medicine 3
Other medicine 3
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
97
4728
99
Sysmiss
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
prescribed by medical professional
Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition.
98
4727
1
Yes
5
No
Sysmiss
When pelvic examination
When pelvic examination
When pelvic examination
When pelvic examination
When pelvic examination
When was the last time you had a pelvic examination? (By pelvic examination, I mean when a doctor or nurse examined your vagina?)
Questions to be asked to FEMALE respondents aged 18-69 only
2296
2529
1
Within the last 3 years
2
4-5 years ago
3
More than 5 years ago
5
NEVER HAD EXAM
8
Do not know
Sysmiss
Last time PAP smear test
Last time PAP smear test
Last time PAP smear test
Last time PAP smear test
Last time PAP smear test
The last time you had the pelvic examination, did you have a PAP smear test? (By PAP smear test, I mean did a doctor or nurse use a swab or stick to wipe from inside your vagina, take a sample and send it to a laboratory?)
Questions to be asked to FEMALE respondents aged 18-69 only
377
4448
1
Yes
5
No
8
Do not know
Sysmiss
Last time mammography
Last time mammography
Last time mammography
Last time mammography
Last time mammography
When was the last time you had a mammography, if ever? (This is an x-ray of your breasts to detect breast cancer at an early stage).
Questions to be asked to FEMALE respondents aged 18-69 only
665
4160
1
Within the last 3 years
2
4-5 years ago
3
more than 5 years ago
5
Never had exam
8
Do not know
Sysmiss
Pregnancy checked
Pregnancy checked
Pregnancy checked
Pregnancy checked
Pregnancy checked
When you were pregnant with (NAME), did you see a health care professional to have your pregnancy checked?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
1410
3415
1
Yes
5
No
8
Do not know
Sysmiss
how many times saw health care professional
how many times saw health care professional
how many times saw health care professional
how many times saw health care professional
how many times saw health care professional
How many times during your pregnancy with (NAME) did you see a health care professional?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
1070
3755
40
3.5
2.204
who did you see most of the time
who did you see most of the time
who did you see most of the time
who did you see most of the time
who did you see most of the time
Who did you see most of the time?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
1086
3739
1
Doctor
2
Nurse or midwife
3
Auxiliary nurse or midwife
4
Traditional birth attendant
5
Other
8
Do not know
Sysmiss
Blood pressure measured during pregnancy
Blood pressure measured during pregnancy
Blood pressure measured during pregnancy
Blood pressure measured during pregnancy
Blood pressure measured during pregnancy
During your pregnancy, when you were visiting a health care provider was any of the following done at least once:
Was your blood pressure measured?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
1088
3737
1
Yes
5
No
8
Do not know
Sysmiss
Did you give blood sample
Did you give blood sample
Did you give blood sample
Did you give blood sample
Did you give blood sample
During your pregnancy, when you were visiting a health care provider was any of the following done at least once:
Did you give blood sample?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
1080
3745
1
Yes
5
No
8
Do not know
Sysmiss
Were you told about signs of pregnancy
Were you told about signs of pregnancy
Were you told about signs of pregnancy
Were you told about signs of pregnancy
Were you told about signs of pregnancy
During your pregnancy, when you were visiting a health care provider was any of the following done at least once:
Were you told about the signs of pregnancy complications and what you should do if they occur?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only.
1082
3743
1
Yes
5
No
8
Do not know
Sysmiss
HIV counseling
HIV counseling
HIV counseling
HIV counseling
HIV counseling
During your antenatal care visits for your pregnancy with (NAME), were you given any information or counselled about HIV, the virus that causes AIDS?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only.
864
3961
1
Yes
5
No
Sysmiss
HIV testing offered
HIV testing offered
HIV testing offered
HIV testing offered
HIV testing offered
Was HIV testing offered to you at any time during your visit(s)?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only.
868
3957
1
Yes
5
No
Sysmiss
Agreed to HIV test
Agreed to HIV test
Agreed to HIV test
Agreed to HIV test
Agreed to HIV test
Did you agree to be tested for HIV during any of your visits?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only.
71
4754
1
Yes
5
No
Sysmiss
Received results of test
Received results of test
Received results of test
Received results of test
Received results of test
Did you receive the results of the test?
Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only.
47
4778
1
Yes
5
No
Sysmiss
doctor asissted in delivery (1-checked 5-Unchecked)
doctor asissted in delivery (1-checked 5-Unchecked)
doctor asissted in delivery (1-checked 5-Unchecked)
doctor asissted in delivery (1-checked 5-Unchecked)
doctor asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? A doctor?
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
1175
3650
1
Yes
5
No
Sysmiss
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
nurse or midwife asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? A nurse or midwife?
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
1238
3587
1
Yes
5
No
Sysmiss
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? An auxiliary nurse or midwife (including student nurses, nurses' aides, etc.)
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
1166
3659
1
Yes
5
No
Sysmiss
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
trad. birth attendant asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? A traditional birth attendant
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
1230
3595
1
Yes
5
No
Sysmiss
relative/friend asissted in delivery (1-checked 5-Unchecked)
relative/friend asissted in delivery (1-checked 5-Unchecked)
relative/friend asissted in delivery (1-checked 5-Unchecked)
relative/friend asissted in delivery (1-checked 5-Unchecked)
relative/friend asissted in delivery (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? A relative/friend with no medical training
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
1199
3626
1
Yes
5
No
Sysmiss
other (1-checked 5-Unchecked)
other (1-checked 5-Unchecked)
other (1-checked 5-Unchecked)
other (1-checked 5-Unchecked)
other (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? Anyone else?
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
1156
3669
1
Yes
5
No
Sysmiss
No one (1-checked 5-Unchecked)
No one (1-checked 5-Unchecked)
No one (1-checked 5-Unchecked)
No one (1-checked 5-Unchecked)
No one (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? No one
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
1158
3667
1
5
Sysmiss
Dont know (1-checked 5-Unchecked)
Dont know (1-checked 5-Unchecked)
Dont know (1-checked 5-Unchecked)
Dont know (1-checked 5-Unchecked)
Dont know (1-checked 5-Unchecked)
When you gave birth to (NAME), who assisted in the delivery? Anyone else?
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
1157
3668
1
5
Sysmiss
where given birth
where given birth
where given birth
where given birth
where given birth
Where did you give birth to (NAME)?
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
1374
3451
1
Hospital or maternity house
2
Other type of health facility
3
At home
4
Outside
Sysmiss
Government operated or private
Government operated or private
Government operated or private
Government operated or private
Government operated or private
Was it government operated or private?
Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago.
746
4079
1
Government operated
2
Private (including for profit and not for profit)
8
Do not know
Sysmiss
Name
Name
Name
Name
Name
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
Questions to be asked to households with children under 5 years.
2794
Sex of youngest child in the household
Sex of youngest child in the household
Sex of youngest child in the household
Sex of youngest child in the household
Sex of youngest child in the household
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
Questions to be asked to households with children under 5 years.
2769
2056
1
Male
2
Female
Sysmiss
date
date
date
date
date
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
Questions to be asked to households with children under 5 years.
4825
.
01/1996
01/1997
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
02/1997
02/1998
02/1999
02/2000
02/2001
02/2002
02/2003
03/1998
03/1999
03/2000
03/2001
03/2002
03/2003
04/1998
04/1999
04/2000
04/2001
04/2002
05/1998
05/1999
05/2000
05/2001
05/2002
06/1998
06/1999
06/2000
06/2001
06/2002
07/1998
07/1999
07/2000
07/2001
07/2002
08/1998
08/1999
08/2000
08/2001
08/2002
09/1998
09/1999
09/2000
09/2001
09/2002
10/1997
10/1998
10/1999
10/2000
10/2001
10/2002
11/1996
11/1998
11/1999
11/2000
11/2001
11/2002
12/1997
12/1998
12/1999
12/2000
12/2001
12/2002
relationship
relationship
relationship
relationship
relationship
What is your relationship with this child?
Questions to be asked to households with children under 5 years.
2737
2088
1
Parent
2
Grand Parent
3
Brother or sister
4
Other relative
5
Not related
Sysmiss
card where vaccinations written down
card where vaccinations written down
card where vaccinations written down
card where vaccinations written down
card where vaccinations written down
Do you have a card where (NAME)’s vaccinations are written down? If YES: May I see it?
Questions to be asked to households with children under 5 years.
2713
2112
1
Yes, CARD SEEN
2
Yes, BUT CARD NOT SEEN
5
No CARD
8
Do not know
Sysmiss
DPT1 (dd/mm/yyyy)
DPT1 (dd/mm/yyyy)
DPT1 (dd/mm/yyyy)
DPT1 (dd/mm/yyyy)
DPT1 (dd/mm/yyyy)
Record vaccination dates for each dose of DTP and measles
Questions to be asked to households with children under 5 years.
4825
.
01/02/2001
01/02/2002
01/03/1999
01/03/2000
01/03/2002
01/04/2002
01/05/2000
01/05/2001
01/06/2001
01/07/2002
01/08/2002
01/09/1999
01/09/2001
01/10/2001
01/10/2002
01/12/1999
01/12/2000
02/01/2002
02/01/2003
02/02/2000
02/02/2001
02/03/2000
02/03/2001
02/04/2002
02/05/2002
02/07/2001
02/07/2002
02/08/1998
02/08/2002
02/09/2002
02/11/1998
02/11/2001
02/12/2002
03/01/2002
03/02/2002
03/04/2002
03/05/2000
03/05/2002
03/06/2002
03/07/2001
03/08/2001
03/09/1999
03/09/2001
03/09/2002
03/10/2000
03/10/2002
03/11/2000
03/12/1998
03/12/1999
03/12/2001
03/12/2002
04/01/2000
04/01/2001
04/01/2002
04/02/2003
04/03/2002
04/04/04
04/04/2000
04/04/2002
04/05/1999
04/05/2000
04/05/2001
04/06/1999
04/06/2001
04/06/2002
04/07/1998
04/07/2001
04/07/2002
04/08/2002
04/09/2000
04/09/2001
04/09/2002
04/10/2000
04/10/2001
04/10/2002
04/11/1998
04/11/1999
04/11/2002
04/12/2000
04/12/2002
05/01/1999
05/01/2001
05/02/1999
05/02/2001
05/02/2002
05/03/1999
05/03/2001
05/03/2002
05/03/2003
05/04/2002
05/05/2000
05/06/2000
05/07/2000
05/07/2001
05/07/2002
05/09/2000
05/10/2000
05/11/1999
05/11/2001
05/12/2000
05/12/2001
05/12/2002
06/01/1999
06/01/2003
06/02/2001
06/02/2003
06/03/2000
06/03/2003
06/04/2001
06/05/1996
06/05/2002
06/06/2001
06/07/2000
06/07/2001
06/08/2002
06/09/1999
06/10/2000
06/11/2001
06/12/2001
07/01/2002
07/01/2003
07/02/2001
07/03/2000
07/03/2001
07/03/2002
07/05/2001
07/05/2002
07/06/1999
07/06/2000
07/08/1998
07/08/2000
07/08/2001
07/08/2002
07/09/2001
07/11/1998
07/11/2000
07/12/1999
07/12/2000
07/12/2001
08/01/2001
08/01/2002
08/01/2003
08/02/2002
08/03/2001
08/04/2002
08/05/2001
08/06/1998
08/06/2000
08/07/2002
08/08/2001
08/08/2002
08/09/2000
08/10/2001
08/10/2002
08/11/1999
08/11/2001
08/11/2002
08/12/1998
08/12/2000
09/01/2001
09/01/2002
09/01/2003
09/02/2001
09/03/2002
09/04/2001
09/04/2002
09/05/2000
09/05/2002
09/07/1999
09/07/2002
09/08/2001
09/08/2002
09/09/2000
09/09/2002
09/10/2000
09/10/2001
09/10/2002
09/11/2000
09/12/1999
09/12/2002
10/01/2002
10/01/2003
10/02/1999
10/03/1998
10/03/2000
10/03/2002
10/03/2003
10/04/2000
10/04/2001
10/04/2002
10/05/1999
10/05/2000
10/05/2002
10/06/2001
10/06/2002
10/07/1998
10/07/2000
10/07/2001
10/08/2001
10/09/2001
10/09/2002
10/10/2000
10/10/2001
10/10/2002
10/11/1999
10/11/2000
10/12/2000
10/12/2001
10/12/2002
11/01/1999
11/01/2000
11/02/1999
11/02/2002
11/03/2002
11/03/2003
11/04/2000
11/04/2001
11/04/2002
11/05/2001
11/06/2001
11/06/2002
11/07/2000
11/07/2001
11/09/1999
11/09/2000
11/09/2002
11/10/1999
11/10/2001
11/10/2002
11/11/2002
11/12/2001
11/12/2002
12/01/2000
12/01/2001
12/01/2003
12/02/1998
12/02/2001
12/02/2002
12/03/2001
12/03/2002
12/04/2001
12/05/2001
12/06/2000
12/06/2001
12/06/2002
12/07/2000
12/07/2002
12/08/1999
12/08/2002
12/09/1999
12/09/2001
12/09/2002
12/10/2000
12/10/2002
12/11/2001
12/11/2002
12/12/2000
12/12/2001
12/12/2002
13/01/1999
13/01/2001
13/02/2002
13/02/2003
13/03/2000
13/03/2001
13/03/2002
13/04/2000
13/04/2001
13/05/2002
13/06/2001
13/06/2002
13/07/1998
13/07/2000
13/07/2001
13/08/2001
13/08/2002
13/09/2002
13/10/1999
13/10/2000
13/10/2001
13/11/2000
13/11/2001
13/11/2002
13/12/2002
14/01/2000
14/01/2002
14/01/2003
14/02/2000
14/02/2003
14/03/2001
14/05/2001
14/06/1999
14/06/2002
14/08/2000
14/08/2001
14/08/2002
14/09/2000
14/09/2001
14/09/2002
14/10/1999
14/10/2002
14/11/2000
14/11/2001
14/11/2002
14/12/2001
14/12/2002
15/02/1999
15/02/2001
15/02/2002
15/03/1999
15/03/2001
15/04/2002
15/05/2001
15/06/2002
15/09/1999
15/10/1999
15/10/2001
15/10/2002
15/11/1999
15/11/2001
15/11/2002
15/12/1998
15/12/2000
16/01/2001
16/01/2003
16/02/2001
16/03/2001
16/03/2002
16/04/2001
16/04/2002
16/05/2002
16/06/1998
16/06/1999
16/06/2000
16/06/2001
16/07/2002
16/08/2001
16/08/2002
16/09/2002
16/10/2000
16/10/2001
16/10/2002
16/11/1998
16/11/2000
16/11/2002
16/12/1999
16/12/2002
17/01/2000
17/01/2002
17/01/2003
17/02/2000
17/02/2003
17/03/2000
17/04/2000
17/04/2002
17/05/1999
17/05/2001
17/05/2002
17/06/2002
17/07/2000
17/07/2002
17/08/2001
17/08/2002
17/09/1999
17/09/2000
17/09/2001
17/10/2001
17/10/2002
17/11/2000
17/12/2001
17/12/2002
18/02/2002
18/02/2003
18/03/2002
18/04/2000
18/04/2002
18/05/2001
18/06/1999
18/06/2001
18/06/2002
18/07/2000
18/07/2002
18/08/1999
18/08/2001
18/08/2002
18/09/1998
18/09/2001
18/09/2002
18/10/2000
18/10/2001
18/10/2002
18/11/2002
18/12/2002
19/01/2001
19/02/2001
19/02/2002
19/03/2001
19/03/2003
19/04/2001
19/04/2002
19/06/2001
19/06/2002
19/07/1999
19/07/2001
19/08/2001
19/08/2002
19/09/2000
19/09/2002
19/10/1999
19/10/2001
19/10/2002
19/11/2002
19/12/2000
20/02/2001
20/02/2002
20/02/2003
20/03/2000
20/03/2001
20/03/2002
20/04/2000
20/04/2001
20/05/1999
20/05/2002
20/06/2002
20/07/2001
20/07/2002
20/08/1999
20/08/2001
20/08/2002
20/09/2001
20/09/2002
20/10/1999
20/10/2001
20/11/1998
20/11/2000
20/11/2001
20/11/2002
20/12/2000
20/12/2001
20/12/2002
21/01/2000
21/01/2001
21/01/2003
21/02/2000
21/03/2000
21/03/2002
21/04/2001
21/05/2002
21/06/2001
21/06/2002
21/08/2000
21/08/2001
21/08/2002
21/09/1999
21/09/2000
21/09/2001
21/09/2002
21/10/2002
21/11/2001
21/11/2002
21/12/2000
21/12/2001
21/12/2002
22/01/2001
22/01/2002
22/01/2003
22/02/2001
22/02/2002
22/03/2001
22/03/2002
22/04/2001
22/05/2000
22/05/2001
22/05/2002
22/06/2000
22/06/2001
22/06/2002
22/07/2001
22/08/2000
22/08/2001
22/08/2002
22/09/2000
22/10/1998
22/10/1999
22/10/2001
22/10/2002
22/11/2001
22/11/2002
22/12/1998
22/12/2000
22/12/2002
23/01/2001
23/01/2002
23/02/2000
23/03/2001
23/04/1999
23/04/2001
23/04/2002
23/05/2000
23/05/2002
23/06/2000
23/07/1999
23/07/2001
23/07/2002
23/08/1999
23/08/2000
23/08/2002
23/09/1999
23/09/2002
23/10/2002
23/11/1999
23/11/2001
23/12/1999
24/01/2001
24/01/2002
24/01/2003
24/02/2000
24/03/2000
24/03/2001
24/04/2001
24/05/2002
24/06/2002
24/07/2000
24/07/2001
24/07/2002
24/08/2000
24/09/2002
24/10/2000
24/10/2001
24/10/2002
24/11/2001
24/12/1999
25/01/1999
25/01/2000
25/01/2001
25/01/2002
25/02/2002
25/02/2003
25/03/2002
25/04/2001
25/05/1999
25/05/2001
25/06/1999
25/06/2001
25/06/2002
25/07/2000
25/07/2002
25/08/2001
25/09/1998
25/09/2000
25/09/2001
25/10/1999
25/10/2001
25/11/1999
25/11/2002
26/01/2001
26/02/2001
26/02/2002
26/03/2001
26/03/2002
26/04/2001
26/04/2002
26/07/1999
26/07/2002
26/08/1999
26/09/2000
26/10/2000
26/10/2001
26/11/1999
27/01/1998
27/01/2003
27/02/1999
27/02/2001
27/02/2002
27/03/2000
27/03/2001
27/04/2000
27/05/2002
27/06/2002
27/07/2000
27/07/2001
27/07/2002
27/08/1998
27/08/1999
27/08/2001
27/08/2002
27/09/2001
27/09/2002
27/11/2000
27/11/2001
27/11/2002
27/12/2001
27/12/2002
28/01/2000
28/01/2002
28/02/2000
28/02/2002
28/03/2001
28/03/2002
28/04/2000
28/04/2001
28/04/2002
28/05/2001
28/05/2002
28/06/2002
28/07/2002
28/08/1998
28/08/2000
28/08/2001
28/08/2002
28/09/1999
28/09/2000
28/09/2001
28/10/2002
28/11/2000
28/11/2001
28/11/2002
28/12/1998
28/12/2001
29/03/2000
29/03/2002
29/04/2002
29/05/1999
29/06/1998
29/06/2001
29/08/2000
29/09/2002
29/10/2001
29/10/2002
29/11/2001
29/11/2002
29/12/2000
29/12/2002
30/01/2001
30/03/1999
30/03/2000
30/03/2001
30/04/2001
30/04/2002
30/05/2002
30/07/2002
30/08/2000
30/08/2001
30/08/2002
30/09/2002
30/10/2000
30/10/2002
30/11/1999
30/11/2000
30/12/2002
31/01/2000
31/01/2001
31/01/2002
31/03/1999
31/03/2000
31/05/2001
31/05/2002
31/07/2002
31/08/2001
31/10/2000
31/10/2001
31/10/2002
31/12/2002
DPT2 (dd/mm/yyyy)
DPT2 (dd/mm/yyyy)
DPT2 (dd/mm/yyyy)
DPT2 (dd/mm/yyyy)
DPT2 (dd/mm/yyyy)
Record vaccination dates for each dose of DTP and measles
Questions to be asked to households with children under 5 years.
4825
.
01/02/1999
01/03/2001
01/03/2002
01/04/2000
01/04/2002
01/04/2003
01/06/2002
01/07/2002
01/08/2002
01/10/1999
01/10/2001
01/11/2000
01/11/2001
01/12/2000
02/01/2001
02/01/2003
02/02/2000
02/02/2002
02/03/1998
02/03/2003
02/04/2002
02/05/2000
02/05/2002
02/06/1999
02/06/2001
02/07/2001
02/08/2000
02/08/2001
02/08/2002
02/09/1998
02/09/2002
02/10/2000
02/10/2001
02/12/1999
02/12/2002
03/01/2003
03/02/2003
03/04/2001
03/05/2000
03/06/2002
03/07/2000
03/07/2002
03/08/2001
03/09/2002
03/10/2001
03/10/2002
03/11/2002
03/12/1998
03/12/2002
04/01/2000
04/01/2001
04/01/2002
04/02/1999
04/02/2002
04/02/2003
04/04/04
04/04/2000
04/04/2002
04/05/2001
04/06/2002
04/07/2002
04/08/2000
04/09/2000
04/09/2002
04/10/1999
04/10/2001
04/10/2002
04/11/2002
04/12/2000
04/12/2002
05/01/2000
05/01/2001
05/02/1999
05/02/2001
05/02/2002
05/03/2002
05/04/2001
05/04/2002
05/05/1999
05/06/2002
05/07/1999
05/07/2000
05/07/2001
05/09/2001
05/09/2002
05/10/1999
05/10/2001
05/11/2001
05/12/2000
05/12/2002
06/02/2002
06/03/2002
06/03/2003
06/04/2000
06/05/2002
06/06/2000
06/06/2001
06/06/2002
06/07/2002
06/09/1999
06/10/2000
06/11/2002
06/12/1999
06/12/2000
06/12/2001
07/01/2000
07/01/2003
07/02/1999
07/02/2002
07/03/2002
07/04/2000
07/05/2002
07/06/2001
07/06/2002
07/08/2000
07/08/2001
07/09/2001
07/10/2002
07/11/2000
07/11/2002
07/12/2001
08/02/2000
08/02/2001
08/02/2002
08/03/2001
08/04/1999
08/04/2002
08/05/2000
08/05/2001
08/05/2002
08/06/2001
08/07/1998
08/08/2000
08/08/2002
08/09/2000
08/09/2001
08/10/2001
08/11/2000
08/11/2001
08/11/2002
08/12/2000
09/02/2001
09/03/2001
09/03/2002
09/04/2001
09/04/2002
09/05/2000
09/05/2002
09/06/2000
09/07/1999
09/07/2001
09/07/2002
09/08/2000
09/08/2002
09/09/2002
09/10/2000
09/10/2002
09/11/2000
09/11/2001
09/11/2002
10/01/2000
10/01/2001
10/01/2002
10/01/2003
10/03/1999
10/03/2000
10/03/2001
10/04/2002
10/05/2001
10/05/2002
10/07/2000
10/07/2002
10/08/1999
10/08/2000
10/08/2001
10/08/2002
10/09/2001
10/09/2002
10/10/2002
10/11/2000
10/12/1999
10/12/2000
10/12/2001
10/12/2002
11/01/2001
11/01/2002
11/03/1999
11/03/2002
11/03/2003
11/04/2002
11/05/2000
11/05/2001
11/06/2002
11/07/2001
11/07/2002
11/08/2000
11/09/1998
11/09/2000
11/09/2001
11/09/2002
11/10/2001
11/10/2002
11/11/1999
11/11/2002
11/12/2001
11/12/2002
12/01/1999
12/01/2000
12/01/2001
12/01/2003
12/02/1998
12/02/2001
12/02/2002
12/03/1999
12/03/2001
12/04/2001
12/04/2002
12/05/2000
12/06/1996
12/06/2000
12/06/2001
12/06/2002
12/07/2001
12/07/2002
12/09/2002
12/10/2000
12/10/2002
12/11/2001
12/12/2000
12/12/2001
12/12/2002
13/01/2000
13/01/2003
13/02/2002
13/02/2003
13/03/2000
13/03/2001
13/03/2002
13/04/2000
13/04/2001
13/06/2001
13/06/2002
13/06/2003
13/07/2000
13/08/1997
13/08/2002
13/09/2000
13/09/2001
13/09/2002
13/11/2000
13/11/2001
13/11/2002
13/12/2001
13/12/2002
14/01/1999
14/01/2002
14/01/2003
14/02/2002
14/03/2002
14/04/2002
14/05/2001
14/05/2002
14/06/2000
14/06/2001
14/06/2002
14/07/1998
14/08/2001
14/08/2002
14/09/1999
14/09/2001
14/10/2002
14/11/2001
14/11/2002
14/12/2000
14/12/2001
14/12/2002
15/01/1999
15/01/2001
15/02/2000
15/02/2002
15/03/2001
15/03/2002
15/04/1999
15/04/2002
15/05/2001
15/05/2002
15/06/1998
15/06/2001
15/07/2002
15/08/2002
15/09/2000
15/09/2002
15/10/1999
15/10/2001
15/10/2002
15/11/2000
15/11/2001
15/12/1999
15/12/2000
16/01/2001
16/01/2002
16/01/2003
16/02/2001
16/04/2002
16/05/2001
16/05/2002
16/06/1999
16/07/2001
16/07/2002
16/08/2000
16/09/2002
16/10/1999
16/10/2001
16/11/1999
16/11/2000
16/11/2001
16/11/2002
16/12/1998
16/12/2002
17/01/2000
17/01/2002
17/01/2003
17/02/2000
17/02/2003
17/03/2001
17/03/2003
17/04/2000
17/04/2001
17/04/2002
17/05/2000
17/05/2001
17/05/2002
17/06/1999
17/06/2002
17/07/2001
17/07/2002
17/08/1998
17/08/2001
17/09/2001
17/09/2002
17/10/1998
17/10/2001
17/10/2002
17/12/1999
17/12/2002
18/01/2002
18/03/2002
18/04/2000
18/04/2001
18/05/2000
18/05/2001
18/06/2001
18/08/2002
18/10/2001
18/10/2002
18/11/2000
18/11/2002
18/12/2002
19/01/2000
19/01/2001
19/01/2002
19/02/2002
19/03/2001
19/03/2002
19/04/2001
19/04/2002
19/05/2000
19/07/1999
19/07/2001
19/07/2002
19/08/1998
19/09/2000
19/09/2002
19/10/2001
19/10/2002
19/11/1999
19/11/2001
19/12/2002
20/01/2003
20/02/2001
20/02/2003
20/03/2000
20/03/2001
20/04/1999
20/04/2001
20/04/2002
20/05/2002
20/06/1999
20/06/2002
20/07/2001
20/07/2002
20/08/1999
20/08/2000
20/08/2002
20/09/2001
20/10/2000
20/11/2001
20/11/2002
20/12/2001
20/12/2002
20/12/2003
21/01/1999
21/01/2003
21/02/1999
21/02/2001
21/02/2002
21/03/2001
21/03/2002
21/03/2003
21/04/2000
21/04/2001
21/04/2002
21/05/2001
21/05/2002
21/06/2000
21/06/2001
21/06/2002
21/08/2001
21/09/2000
21/10/2002
21/11/1999
21/11/2002
21/12/2000
21/12/2001
21/12/2002
22/01/2001
22/01/2003
22/02/1999
22/02/2002
22/03/1999
22/03/2001
22/03/2002
22/04/2002
22/05/2001
22/05/2002
22/06/2000
22/06/2001
22/07/2002
22/08/2002
22/09/2000
22/09/2001
22/10/1999
22/11/2001
22/12/2001
23/01/2001
23/01/2003
23/02/2000
23/02/2001
23/03/2000
23/04/2002
23/05/2000
23/05/2001
23/05/2002
23/06/1999
23/06/2002
23/07/2001
23/07/2002
23/08/2001
23/09/1999
23/10/2002
23/11/2001
23/12/1999
23/12/2002
24/01/2000
24/01/2001
24/01/2002
24/02/2001
24/02/2002
24/03/2000
24/03/2001
24/03/2003
24/04/2000
24/04/2001
24/05/2001
24/06/2002
24/07/2001
24/07/2002
24/08/1998
24/08/2000
24/08/2002
24/09/1999
24/09/2001
24/09/2002
24/10/2000
24/10/2001
24/10/2002
24/11/2000
24/12/2001
24/12/2002
25/01/2001
25/01/2002
25/02/2002
25/03/2002
25/04/2000
25/04/2001
25/04/2002
25/05/2000
25/06/2001
25/06/2002
25/07/2001
25/07/2002
25/09/2000
25/09/2001
25/09/2002
25/10/2002
25/11/2002
25/12/2001
26/01/2001
26/01/2002
26/02/2001
26/02/2002
26/03/2001
26/03/2002
26/04/2002
26/06/1999
26/06/2001
26/06/2002
26/07/2002
26/08/2002
26/09/2000
26/09/2002
26/10/2001
26/10/2002
26/11/2001
26/11/2002
26/12/2002
27/01/2003
27/02/2002
27/02/2003
27/03/2001
27/03/2002
27/04/2000
27/05/2000
27/06/2002
27/08/2002
27/09/1999
27/09/2000
27/10/1998
27/10/2000
27/10/2002
27/11/2000
27/11/2001
27/11/2002
27/12/1999
27/12/2000
27/12/2002
28/01/1999
28/01/2002
28/02/2000
28/02/2001
28/02/2002
28/02/2003
28/03/2002
28/04/1999
28/04/2001
28/05/1999
28/05/2001
28/06/1999
28/06/2001
28/06/2002
28/08/2001
28/08/2002
28/09/2000
28/09/2001
28/10/2002
28/11/2002
28/12/2001
28/12/2002
29/01/2001
29/01/2003
29/02/2000
29/03/2000
29/03/2002
29/04/2001
29/04/2002
29/05/2001
29/05/2002
29/06/2000
29/06/2001
29/07/2002
29/08/1998
29/08/2000
29/08/2002
29/09/1999
29/09/2000
29/09/2001
29/10/1999
29/10/2001
29/11/2001
29/12/1998
29/12/2002
30/01/2002
30/01/2003
30/03/2001
30/04/1999
30/04/2002
30/06/1999
30/06/2001
30/07/2001
30/07/2002
30/08/2000
30/08/2001
30/08/2002
30/09/1999
30/10/1998
30/10/1999
30/10/2002
30/11/2000
30/12/2002
31/01/2002
31/01/2003
31/03/1999
31/05/2000
31/05/2002
31/07/2000
31/10/2000
31/10/2002
31/12/2001
31/12/2002
DPT3 (dd/mm/yyyy)
DPT3 (dd/mm/yyyy)
DPT3 (dd/mm/yyyy)
DPT3 (dd/mm/yyyy)
DPT3 (dd/mm/yyyy)
Record vaccination dates for each dose of DTP and measles
Questions to be asked to households with children under 5 years.
4825
.
01/01/2001
01/02/2001
01/02/2002
01/03/1999
01/03/2002
01/04/1998
01/07/2002
01/08/2001
01/08/2002
01/09/2000
01/10/2001
01/10/2002
01/11/2001
01/11/2002
02/03/2001
02/04/2002
02/05/2000
02/05/2001
02/06/2000
02/07/2001
02/07/2002
02/08/2001
02/08/2002
02/09/2002
02/10/2000
02/10/2001
02/10/2002
02/11/1999
02/11/2001
02/12/2002
03/03/2000
03/03/2003
03/04/2001
03/04/2002
03/05/2001
03/05/2002
03/06/2002
03/07/2000
03/07/2001
03/08/2000
03/08/2001
03/09/2001
03/09/2002
03/10/2000
03/10/2001
03/10/2002
03/11/2001
03/12/1999
03/12/2001
03/12/2002
04/01/2002
04/02/2000
04/03/1999
04/03/2003
04/04/04
04/04/2002
04/05/2001
04/07/2000
04/07/2002
04/09/2001
04/10/1999
04/10/2002
04/11/1999
04/12/2002
05/01/1999
05/01/2000
05/01/2001
05/01/2002
05/02/2001
05/03/1999
05/03/2002
05/04/2001
05/05/2000
05/06/2001
05/07/2002
05/08/2000
05/09/2002
05/10/2001
05/11/2001
05/12/2000
05/12/2002
06/01/2003
06/03/2002
06/05/2002
06/06/2000
06/06/2001
06/06/2002
06/07/2000
06/07/2001
06/08/1999
06/08/2001
06/09/2000
06/09/2001
06/09/2002
06/11/2000
06/11/2001
07/01/2002
07/01/2003
07/02/2000
07/02/2001
07/03/2000
07/03/2001
07/03/2002
07/04/2000
07/04/2001
07/05/2002
07/08/1998
07/08/2000
07/08/2001
07/09/2001
07/10/2001
07/10/2002
07/11/2000
07/11/2002
07/12/2000
08/02/2001
08/02/2002
08/04/1999
08/04/2002
08/05/2001
08/06/2000
08/07/2002
08/10/2001
08/10/2002
08/11/1999
08/11/2002
08/12/2000
09/01/2001
09/01/2003
09/03/1999
09/03/2001
09/03/2002
09/04/2001
09/05/2002
09/07/2002
09/08/2000
09/08/2002
09/09/2000
09/09/2002
09/10/2001
09/10/2002
09/11/1999
09/11/2000
09/11/2001
09/12/2002
10/01/2000
10/01/2001
10/01/2002
10/02/2000
10/02/2003
10/03/2000
10/04/2002
10/05/2001
10/05/2002
10/06/1999
10/06/2002
10/07/2000
10/07/2001
10/08/1999
10/08/2001
10/09/2002
10/10/2000
10/10/2001
10/10/2002
10/12/2001
10/12/2002
11/01/2002
11/02/1999
11/02/2002
11/02/2003
11/03/2002
11/05/2002
11/06/2001
11/06/2002
11/07/2001
11/08/1998
11/10/2001
11/11/2001
11/11/2002
11/12/2000
11/12/2001
12/01/2003
12/02/1999
12/03/1999
12/03/2001
12/03/2002
12/03/2003
12/04/2002
12/06/2002
12/07/2001
12/07/2002
12/08/1999
12/09/2000
12/09/2002
12/10/2001
12/11/2001
12/12/2000
12/12/2001
12/12/2002
13/01/1999
13/01/2000
13/02/2003
13/03/2000
13/03/2002
13/03/2003
13/04/2001
13/04/2002
13/06/2000
13/06/2001
13/06/2002
13/08/2001
13/09/2002
13/10/1998
13/10/2000
13/10/2002
14/01/2002
14/01/2003
14/02/2000
14/02/2001
14/02/2002
14/02/2003
14/03/2002
14/04/2002
14/05/1999
14/05/2002
14/06/2001
14/06/2002
14/07/2000
14/08/2001
14/08/2002
14/09/2000
14/09/2001
14/09/2002
14/10/2002
14/12/2000
14/12/2001
14/12/2002
15/01/2001
15/01/2002
15/01/2003
15/02/2000
15/02/2001
15/03/2001
15/03/2002
15/04/2002
15/05/2000
15/05/2002
15/07/2002
15/09/1999
15/10/1998
15/10/2001
15/10/2002
15/11/1999
15/11/2002
15/12/2000
16/01/2003
16/02/1999
16/02/2001
16/02/2002
16/03/2001
16/04/2002
16/05/2002
16/07/2001
16/07/2002
16/08/1999
16/08/2002
16/09/2002
16/10/2002
16/11/1999
16/11/2000
16/11/2001
17/01/2000
17/01/2003
17/02/2000
17/03/2001
17/04/2000
17/04/2001
17/05/2001
17/05/2002
17/06/2002
17/07/2002
17/08/1999
17/08/2000
17/08/2001
17/08/2002
17/09/1999
17/10/2002
17/12/1999
17/12/2002
18/01/2001
18/02/2001
18/02/2002
18/03/2002
18/04/2000
18/04/2002
18/05/2002
18/06/1999
18/06/2001
18/06/2002
18/07/2001
18/07/2002
18/08/2000
18/09/2000
18/09/2001
18/09/2002
18/10/1999
18/10/2001
18/11/2002
18/12/1998
18/12/2000
18/12/2002
19/02/2001
19/03/2002
19/04/2001
19/04/2002
19/05/1999
19/06/2000
19/06/2001
19/06/2002
19/07/2002
19/08/2002
19/09/2002
19/10/1998
19/10/2001
19/11/2001
19/12/2001
20/01/2000
20/02/2001
20/02/2002
20/03/2001
20/03/2002
20/04/2000
20/04/2001
20/05/2002
20/06/2001
20/06/2002
20/07/2001
20/08/2001
20/08/2002
20/09/2000
20/09/2001
20/11/2001
20/11/2002
20/12/2002
21/01/1997
21/01/2002
21/03/2001
21/04/2001
21/04/2002
21/05/2001
21/05/2002
21/06/2001
21/06/2002
21/07/2000
21/08/1999
21/08/2002
21/09/2000
21/09/2001
21/10/2001
21/10/2002
21/11/2001
21/11/2002
21/12/2002
22/01/2002
22/01/2003
22/02/2000
22/02/2001
22/02/2002
22/03/2002
22/04/2001
22/04/2002
22/05/2000
22/05/2001
22/05/2002
22/06/2000
22/06/2001
22/06/2002
22/07/2002
22/08/2002
22/09/2002
22/10/2000
22/10/2001
22/10/2002
22/12/1999
22/12/2000
23/01/2001
23/01/2002
23/01/2003
23/02/2000
23/02/2001
23/03/2000
23/03/2001
23/04/2001
23/04/2002
23/06/2002
23/07/1999
23/07/2002
23/08/1999
23/08/2001
23/08/2002
23/09/2002
23/10/2002
23/11/1999
23/11/2001
23/12/2000
23/12/2002
24/01/2003
24/02/2000
24/02/2001
24/02/2003
24/04/1999
24/04/2001
24/05/2001
24/07/2001
24/08/2001
24/09/1999
24/09/2001
24/09/2002
24/10/2000
24/10/2002
24/11/2000
24/11/2002
24/12/2001
24/12/2002
25/01/1999
25/01/2002
25/02/2002
25/04/2001
25/05/2000
25/05/2001
25/06/1999
25/06/2001
25/06/2002
25/07/2002
25/08/2001
25/09/2001
25/10/1999
25/11/2002
25/12/2001
26/02/1999
26/02/2003
26/03/2000
26/03/2002
26/04/2000
26/05/2002
26/06/2001
26/06/2002
26/07/2001
26/07/2002
26/09/2002
26/10/2001
26/11/2001
26/11/2002
26/12/2002
27/01/2000
27/02/2001
27/04/2000
27/04/2001
27/05/1999
27/05/2002
27/06/2000
27/06/2002
27/07/2001
27/07/2002
27/08/2002
27/09/2002
27/10/1999
27/10/2002
27/11/1998
27/11/2000
27/11/2001
27/11/2002
27/12/2001
27/12/2002
28/01/1999
28/02/2001
28/02/2002
28/03/2000
28/03/2002
28/05/2002
28/06/2002
28/08/2001
28/08/2002
28/09/2001
28/10/1999
28/10/2002
28/11/2002
28/12/2001
28/12/2002
29/01/2001
29/03/2000
29/04/2002
29/05/2002
29/06/2000
29/06/2002
29/07/2002
29/08/2001
29/08/2002
29/09/1999
29/09/2000
29/10/2002
29/11/2001
29/12/2000
30/01/1999
30/01/2002
30/03/2001
30/04/2001
30/04/2002
30/05/2002
30/07/2001
30/07/2002
30/08/2001
30/08/2002
30/09/1998
30/09/2001
30/10/2000
30/10/2001
30/10/2002
30/11/2001
30/11/2002
30/12/2001
30/12/2002
31/01/2002
31/03/2000
31/05/2000
31/05/2001
31/05/2002
31/07/2001
31/10/2000
31/10/2001
31/12/1998
Measles (dd/mm/yyyy)
Measles (dd/mm/yyyy)
Measles (dd/mm/yyyy)
Measles (dd/mm/yyyy)
Measles (dd/mm/yyyy)
Record vaccination dates for each dose of DTP and measles
Questions to be asked to households with children under 5 years.
4825
.
01/01/2000
01/01/2001
01/02/2001
01/02/2002
01/04/2002
01/07/2002
01/08/2001
01/10/2001
01/11/2002
01/12/2001
02/03/2001
02/04/1999
02/05/2000
02/07/2001
02/07/2002
02/08/2001
02/08/2002
02/09/1999
02/09/2001
02/11/2001
03/01/2000
03/02/1998
03/02/2001
03/02/2002
03/05/2000
03/05/2001
03/06/2002
03/08/2000
03/08/2001
03/09/2001
03/10/2001
03/12/2002
04/01/2001
04/03/2002
04/04/04
04/04/2001
04/06/2002
04/07/2002
04/08/2000
04/09/2000
04/10/2001
04/10/2002
04/11/2002
04/12/2002
05/02/2001
05/02/2002
05/03/1999
05/03/2002
05/04/2002
05/05/2001
05/06/2000
05/06/2002
05/09/2002
05/10/2001
05/11/2001
05/11/2002
05/12/2002
06/01/2002
06/02/2001
06/04/2000
06/04/2001
06/06/2001
06/08/2002
06/10/2000
06/11/2002
06/12/2001
07/01/2002
07/02/2003
07/05/2001
07/05/2002
07/07/2001
07/08/2000
07/08/2001
07/08/2002
07/09/2001
07/10/1999
07/10/2001
07/12/2000
08/02/2002
08/04/2000
08/04/2002
08/05/2000
08/06/2000
08/07/1999
08/08/2000
08/08/2002
08/09/2000
08/11/2000
08/11/2001
08/11/2002
09/03/2002
09/05/2002
09/06/2000
09/07/1999
09/07/2002
09/08/2001
09/08/2002
09/10/2002
09/11/2000
09/11/2001
09/12/2002
10/01/2002
10/01/2003
10/05/2001
10/07/2001
10/07/2002
10/08/2001
10/09/2002
10/10/2001
10/10/2002
10/12/2000
10/12/2001
10/12/2002
11/01/1999
11/02/2002
11/03/2002
11/05/2000
11/06/2002
11/07/2002
11/08/2000
11/09/2000
11/09/2002
11/10/2002
12/02/1999
12/03/2002
12/04/2002
12/06/2000
12/06/2001
12/06/2002
12/07/1999
12/07/2000
12/07/2002
12/09/2002
12/10/1999
12/10/2001
12/10/2002
12/11/2001
12/12/2001
12/12/2002
13/02/2003
13/03/2003
13/04/2001
13/04/2002
13/05/2002
13/06/2001
13/06/2002
13/07/2001
13/08/1999
13/09/2002
13/10/2000
13/10/2002
13/11/2001
13/11/2002
13/12/2002
14/01/2000
14/01/2002
14/02/2002
14/02/2003
14/03/2000
14/03/2002
14/04/1999
14/05/2002
14/06/2001
14/06/2002
14/09/1999
14/09/2001
14/09/2002
14/10/1999
14/12/2001
14/12/2002
15/02/2000
15/02/2001
15/03/2001
15/03/2002
15/05/2000
15/05/2001
15/05/2002
15/06/2001
15/09/2000
15/09/2002
15/10/2002
15/11/2002
15/12/1999
15/12/2000
16/01/2001
16/01/2003
16/02/2001
16/03/2001
16/04/2001
16/04/2002
16/05/2002
16/06/2001
16/07/2002
16/08/2001
16/08/2002
16/10/2000
16/11/2000
16/11/2002
17/01/2000
17/01/2002
17/03/2000
17/04/2001
17/05/2002
17/06/2001
17/07/2001
17/08/2001
17/09/2002
17/10/2002
17/11/1999
17/11/2002
18/01/2001
18/01/2002
18/02/2000
18/02/2002
18/03/2002
18/04/2000
18/04/2002
18/05/2000
18/05/2001
18/06/2001
18/06/2002
18/07/2002
18/08/2002
18/09/2000
18/10/2001
18/10/2002
18/11/2002
18/12/2001
18/12/2002
19/02/2002
19/03/2001
19/04/1999
19/04/2001
19/04/2002
19/05/2000
19/06/1999
19/06/2000
19/06/2001
19/06/2002
19/07/2001
19/07/2002
19/08/1999
19/08/2001
19/09/2002
19/10/2001
19/12/2000
19/12/2001
19/12/2002
20/01/2003
20/02/2001
20/03/2001
20/03/2002
20/04/2000
20/05/2000
20/05/2002
20/06/2001
20/06/2002
20/07/2001
20/08/1999
20/09/2001
20/09/2002
20/11/2002
20/12/2001
20/12/2002
21/03/2002
21/04/2000
21/05/2001
21/05/2002
21/06/1999
21/06/2001
21/06/2002
21/08/1999
21/08/2001
21/09/2001
21/10/2002
21/11/2002
21/12/2000
21/12/2001
21/12/2002
22/02/2002
22/03/2002
22/04/2002
22/05/2001
22/05/2002
22/06/2000
22/06/2001
22/08/2000
22/08/2002
22/10/1999
22/10/2002
22/11/2001
22/11/2002
22/12/2001
23/03/2000
23/03/2001
23/04/2002
23/05/2001
23/05/2002
23/06/2000
23/07/2001
23/07/2002
23/08/2001
23/09/2002
23/10/2002
23/11/2001
23/11/2002
23/12/1999
23/12/2001
23/12/2002
24/01/2000
24/01/2002
24/02/1999
24/02/2000
24/02/2003
24/03/2000
24/04/2001
24/05/2002
24/06/2002
24/08/2001
24/09/2001
24/09/2002
24/10/2002
24/11/2000
24/12/2002
25/02/2002
25/03/2002
25/04/2001
25/04/2002
25/05/2001
25/06/2001
25/06/2002
25/07/2001
25/08/2001
25/09/2001
25/10/2001
25/11/2002
26/02/2000
26/02/2002
26/03/2001
26/03/2002
26/04/2002
26/05/2000
26/06/2000
26/06/2001
26/06/2002
26/07/2001
26/07/2002
26/09/2002
26/10/2001
26/11/2002
26/12/2001
27/02/2003
27/03/2000
27/04/2002
27/05/1999
27/07/2002
27/08/2001
27/08/2002
27/09/2001
27/09/2002
27/10/2000
27/10/2001
27/11/2000
27/11/2001
27/11/2002
27/12/2001
27/12/2002
28/01/2000
28/01/2003
28/02/1999
28/03/2002
28/04/2000
28/05/2001
28/06/2002
28/08/2001
28/09/2000
28/09/2001
28/10/2002
28/11/2002
28/12/2001
29/01/2002
29/03/2000
29/03/2002
29/04/2001
29/05/2000
29/07/2002
29/08/2000
29/08/2002
29/09/2001
29/10/2001
29/10/2002
29/11/2000
29/11/2002
30/01/2001
30/04/2002
30/07/2002
30/08/2001
30/10/2000
30/10/2001
30/11/2001
30/11/2002
30/12/2002
31/01/2002
31/01/2003
31/05/2002
31/08/2001
31/10/2000
31/10/2001
31/10/2002
additional vaccinations not recorded
additional vaccinations not recorded
additional vaccinations not recorded
additional vaccinations not recorded
additional vaccinations not recorded
Has (NAME) received any vaccinations to prevent him/her form getting disease that are not recorded on this card.
Questions to be asked to households with children under 5 years.
1183
3642
1
Yes
5
No
8
Do not know
Sysmiss
Diphtheria, tetanus, whooping cough
Diphtheria, tetanus, whooping cough
Diphtheria, tetanus, whooping cough
Diphtheria, tetanus, whooping cough
Diphtheria, tetanus, whooping cough
Has (NAME) received additional vaccinations to prevent him/her from getting diphtheria, tetanus or pertussis (whooping cough)? IF YES: How many times?
Questions to be asked to households with children under 5 years.
252
4573
1
Yes
5
No
8
Do not know
Sysmiss
If yes how many times
If yes how many times
If yes how many times
If yes how many times
If yes how many times
Has (NAME) received additional vaccinations to prevent him/her from getting diphtheria, tetanus or pertussis (whooping cough)? IF YES: How many times?
Questions to be asked to households with children under 5 years.
148
4677
1
3
2.02
0.845
Additional vaccinations not recorded to prevent measles
Additional vaccinations not recorded to prevent measles
Additional vaccinations not recorded to prevent measles
Additional vaccinations not recorded to prevent measles
Additional vaccinations not recorded to prevent measles
Has (NAME) received any vaccinations that are not recorded on this card to prevent him/her from measles?
Questions to be asked to households with children under 5 years.
250
4575
1
Yes
5
No
8
Do not know
Sysmiss
vaccinations
vaccinations
vaccinations
vaccinations
vaccinations
Did (NAME) ever receive any vaccinations to prevent him/her from getting diseases?
Questions to be asked to households with children under 5 years.
1296
3529
1
Yes
5
No
8
Do not know
Sysmiss
DPT vaccination
DPT vaccination
DPT vaccination
DPT vaccination
DPT vaccination
Please tell me if (NAME) has received any of the following vaccinations: A) DTP vaccination?
Questions to be asked to households with children under 5 years.
752
4073
1
Yes
5
No
8
Do not know
Sysmiss
number of dpt vaccinations
number of dpt vaccinations
number of dpt vaccinations
number of dpt vaccinations
number of dpt vaccinations
If YES: How many times?
Questions to be asked to households with children under 5 years.
485
4340
1
3
2.357
0.776
injection to prevent measles
injection to prevent measles
injection to prevent measles
injection to prevent measles
injection to prevent measles
An injection to prevent measles?
Questions to be asked to households with children under 5 years.
653
4172
1
Yes
5
No
8
Do not know
Sysmiss
receive vitamin A
receive vitamin A
receive vitamin A
receive vitamin A
receive vitamin A
In the last 12 months did (NAME) receive a vitamin A capsule or supplement (like this)?
Questions to be asked to households with children under 5 years.
2512
2313
1
Yes
5
No
8
Do not know
Sysmiss
How many times
How many times
How many times
How many times
How many times
If YES: How many times did [NAME] received it?
Questions to be asked to households with children under 5 years.
1794
3031
3
2.232
0.703
when was the youngest child sick
when was the youngest child sick
when was the youngest child sick
when was the youngest child sick
when was the youngest child sick
When was the last time [NAME] was sick with fever, diarrhoea, or any other illness?
Questions to be asked to households with children under 5 years.
2608
2217
1
Within the last 2 weeks
2
2 weeks-less than 1 month ago
3
1 month-3 months ago
4
More than 3 months ago
5
Never was sick
Sysmiss
Fever (hot body)
Fever (hot body)
Fever (hot body)
Fever (hot body)
Fever (hot body)
During [NAME]'s last episode of illness, did [NAME] have a fever (hot body)?
Questions to be asked to households with children under 5 years.
1991
2834
1
Yes
5
No
8
Do not know
Sysmiss
cough
cough
cough
cough
cough
During [NAME]'s last episode of illness, did [NAME] have a cough?
Questions to be asked to households with children under 5 years.
1984
2841
1
Yes
5
No
8
Do not know
Sysmiss
difficult or fast breathing
difficult or fast breathing
difficult or fast breathing
difficult or fast breathing
difficult or fast breathing
During [NAME]'s last episode of illness, did [NAME] have difficulty or fast breathing?
Questions to be asked to households with children under 5 years.
1975
2850
1
Yes
5
No
8
Do not know
Sysmiss
diarrhea
diarrhea
diarrhea
diarrhea
diarrhea
During [NAME]'s last episode of illness, did [NAME] have diarrhea?
Questions to be asked to households with children under 5 years.
1988
2837
1
Yes
5
No
8
Do not know
Sysmiss
blood in the stools
blood in the stools
blood in the stools
blood in the stools
blood in the stools
During [NAME]'s last episode of illness, did [NAME] have blood in their stools?
Questions to be asked to households with children under 5 years.
1979
2846
1
Yes
5
No
8
Do not know
Sysmiss
persistent vomiting
persistent vomiting
persistent vomiting
persistent vomiting
persistent vomiting
During [NAME]'s last episode of illness, did [NAME] have persistant vomiting?
Questions to be asked to households with children under 5 years.
1982
2843
1
Yes
5
No
8
Do not know
Sysmiss
unable to eat / drink
unable to eat / drink
unable to eat / drink
unable to eat / drink
unable to eat / drink
During [NAME]'s last episode of illness, was [NAME] unable to eat/drink?
Questions to be asked to households with children under 5 years.
1977
2848
1
Yes
5
No
8
Do not know
Sysmiss
convulsions
convulsions
convulsions
convulsions
convulsions
During [NAME]'s last episode of illness, did [NAME] have convulsions?
Questions to be asked to households with children under 5 years.
1969
2856
1
Yes
5
No
8
Do not know
Sysmiss
other
other
other
other
other
During [NAME]'s last episode of illness, did [NAME] have other symptoms?
Questions to be asked to households with children under 5 years.
1942
2883
1
Yes
5
No
Sysmiss
Q6559 specify
Q6559 specify
Q6559 specify
Q6559 specify
Q6559 specify
During [NAME]'s last episode of illness, did [NAME] have other symptoms? Please specify.
Questions to be asked to households with children under 5 years.
76
1
2
3
4
5
BLESSURE
BLESSURE CORPORELLE
BOUTON SUR LE CORPS
CONSTIPATION AIGUE
DE NOMBREUSES PETITES PLAIES SUR TOUT
DERMATOSE
DES MAUX D'YEUX
DES MAUX DE VENTRE
DOULEURS CORPORELLES EXTERNES
ELLE RESTAIT IMMOBILE COMME INHANIME T
IL DEVIENT TRES FAIBLE ET PLEURE BEAUC
INCAPABLE DE SE TENIR DEBOUT
INSOMNIE
MAL A L'OREILLE
MAUX D'OREILLE
MENINGITE
NE DORT PAS ET SE TARD
PALUDISME
PLAIES PLUS NOMBREUX BOUTONS SUR TOUT
REFROIDISSEMENT DU CORP
RHUME
SELS + VOMISSEMENT JAUNATRE
SOUFFRE DE MALNUTRITION
TOUX + RHUME
drink more or less
drink more or less
drink more or less
drink more or less
drink more or less
During [NAME]'s last illness, was [NAME] given more than usual to drink, about the same amount, or less than usual to drink, including breastmilk?
Questions to be asked to households with children under 5 years.
1953
2872
1
More than usual to drink
2
About the same to drink
3
Less than usual to drink
4
Nothing to drink
8
DK
Sysmiss
eating pattern
eating pattern
eating pattern
eating pattern
eating pattern
During [NAME]'s last illness, was [NAME] given more than usual to eat, about the same amount, less than usual, or nothing to eat?
Questions to be asked to households with children under 5 years.
1967
2858
1
More than usual to eat
2
About the same to eat
3
Less than usual to eat
4
Stopped food
5
Never gave food (exclusively breastfed)
8
Do not know
Sysmiss
care or treatment for illness
care or treatment for illness
care or treatment for illness
care or treatment for illness
care or treatment for illness
During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness?
If YES: Where did the child receive care?
Was it government operated or private?
Questions to be asked to households with children under 5 years.
1985
2840
1
Yes
5
No
8
Do not know
Sysmiss
where received care first
where received care first
where received care first
where received care first
where received care first
During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness?
If YES: Where did the child receive care?
Was it government operated or private?
Questions to be asked to households with children under 5 years.
1733
3092
1
Hospital
2
Outpatient facility
3
Pharmacy
4
Private physician
5
Traditional healer
6
Other
Sysmiss
Q6563 specify
Q6563 specify
Q6563 specify
Q6563 specify
Q6563 specify
During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness?
If YES: Where did the child receive care?
Was it government operated or private?
Questions to be asked to households with children under 5 years.
241
1
2
6
8
A DOMICILE
A LA MAISON
A LA MAISON / AUTOMEDI
ACCOUCHEUSE VILLAGEOIS
AU DOMICILE
AUTOMEDICATION
CSPS
CSPS / SARGO
CSPS DE FORGUI
CSPS DE KAYA
DISPENSAIRE DE FORGUI
DISPENSAIRE DE PO
DOMICILE
INFIRMERIE DE FORGUI
INFIRMERIE DE SAMGO
INFIRMERIE DE SECTEUR
INFIRMERIE SAMGO
MAISON
MATERNITE
MEDICAMENT CHEZ LES VE
PHARMACIE AMBULANTE
REMEDE MAISON
SAMGO
SOINS EXTERNES
TISANE
was it private or government operated
was it private or government operated
was it private or government operated
was it private or government operated
was it private or government operated
During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness?
If YES: Where did the child receive care?
Was it government operated or private?
Questions to be asked to households with children under 5 years.
1407
3418
1
Government operated
2
Private
8
Do not know
Sysmiss
How soon first received care
How soon first received care
How soon first received care
How soon first received care
How soon first received care
How soon after the illness was noticed did [NAME] first receive care?
Questions to be asked to households with children under 5 years.
1616
3209
1
The same day (within 24 hours)
2
More than 24 hours later
8
Do not know
Sysmiss
Treatment for malaria
Treatment for malaria
Treatment for malaria
Treatment for malaria
Treatment for malaria
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
Questions only to be asked in malaria endemic areas.
1503
3322
1
Yes
5
No
8
Do not know
Sysmiss
Antimalarial medicine
Antimalarial medicine
Antimalarial medicine
Antimalarial medicine
Antimalarial medicine
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
Questions only to be asked in malaria endemic areas.
1008
3817
1
Yes
5
No
Sysmiss
Home remedy
Home remedy
Home remedy
Home remedy
Home remedy
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
Questions only to be asked in malaria endemic areas.
691
4134
1
Yes
5
No
Sysmiss
Remedy/Medicine from trad. healer
Remedy/Medicine from trad. healer
Remedy/Medicine from trad. healer
Remedy/Medicine from trad. healer
Remedy/Medicine from trad. healer
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
Questions only to be asked in malaria endemic areas.
681
4144
1
Yes
5
No
Sysmiss
Other
Other
Other
Other
Other
During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken?
Questions only to be asked in malaria endemic areas.
679
4146
1
Yes
5
No
Sysmiss
told by doctor for suffering malaria
told by doctor for suffering malaria
told by doctor for suffering malaria
told by doctor for suffering malaria
told by doctor for suffering malaria
In the last 12 months did [NAME] have an episode of malaria?
Questions only to be asked in malaria endemic areas.
1634
3191
1
Yes
5
No
8
Do not know
Sysmiss
Received treatment for malaria
Received treatment for malaria
Received treatment for malaria
Received treatment for malaria
Received treatment for malaria
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
Questions only to be asked in malaria endemic areas.
779
4046
1
Yes
5
No
8
Do not know
Sysmiss
what was taken
what was taken
what was taken
what was taken
what was taken
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
Questions only to be asked in malaria endemic areas.
748
4077
1
Yes
5
No
Sysmiss
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
Questions only to be asked in malaria endemic areas.
510
4315
1
Yes
5
No
Sysmiss
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
Questions only to be asked in malaria endemic areas.
505
4320
1
Yes
5
No
Sysmiss
During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria?
If yes, what was taken?
Questions only to be asked in malaria endemic areas.
500
4325
1
Yes
5
No
Sysmiss
Other persons present during sexual health
Other persons present during sexual health
Other persons present during sexual health
Other persons present during sexual health
Other persons present during sexual health
Check if other person(s) present during section on sexual health
Questions to be asked to respondents aged 18 to 49 only.
3868
957
1
Yes
5
No
Sysmiss
currently married or living with a man (woman)
currently married or living with a man (woman)
currently married or living with a man (woman)
currently married or living with a man (woman)
currently married or living with a man (woman)
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Are you currently married or living with a man (woman)?
3772
1053
1
Yes
5
No
Sysmiss
Do you currently have
Do you currently have
Do you currently have
Do you currently have
Do you currently have
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Do you currently have a regular sexual partner, an occasional sexual partner, or no sexual partner?
804
4021
1
Regular sexual partner
2
An occasional sexual partner
5
No sexual partner
Sysmiss
Does your spouse
Does your spouse
Does your spouse
Does your spouse
Does your spouse
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Does your spouse (sexual partner) currently live with you in the same house?
3341
1484
1
Yes
5
No
Sysmiss
Howlong you and your sexual partner living separately
Howlong you and your sexual partner living separately
Howlong you and your sexual partner living separately
Howlong you and your sexual partner living separately
Howlong you and your sexual partner living separately
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
How long have you and your spouse (sexual partner) been living separately?
587
4238
1
Within the last month
2
1-2 months
3
3-5 months
4
6-12 months
5
More than 1 year
6
Never lived together
Sysmiss
Ever had sex
Ever had sex
Ever had sex
Ever had sex
Ever had sex
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Have you ever had sex?
465
4360
1
Yes
5
No
Sysmiss
Last sex
Last sex
Last sex
Last sex
Last sex
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
When was the last time you had sexual intercourse?
3606
1219
1
Within the last month
2
1-2 months ago
3
3-5 months ago
4
6-12 months ago
5
More than 1 year ago
Sysmiss
Relationship with person
Relationship with person
Relationship with person
Relationship with person
Relationship with person
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
What was the relationship with the person with whom you last had sex?
3075
1750
1
Spouse/Cohabiting partner
2
Boyfriend/Girlfriend/Fiancé(e)
3
Other friend
4
Casual acquaintance
5
Relative
6
Commercial sex worker
7
Other
Sysmiss
used condom
used condom
used condom
used condom
used condom
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
The last time you had sexual intercourse, was a condom used?
3069
1756
1
Yes
5
No
8
Do not remeber
Sysmiss
had sex with another person
had sex with another person
had sex with another person
had sex with another person
had sex with another person
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
Have you had sex with another person in the last 12 months?
3050
1775
1
Yes
5
No
Sysmiss
used condom
used condom
used condom
used condom
used condom
I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
The last time you had sexual intercourse with this other person, was a condom used?
139
4686
1
Yes
5
No
8
Do not remeber
Sysmiss
HIV test
HIV test
HIV test
HIV test
HIV test
In the last 12 months, have you been tested to see if you have HIV, the virus that causes AIDS?
This question is asked to all men of reproductive age, and to women of reproductive age who have not given birth in the last two years.
2781
2044
1
Yes
5
No
Sysmiss
HIV test results received
HIV test results received
HIV test results received
HIV test results received
HIV test results received
Have you been told the results of your test?
91
4734
1
Yes
5
No
Sysmiss
last time eyes examined
last time eyes examined
last time eyes examined
last time eyes examined
last time eyes examined
When was the last time you had your eyes examined by a physician or other medical professional?
Questions to be asked only to respondents aged 60 or over.
435
4390
1
Within the last 12 months
2
1-2 years ago
3
3-4 years ago
4
5 years ago
5
More than 5 years ago
6
Never
8
Do not know
Sysmiss
had cataract told by a physician
had cataract told by a physician
had cataract told by a physician
had cataract told by a physician
had cataract told by a physician
In the last 5 years, were you diagnosed with a cataract in one or both of your eyes?
Questions to be asked only to respondents aged 60 or over.
53
4772
1
Yes
5
No
8
Do not remeber
Sysmiss
eye surgery to remove cataract
eye surgery to remove cataract
eye surgery to remove cataract
eye surgery to remove cataract
eye surgery to remove cataract
In the last 5 years, have you had eye surgery to remove your cataract (s)?
Questions to be asked only to respondents aged 60 or over.
28
4797
1
Yes
5
No
Sysmiss
blurry vision
blurry vision
blurry vision
blurry vision
blurry vision
In the last 12 months, have you experienced any of the following… Cloudy or blurry vision?
Questions to be asked only to respondents aged 60 or over.
447
4378
1
Yes
5
No
8
Do not know
Sysmiss
Glare from bright lights
Glare from bright lights
Glare from bright lights
Glare from bright lights
Glare from bright lights
In the last 12 months, have you experienced any of the following… Vision problems with light, such as glare from bright lights, or halos around lights?
Questions to be asked only to respondents aged 60 or over.
451
4374
1
Yes
5
No
8
Do not know
Sysmiss
Problem with mouth/teeth
Problem with mouth/teeth
Problem with mouth/teeth
Problem with mouth/teeth
Problem with mouth/teeth
Now I would like to ask you some questions about the condition of your mouth and teeth.
During the last 12 months, did you have any problems with your mouth and/or teeth?
4795
30
1
Yes
5
No
Sysmiss
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
medical care or treatment for mouth or teeth
Now I would like to ask you some questions about the condition of your mouth and teeth.
During the last 12 months, did you receive medical care or treatment from a dentist or other oral health specialist for this problem with your mouth and/or teeth?
1145
3680
1
Yes
5
No
Sysmiss
medication
medication
medication
medication
medication
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any medication.
276
4549
1
Yes
5
No
Sysmiss
Dental work
Dental work
Dental work
Dental work
Dental work
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any dental work or oral surgery.
273
4552
1
Yes
5
No
Sysmiss
Dentures or bridges
Dentures or bridges
Dentures or bridges
Dentures or bridges
Dentures or bridges
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any dentures or bridges.
273
4552
1
Yes
5
No
Sysmiss
Counseling
Counseling
Counseling
Counseling
Counseling
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any information or conseling on dental care/oral hygiene.
273
4552
1
Yes
5
No
Sysmiss
other
other
other
other
other
What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any others not already mentioned.
274
4551
1
Yes
5
No
Sysmiss
Q6756 specify
Q6756 specify
Q6756 specify
Q6756 specify
Q6756 specify
What type of care or treatment did you receive for this problem with your mouth and/or teeth?
21
1
5
BAIN DE BOUCHE
BROSSE A DENT
CURDENT
KARDIGA / LAINGA
MEDICAMENT TRADITIONNEL
PLANTES TRADITIONNELLES
TRADITIONNEL
YOUDGA /KOUNKUIGA
lost all of natural teeth
lost all of natural teeth
lost all of natural teeth
lost all of natural teeth
lost all of natural teeth
Have you lost all of your natural teeth?
4790
35
1
Yes
5
No
Sysmiss
involved in road traffic accident
involved in road traffic accident
involved in road traffic accident
involved in road traffic accident
involved in road traffic accident
In the past 12 months, have you been involved in a road traffic accident where you suffered from bodily injury?
4783
42
1
Yes
5
No
Sysmiss
When did the accident happen?
When did the accident happen?
When did the accident happen?
When did the accident happen?
When did the accident happen?
When (in the last 12 months) did the accident happen?
115
4710
1
Within the last 30 days
2
1-2 months ago
3
3-5 months ago
4
6-12 months ago
8
Do not know
Sysmiss
received any medical care
received any medical care
received any medical care
received any medical care
received any medical care
Did you receive medical care or treatment for your injuries?
114
4711
1
Yes
5
No
Sysmiss
where received care first
where received care first
where received care first
where received care first
where received care first
Where did you first receive care?
73
4752
1
On-site, ambulance
2
Hospital
3
Outpatient facility
4
Private physician
5
Traditional healer
6
Other
Sysmiss
Was it government operated or private
Was it government operated or private
Was it government operated or private
Was it government operated or private
Was it government operated or private
Was it government operated or private (if from ambulance, hospital or outpatient facility)?
65
4760
1
Government operated
2
Private( including for- profit and not- for- profit)
8
Do not know
Sysmiss
how soon received care
how soon received care
how soon received care
how soon received care
how soon received care
How soon after the traffic accident occurred did you first receive care?
72
4753
1
In 1 hour or less
2
In over 1 hour, but within 24 hours
3
More than 24 hours later
Sysmiss
suffered bodily due to fall, burn, poisoning, .
suffered bodily due to fall, burn, poisoning, .
suffered bodily due to fall, burn, poisoning, .
suffered bodily due to fall, burn, poisoning, .
suffered bodily due to fall, burn, poisoning, .
In the past 12 months, have you suffered bodily injury that limited your everyday activities in any way? This could have been due to a fall, burn, poisoning, submersion in water, or by a firearm or sharp weapon, or an act of violence from another person?
4792
33
1
Yes
5
No
Sysmiss
When bodily injury
When bodily injury
When bodily injury
When bodily injury
When bodily injury
When (in the last 12 months) did the incident happen?
189
4636
1
Within the last 30 days
2
1-2 months ago
3
3-5 months ago
4
6-12 months ago
8
Do not know
Sysmiss
received any medical care for injuries
received any medical care for injuries
received any medical care for injuries
received any medical care for injuries
received any medical care for injuries
Did you receive any medical care or treatment for your injuries?
194
4631
1
Yes
5
No
Sysmiss
source of care
source of care
source of care
source of care
source of care
Where did you first receive care?
123
4702
1
On-site, ambulance
2
Hospital
3
Outpatient facility
4
Private physician
5
Traditional healer
6
Other
Sysmiss
Government operated or private
Government operated or private
Government operated or private
Government operated or private
Government operated or private
Was it government operated or private (if from ambulance, hospital or outpatient facility)?
106
4719
1
Government operated
2
Private( including for profit and not for profit)
8
Do not know
Sysmiss
how soon received care
how soon received care
how soon received care
how soon received care
how soon received care
How soon after this injury did you first receive care?
121
4704
1
In 1 hour or less
2
In over 1 hour, but within 24 hours
3
More than 24 hours later
Sysmiss
Time end section 6000
Time end section 6000
Time end section 6000
Time end section 6000
Time end section 6000
3391
02:08
06:30
06:42
06:49
06:57
07:01
07:04
07:08
07:12
07:20
07:23
07:24
07:25
07:28
07:29
07:30
07:32
07:34
07:35
07:37
07:38
07:39
07:40
07:41
07:43
07:44
07:45
07:47
07:48
07:49
07:50
07:51
07:52
07:53
07:54
07:55
07:56
07:57
07:58
07:59
08:00
08:01
08:02
08:03
08:04
08:05
08:06
08:07
08:08
08:09
08:10
08:11
08:12
08:13
08:14
08:15
08:16
08:17
08:18
08:19
08:20
08:21
08:22
08:23
08:24
08:25
08:26
08:27
08:28
08:29
08:30
08:31
08:32
08:33
08:34
08:35
08:36
08:37
08:38
08:39
08:40
08:41
08:42
08:43
08:44
08:45
08:46
08:47
08:48
08:49
08:50
08:51
08:52
08:53
08:54
08:55
08:56
08:57
08:58
08:59
09:00
09:01
09:02
09:03
09:04
09:05
09:06
09:07
09:08
09:09
09:10
09:11
09:12
09:13
09:14
09:15
09:16
09:18
09:19
09:20
09:21
09:22
09:23
09:24
09:25
09:26
09:27
09:28
09:29
09:30
09:31
09:32
09:33
09:34
09:35
09:36
09:37
09:38
09:39
09:40
09:41
09:42
09:43
09:44
09:45
09:46
09:47
09:48
09:49
09:50
09:51
09:52
09:53
09:54
09:55
09:56
09:57
09:58
09:59
10:00
10:01
10:02
10:03
10:04
10:05
10:06
10:07
10:08
10:09
10:10
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Time begin section 7000
Time begin section 7000
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23:36
last time needed health care
last time needed health care
last time needed health care
last time needed health care
last time needed health care
When was the last time that either you as an adult, or a child of yours aged 12 years or less, needed health care?
- in the last 30 days
- between 1 month and less than 1 year ago
- between 1 year and less than 2 years ago
- between 2 years and less than 3 years ago
- between 3 years and less than 5 years ago
- more than 5 years ago
- Never needed – Skip to 7020
4808
17
1
In the last 30 days
2
Between 1 month and less than 1 year ago
3
Between 1 year and less than 2 years ago
4
Between 2 years and less than 3 years ago
5
Between 3 years and less than 5 years ago
6
More than 5 years ago
7
Never needed
Sysmiss
Need for health Care
Need for health Care
Need for health Care
Need for health Care
Need for health Care
Was the last need for health care for you or for your child?
- Yourself
- Your child
3793
1032
1
Yourself
2
Your child
Sysmiss
Availability of health care providers
Availability of health care providers
Availability of health care providers
Availability of health care providers
Availability of health care providers
Thinking of the last time you [your child] needed to see a health care provider who could treat your condition, how many were there around who you could chose from?
3608
1217
50
1.572
1.402
1
2
3
4
5
6
7
8
10
12
15
50
Sysmiss
Why was health care needed?
Why was health care needed?
Why was health care needed?
Why was health care needed?
Why was health care needed?
Which reason best describes why you [your child] last needed health care?
- High fever, severe diarrhoea, or cough
- Immunization
- Antenatal consultation
- Family planning
- Childbirth
- Dental care
- Arthritis
- Asthma
- Heart disease
- Bodily injury
- Minor surgery
- Other
3790
1035
1
High fever, severe diarrhea, or cough
2
Immunization
3
Antenatal consultation
4
Family planning
5
Childbirth
6
Dental care
7
Arthritis
8
Asthma
9
Heart disease
10
Bodily injury
11
Minor surgery
12
Other
Sysmiss
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you needed health care, did you get health care?
The last time you [your child] needed health care, did you get health care?
- Yes - SKIP TO Q7016
- No
3767
1058
1
Yes
5
No
Sysmiss
Could not afford it
Could not afford it
Could not afford it
Could not afford it
Could not afford it
Which reasons best explain why you [your child] did not get
health care? Could not afford the cost of the visit.
268
4557
1
Yes
5
No
Sysmiss
No transport
No transport
No transport
No transport
No transport
Which reasons best explain why you [your child] did not get
health care? No transport.
266
4559
1
Yes
5
No
Sysmiss
Could not afford cost of transport
Could not afford cost of transport
Could not afford cost of transport
Could not afford cost of transport
Could not afford cost of transport
Which reasons best explain why you [your child] did not get
health care? Could not afford the cost of transport.
266
4559
1
Yes
5
No
Sysmiss
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Inadequate Drugs or Equipment
Which reasons best explain why you [your child] did not get
health care? The health care provider's drugs or equipment are inadequate.
266
4559
1
Yes
5
No
Sysmiss
Inadequate skills
Inadequate skills
Inadequate skills
Inadequate skills
Inadequate skills
Which reasons best explain why you [your child] did not get
health care? The health care provider's skills are inadequate.
265
4560
1
Yes
5
No
Sysmiss
Previous bad treatment
Previous bad treatment
Previous bad treatment
Previous bad treatment
Previous bad treatment
Which reasons best explain why you [your child] did not get
health care?You were previously badly treated.
265
4560
1
Yes
5
No
Sysmiss
Had other commitments
Had other commitments
Had other commitments
Had other commitments
Had other commitments
Which reasons best explain why you [your child] did not get
health care? Could not take time off work or had other commitments.
266
4559
1
Yes
5
No
Sysmiss
Did not know where to go
Did not know where to go
Did not know where to go
Did not know where to go
Did not know where to go
Which reasons best explain why you [your child] did not get
health care? You did not know where to go.
265
4560
1
Yes
5
No
Sysmiss
Thought you were not sick enough
Thought you were not sick enough
Thought you were not sick enough
Thought you were not sick enough
Thought you were not sick enough
Which reasons best explain why you [your child] did not get
health care? You thought you were not sick enough.
265
4560
1
Yes
5
No
Sysmiss
You were denied health care
You were denied health care
You were denied health care
You were denied health care
You were denied health care
Which reasons best explain why you [your child] did not get
health care? You tried but were denied health care.
265
4560
1
Yes
5
No
Sysmiss
Other
Other
Other
Other
Other
Which reasons best explain why you [your child] did not get
health care? Other.
264
4561
1
Yes
5
No
Sysmiss
Where did you get care?
Where did you get care?
Where did you get care?
Where did you get care?
Where did you get care?
When you last needed health care, where did you get care?
- At a health care provider, excluding an overnight stay in hospital
- At a hospital where you stayed overnight
- At home
3514
1311
1
At a health care provider,
2
At a hospital where you stayed overnight
3
At home
Sysmiss
Prescription of medicine
Prescription of medicine
Prescription of medicine
Prescription of medicine
Prescription of medicine
The last time you [your child] sought care for [refer to the CONDITIONS listed in Q7003] did the health care provider prescribe any medicine for you [your child]?
1. Yes
5. No
8. DK - If No or DK: Go to Q7020
2773
2052
1
Yes
5
No
Sysmiss
Able to get medicine
Able to get medicine
Able to get medicine
Able to get medicine
Able to get medicine
Of the medicines that were prescribed for you [your child], how many of them were you able to get?
1. All of them – Skip to Q7020
2. Most
3. Some
4. Very few
5. None of them
2477
2348
1
All of them
2
Most
3
Some
4
Very few
5
None of them
Sysmiss
Why did not get medicine
Why did not get medicine
Why did not get medicine
Why did not get medicine
Why did not get medicine
Which reason best explains why you [your child] did not get all the medicines you were prescribed?
1. Could not afford
2. Could not find all medicines
3. Did not believe all the medications were needed
4. Started to feel better
5. Already had some of the medicines at home
6. Other
199
4626
1
Could not afford
2
Could not find all medicines
3
Did not believe all the medications were needed
4
Started to feel better
5
Already had some of the medicines at home
6
Other
Sysmiss
Health care in you country
Health care in you country
Health care in you country
Health care in you country
Health care in you country
How would you rate the way health care in your country involves you in deciding what services it provides and where it provides them?
4804
21
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
Satisfaction rate for countrys health care
In general, would you say you are very satisfied, fairly satisfied, neither satisfied nor dissatisfied, fairly dissatisfied or very dissatisfied with the way health care runs in your country.
4795
30
1
Very satisfied
2
Fairly satisfied
3
Neither satisfied or dissatisfied
4
Fairly dissatisfied
5
Very dissatisfied
Sysmiss
Providing help
Providing help
Providing help
Providing help
Providing help
During the past year, did you provide help to a relative or friend (adult or child), because this person has a long-term physical or mental illness or disability or is getting old and weak?
- Yes, for a person living in the same household
- Yes, for a person living in a separate household
- No
4798
27
1
Yes, for a person living in the same household
2
Yes, for a person living in a separate household
5
No
Sysmiss
Personal care
Personal care
Personal care
Personal care
Personal care
Please tell me the kind of care you provided to this person(s)?
You helped with personal care, such as going to the toilet, washing, getting dressed, or eating.
853
3972
1
Yes
5
No
Sysmiss
Medical care
Medical care
Medical care
Medical care
Medical care
Please tell me the kind of care you provided to this person(s)?
You helped with medical care, like changing bandages and giving medicines.
849
3976
1
Yes
5
No
Sysmiss
Household activities
Household activities
Household activities
Household activities
Household activities
Please tell me the kind of care you provided to this person(s)?
You helped with household activities such as meal preparation, shopping, cleaning, laundry.
854
3971
1
Yes
5
No
Sysmiss
Watched over them
Watched over them
Watched over them
Watched over them
Watched over them
Please tell me the kind of care you provided to this person(s)?
You watched over them since their behaviour can be upsetting or dangerous to themselves or others.
851
3974
1
Yes
5
No
Sysmiss
Helped them to get around outside the home
Helped them to get around outside the home
Helped them to get around outside the home
Helped them to get around outside the home
Helped them to get around outside the home
Please tell me the kind of care you provided to this person(s)?
You helped them to get around outside the home.
830
3995
1
Yes
5
No
Sysmiss
Payment exemptions
Payment exemptions
Payment exemptions
Payment exemptions
Payment exemptions
In your dealings with private health care organizations or the government, have you ever had any difficulties: Obtaining payment exemptions or the right to special rates for health care?
1704
3121
1
Yes
5
No
9
Not applicable
Sysmiss
Health insurance
Health insurance
Health insurance
Health insurance
Health insurance
In your dealings with private health care organizations or the government, have you ever had any difficulties: Completing or filling out applications for health insurance?
578
4247
1
Yes
5
No
9
Not applicable
Sysmiss
Benefits from health insurance
Benefits from health insurance
Benefits from health insurance
Benefits from health insurance
Benefits from health insurance
In your dealings with private health care organizations or the government, have you ever had any difficulties: Finding out what benefits you are entitled to from your health insurance?
556
4269
1
Yes
5
No
9
Not applicable
Sysmiss
Reimbursement from health insurance
Reimbursement from health insurance
Reimbursement from health insurance
Reimbursement from health insurance
Reimbursement from health insurance
In your dealings with private health care organizations or the government, have you ever had any difficulties: Getting reimbursements from health insurance organizations?
559
4266
1
Yes
5
No
9
Not applicable
Sysmiss
Respectful treatment
Respectful treatment
Respectful treatment
Respectful treatment
Respectful treatment
How important is "respectful treatment" to you? This means, being shown respect when greeted by and when talking to health care providers having physical examinations conducted in a way that respects your cultural norms. Would you say it is:
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4759
66
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Confidentiality of Personal Information
Confidentiality of Personal Information
Confidentiality of Personal Information
Confidentiality of Personal Information
Confidentiality of Personal Information
How important is "confidentiality of personal information" to you? This means, having information about your health and other personal information kept confidential having conversations with health care providers without other people overhearing.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4817
8
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Convenient Travel and Waiting Times
Convenient Travel and Waiting Times
Convenient Travel and Waiting Times
Convenient Travel and Waiting Times
Convenient Travel and Waiting Times
How important is "choice of health care providers" to you?
This means, being able to choose your health care provider (place or person) being able to consult for a second opinion or with a specialist if so desired.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4814
11
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Choice of care provider
Choice of care provider
Choice of care provider
Choice of care provider
Choice of care provider
How important is "convenient travel and short waiting times" to you? This means, having short travel times and convenient access to health care facilities having short waiting times for consultations and hospital admissions.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4814
11
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Involvement in decisions
Involvement in decisions
Involvement in decisions
Involvement in decisions
Involvement in decisions
How important is "involvement in decision making" to you?
This means, being involved as much as you want in deciding about your health care freedom to discuss other treatment options or care regimes if you want.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4814
11
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
good quality surroundings
good quality surroundings
good quality surroundings
good quality surroundings
good quality surroundings
How important are "good quality surroundings" to you?
This means , having enough space, seating and fresh air in the waiting rooms, examination rooms and hospital wards having a clean facility (including clean toilets).
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4816
9
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
contact with outside world
contact with outside world
contact with outside world
contact with outside world
contact with outside world
How important is "contact with outside world " to you?
This means, having family and friends visit you as much as you want when you are a patient in hospital being able to keep in contact with family, friends and to have information about what is happening outside the hospital.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4816
9
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Clarity of Communication
Clarity of Communication
Clarity of Communication
Clarity of Communication
Clarity of Communication
How important is "clarity of communication" to you?
This means, having the health care providers explain things in a way you can understand having enough time to ask questions if you don't understand something.
- Extremely important
- Very important
- Moderately important
- A little important
- Not important
4817
8
1
Extremely Important
2
Very Important
3
Moderately Important
4
Slightly Important
5
Not Important
Sysmiss
Overnight stay in hospital
Overnight stay in hospital
Overnight stay in hospital
Overnight stay in hospital
Overnight stay in hospital
Over the last 5 years, was there ever a time you stayed overnight in a hospital or other type of long term care facility for your own health care?
4797
28
1
Yes - a hospital
2
Yes - long term care facility
5
No
Sysmiss
Child stayed overnight at hospital
Child stayed overnight at hospital
Child stayed overnight at hospital
Child stayed overnight at hospital
Child stayed overnight at hospital
Over the last 5 years, was there ever a time that one of your children aged 12 years or less stayed overnight in a hospital (for his/her own health care)?
4131
694
1
Yes
5
No
Sysmiss
Sex of the child
Sex of the child
Sex of the child
Sex of the child
Sex of the child
What is the sex of the child?
206
4619
1
Female
2
Male
Sysmiss
date of birth of the child
date of birth of the child
date of birth of the child
date of birth of the child
date of birth of the child
What is the date of birth of the child?
197
01/1990
01/1991
01/1992
01/1993
01/1994
01/1995
01/1996
01/1997
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
02/1990
02/1992
02/1996
02/1997
02/2001
02/2002
03/1991
03/1996
03/1997
03/1998
03/1999
03/2000
03/2001
04/1995
04/1996
04/1998
04/1999
04/2000
04/2002
05/1996
05/1997
05/1999
05/2000
05/2002
06/1995
06/1997
06/1998
06/2001
06/2002
07/1992
07/1993
07/1994
07/1996
07/1999
07/2000
07/2001
08/1994
08/1995
08/1997
08/1999
08/2000
09/1991
09/1996
09/2000
09/2001
09/2002
10/1993
10/1995
10/1996
10/1997
10/1998
10/1999
10/2000
10/2001
10/2002
11/1990
11/1991
11/1996
11/1997
11/1999
11/2000
11/2001
12/1990
12/1991
12/1996
12/1998
12/2000
12/2001
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Did you receive health care (outpatient)
Over the last 12 months, did you receive any health care other than an overnight stay in a hospital?
3946
879
1
Yes
5
No
Sysmiss
Child receive health care (outpatient)
Child receive health care (outpatient)
Child receive health care (outpatient)
Child receive health care (outpatient)
Child receive health care (outpatient)
Over the last 12 months was there ever a time you accompanied one of your children aged 12 years or less for health care (other than an overnight stay in a hospital)?
3244
1581
1
Yes
5
No
Sysmiss
Sex of Child
Sex of Child
Sex of Child
Sex of Child
Sex of Child
What is the sex of the child?
428
4397
1
Female
2
Male
Sysmiss
Date of birth of child
Date of birth of child
Date of birth of child
Date of birth of child
Date of birth of child
What is the date of birth of the child?
430
01/1990
01/1991
01/1992
01/1993
01/1994
01/1995
01/1996
01/1997
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
02/1991
02/1995
02/1997
02/2000
02/2001
02/2002
02/2003
03/1991
03/1993
03/1994
03/1995
03/2000
03/2001
03/2002
04/1996
04/1998
04/1999
04/2000
04/2001
04/2002
05/1992
05/1996
05/1998
05/1999
05/2000
05/2001
05/2002
06/1993
06/1994
06/1997
06/1998
06/1999
06/2000
06/2001
06/2002
07/1999
07/2000
07/2001
07/2002
08/1994
08/1996
08/1997
08/2000
08/2001
08/2002
09/1997
09/1999
09/2000
09/2001
09/2002
10/1991
10/1995
10/1996
10/1998
10/1999
10/2000
10/2001
10/2002
11/1994
11/1996
11/1998
11/1999
11/2000
11/2001
11/2002
12/1991
12/1992
12/1996
12/1997
12/1998
12/1999
12/2000
12/2001
12/2002
Name of last health care provider visited
Name of last health care provider visited
Name of last health care provider visited
Name of last health care provider visited
Name of last health care provider visited
What was the name of the last health care provider you used in the last 12 months?
1285
01
1
3
8
88
A DOMICILE
A LA CROIX ROUGE
A OUAGA DANS UNE CLINIQUE
ABBF
ABBF WAYALGHIN
AMPO
ANCIEN HOPITAL DE KOUDOUGOU
BASE AERIENNE
BEM
BLOC
BLOC (CHR BANFORA)
BLOC DU CHR DE BANFORA
C M A PAUL VI
C M DE NANORO / SAINT CAMILLE
C.H. SOURO SANOU
CABINE DE SOIN BOUGOUMA BLAISE
CABINET DE SOIN SECTEUR N O 2 NOUNA
CABINET DE SOINS LES GRACES
CABINET DE SOINS MEDICAUX DU CENTRE VILLE EL HADJ SA
CABINET DE SOINS MEDICAUX LAAFI NOOMA
CAISSE NATIONALE DE SECURITE
CAMP DE L'UNITE (INFIRMERIE)OUAGA
CAMP MILITAIRE
CAMP MILITAIRE DE GOUNGHIN
CENTRE ABBEF WEMTENGA
CENTRE DE LA MISSON
CENTRE DE LUTTE CONTRE LA CECITE
CENTRE DE SANTE CONFESSIONNEL
CENTRE DE SANTE DE SAMANDIN
CENTRE DE SANTE ET DE PROMOTION SOCIALE DE ZONGO
CENTRE DE SOIN BURKINA SECOURS
CENTRE DE SOINS DE SANWANA
CENTRE DE SOINS V3
CENTRE DE SOINS V4
CENTRE DES CHINOIS A GOUGHIN
CENTRE HOPITALIER REGIONAL DE OUAHIGOUYA
CENTRE HOSPITALIER DE LA SOFITEXE / KOUDOUGOU
CENTRE HOSPITALIER NATIONAL SOUROU SANOU
CENTRE HOSPITALIER REGIONAL DE BANFORA
CENTRE HOSPITALIER SOUROU SANOU
CENTRE HOSPITALIER TIGRE
CENTRE HOSPITALIER YALGADO OUEDRAOGO
CENTRE ISLAMIQUE
CENTRE MEDICAL AU SECT.30
CENTRE MEDICAL DE BOKIN
CENTRE MEDICAL DE GOURCY
CENTRE MEDICAL DE N'DOROLA
CENTRE MEDICAL DE NANORO
CENTRE MEDICAL KOSSODO
CENTRE MEDICAL PRIVE DES FOURNISSEURS DE SAINT VINCE
CENTRE MEDICAL PROTESTANT SCHIPHRA
CENTRE MEDICAL SAINT CAMILE
CENTRE MEDICAL SECT 30
CENTRE MEDICAL SECT.30
CENTRE MEDICAL SECT.30 OUAGA
CENTRE MEDICAL SECTEUR 30
CENTRE MEDICAL URBAIN (hopital)
CENTRE MEDICAL URBAIN DE DEDOUGOU
CENTRE MEDICALE DU SECT. 30
CENTRE MURAZ
CENTRE NATIONAL DE LUTTE CONTRE LA CECITE
CENTRE URBAIN DE LYCEE MUNICIPAL.
CENTRES MEDICAUX SCOLAIRES BOBO DIOULASSO
CH DE L'AMITIE / KOUDOUGOU
CH YALGADOGO OUEDRAOGO
CH. PROTESTANT DE TANGHIN
CHA KOUPELA
CHC
CHEZ LES SOEURS
CHN DE ZINIARE
CHN Y.O.
CHNSS DE BOBO DIOULASSO
CHNYO
CHNYO/OUAGA
CHR
CHR / DEDOUGOU
CHR BANFORA
CHR DE BANFORA
CHR DE KOUDOUGOU
CHR DE NOUNA
CHR DE OHG
CHR DE OUAHIGOUYA
CHR DE OUAYAGOUYA
CHR DE POUYTENGA
CHR DEDOUGOU
CHR KOUPELA
CHR OHG
CHR POUYTENGA
CHRSS DE BOBO-DSSO
CHYO
CLIMIQUE
CLIMIQUE ARABE DE GOUGHIN
CLIMIQUE DE BABRE MADI DE PISSY
CLINIQUE
CLINIQUE ABBEF
CLINIQUE AMADIA
CLINIQUE AMALDIA
CLINIQUE ARABIQUE
CLINIQUE ASMADYA
CLINIQUE AU SECT.16
CLINIQUE BERNARD
CLINIQUE BOBO
CLINIQUE BOINZIN WENDE
CLINIQUE BUCCO DENTAIRE
CLINIQUE CAMARALA
CLINIQUE CHARLES DE GAULES
CLINIQUE CLAVANE DE KOUDOUGOU
CLINIQUE COULYBALI
CLINIQUE DE BINDOUGOUSSO
CLINIQUE DE DASSASGHO
CLINIQUE DE ISSO
CLINIQUE DE L'INFIRMERIE KARIM GOURO A YEGUERE
CLINIQUE DE LA PAIX
CLINIQUE DE NIONKO
CLINIQUE DENTAIRE DJIBO
CLINIQUE DENTAIRE DU CAMP MILITAIRE DE GOUNGHIN
CLINIQUE DIGUISSEME / OUATTARA ABOUBACAR DE BOBO DIO
CLINIQUE DU DR ZEBA BOUKARY
CLINIQUE ENTENTE
CLINIQUE INA OUEDRAOGO
CLINIQUE ISLAMIQUE
CLINIQUE ISSA SECTEUR 29
CLINIQUE JEAN MARIE A PETIT PARIS
CLINIQUE KOSSODO SECTEUR 28 OUAGADOUGOU
CLINIQUE LAAFI
CLINIQUE LAAFI LA BUMBU
CLINIQUE LAAFI LA BUMBU / SECTEUR 22
CLINIQUE LAAFI-NOMA
CLINIQUE LAURENCIA
CLINIQUE MADAME CAMARALA
CLINIQUE NAFI
CLINIQUE NAFI CITE AN III
CLINIQUE OUEDRAOGO ISSA
CLINIQUE PRIVE
CLINIQUE PRIVEE
CLINIQUE PRIVEE DR TENEZE BRAMA A OUZZIN VILLE BOBO
CLINIQUE SAINT MAGLOIRE DE OUAGADOUGOU
CLINIQUE SANOU
CLINIQUE SECT 16
CLINIQUE SIMIGNA
CLINIQUE SITUEE COTE SUD DE L'ECOLE DES TELECOMMUNIC
CLINIQUE SOMDA N. M. MARCEL A KOUDOUGOU
CLINIQUE ST MARCS
CLINIQUE TAMBI
CM / KOURINION
CM BOGANDE
CM CHARLES DE GAULE
CM DE BOKIN
CM DE FLANTAMA
CM DE GOURCY
CM DE KOURITENGA
CM DE N'DOROLA
CM DE ORODARA
CM DE PISSY
CM DE SAMANDE
CM DE SAMANDIN
CM DE YAKO
CM DU CAMP DE L'UNITE
CM DU SECTEUR 30
CM PAUL VI
CM PISSY
CM POUYTENGA
CM PROTESTANT SECTEUR 24
CM SAINT CAMILLE
CM URBAIN DE KOUDOUGOU
CM. PROTESTANT SC HIPHRA DE TANGHIN
CMA
CMA / DIAPAGA
CMA / NOUNA
CMA / PO
CMA DE BOGANDE
CMA DE BOROMO
CMA DE ORODARA
CMA DE PISSY
CMA DE TOUGAN
CMA DETOUGAN
CMA DJIBO
CMA FADA
CMA KOSSODO
CMA ORODARA
CMA PAUL VI
CMA PISSY
CMA PO
CMA SAINT CAMILLE
CMA TOUGAN
CMA/DJIBO
CMH PAUL IV
CNA PIELA
CNA PO
CROIX ROUGE
CROIX ROUGE CSPS DE DASSASSOGO
CROIX ROUGE DIPO
CROIX ROUGE DJIBO
CS SOURE DE VIE
CSP BOULGOU
CSPC DE SANDOGO
CSPPS DE KOSSODO
CSPS
CSPS DE KIEBA
CSPS GUIRINGO
CSPS SOUGOU
CSPS (DISPENSAIRE)
CSPS (DOUROULA)
CSPS (dispendaire)
CSPS (dispensaire)
CSPS / BEDELE
CSPS / BELEDE
CSPS / DATOMO
CSPS / FORGUI
CSPS / GUERE
CSPS / LIPTOUGOU
CSPS / SECT. 05
CSPS / SECTEUR 21
CSPS / SECTEUR 5 KOUDOUGOU
CSPS / TANGHIN
CSPS /KERA
CSPS BAMA
CSPS BARABOULE
CSPS BARE
CSPS BARKOUITINGA
CSPS BILANGA
CSPS BOMBOROKUY
CSPS BONDJIGUI
CSPS BONKO
CSPS BOROMO
CSPS BOULGOU
CSPS D'ACCART REILLE
CSPS D'ACCART VILLE
CSPS D'ACCART-VILLE
CSPS D'ACCOIT VILLE
CSPS DE 27
CSPS DE ARBOLE
CSPS DE BADNOGO
CSPS DE BAMA
CSPS DE BANWA
CSPS DE BEUME
CSPS DE BEUN
CSPS DE BEUNE
CSPS DE BILAMPERGA
CSPS DE BILANGA
CSPS DE BIOABATOU
CSPS DE BITIAKO
CSPS DE BOKIN
CSPS DE BOMBOROKUY
CSPS DE BONDIGUI
CSPS DE BONDORE
CSPS DE BONKO
CSPS DE BOROMO
CSPS DE BOUAFLE
CSPS DE BOULGOU
CSPS DE BOURGOU
CSPS DE DAKAI
CSPS DE DANA
CSPS DE DANO
CSPS DE DANOULA
CSPS DE DARA
CSPS DE DASSASGO
CSPS DE DIABATOU
CSPS DE DIOBATOU
CSPS DE DOGONA
CSPS DE DONE
CSPS DE DORIMBALA
CSPS DE DOUGOUMATO2
CSPS DE DOURE
CSPS DE FADA CENTRE DE SANTE ET PROMOTION SOCIALE
CSPS DE FANFOLGA
CSPS DE FO
CSPS DE FOUBE
CSPS DE GALGOULI
CSPS DE GALIGOULI
CSPS DE GAMGOULI
CSPS DE GANGHIN
CSPS DE GODIN
CSPS DE GODIN WALAGTENGA
CSPS DE GODIN WALGTENGA
CSPS DE GODIN WELTENGA
CSPS DE GODIN WOLOTINGA
CSPS DE GONASSO MALI
CSPS DE GORGADJI
CSPS DE GORGUERLA
CSPS DE GORUERLA
CSPS DE GOUANGHIN
CSPS DE GUERE
CSPS DE IMIOUGOU
CSPS DE KABOUGOU
CSPS DE KARIRA
CSPS DE KARO
CSPS DE KAYA
CSPS DE KAYAN
CSPS DE KAYAO
CSPS DE KELE
CSPS DE KELLE
CSPS DE KERA
CSPS DE KIARA
CSPS DE KIMINI
CSPS DE KOGDJENA
CSPS DE KOMBIA
CSPS DE KORO
CSPS DE KORONA BANFORA
CSPS DE KOSSODO
CSPS DE KOUMBIA
CSPS DE KOURI
CSPS DE KOUSI
CSPS DE KUYOU
CSPS DE LA VALLEE DU KOU
CSPS DE LAHIRASSO
CSPS DE LAINA
CSPS DE LENA
CSPS DE MANGA
CSPS DE MOGUEYA
CSPS DE MOHIN
CSPS DE MOKIN
CSPS DE MOKO
CSPS DE MOUNI
CSPS DE N'GORGUERLA
CSPS DE NANIRHO
CSPS DE NANORO
CSPS DE NATIABOANI
CSPS DE NAZOANGA
CSPS DE NAZOINGA
CSPS DE NEBIELIANYOU
CSPS DE NIANKORODOUGOU
CSPS DE OIABATOU
CSPS DE ORONKUA
CSPS DE PALOGO
CSPS DE PELLA
CSPS DE PERIGBA
CSPS DE PERIGBAN
CSPS DE PISSY
CSPS DE POUYTENGA
CSPS DE RAKE
CSPS DE SAAMO
CSPS DE SABCE
CSPS DE SAMANDIN
CSPS DE SAMANDIN OUAGA
CSPS DE SAMO
CSPS DE SAPOUY
CSPS DE SECTEUR 6
CSPS DE SECTEUR 8
CSPS DE SIGUINONGUIN
CSPS DE SONDOGO
CSPS DE SOUGOU
CSPS DE TAMPUY
CSPS DE TAMSILA
CSPS DE TANGHIN
CSPS DE TANGUIN CENTRE DE SANTE ET DE PROMOTION SOCI
CSPS DE TANSILA
CSPS DE TAPARKO
CSPS DE TARAKAN
CSPS DE THIOU
CSPS DE THYOU
CSPS DE TOENI
CSPS DE TONGO
CSPS DE TONKAR
CSPS DE TOUGO
CSPS DE TOUGO CENTRE DE SANTE ET DE PROMOTION SOCIAL
CSPS DE TOUGO CENTRE DE SANTE ET PROMOTIN SOCIALE
CSPS DE TOUNOUMA
CSPS DE TÔ
CSPS DE VALLEE DU KOU
CSPS DE YAKO
CSPS DE YALGA
CSPS DE YALGO
CSPS DE YEPELLESSE
CSPS DE ZAGTOULI
CSPS DE ZONGO
CSPS DIABABATOU
CSPS DIABATOU
CSPS DIABBO
CSPS DIABO
CSPS DISPENSAIRE
CSPS DOGONA
CSPS DOGONA SECTEUR 13
CSPS DOUMBALA
CSPS DOURE
CSPS DU CAMP DE L4UNITE
CSPS DU COLLEGE PROTESTANT
CSPS DU SECT 28
CSPS DU SECT. 08
CSPS DU SECT. 8
CSPS DU SECT.20
CSPS DU SECT.20 TAMPUY
CSPS DU SECTEUR
CSPS DU SECTEUR 05
CSPS DU SECTEUR 15
CSPS DU SECTEUR 21
CSPS DU SECTEUR 24
CSPS DU SECTEUR 27
CSPS DU SECTEUR 30
CSPS DU SECTEUR 6
CSPS DU SECTEUR 8
CSPS DU SENTIER (TAPOA DJERMA)
CSPS ENEP
CSPS FANFOLGA
CSPS FO
CSPS FOUBE
CSPS GALGOULI
CSPS GANGANI
CSPS GOMO
CSPS GOUGHIN
CSPS GUERE
CSPS IMIOUGOU
CSPS KABOUGOU
CSPS KELLE
CSPS KERE DOURE
CSPS KIMINI
CSPS KOGDJENA
CSPS KOGUENA
CSPS KORO
CSPS KOUPELA
CSPS LAHIRASSO
CSPS LEOUSTENGA
CSPS LEUSGO
CSPS LIPTOUGOU
CSPS LOUESGTENGA
CSPS MEGEUT
CSPS MEGUET
CSPS MILITAIRE
CSPS MISCO
CSPS MOKIN
CSPS NABILOUGRI
CSPS NAGREONGO
CSPS NATIABOANI
CSPS NIANKORODOUGOU
CSPS NILEO
CSPS NIOU
CSPS NOPCE
CSPS ORANKUA
CSPS PAUL VI
CSPS PIELA
CSPS RAPADAMA
CSPS RAPADMA
CSPS RAPADRA
CSPS RIMSTINGA
CSPS S/FO
CSPS SAAMO
CSPS SABCE
CSPS SANDOGO
CSPS SECT 15
CSPS SECT.20 SMI
CSPS SECT.4
CSPS SOBARA
CSPS SOUGOU
CSPS TANGHIN
CSPS TANSILA
CSPS THYOU
CSPS TONGO
CSPS TONKAR
CSPS WAYALGUE
CSPS YALGO
CSPS YEBELESSE
CSPS(DISPENSAIRE)
CSPS(dispensaire)
CSPS/BAMA
CSPS/BONDORE
CSPS/GORGADI
CSPS/GORGADJI
CSPS/KERA
CSPS/KIMINI
CSPS/MENGAO
CSPS/SIKASSOCIRA
CSPS/TANSILA
CSPS/TOENI
CSPS/TONDIATA
CSPS/TOUNDIATA
CSPSDE DASSASGO
CSPSDE GALGOULI
CSPSSAAMO
DANS UNE CLINIQUE A DAPOYA(OUAGA)
DANS UNE CLINIQUE A PISSY
DANS UNE CLINIQUE DE LA PLACE
DAO
DISPANSAIRE DE N'DOROLA
DISPENSAIRE
DISPENSAIRE (CSPS)
DISPENSAIRE AU GHANA
DISPENSAIRE BAMA
DISPENSAIRE BASBEDO
DISPENSAIRE CENTRE ISLAMIQUE SECTEUR 15
DISPENSAIRE CHIFFRA (PROTESTANT)
DISPENSAIRE COLLEGE PROTESTANT
DISPENSAIRE D'CCART-VILLE
DISPENSAIRE DATOMO
DISPENSAIRE DE BAMA
DISPENSAIRE DE BESBEDO
DISPENSAIRE DE BEUM
DISPENSAIRE DE BITIAKO
DISPENSAIRE DE BOMBOROKUY
DISPENSAIRE DE BONDJIGUI
DISPENSAIRE DE BOUGUI
DISPENSAIRE DE DAGANA
DISPENSAIRE DE DARA
DISPENSAIRE DE DATOMO
DISPENSAIRE DE DOMBERLA
DISPENSAIRE DE DOUMBALA
DISPENSAIRE DE DOUMBARA
DISPENSAIRE DE FABIRI
DISPENSAIRE DE FO
DISPENSAIRE DE FOBIRI
DISPENSAIRE DE GODIN
DISPENSAIRE DE GUERE
DISPENSAIRE DE KAMPTI
DISPENSAIRE DE KERE DOURE
DISPENSAIRE DE KIMINI
DISPENSAIRE DE KIOU
DISPENSAIRE DE KOKO
DISPENSAIRE DE KYOU
DISPENSAIRE DE LA
DISPENSAIRE DE LA BASE AERIENNE
DISPENSAIRE DE LA BIB
DISPENSAIRE DE LA CAISSE
DISPENSAIRE DE LA CAISSE NATIONALE DE LA SECURITE SO
DISPENSAIRE DE LA CAISSE NATIONNALE DE SECURITE SOCI
DISPENSAIRE DE LA CAISSE SECTEUR 9
DISPENSAIRE DE LA CATHEDRALE
DISPENSAIRE DE LA MISSION DE TIGMNAORE
DISPENSAIRE DE LA PATTE D'OIE
DISPENSAIRE DE LA SOFITEX SECTEUR 08
DISPENSAIRE DE LAFIABOUGOU
DISPENSAIRE DE LENA
DISPENSAIRE DE N'DOROLA
DISPENSAIRE DE N'GORGUERLO
DISPENSAIRE DE NEBIAHANAYOU
DISPENSAIRE DE NIASSAN
DISPENSAIRE DE NIASSAN1
DISPENSAIRE DE OUHIGOUYA
DISPENSAIRE DE OULA
DISPENSAIRE DE PISSY
DISPENSAIRE DE SABCE
DISPENSAIRE DE SAMADIN
DISPENSAIRE DE SAMANDIN
DISPENSAIRE DE SANWANA
DISPENSAIRE DE SAPOUY
DISPENSAIRE DE SECTEUR 15
DISPENSAIRE DE SECTEUR 15 DISTRICT SANITAIRE DE PISS
DISPENSAIRE DE SIBI
DISPENSAIRE DE SIG-NOGHIN
DISPENSAIRE DE SONGRE
DISPENSAIRE DE TANSILA
DISPENSAIRE DE TCHEBANI
DISPENSAIRE DE THYOU
DISPENSAIRE DE TONGO (CSPS)
DISPENSAIRE DE TOUNOUMA
DISPENSAIRE DE WAYALGUE
DISPENSAIRE DE ZACTOULI
DISPENSAIRE DE ZÊKO (PROVINCE DU BAM)
DISPENSAIRE DE n'GORGUERLO
DISPENSAIRE DES SOEURS RELIGIEUSES DE TEMNAOURE
DISPENSAIRE DU BLOC
DISPENSAIRE DU PROTESTANT
DISPENSAIRE DU SECT 15
DISPENSAIRE DU SECT 8
DISPENSAIRE DU SECT. 08
DISPENSAIRE DU SECTEUR 15
DISPENSAIRE DU SECTEUR 22 DE BOBO DIOULASSO CHEZ LES
DISPENSAIRE GROUPE SCOLAIRE JEAN-PAUL II
DISPENSAIRE ISLAMIC DU SECTEUR 10
DISPENSAIRE ISLAMIQUE
DISPENSAIRE ISLAMIQUE DE DOGONA
DISPENSAIRE ISLAMIQUE DE SECT 15
DISPENSAIRE ISLAMIQUE DE YEGUERE
DISPENSAIRE ISLAMIQUE DE YEGUERI
DISPENSAIRE ISLAMIQUE SECTEUR 15
DISPENSAIRE KOLOGONABA
DISPENSAIRE LAHIRASSO
DISPENSAIRE LENA
DISPENSAIRE MILITARE SECTEUR 07
DISPENSAIRE N'GORGUALA
DISPENSAIRE PRIVE
DISPENSAIRE PROTESTANT
DISPENSAIRE PROTESTANTE
DISPENSAIRE RELIGIEUX DE YIGRE
DISPENSAIRE RIDWANNE
DISPENSAIRE SAINT CAMILLE
DISPENSAIRE SAINT CAMILLE SECTEUR 28
DISPENSAIRE SAMANDIN
DISPENSAIRE SCHIFRA (COLLEGE PROTESTANT)
DISPENSAIRE SECT 15
DISPENSAIRE SECT 30
DISPENSAIRE SECT 8
DISPENSAIRE SECT.4
DISPENSAIRE SECTEUR 15
DISPENSAIRE SECTEUR 30 A COTE DU LABORATOIRE DU CENT
DISPENSAIRE SHALON DE GUILOUGOU
DISPENSAIRE SMI SECT. 20
DISPENSAIRE ST CAMILLE
DISPENSAIRE URBAIN
DISPENSAIRE V3
DISPENSAIRE V4
DISPENSAIRE WAYALGUE
DISPENSAIRE(CSPS)
DISPENSE MILITAIRE SECTEUR 07
DISTRICT DE PISSY
DISTRICT DE PO
DISTRICT DE TOUGAN
DISTRICT PAUL VI
DISTRICT SANITAIRE DE BOGANDE
DISTRICT SANITAIRE DE GASSAN
DISTRICT SANITAIRE DE KOUPELA
DISTRICT SANITAIRE DE NOUNA
DISTRICT SANITAIRE DE PISSY
DISTRICT SANITAIRE DE PISSY DISPENSAIRE DE LA PATTE
DISTRICT SANITAIRE DE PO
DISTRICT SANITAIRE DE SAPOUY
DISTRICT SANITAIRE DE SECTEUR 30 CENTRE DES ITALIEN
DISTRICT SANITAIRE NOUNA
DISTRICTE DE TAMPUY
DISTRICTE SANITAIRE DE TAMPUY
DISTRICTE SANITAIRE DEDOUGOU
DISTRIT SANITAIRE KOUPELA
DOCTEUR BONKOUNGOU PEDIADRE CLINIQUE LORENTIA PLUS V
DOCTEUR SAWADOGO BERNARD
DROP DE MOUNI
FIEVRE
FIEVRE TIPHOIDE
GUERISSEUR
GUERISSEUR TRADITIONNEL
GUERRISSEUR TRADITIONNEL
GUIMBI OUATTARA
HOPITAL
HOPITAL BOROMO
HOPITAL CENTRAL
HOPITAL CMA
HOPITAL CMA SECT.30
HOPITAL D'ORODARA
HOPITAL DE BAFARA CCHR
HOPITAL DE BOBO
HOPITAL DE BOROMO
HOPITAL DE GOURCY
HOPITAL DE KAYA
HOPITAL DE L'AMITIE
HOPITAL DE L'AMITIE / KOUDOUGOU
HOPITAL DE L'AMITIE DE KOUDOUGOU
HOPITAL DE NASSON AU GHANA
HOPITAL DE NOUNA
HOPITAL DE OUAGADOUGOU
HOPITAL DE OUAHIGOUYA
HOPITAL DE SANDOGO
HOPITAL DE SIG-NOGHIN
HOPITAL DE SOURGOUBILA
HOPITAL DE TAMPUY
HOPITAL DE ZINIARE
HOPITAL ITALIENNE
HOPITAL KAYA
HOPITAL N2 DE PISSY
HOPITAL N2 PISSY
HOPITAL PAUL VI
HOPITAL PEDIATRIQUE SE OUAGADOUGOU
HOPITAL RELIGIEUX DE HAMDALAYE
HOPITAL SANOU SOUROU
HOPITAL SOURO SANOU
HOPITAL SOUROU SANOU
HOPITAL YALGADO
HOPITAL YALGADO OUEDRAOGO
HOPITAL YALGADO OUEDRAOGO OUAGADOUGOU
HOPITAL YALGDO
HOPITAL YALOGADO OUEDRAOGO
HOPITALYALGADO
HOPITLA SOURO SANOU
HÖPITAL PAUL VI
HÖPITAL YALGADO
ICP CSPS MOUNI
ICP CSPS RAKAYE
ICP CSPS V4
ICP IPELSE
INFIRMERIE
INFIRMERIE CNSS
INFIRMERIE DE BOURE
INFIRMERIE DE FORGUI
INFIRMERIE DE GARNISON
INFIRMERIE DE L'ENAM
INFIRMERIE DE LA CAISSE
INFIRMERIE DE LA SATOM
INFIRMERIE DE LA SOFITEX
INFIRMERIE DE SAMGO
INFIRMERIE DE ZAGTOULI
INFIRMERIE DU CAMP DE L'UNITE
INFIRMERIE DU CAMP MILITAIRE 3è CSC
INFIRMERIE DU SECTEUR 1
INFIRMERIE SECTEUR 12
INFIRMERIE SECTEUR 22
INFIRMERIE SONABEL
INFIRMIER (CSPS)
INFIRMIER CHEF DE POSTE / CSPS SAWANA
INFIRMIER DE POSTE / CSPS DE SAWANA
INFIRMIERE (BOULSOUMA)
INFIRMIERE DE BOURSOUMA
INFIRMIERE DU LYCEE TECHNIQUE DE OUAGADOUGOU
KALWAIENGA
KAYAO
KERE DOURE CSPS
L'INFIRMERIE DE LA BIB
L'OST DE KOUDOUGOU (L'OFFICE DE SANTE DES TRAVAILLEU
LAAFI ZIGA / CENTRE DES SOEURS
LE CENTRE MEDICO SCOLAIRE
LMA NOUMA
LOUGUE KABA
MANUKROM / GHANA
MATERMITE
MATERMITE DE SECTEUR 15
MATERMITE NABA TEGRE
MATERNITE DE GOUNGHIN
MATERNITE DE GOURCY
MATERNITE DE TAGOUASSONI
MATERNITE DU QUARTIER
MATERNITE FARAKAN
MATERNITE LAONGO YANGA
MATERNITE TRIPANO SECTEUR 07
MATERNITE YALGADO
MATRENITE DU SECT.8
MEDICAUX SCOLAIRES
MEDICO SCOLAIRE
MISSION
MISSION CATHOLIQUE / CENTRE YIKI KENNE
MISSION CATHOLIQUE DE KOUGOUSSI
MISSION CATHOLIQUE DE TEMNAORE
MISSION CATHOLIQUE DE TIGMNAORE
MISSION CATHOLIQUE DE TIMMAORE
MISSION CATHOLIQUE DE TIMNAORE
MISSION DE KOURI
MISSION DE TEMNAORE
MISSION DE TIMAORE
MISSION DE TINAORE
MISSION DE TOIMBNOOGHIN
MISSION DE TOIMBONOOGHIN
MISSION DE TOIMNOGHIN
N'GORGUERLA
NABRAKOUDGO INFIRMIERE DE SAMANDIN
NAKALBO
NAKALBO CSPS
NE SAIT PAS
NE SE RAPPELLE PLUS
ONLSP DU SECTEUR N° 9
OST
P.M.I. DU SECT. 1
PAUE VI
PAUL
PAUL VI
PAUL VI / CMA
PEDIATRIE
PEDIATRIE HOPITAL YALGADOGO OUEDRAOGO
PERMANACE
PHARMACIE COMOE
PIERRE CLINIQUE
PMI
PMI DE BANFORA
PMI DE KOKO
POUYTENGA
PRATICIEN TRADITIONNEL
PRESTATAIRE DE SOINS DE SANTE
PRESTATAIRE DE SOINS DE(KAYAO)
PROTESTANT
PSP/DRIKO
RAPADAM
S.M.I. DU SECT. 8
SAINT CAMILLE
SAINT CAMILLE DE GUELOUNGOU
SAINT CAMILLE DE NANORO
SANOU SOURO
SANOU SOUROU
SANTE MATERNELLE ET INFANTILE KOSSODO OUAGADOUGOU
SANTE MATERNELLE KOSSODO
SAPOUY
SAPOUY CSPS
SERVICE D'HYGIENE A.F.B. (ASSOCIATION DES FEMMES DE
SMI CENTRALE
SMI DE BANFORA
SMI DE LA CNSS
SMI DU SECT. 8
SOUROU SANOU
ST. CAMILLE
TENKODOGO POYTENGA
TO
TRADE PRATICIEN
TRADI PRATICIEN
TRADIPRATICIEN
TRAME D'ACCEUIL
TRIPANO
TRIPANO (DJARADOUGOU)
TRIPANO BOBO
TRIPANO DE KOUDOUGOU
TRIPANO DE KOUDOUGOU / DISPENSAIRE
TRIPONO DE BOBO-DIOULASSO
UNE CLINIQUE DE LA PLACE
URBAIN / PO
VISITE A DOMICILE
VISITE A DOMICILE CHEZ UNE INFIRMIERE EN RETRAITE A
YALGADO
YALGADO OUEDRAOGO
YALGADOU OUEDRAOGO
ZONGO S GUILLAUME
centre de santé et de promotion de Bisso
centre de santé et de promotion social de ZONGO
centre de santé et de promotione de Zongo
csps (dispensaire)
csps d'ACCART VILLE
Most often visited facility run by whom
Most often visited facility run by whom
Most often visited facility run by whom
Most often visited facility run by whom
Most often visited facility run by whom
Was the last place you visited in the last 12 months:
- operated by the government
- privately operated
- NGO
- other
1286
3539
1
Operated by the government
2
Privately operated
3
NGO
4
Other
Sysmiss
Health care provider visited
Health care provider visited
Health care provider visited
Health care provider visited
Health care provider visited
Which was the last health care provider you visited?
Medical doctor (including gynaecologist, psychiatrist, ophthalmologist, etc.)
- Nurse
- Midwife
- Dentist
- Physiotherapist or chiropractor
- Traditional medicine practitioner
- Other
After Q7302, substitute the type of health care provider selected by the patient wherever you see [health care provider] in parentheses.
1284
3541
1
Medical doctor
2
Nurse
3
Midwife
4
Dentist
5
Physiotherapist or chiropractor
6
Traditional medicine practitioner
7
Other
Sysmiss
Sex of health care provider
Sex of health care provider
Sex of health care provider
Sex of health care provider
Sex of health care provider
What was the sex of [the health care provider]?
1285
3540
1
Female
2
Male
Sysmiss
Health care providers skills
Health care providers skills
Health care providers skills
Health care providers skills
Health care providers skills
In your opinion, was [the health care provider's] skill adequate for your treatment?
1258
3567
1
Yes
5
No
Sysmiss
Health care providers equipment
Health care providers equipment
Health care providers equipment
Health care providers equipment
Health care providers equipment
In your opinion, was [the health care provider's] equipment adequate for your treatment?
1284
3541
1
Yes
5
No
Sysmiss
Health care providers drug supplies
Health care providers drug supplies
Health care providers drug supplies
Health care providers drug supplies
Health care providers drug supplies
In your opinion, were [the health care provider's] drug supplies adequate for your treatment?
1277
3548
1
Yes
5
No
Sysmiss
how long it took to get there
how long it took to get there
how long it took to get there
how long it took to get there
how long it took to get there
Thinking about your last visit, how long did it take you to get there?
1274
3551
600
28.531
32.746
1
2
3
4
5
6
7
8
10
12
15
16
17
18
20
25
30
35
40
45
46
50
55
60
65
75
80
90
100
105
120
150
168
180
190
240
600
Sysmiss
How did you get to last visit
How did you get to last visit
How did you get to last visit
How did you get to last visit
How did you get to last visit
Thinking about your last visit, how did you get there?
[Interviewer; mark the one used for most of the travel distance.]
- Private car or motorcycle
- Public transport
- Ambulance
- Bicycle
- Walked
- Other
1287
3538
1
Private car or motorcycle
2
Public transport
3
Ambulance
4
Bicycle
5
Walked
6
Other
Sysmiss
Health care providers fees
Health care providers fees
Health care providers fees
Health care providers fees
Health care providers fees
Thinking about your last visit, how much did you or your household pay for: [Health care provider's] fees
1275
3550
25000
362.347
1475.846
1
8
9
10
15
20
50
75
100
125
150
180
200
210
220
250
300
325
350
400
500
600
650
700
750
800
805
1000
1100
1500
1700
2000
2250
2300
2500
2600
2800
3000
3115
3750
4000
5000
6000
7000
7500
8000
10000
12500
15000
20000
25000
Sysmiss
Medicines
Medicines
Medicines
Medicines
Medicines
Thinking about your last visit, how much did you or your household pay for: Medicines
1284
3541
110000
4670.6
8786.931
8
Do not know
9
Not applicable, not have
80
100
150
200
220
225
250
300
320
350
375
400
420
450
460
500
550
560
600
615
625
650
700
705
740
750
800
820
850
900
915
950
1000
1050
1080
1100
1150
1200
1210
1220
1250
1265
1275
1280
1300
1350
1375
1400
1410
1420
1450
1460
1500
1515
1525
1530
1550
1560
1570
1600
1620
1630
1650
1675
1700
1720
1730
1750
1775
1800
1850
1900
1920
1950
1955
1990
2000
2050
2060
2065
2075
2100
2150
2170
2175
2200
2240
2250
2265
2300
2305
2350
2385
2390
2400
2415
2440
2450
2500
2550
2600
2650
2660
2700
2750
2800
2815
2820
2850
2870
2900
2915
2950
3000
3010
3020
3025
3050
3095
3100
3200
3220
3250
3300
3315
3360
3400
3428
3450
3480
3500
3600
3650
3690
3700
3750
3765
3800
3810
3930
4000
4105
4200
4205
4250
4300
4350
4400
4410
4450
4500
4555
4700
4750
4800
4875
4900
5000
5165
5200
5250
5300
5325
5400
5490
5500
5750
5800
5850
5900
6000
6300
6410
6500
6524
7000
7105
7140
7200
7300
7400
7500
7525
7600
7750
7800
8000
8015
8500
8750
8775
8851
9000
9030
9150
9500
10000
10500
10700
11000
11200
11275
11600
12000
12050
12365
12400
12500
12560
12600
13000
13500
14000
14299
15000
15500
16035
16800
17000
17500
17800
18000
18450
20000
21000
21500
22500
24000
25000
27000
30000
31000
38250
38500
40000
45000
49000
50000
54500
56500
60000
70000
87000
100000
110000
Sysmiss
Tests
Tests
Tests
Tests
Tests
Thinking about your last visit, how much did you or your household pay for: Tests
1281
3544
355000
884.468
10489.601
6
8
Do not know
9
Not applicable, not have
100
250
255
300
500
550
600
700
750
800
900
1000
1400
1500
2000
2100
2150
2250
2500
2600
3000
3500
3750
4000
4500
5000
5500
6000
7500
8000
10000
11000
14000
15000
18000
20000
25000
25750
31500
35000
50000
60000
355000
Sysmiss
Transport
Transport
Transport
Transport
Transport
Thinking about your last visit, how much did you or your household pay for: Transport
1285
3540
26000
147.588
941.836
1
5
6
8
Do not know
9
Not applicable, not have
40
100
125
200
250
275
300
400
500
550
575
600
700
750
800
1000
1100
1200
1500
2000
2200
2500
3000
5000
5100
7500
10000
26000
Sysmiss
Other
Other
Other
Other
Other
Thinking about your last visit, how much did you or your household pay for: Other
1237
3588
12000
82.542
596.991
1
2
4
5
6
8
Do not know
9
Not applicable, not have
15
100
125
150
200
250
300
350
400
500
600
900
950
1000
1300
1500
2000
2400
3000
4200
5000
6000
7000
7500
12000
Sysmiss
Government discount or exemption
Government discount or exemption
Government discount or exemption
Government discount or exemption
Government discount or exemption
Did you or your household pay less than the normal health care fees because of a government discount or exemption?
829
3996
1
Yes
5
No
9
Not applicable, free
Sysmiss
Rate the amount of traveling time
Rate the amount of traveling time
Rate the amount of traveling time
Rate the amount of traveling time
Rate the amount of traveling time
For your [child’s] last visit, how would you rate the travelling time to the health care provider?
1269
3556
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
9
Not applicable, home care
Sysmiss
Waiting time before being attended to
Waiting time before being attended to
Waiting time before being attended to
Waiting time before being attended to
Waiting time before being attended to
For your [child’s] last visit, how would you rate the amount of time you waited before being attended to?
1291
3534
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
Rate the experience of being greeted respectfully
For your [child’s] last visit, how would you rate your experience of being greeted and talked to respectfully?
1291
3534
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Respect of privacy
Respect of privacy
Respect of privacy
Respect of privacy
Respect of privacy
For your [child’s] last visit, how would you rate the way your privacy was respected during physical examinations and treatments?
1241
3584
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
9
Not applicable, no exam/treatment
Sysmiss
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
Rate the experience of how clearly health care providers communicated
For you [child’s] last visit, how would you rate the experience of how clearly health care providers explained things to you?
1291
3534
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Time to ask questions about health problem
Time to ask questions about health problem
Time to ask questions about health problem
Time to ask questions about health problem
Time to ask questions about health problem
For your [child’s] last visit, how would you rate your experience of getting enough time to ask questions about your health problem or treatment?
1290
3535
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Getting information about other types of treatments or tests
Getting information about other types of treatments or tests
Getting information about other types of treatments or tests
Getting information about other types of treatments or tests
Getting information about other types of treatments or tests
For your [child’s] last visit, how would you rate your experience of getting information about other types of treatments or tests?
1295
3530
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
Getting involved as much as you wanted to be
For your [child’s] last visit, how would you rate your experience of being involved in making decisions about your health care or treatment?
1295
3530
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Being able to talk privately to health care providers
Being able to talk privately to health care providers
Being able to talk privately to health care providers
Being able to talk privately to health care providers
Being able to talk privately to health care providers
For your [child’s] last visit, how would you rate the way the health services ensured you could talk privately to health care providers?
1292
3533
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Kept your personal information confidential
Kept your personal information confidential
Kept your personal information confidential
Kept your personal information confidential
Kept your personal information confidential
For your [child’s] last visit, how would you rate the way your personal information was kept confidential?
1228
3597
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
8
Do not know
Sysmiss
Freedom to choose health care provider
Freedom to choose health care provider
Freedom to choose health care provider
Freedom to choose health care provider
Freedom to choose health care provider
For your [child’s] last visit, how would you rate the freedom you had to choose your health care provider?
1293
3532
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
Rate the experience with the conditions and cleanliness
For your [child’s] last visit, how would you rate the cleanliness of the rooms inside the facility, including toilets?
1251
3574
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
9
Not applicable, home care
Sysmiss
Amount of space in examination and waiting rooms
Amount of space in examination and waiting rooms
Amount of space in examination and waiting rooms
Amount of space in examination and waiting rooms
Amount of space in examination and waiting rooms
For your [child’s] last visit, how would you rate the amount of space in the waiting and examination rooms?
1259
3566
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
9
Not applicable, home care
Sysmiss
Sex
Sex
Sex
Sex
Sex
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Sex
1294
3531
1
Yes
5
No
Sysmiss
Age
Age
Age
Age
Age
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Age
1294
3531
1
Yes
5
No
Sysmiss
Lack of funds
Lack of funds
Lack of funds
Lack of funds
Lack of funds
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Lack of money
1293
3532
1
Yes
5
No
Sysmiss
Social class
Social class
Social class
Social class
Social class
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Social class
1292
3533
1
Yes
5
No
Sysmiss
Skin colour
Skin colour
Skin colour
Skin colour
Skin colour
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Ethnic group or colour
1294
3531
1
Yes
5
No
Sysmiss
Illness
Illness
Illness
Illness
Illness
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Type of illness
1294
3531
1
Yes
5
No
Sysmiss
Nationality
Nationality
Nationality
Nationality
Nationality
In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Nationality
1291
3534
1
Yes
5
No
Sysmiss
Name of last hospital stayed
Name of last hospital stayed
Name of last hospital stayed
Name of last hospital stayed
Name of last hospital stayed
What was the name of the last hospital or long term care facility you [child] stayed in, in the last 5 years ?
838
00
1
2
5
A
A LA MATERNITE DE GOURCY
AFRIQUE DU SUD
AMADIA
ANCIEN HOPITAL DE KOUDOUGOU
AUCUN MALADE A LONG TERME
B
BEM
BLOC DU CHR BANFORA
C
C H DE L'AMITIE DE KOUDOUGOU
C H YALGADO OUEDRAOGO
C M DE NANORO
C M DE NANORO / SAINT CAMILLE
C.H.R DE BOROMO
CABINET MEDICAL DOCTEUR OUEDRAOGO ISSA
CAMP GUILLAUME
CATHEDRALE OUAGA
CENTRE D'HYGIENE PUBLIC DE DALIA RCI
CENTRE DE SOINS DE BISNGA
CENTRE HOSPILIER YALGADO OUEDRAOGO
CENTRE HOSPITALIER DE BANFORA
CENTRE HOSPITALIER NATIONAL SANOU SOUROU
CENTRE HOSPITALIER REGIONAL BLOC
CENTRE HOSPITALIER REGIONAL DE BANFORA
CENTRE HOSPITALIER REGIONAL TENKODOGO
CENTRE HOSPITALIER SOUROU SANOU
CENTRE HOSPITALIER YALGADO OUDRAOGO
CENTRE HOSPITALIER YALGADO OUEDRAOGO
CENTRE MEDICAL DE GOURCY
CENTRE MEDICAL DE KOSSODO
CENTRE MEDICAL DE NAKAMTINGA
CENTRE MEDICAL DE NANORO
CENTRE MEDICAL URBAIN DE DEDOUGOU
CENTRE MEDICALE DE BOGANDE
CENTRE MEDICALE DE YAKO
CH DE L'AMITIE
CH PEDIATRIQUE DE OUAGADOUGOU
CH YALGADO OUEDRAOGO
CH YALOGADOGO OUEDRAOGO
CH. YALAGADO
CHA DISTRICT SANITAIRE KOUPELA
CHARLES DE GAULLE
CHN SANOU SOURO
CHN Y.O.
CHN YALGADOGO OUEDRAOGO
CHN YO
CHN ZINIARE
CHN-Y.O
CHN-YO
CHNPCG
CHNSS SOURO SANOU
CHNYO
CHR
CHR / DEDOUGOU
CHR DE BANFORA
CHR DE DEDOUGOU
CHR DE FADA
CHR DE FERKESSEDOUGOU
CHR DE GAOUA
CHR DE KAYA
CHR DE KOUDOUGOU
CHR DE OHG
CHR DE OUAGADOUGOU
CHR DE OUAHIGOUYA
CHR DEDOUGOU
CHR KAYA
CHR KOUDOUGOU
CHR KOUPELA
CHR LOARA
CHR OHG
CHR OUAHIGOUYA
CHR POUYTENGA
CHR SANOU SOUROU DE BOB DIOULASSO
CHR TENKODOGO
CHR YAKO
CHR ZINIARE
CHR ZORGHO
CHR d'aghoville (CI)
CLIMIQUE KOUKA DE OUADOUGOU
CLINIQUE
CLINIQUE BOUGMA BLAISE
CLINIQUE BOUREIMA EL ADJ
CLINIQUE CAMARALA
CLINIQUE CENTRALE
CLINIQUE DE GONAGO
CLINIQUE DE LA CITE(AVENIR)
CLINIQUE DE LEOPOLD A SARFALAO
CLINIQUE DE NONSIN
CLINIQUE DE PIERRE A MONSIN
CLINIQUE DU SECT. 9
CLINIQUE ESPOIR / BOBO
CLINIQUE JEAN-BAPTISTE
CLINIQUE Mme COULIBALY
CLINIQUE NIOKO 1
CLINIQUE NOTRE DAME DE LA PAIX
CLINIQUE PEDIATRIQUE CHARLES DE GAULLE.
CLINIQUE PIERRE
CLINIQUE PIERRE GOUBA
CLINIQUE PRIVE DE GNAKO
CLINIQUE SANOU
CLINIQUE SONIA
CLINIQUE SOUKA
CLINIQUE SOUKA DE OUAGADOUGOU
CLINIQUE SOUKA EL FATHE / OUAGADOUGOU
CLINIQUE SUKA
CLINIQUE WA PAAM LAAFI
CLINIQUE5FRANCE)
CLINQUE DE WAYALGUIN
CM DE DJIBO
CM DE KAYA
CM DE KOSSODO
CM DE N'DOROLA
CM DE NANORO / SAINT CAMILLE
CM DE ORODARA
CM DE PISSI
CM DE PISSY
CM DE POUYTENGA
CM DE SAMANDIN
CM DE ST CAMILLE
CM DE ST. CAMILLE
CM DE YAKO
CM DIABO
CM DU SECT.30
CM PAUL VI
CM PROTESTANT
CM ST CAMILLE
CM ST CVAMILLE
CM ST. CAMILLE
CMA
CMA / BOGANDE
CMA / ORODARA
CMA BOGANDE
CMA DE BOGANDE
CMA DE GOROM-GOROM
CMA DE KOUPELA
CMA DE MANGA
CMA DE PISSY
CMA DE TOUGAN
CMA DE ZINIARE
CMA KOUPELA
CMA NOUNA
CMA PO
CMA SECT. 30
CMA SECT.30
CMA/DIAPAGA
CMA/DJIBO
CMA/NOUNA
CMH DE GOURCY
CNH YALGADO OUEDRAOGO
CNHYO OUAGA
COSSODO
CSMI DE KOUGNY TOMA
CSP DE N'GORGUERLA
CSP DU SECTEUR 16
CSP ORONKUA
CSPS
CSPS / BOULSA
CSPS / FORGUI
CSPS / KANGIMONGIN
CSPS / LENA
CSPS BARSALGO
CSPS BEREGADODOUGOU
CSPS BILANYANGA
CSPS BOMBOROKUY
CSPS BOURGOU
CSPS CENTRE DE SANTE DE PROMOTION SOCIALE
CSPS CEUSTINGA
CSPS DANDE
CSPS DARA
CSPS DE IMIOUGOU
CSPS DE BAMA
CSPS DE BAMOKO (VILLAGE DU BURKINA FASO)
CSPS DE BEUN
CSPS DE BIABOUTOU
CSPS DE BILANGA
CSPS DE BOKIN
CSPS DE BOMBOROKUY
CSPS DE BONKO
CSPS DE BOSRIMA
CSPS DE COSSODO
CSPS DE DEMO
CSPS DE DIABATOU
CSPS DE DOMBERLA
CSPS DE DONE
CSPS DE FARAMA
CSPS DE FO
CSPS DE FOUBE
CSPS DE GALGOULI
CSPS DE GODIN
CSPS DE GODIN WALAGTINGA
CSPS DE GORGADJI
CSPS DE GUENON
CSPS DE GUERE
CSPS DE GUIRE
CSPS DE KABOUGOU
CSPS DE KAYAO
CSPS DE KELLE
CSPS DE KIARA
CSPS DE KIMINI
CSPS DE KOSSODO
CSPS DE KOUMBIA
CSPS DE KOUSI
CSPS DE LAELASSO
CSPS DE LAHIRASSO
CSPS DE LAONGA YANGA
CSPS DE LAONGO
CSPS DE LELLA
CSPS DE LENA
CSPS DE LIPTOUGOU
CSPS DE MANGA
CSPS DE MOGUEYA
CSPS DE NAKANBTINGA
CSPS DE NEBIELIANAYOU
CSPS DE NIANKORODOUGOU
CSPS DE OIABATOU
CSPS DE PALOGO
CSPS DE PELLA
CSPS DE PELOGO
CSPS DE PERIGBAN
CSPS DE PIELA
CSPS DE PIOBATOU
CSPS DE POLOGO
CSPS DE PRIVE
CSPS DE RAKE
CSPS DE SAKAI
CSPS DE SAMANDIN
CSPS DE SAPOUY
CSPS DE SAWANA
CSPS DE SIGNONGUIN
CSPS DE SIKASSOSSIRA BOBO-DSSO
CSPS DE SOUGOU
CSPS DE TANGHIN
CSPS DE TANGHIN DASSOURI
CSPS DE TANGHIN WALAGTENGA
CSPS DE TANSILA
CSPS DE THIOU
CSPS DE THYOU
CSPS DE TO
CSPS DE TOENI
CSPS DE TONGO
CSPS DE TOUGO
CSPS DE VALLEE DE KOU
CSPS DE VATO (BAM)
CSPS DE WEMTENGA (SECTEUR 29)
CSPS DE YEGUERE
CSPS DE YIMIOUGOU
CSPS DE ZECO
CSPS DE ZIMORE
CSPS DE ZONGO
CSPS DIABATOU
CSPS DIABO
CSPS DU SECT. 08
CSPS DU SECT.15
CSPS DU SECT.5
CSPS DU SECTEUR 15
CSPS DU SECTEUR 6
CSPS FANFOLGA
CSPS GNIESGA
CSPS II PLATEAUX /RCI
CSPS IPELSE
CSPS KABOUGOU
CSPS KIMINI
CSPS KOGDJENA
CSPS KORO
CSPS LAHIRASSO
CSPS LEUSTINGA
CSPS LIOGSTENGA
CSPS LIPTOUGOU
CSPS MEGUET
CSPS MOGUEYA
CSPS MOUNI
CSPS NIANKORODOUGOU
CSPS POUGO
CSPS RAPADAMA
CSPS RAPADMA
CSPS RAPAMDMA
CSPS SABCE
CSPS SANBE
CSPS SECT 28
CSPS SOBARA
CSPS SOUGOU
CSPS TIEBELE
CSPS TOUGO
CSPS YALGO
CSPS/BAMA
CSPS/GORGADJI
CSPS/GORGADJI(MATERNITE)
CSPS/GORGADJI/MATERNITE
CSPS/KERA
CSPS/KIMINI
CSPS/MENGAO
CSPS/TOENI
D
DANS UNE CLINIQUE A OUAGA
DISPENSAIRE "PORTE OUVERTE"
DISPENSAIRE A COTE DE NABA TIGRE
DISPENSAIRE AFRIQUE DU SUD
DISPENSAIRE DE BAMA
DISPENSAIRE DE BASBEDO
DISPENSAIRE DE BOMBOROKUY
DISPENSAIRE DE DIDDIRI
DISPENSAIRE DE DORI
DISPENSAIRE DE FO
DISPENSAIRE DE FOBIRI
DISPENSAIRE DE GOUNGHIN
DISPENSAIRE DE KAYAO
DISPENSAIRE DE KIMINI
DISPENSAIRE DE KOURI
DISPENSAIRE DE LEO
DISPENSAIRE DE MOUNE
DISPENSAIRE DE N'DOROLA
DISPENSAIRE DE N'GORGUERLA
DISPENSAIRE DE NIASSAN
DISPENSAIRE DE PISSY
DISPENSAIRE DE SABCE
DISPENSAIRE DE SAMADIN
DISPENSAIRE DE SAMANDIN
DISPENSAIRE DE SAWANA
DISPENSAIRE DE SOUGOU
DISPENSAIRE DE TO
DISPENSAIRE DE WONA
DISPENSAIRE DU SECT. 08
DISPENSAIRE DU SECTEUR 22 DE BOBO DIOULASSO CHEZ LES SOEUR
DISPENSAIRE SAINT CAMILLE
DISPENSAIRE SAMADIN
DISPENSAIRE SECT 14
DISPENSAIRE SECT 15
DISPENSAIRE SECTEUR 15
DISPENSAIRE URBAIN SECTEUR 01
DISTRICT SANITAIRE DE BOGANDE
DISTRICT SANITAIRE DE FADA
DISTRICT SANITAIRE DE KAIO
DISTRICT SANITAIRE DE KAYAO
DISTRICT SANITAIRE DE KAYIROU
DISTRICT SANITAIRE DE LEO
DISTRICT SANITAIRE DE NOUNA
DISTRICT SANITAIRE DE PO
DISTRICT SANITAIRE DE SAPOUY
DISTRICT SANITAIRE DE SOLENSO
DISTRICT SANITAIRE DE ZABRE
DISTRICT TOUGAN
DISTRICTE SANITAIRE DE BOGANDE
DISTRIT SANITAIRE DE FAFA
DISTRITRIT DE PO
EL HADJ SALOUKA MOCTAR
FORGIN
GUERISSEUR TRADITIONNEL
HOPITA SANOU SOUROU
HOPITAL
HOPITAL (CHR) DE NOUNA
HOPITAL BOROMO
HOPITAL CHR KAYA
HOPITAL DE BAGANDE
HOPITAL DE BALKUITENGA
HOPITAL DE BANFORA CCHR
HOPITAL DE BOBO
HOPITAL DE BOBO-DIOULASSO ET LE CSPS DE KOUMBIA
HOPITAL DE BOROMO
HOPITAL DE BOUAKE COTE D'IVOIRE
HOPITAL DE BOULSA
HOPITAL DE DEDOUGOU
HOPITAL DE GAOUA
HOPITAL DE GARANGO
HOPITAL DE KAYA
HOPITAL DE KONGOUSSI
HOPITAL DE L'AMITIE
HOPITAL DE L'AMITIE / KOUDOUGOU
HOPITAL DE L'AMITIE DE KOUDOUGOU
HOPITAL DE LA VALLEE DU KOU
HOPITAL DE LEO
HOPITAL DE NOUNA
HOPITAL DE NOUNA / CMA
HOPITAL DE ORODARA
HOPITAL DE OUAGA
HOPITAL DE OUAHIGOUYA
HOPITAL DE PO
HOPITAL DE SAWANE
HOPITAL DE TENKODOGO
HOPITAL DE ZINIARE
HOPITAL DEDOUGOU
HOPITAL DICBOUGOU
HOPITAL KAYA
HOPITAL N2 DE PISSY
HOPITAL OUAHIGOUYA
HOPITAL PEDIATRIQUE GAULLE
HOPITAL PSYCHIATRIQUE DE BOUAKE NGATRO
HOPITAL SANOU SOURO
HOPITAL SANOU SOURO BOBO DIOULASSO
HOPITAL SANOU SOUROU
HOPITAL SANOU SOUROU DE BOBO DIOULASSO
HOPITAL SOURO SANOU
HOPITAL SOUROU SANOU
HOPITAL TENKODOGO
HOPITAL YALGADO
HOPITAL YALGADO OUEDRAOGO
HOPITAL YALGADO OUEDRAOGO DE OUAGADOUGOU
HOPITAL YALOGDO OUEDRAOGO
HOPITAL ZINIARE
HOSPITAL DE POUYTENGA
HOSPITAL POUYTENGA
HOSPITALE DE TENKODOGO
HÖPITAL YALGADO
INFIRMERIE DE FORGUI
INFIRMERIE DE GARNISON
INFIRMERIE DE KALSAGA
INFIRMERIE DE PO
INFIRMERIE DE TOUGO
INFIRMIERE DE BOURSOUMA
JAMAIS SEJOURNE
KOSSODO
KOSSODO DISPENSAIRE
KOUPELA CHP
KOUPIELA CHR
L'HOPITAL DE L'AMITIE
LAELASSO (CSPS)
MARTENITE DE SECTEUR 08
MARTERNITE DE GOUGHIN
MATERMITE DU SECTEUR 15
MATERMITE SAINT CAMILLE
MATERMITE SECTEUR 15
MATERMITE SECTEUR 30
MATERNITE
MATERNITE CSPS MENGAO
MATERNITE DE BAGRE R D
MATERNITE DE BOBO
MATERNITE DE BOROMO
MATERNITE DE BOURE
MATERNITE DE GOUGHIN
MATERNITE DE GOUNGHIN
MATERNITE DE GOURCY
MATERNITE DE KOUDOUGOU
MATERNITE DE L'HOPITAL YALGADO
MATERNITE DE LAONGO YANGA
MATERNITE DE MANGA
MATERNITE DE NOUNA
MATERNITE DE NOURA
MATERNITE DE PISSY
MATERNITE DE POUN
MATERNITE DE SAINT CAMILLE
MATERNITE DE SANDOGO
MATERNITE DE SECT. 20 OUAGA
MATERNITE DE TOUDOU
MATERNITE DE TOUGAN
MATERNITE DE ZOODO
MATERNITE DES ENFANTS
MATERNITE DU SECT.8
MATERNITE DU SECTEUR 8
MATERNITE SAINT CAMILLE
MATERNITE SANDOGO
MATERNITE SECT 15
MATERNITE SECT.9
MATERNITE SECTEUR 23
MATERNITE SECTEUR 8
MATERNITE SOLENZO
MATERNITE ST CAMILLE
MATERNITE SU SECT.8
MATERNITE SYLLA SANOU
MATERNITE YENNEGA
MATRENITE DE POGBI
MISSION DE TIMAORE
MISSION DE TINAORE
NABA TIGRE OU NABA YIRI
NE CONNAIT PAS EN COTE D'IVOIRE
NE CONNAIT PAS LE NOM C'EST EN COTE D'IVOIRE
NE SAIT PAS
NEANT
OST
PAUL 6 A TAMPUY A OUAGADOUGOU
PAUL VI
PEDIATRIE CHARLE DEGAULES
PEDIATRIE DE TOUGAN
POLES DE SECT.20
POLYCLINIQUE DU CENTRE
POUYTENGA
POUYTENGA CHR
ROGILISSE
SAINT CAMILE
SAINT CAMILLE
SAINT CAMILLE DE NANORO
SAINT CAMILLE DE OUAGA
SAINT CAMILLE KOUPIELA
SAINT CAMILLE OUAGA
SAINT CAMILLE OUAGADOUGOU
SAINT KAMILLE
SANOU SOURO
SANOU SOUROU
SAPOUY
SMI POUYTENGA
SON CENTRE MEDICAL CHANEEN
SOURO SANOU
SPS DE BILANYANGA
ST CAMILLE
ST CAMILLE DE NANORO
ST CAMILLE OUAGA
ST. CAMILLE OUAGA
URBAIN / PO
URBAIN DE KOUDOUGOU
YALGADO
YALGADO OUEDRAOGO
YALGADOGO OUEDRAOGO
csps de piela
csps meguet
Who run the hospital
Who run the hospital
Who run the hospital
Who run the hospital
Who run the hospital
Was the hospital or long term care facility:
- operated by the government
- privately operated
- NGO
- other
804
4021
1
Operated by the government
2
Privately operated
3
NGO
4
Other
Sysmiss
when was your last stay
when was your last stay
when was your last stay
when was your last stay
when was your last stay
When was your [child's] last overnight stay?
- In the last 4 weeks
- In the last year
- In the last 2 years
- In the last 3 years
- In the last 5 years
790
4035
1
In the last 4 weeks
2
In the last year
3
In the last 2 years
4
In the last 3 years
5
In the last 5 years
Sysmiss
Reason for last overnight stay
Reason for last overnight stay
Reason for last overnight stay
Reason for last overnight stay
Reason for last overnight stay
Which of the following best describes the reason for your [child's] last overnight stay?
- High fever, severe diarrhoea, or cough
- Childbirth
- Arthritis
- Asthma
- Heart disease
- Bodily injury
- Minor surgery
- Other
806
4019
1
High fever, sever diarrhea, or cough
2
Childbirth
3
Arthritis
4
Asthma
5
Heart disease
6
Bodily injury
7
Minor surgery
8
Other
Sysmiss
How long was your stay on this occasion
How long was your stay on this occasion
How long was your stay on this occasion
How long was your stay on this occasion
How long was your stay on this occasion
How long was your [child's] stay on this occasion?
- 1-2 days
- 3-5 days
- 6-14 days
- 15 days and more
796
4029
1
4
1
1-2 days
2
3-5 days
3
6-14 days
4
15 days and more
Skill of health care provider
Skill of health care provider
Skill of health care provider
Skill of health care provider
Skill of health care provider
In your opinion, was the skill of the health care providers adequate for your [child’s] treatment?
801
4024
1
Yes
5
No
Sysmiss
Hospitals equipment
Hospitals equipment
Hospitals equipment
Hospitals equipment
Hospitals equipment
In your opinion, was the hospital's equipment adequate for your [child’s] treatment?
800
4025
1
Yes
5
No
Sysmiss
Drug supplies
Drug supplies
Drug supplies
Drug supplies
Drug supplies
In your opinion, were the hospital's drug supplies adequate for your [child’s] treatment?
776
4049
1
Yes
5
No
Sysmiss
How long to get there
How long to get there
How long to get there
How long to get there
How long to get there
Thinking about your last hospital stay, how long did it take you [child’s] to get there?
766
4059
1
420
29.503
36.609
1
2
3
4
5
6
7
8
10
11
12
14
15
17
20
25
29
30
35
36
40
45
50
55
60
65
70
75
80
90
95
100
120
150
180
240
300
420
Sysmiss
How you got there
How you got there
How you got there
How you got there
How you got there
Thinking about your [child’s] last hospital stay, how did you get there?
- Private car or motorcycle
- Public transport
- Ambulance
- Bicycle
- Walked
- Other
797
4028
1
Private car or motorcycle
2
Public transport
3
Ambulance
4
Bicycle
5
Walked
6
Other
Sysmiss
How long before being admitted to hospital
How long before being admitted to hospital
How long before being admitted to hospital
How long before being admitted to hospital
How long before being admitted to hospital
For your [child’s] last hospital stay, how long from the time you needed hospital care did you wait to be admitted to hospital?
- same day
- less than 1 week
- less than 1 month
- less than 3 months
- 3 months and more
787
4038
1
5
1
Same day
2
Less than a week
3
Less than 1 month
4
Less than 3 months
5
3 months and more
Doctors fees
Doctors fees
Doctors fees
Doctors fees
Doctors fees
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Doctor's fees
766
4059
300000
2481.581
12891.013
1
2
3
4
5
8
Do not know
9
Not applicable, not have
20
50
100
150
200
250
300
500
600
750
1000
1100
1250
1350
1500
2000
2300
2500
2750
3000
3025
3100
3200
3250
3300
3500
3700
3750
3850
4000
4025
4500
4525
5000
5025
5500
5750
6000
7500
8000
9000
10000
10500
11700
12500
13500
15000
18000
19000
20000
20500
25000
25750
26000
27500
30000
33500
35000
40000
50000
60000
70000
75000
300000
Sysmiss
Drugs
Drugs
Drugs
Drugs
Drugs
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Medicines
788
4037
350000
15404.674
32213.433
1
2
3
4
5
8
Do not know
9
Not applicable, not have
100
350
500
700
1000
1200
1250
1500
1600
1750
1780
1900
2000
2100
2200
2350
2400
2500
2600
2900
3000
3200
3250
3275
3500
3700
3750
3850
3900
4000
4200
4230
4300
4335
4410
4500
4600
4750
4900
4980
4985
5000
5300
5500
5590
5750
5801
5975
6000
6155
6305
6500
6750
6755
6800
7000
7400
7500
7720
7750
7900
8000
8230
8250
8500
8600
9000
9300
9450
9800
9820
9850
9920
10000
10500
10575
10900
11000
11230
11240
11500
11750
12000
12200
12370
12500
12600
13000
13046
13500
13700
14000
14350
14800
15000
15020
15500
15700
15800
16000
16500
16750
17000
17230
17500
17600
18500
19000
20000
20250
20350
21000
22000
22355
22500
23000
23500
24500
25000
25305
26000
27800
30000
30500
32000
35000
36000
36300
38000
39500
40000
42500
45000
47000
48000
50000
52000
54000
55000
56041
57500
58000
58500
60000
65000
70000
75000
96000
100000
102000
105000
115000
130000
150000
160000
180000
200000
220000
250000
300000
350000
Sysmiss
Tests
Tests
Tests
Tests
Tests
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Tests
746
4079
145000
2430.072
10054.764
1
2
3
4
8
Do not know
9
Not applicable, not have
200
300
350
500
700
750
800
1000
1200
1300
1350
1500
2000
2150
2500
2600
3000
3100
3250
3500
3750
4000
4500
5000
5850
6000
7200
7500
8000
9000
10000
10600
11000
12000
12500
13000
14000
15000
16000
16575
16979
18000
20000
22000
25000
30000
34000
35000
40000
45000
50000
80000
90000
125000
145000
Sysmiss
Transport
Transport
Transport
Transport
Transport
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Transport
745
4080
32000
596.109
2390.313
1
2
3
4
8
Do not know
9
Not applicable, not have
200
250
300
400
475
500
525
550
600
700
750
800
1000
1100
1200
1400
1500
1650
2000
2250
2500
3000
4000
5000
5300
6000
7000
7500
8000
10000
12000
15000
20000
30000
32000
Sysmiss
Other
Other
Other
Other
Other
Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Other
738
4087
200000
1785.915
10106.098
1
2
3
5
8
Do not know
9
Not applicable, not have
100
150
200
300
400
500
600
650
1000
1200
1500
1700
1750
2000
2200
2250
2500
3000
3500
4000
4500
5000
5025
6000
7000
7500
8000
8300
10000
12500
13900
15000
17000
19500
20000
23000
25000
30000
40000
45000
75000
98442
200000
Sysmiss
Pay less because of government discount
Pay less because of government discount
Pay less because of government discount
Pay less because of government discount
Pay less because of government discount
Did you or your household pay less than the normal health care fees because of a government discount or exemption?
536
4289
1
Yes
5
No
9
Not applicable, free
Sysmiss
How many people slept in same room
How many people slept in same room
How many people slept in same room
How many people slept in same room
How many people slept in same room
Thinking about your [child’s] last hospital stay, how many people slept in the same room as you?
751
4074
50
3.714
3.426
Rating of traveling time to the hospital
Rating of traveling time to the hospital
Rating of traveling time to the hospital
Rating of traveling time to the hospital
Rating of traveling time to the hospital
For your [child’s] last hospital stay, how would you rate the travelling time to the hospital?
799
4026
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Amount of waiting time before being attended to
Amount of waiting time before being attended to
Amount of waiting time before being attended to
Amount of waiting time before being attended to
Amount of waiting time before being attended to
For your [child’s] last hospital stay, how would you rate the amount of time you waited before being attended to?
801
4024
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
Where you greeted and talked to respectfully during last hospital stay?
For your [child’s] last hospital stay, how would you rate your experience of being greeted and talked to respectfully?
800
4025
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Privacy during physical examinations and treatments
Privacy during physical examinations and treatments
Privacy during physical examinations and treatments
Privacy during physical examinations and treatments
Privacy during physical examinations and treatments
For your [child’s] last hospital stay, how would you rate the way your privacy was respected during physical examinations and treatments?
791
4034
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
rate your experience with clear explanations
rate your experience with clear explanations
rate your experience with clear explanations
rate your experience with clear explanations
rate your experience with clear explanations
For you [child’s] last hospital stay, how would you rate the experience of how clearly health care providers explained things to you?
791
4034
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Was there enough time to ask questions during last hospital stay
Was there enough time to ask questions during last hospital stay
Was there enough time to ask questions during last hospital stay
Was there enough time to ask questions during last hospital stay
Was there enough time to ask questions during last hospital stay
For your [child’s] last hospital stay, how would you rate your experience of getting enough time to ask questions about your health problem or treatment?
789
4036
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Getting information and other types of treatments or tests
Getting information and other types of treatments or tests
Getting information and other types of treatments or tests
Getting information and other types of treatments or tests
Getting information and other types of treatments or tests
For your [child’s] last hospital stay, how would you rate your experience of getting information about other types of treatments or tests?
790
4035
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
Rating of participation in making decisions about health care or treatment
For your [child’s] last hospital stay, how would you rate your experience of being involved in making decisions about your health care or treatment?
790
4035
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Ability to talk privately to health care providers
Ability to talk privately to health care providers
Ability to talk privately to health care providers
Ability to talk privately to health care providers
Ability to talk privately to health care providers
For your [child’s] last hospital stay, how would you rate the way the health services ensured you could talk privately to health care providers?
788
4037
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Confidentiality of personal information
Confidentiality of personal information
Confidentiality of personal information
Confidentiality of personal information
Confidentiality of personal information
For your [child’s] last hospital stay, how would you rate the way your personal information was kept confidential?
736
4089
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Ability to choose hospital
Ability to choose hospital
Ability to choose hospital
Ability to choose hospital
Ability to choose hospital
For your [child’s] last hospital stay, how would you rate the freedom you had to choose the health care providers that attend to you [your child]?
787
4038
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Rating cleanliness of rooms
Rating cleanliness of rooms
Rating cleanliness of rooms
Rating cleanliness of rooms
Rating cleanliness of rooms
For your [child’s] last hospital stay, how would you rate the cleanliness of the rooms inside the facility, including toilets?
791
4034
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Amount of space
Amount of space
Amount of space
Amount of space
Amount of space
For your [child’s] last hospital stay, how would you rate the amount of space you had?
791
4034
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
Ease with which family and friends could visit during hospital stay
For your [child’s] last hospital stay, how would you rate the ease of having family and friends visit you?
789
4036
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Staying in contact with outside world during stay in hospital
Staying in contact with outside world during stay in hospital
Staying in contact with outside world during stay in hospital
Staying in contact with outside world during stay in hospital
Staying in contact with outside world during stay in hospital
For your [child’s] last hospital stay, how would you rate your experience of staying in contact with the outside world when you were in hospital?
790
4035
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Sex
Sex
Sex
Sex
Sex
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Sex
793
4032
1
Yes
5
No
Sysmiss
Age
Age
Age
Age
Age
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Age
793
4032
1
Yes
5
No
Sysmiss
Lack of money
Lack of money
Lack of money
Lack of money
Lack of money
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Lack of money
793
4032
1
Yes
5
No
Sysmiss
Social class
Social class
Social class
Social class
Social class
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Social class
793
4032
1
Yes
5
No
Sysmiss
Race
Race
Race
Race
Race
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Ethnic group or colour
793
4032
1
Yes
5
No
Sysmiss
Type of illness
Type of illness
Type of illness
Type of illness
Type of illness
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Type of illness
792
4033
1
Yes
5
No
Sysmiss
Nationality
Nationality
Nationality
Nationality
Nationality
In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Nationality
793
4032
1
Yes
5
No
Sysmiss
Record Set
Record Set
Record Set
Record Set
Record Set
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
2093
A
B
C
D
R-Vignette - Set A Q-1
R-Vignette - Set A Q-1
R-Vignette - Set A Q-1
R-Vignette - Set A Q-1
R-Vignette - Set A Q-1
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Niels] woke up with a sore back so he decided to go to the clinic. It took 30 minutes to travel to the clinic and he was seen within 5 minutes .
How would you rate his travelling time?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
R-Vignette - Set A Q-2
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Niels] woke up with a sore back so he decided to go to the clinic. It took 30 minutes to travel to the clinic and he was seen within 5 minutes .
How would you rate the amount of time he waited before being attended
to?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
R-Vignette - Set A Q-3
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Anya] took her baby for a vaccination. The nurse said hello and but did not ask for [Anya’s] or the baby’s name. The nurse also examined [Anya] and made
her remove her shirt in the waiting room.
How would you rate her experience of being greeted and talked to
respectfully?
519
4306
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-4
R-Vignette - Set A Q-4
R-Vignette - Set A Q-4
R-Vignette - Set A Q-4
R-Vignette - Set A Q-4
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Anya] took her baby for a vaccination. The nurse said hello and but did not ask for [Anya’s] or the baby’s name. The nurse also examined [Anya] and made
her remove her shirt in the waiting room.
How would you rate the way her privacy was respected during physical
examinations and treatments?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-5
R-Vignette - Set A Q-5
R-Vignette - Set A Q-5
R-Vignette - Set A Q-5
R-Vignette - Set A Q-5
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Stan] broke his leg. It took an hour to be driven to the nearest hospital. He was in pain but had to wait an hour for the surgeon and was only operated on the
next day.
How would you rate his travelling time?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
R-Vignette - Set A Q-6
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Stan] broke his leg. It took an hour to be driven to the nearest hospital. He was in pain but had to wait an hour for the surgeon and was only operated on the
next day.
How would you rate the amount of time he waited before being attended
to?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
R-Vignette - Set A Q-7
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Conrad] had bad flu. He went to the clinic. The nurse expressed concern about [Conrad]’s cough and called the doctor, who gave [Conrad] a full chest
examination behind a large screen that hid him from the view of other patients.
How would you rate his experience of being greeted and talked to
respectfully?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-8
R-Vignette - Set A Q-8
R-Vignette - Set A Q-8
R-Vignette - Set A Q-8
R-Vignette - Set A Q-8
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Conrad] had bad flu. He went to the clinic. The nurse expressed concern about [Conrad]’s cough and called the doctor, who gave [Conrad] a full chest
examination behind a large screen that hid him from the view of other patients.
How would you rate the way his privacy was respected during physical
examinations and treatments?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-9
R-Vignette - Set A Q-9
R-Vignette - Set A Q-9
R-Vignette - Set A Q-9
R-Vignette - Set A Q-9
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Aitor] broke his hand. He walked to the clinic because there was no transport and the journey took him several hours. He had to sleep near the clinic for two
days before seeing the doctor.
How would you rate his travelling time?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
R-Vignette - Set A Q-10
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Aitor] broke his hand. He walked to the clinic because there was no transport and the journey took him several hours. He had to sleep near the clinic for two
days before seeing the doctor.
How would you rate the amount of time he waited before being attended
to?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
R-Vignette - Set A Q-11
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Julia] was pregnant and went to the hospital coughing blood. A nurse welcomed her gently and helped her to a private room. A female doctor came to
examine her and gave her a clean gown to replace her blood-stained clothes.
How would you rate her experience of being greeted and talked to
respectfully?
519
4306
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-12
R-Vignette - Set A Q-12
R-Vignette - Set A Q-12
R-Vignette - Set A Q-12
R-Vignette - Set A Q-12
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Julia] was pregnant and went to the hospital coughing blood. A nurse welcomed her gently and helped her to a private room. A female doctor came to
examine her and gave her a clean gown to replace her blood-stained clothes.
How would you rate the way her privacy was respected during physical
examinations and treatments?
519
4306
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-13
R-Vignette - Set A Q-13
R-Vignette - Set A Q-13
R-Vignette - Set A Q-13
R-Vignette - Set A Q-13
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Carla]’s child became seriously sick. [Carla] called an ambulance that arrived after 10 minutes and within 5 minutes they were at the hospital and the doctors
were treating the child.
How would you rate her travelling time?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
R-Vignette - Set A Q-14
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Carla]’s child became seriously sick. [Carla] called an ambulance that arrived after 10 minutes and within 5 minutes they were at the hospital and the doctors
were treating the child.
How would you rate the amount of time she waited before being attended
to?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
R-Vignette - Set A Q-15
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Patricia] went to a crowded clinic. At first, no-one greeted her but after waiting for 5 minutes a nurse called her to the examination area where she was
examined behind a small screen that mostly hid her from the other patients.
How would you rate her experience of being greeted and talked to
respectfully?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-16
R-Vignette - Set A Q-16
R-Vignette - Set A Q-16
R-Vignette - Set A Q-16
R-Vignette - Set A Q-16
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Patricia] went to a crowded clinic. At first, no-one greeted her but after waiting for 5 minutes a nurse called her to the examination area where she was
examined behind a small screen that mostly hid her from the other patients.
How would you rate the way her privacy was respected during physical
examinations and treatments?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-17
R-Vignette - Set A Q-17
R-Vignette - Set A Q-17
R-Vignette - Set A Q-17
R-Vignette - Set A Q-17
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Karen] needed a blood test. It took her 45 minutes by bus to get to the clinic and she waited for 30 minutes to see the nurse.
How would you rate her travelling time?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
R-Vignette - Set A Q-18
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Karen] needed a blood test. It took her 45 minutes by bus to get to the clinic and she waited for 30 minutes to see the nurse.
How would you rate the amount of time she waited before being attended
to?
520
4305
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
R-Vignette - Set A Q-19
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Said] has AIDS. When he goes to his health centre the nurses do not talk to him and deliberately ignore him. During examinations, his clothes are removed
and he is made to wait, half-naked in the waiting room.
How would you rate his experience of being greeted and talked to
respectfully?
519
4306
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set A Q-20
R-Vignette - Set A Q-20
R-Vignette - Set A Q-20
R-Vignette - Set A Q-20
R-Vignette - Set A Q-20
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Said] has AIDS. When he goes to his health centre the nurses do not talk to him and deliberately ignore him. During examinations, his clothes are removed
and he is made to wait, half-naked in the waiting room.
How would you rate the way his privacy was respected during physical
examinations and treatments?
517
4308
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
R-Vignette - Set B Q-1
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Thomas] couldn’t see well so he went to the doctor and explained the problem. [Thomas] had time to ask the doctor some questions, which the doctor
answered until [Thomas] understood almost everything.
How would you rate his experience of how clearly health care providers
explained things to him?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-2
R-Vignette - Set B Q-2
R-Vignette - Set B Q-2
R-Vignette - Set B Q-2
R-Vignette - Set B Q-2
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Thomas] couldn’t see well so he went to the doctor and explained the problem. [Thomas] had time to ask the doctor some questions, which the doctor
answered until [Thomas] understood almost everything.
How would you rate his experience of how clearly health care providers
explained things to him?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
R-Vignette - Set B Q-3
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Wing] had his own room in the hospital and shared a bathroom with two others. The room and bathroom were cleaned frequently and had fresh air.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-4
R-Vignette - Set B Q-4
R-Vignette - Set B Q-4
R-Vignette - Set B Q-4
R-Vignette - Set B Q-4
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Wing] had his own room in the hospital and shared a bathroom with two others. The room and bathroom were cleaned frequently and had fresh air.
How would you rate the amount of space [Wing] had?
491
4334
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
R-Vignette - Set B Q-5
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Pia] went to the emergency clinic with a stomach pain. The doctor explained to [Pia] her condition and the treatment. [Pia] asked him some questions and the
doctor explained things using examples that were familiar to her until she understood everything.
How would you rate her experience of how clearly health care providers
explained things to her?
491
4334
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-6
R-Vignette - Set B Q-6
R-Vignette - Set B Q-6
R-Vignette - Set B Q-6
R-Vignette - Set B Q-6
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Pia] went to the emergency clinic with a stomach pain. The doctor explained to [Pia] her condition and the treatment. [Pia] asked him some questions and the
doctor explained things using examples that were familiar to her until she understood everything.
How would you rate her experience of getting enough time to ask
questions about her health problem or treatment?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
R-Vignette - Set B Q-7
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Shedra] was hospitalized last year for a hip operation. Her private room had its own bathroom and was comfortable and spacious. It was cleaned by the
hospital staff daily. The bed was comfortable and the sheets were changed daily.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-8
R-Vignette - Set B Q-8
R-Vignette - Set B Q-8
R-Vignette - Set B Q-8
R-Vignette - Set B Q-8
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Shedra] was hospitalized last year for a hip operation. Her private room had its own bathroom and was comfortable and spacious. It was cleaned by the
hospital staff daily. The bed was comfortable and the sheets were changed daily.
How would you rate the amount of space [Shedra] had?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
R-Vignette - Set B Q-9
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Akiko] is in hospital after a car accident. She has lots of scratches, bruises and some broken bones. When the doctor visited her he asked to see her medical
records. He asked the nurse some questions and then he said that [Akiko] was making good progress. [Akiko] supposes that she will still stay there for another
week but is unsure.
How would you rate her experience of how clearly health care providers
explained things to her?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-10
R-Vignette - Set B Q-10
R-Vignette - Set B Q-10
R-Vignette - Set B Q-10
R-Vignette - Set B Q-10
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Akiko] is in hospital after a car accident. She has lots of scratches, bruises and some broken bones. When the doctor visited her he asked to see her medical
records. He asked the nurse some questions and then he said that [Akiko] was making good progress. [Akiko] supposes that she will still stay there for another
week but is unsure.
How would you rate her experience of getting enough time to ask
questions about her health problem or treatment?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
R-Vignette - Set B Q-11
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Kamal] has a nervous breakdown and had to spend 3 months in the past year in the local hospital. He had to sleep on an uncomfortable mattress with no
sheets. There were 30 other patients in the same dormitory style ward and the toilets would smell, because they were not cleaned. He came back with a skin
infection, because he couldn’t wash regularly and there were insects in the bed.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-12
R-Vignette - Set B Q-12
R-Vignette - Set B Q-12
R-Vignette - Set B Q-12
R-Vignette - Set B Q-12
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Kamal] has a nervous breakdown and had to spend 3 months in the past year in the local hospital. He had to sleep on an uncomfortable mattress with no
sheets. There were 30 other patients in the same dormitory style ward and the toilets would smell, because they were not cleaned. He came back with a skin
infection, because he couldn’t wash regularly and there were insects in the bed.
How would you rate the amount of space [Kamal] had?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
R-Vignette - Set B Q-13
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rose] cannot write or read. She went to the doctor because she was feeling dizzy. The doctor didn’t have time to answer her questions or to explain anything.
He sent her away with a piece of paper without telling her what it said.
How would you rate her experience of how clearly health care providers
explained things to her?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-14
R-Vignette - Set B Q-14
R-Vignette - Set B Q-14
R-Vignette - Set B Q-14
R-Vignette - Set B Q-14
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rose] cannot write or read. She went to the doctor because she was feeling dizzy. The doctor didn’t have time to answer her questions or to explain anything.
He sent her away with a piece of paper without telling her what it said.
How would you rate her experience of getting enough time to ask
questions about her health problem or treatment?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
R-Vignette - Set B Q-15
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Hans] shared his small hospital room with five other patients with no partitions between beds. The five patients shared a toilet, which was cleaned every
second day and sometimes smelt.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-16
R-Vignette - Set B Q-16
R-Vignette - Set B Q-16
R-Vignette - Set B Q-16
R-Vignette - Set B Q-16
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Hans] shared his small hospital room with five other patients with no partitions between beds. The five patients shared a toilet, which was cleaned every
second day and sometimes smelt.
How would you rate the amount of space [Hans] had?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
R-Vignette - Set B Q-17
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Mario] has been told that he has epilepsy and that he needs to take medication. The doctor has very briefly explained what the condition is. He is very busy
and there is a queue of patients waiting to see him. Mario would like to know more about what he has, but feels that there is no time to ask questions. The
doctor says goodbye to Mario, and Mario leaves the office.
How would you rate his experience of how clearly health care providers
explained things to him?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-18
R-Vignette - Set B Q-18
R-Vignette - Set B Q-18
R-Vignette - Set B Q-18
R-Vignette - Set B Q-18
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Mario] has been told that he has epilepsy and that he needs to take medication. The doctor has very briefly explained what the condition is. He is very busy
and there is a queue of patients waiting to see him. Mario would like to know more about what he has, but feels that there is no time to ask questions. The
doctor says goodbye to Mario, and Mario leaves the office.
How would you rate his experience of getting enough time to ask
questions about his health problem or treatment?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
R-Vignette - Set B Q-19
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[José] shared a hospital room with four other persons. There was a toilet for his ward located along the outside corridor. The room was only occasionally dusty
and hot, but without any fan.
How would you rate the cleanliness of the rooms inside the facility,
including toilets?
492
4333
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set B Q-20
R-Vignette - Set B Q-20
R-Vignette - Set B Q-20
R-Vignette - Set B Q-20
R-Vignette - Set B Q-20
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[José] shared a hospital room with four other persons. There was a toilet for his ward located along the outside corridor. The room was only occasionally dusty
and hot, but without any fan.
How would you rate the amount of space [José] had?
488
4337
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
R-Vignette - Set C Q-1
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Simon] was speaking to his doctor about an embarrassing problem. There was a friend and a neighbour of his in the crowded waiting room and because of the
noise the doctor had to shout when telling [Simon] the treatment he needed.
How would you rate the way the health services ensured [Simon] could
talk privately to health care providers?
513
4312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-2
R-Vignette - Set C Q-2
R-Vignette - Set C Q-2
R-Vignette - Set C Q-2
R-Vignette - Set C Q-2
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Simon] was speaking to his doctor about an embarrassing problem. There was a friend and a neighbour of his in the crowded waiting room and because of the
noise the doctor had to shout when telling [Simon] the treatment he needed.
How would you rate the way [Simon’s] personal information was kept
confidential?
513
4312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
R-Vignette - Set C Q-3
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When the clinic is not busy, [Mamadou] can choose which doctor he sees. But most often it is busy and then he gets sent to whoever is free.
How would you rate [Mamadou’s] freedom to choose her health care
provider?
513
4312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-4
R-Vignette - Set C Q-4
R-Vignette - Set C Q-4
R-Vignette - Set C Q-4
R-Vignette - Set C Q-4
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
The government wanted to expand the town’s clinic service. They held one meeting to discuss the expansion plans. [Chad] attended the meeting and freely
expressed his views. [Chad] then heard nothing more about what decision the government had made.
How would you rate the way health care involves [Chad] in deciding what
services it provides and where it provides them?
511
4314
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
R-Vignette - Set C Q-5
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rebecca] usually spoke to her doctor about her illness in complete privacy. Once [Rebecca] heard that the doctor spoke to [Rebecca’s] friend about her
illness. She asked her doctor not to do it again. He did not do it again.
How would you rate the way the health services ensured [Rebecca] could
talk privately to health care providers?
513
4312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-6
R-Vignette - Set C Q-6
R-Vignette - Set C Q-6
R-Vignette - Set C Q-6
R-Vignette - Set C Q-6
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Rebecca] usually spoke to her doctor about her illness in complete privacy. Once [Rebecca] heard that the doctor spoke to [Rebecca’s] friend about her
illness. She asked her doctor not to do it again. He did not do it again.
How would you rate the way [Rebecca’s] personal information was kept
confidential?
513
4312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
R-Vignette - Set C Q-7
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
In [William] ’s town there is a large day clinic where there are several doctors and nurses. When [William] has a sensitive health problem he can see a male
rather than a female doctor or nurse.
How would you rate [William’s] freedom to choose his health care
provider?
512
4313
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-8
R-Vignette - Set C Q-8
R-Vignette - Set C Q-8
R-Vignette - Set C Q-8
R-Vignette - Set C Q-8
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Sarah] lives in [Kamf] where the local government has regular public meetings to discuss the community’s health care needs. [Sarah] participates in
identifying the community’s most important health needs. Recently, they planned to build a clinic and asked people to help decide on the services and the best
location.
How would you rate the way health care involves [Sarah] in deciding
what services it provides and where it provides them?
512
4313
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
R-Vignette - Set C Q-9
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Elma] was asked to describe a serious health problem to the doctor in the middle of the waiting room. The doctor repeated everything to the nurse and all the
other patients, many of whom knew her family, could overhear everything.
How would you rate the way the health services ensured [Elma] could talk
privately to health care providers?
512
4313
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-10
R-Vignette - Set C Q-10
R-Vignette - Set C Q-10
R-Vignette - Set C Q-10
R-Vignette - Set C Q-10
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Elma] was asked to describe a serious health problem to the doctor in the middle of the waiting room. The doctor repeated everything to the nurse and all the
other patients, many of whom knew her family, could overhear everything.
How would you rate the way [Elma’s] personal information was kept
confidential?
512
4313
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
R-Vignette - Set C Q-11
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Penelope] had fertility problems, she had to travel from her small village to the closest town where they only had one male doctor. [Penelope] wanted
to see a female doctor but she had no choice.
How would you rate [Penelope’s] freedom to choose her health care
provider?
512
4313
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-12
R-Vignette - Set C Q-12
R-Vignette - Set C Q-12
R-Vignette - Set C Q-12
R-Vignette - Set C Q-12
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Zana] attended her town’s annual meeting on community health needs. They agreed to focus on improving health services at schools for the next year. After
the meeting, [Zana] received a letter saying which schools would benefit, but the letter did not fully explain how the schools were selected.
How would you rate the way health care involves [Zana] in deciding what
services it provides and where it provides them?
512
4313
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
R-Vignette - Set C Q-13
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Alouine] had his consultation in a small private room. During the consultation, a nurse occasionally walked in and listened to the conversation. Sometimes
she forgot to close the door so people in the waiting room could overhear parts of their conversation.
How would you rate the way the health services ensured [Alouine] could
talk privately to health care providers?
512
4313
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-14
R-Vignette - Set C Q-14
R-Vignette - Set C Q-14
R-Vignette - Set C Q-14
R-Vignette - Set C Q-14
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Alouine] had his consultation in a small private room. During the consultation, a nurse occasionally walked in and listened to the conversation. Sometimes
she forgot to close the door so people in the waiting room could overhear parts of their conversation.
How would you rate the way [Alouine’s] personal information was kept
confidential?
510
4315
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
R-Vignette - Set C Q-15
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
The national health service assigns all the people in [Ibrahim’s] community to the local clinic. At the clinic they have a choice of 3 doctors. If they want to
change clinics, they need to get permission.
How would you rate [Ibrahim’s] freedom to choose his health care
provider?
510
4315
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-16
R-Vignette - Set C Q-16
R-Vignette - Set C Q-16
R-Vignette - Set C Q-16
R-Vignette - Set C Q-16
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Tarek] lives near a town where the government recently built a new hospital. Before building, they didn’t consult anyone in the town or surrounding villages
about their health needs nor where to locate the hospital.
How would you rate the way health care involves [Tarek] in deciding
what services it provides and where it provides them?
511
4314
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
R-Vignette - Set C Q-17
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Ken] visited the doctor regularly. His doctor always took [Ken] to a private room before discussing his illness. The doctor was aware that [Ken] was very
sensitive about his health condition and would never talk about it to anyone or in front of anyone without Ken’s permission.
How would you rate the way the health services ensured [Ken] could talk
privately to health care providers?
513
4312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-18
R-Vignette - Set C Q-18
R-Vignette - Set C Q-18
R-Vignette - Set C Q-18
R-Vignette - Set C Q-18
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Ken] visited the doctor regularly. His doctor always took [Ken] to a private room before discussing his illness. The doctor was aware that [Ken] was very
sensitive about his health condition and would never talk about it to anyone or in front of anyone without Ken’s permission.
How would you rate the way [Ken’s] personal information was kept
confidential?
513
4312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
R-Vignette - Set C Q-19
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Nathan] lives in a town where there are lots of doctors and clinics. He tried one doctor but he didn’t like him so he changed doctors. This was easy to do
because he could go where he wanted.
How would you rate [Nathan’s] freedom to choose his health care
provider?
513
4312
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
R-Vignette - Set D Q-1
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Sally]’s husband could only visit her in hospital in the evenings because of the visiting hours and because he had to look after their children. Once he brought
the children with him and the nurse, who was reading a newspaper, said she could not watch them for him. This meant [Sally] had fewer visits from her
husband.
For[Sally’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
481
4344
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-2
R-Vignette - Set D Q-2
R-Vignette - Set D Q-2
R-Vignette - Set D Q-2
R-Vignette - Set D Q-2
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Sally]’s husband could only visit her in hospital in the evenings because of the visiting hours and because he had to look after their children. Once he brought
the children with him and the nurse, who was reading a newspaper, said she could not watch them for him. This meant [Sally] had fewer visits from her
husband.
For [Sally’s] last hospital stay, how would you rate her experience of
staying in contact with the outside world when she was in hospital?
481
4344
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-3
R-Vignette - Set D Q-3
R-Vignette - Set D Q-3
R-Vignette - Set D Q-3
R-Vignette - Set D Q-3
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Jasmina’s] had treatment for infertility, the doctor gave her some pills and asked her to return in two weeks. He didn’t ask her whether she wanted to
know anything about her health condition nor suggest different alternatives that might have suited her better.
How would you rate [Jasmina’s] experience of getting information about
other types of treatments or tests?
481
4344
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
R-Vignette - Set D Q-4
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Jasmina’s] had treatment for infertility, the doctor gave her some pills and asked her to return in two weeks. He didn’t ask her whether she wanted to
know anything about her health condition nor suggest different alternatives that might have suited her better.
How would you rate [Jasmina’s] experience of being involved in making
decisions about her health care or treatment?
479
4346
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
R-Vignette - Set D Q-5
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Joseph] was in hospital he could have no visitors nor could he receive any presents from friends or relatives. The hospital had no telephones and he
could not get any news from outside.
For [Joseph’s] last hospital stay, how would you rate the ease of having
family and friends visit him?
481
4344
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-6
R-Vignette - Set D Q-6
R-Vignette - Set D Q-6
R-Vignette - Set D Q-6
R-Vignette - Set D Q-6
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Joseph] was in hospital he could have no visitors nor could he receive any presents from friends or relatives. The hospital had no telephones and he
could not get any news from outside.
For [Joseph’s] last hospital stay, how would you rate his experience of
staying in contact with the outside world when he was in hospital?
480
4345
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-7
R-Vignette - Set D Q-7
R-Vignette - Set D Q-7
R-Vignette - Set D Q-7
R-Vignette - Set D Q-7
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Mark] had a serious health problem. The doctor prescribed the best treatment for Mark but without telling him the implications on his quality of life or the
cost. [Mark] felt powerless and was not given any information to help him to feel more in control.
How would you rate [Mark’s] experience of getting information about
other types of treatments or tests?
481
4344
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
R-Vignette - Set D Q-8
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Mark] had a serious health problem. The doctor prescribed the best treatment for Mark but without telling him the implications on his quality of life or the
cost. [Mark] felt powerless and was not given any information to help him to feel more in control.
How would you rate [Mark’s] experience of being involved in making
decisions about his health care or treatment?
481
4344
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
R-Vignette - Set D Q-9
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Tamara] was in hospital for two weeks, her family visited her every few days during the evening visiting hours, but she was alone the rest of the day.
There was little to read or do in the hospital . Every few days, the nurses brought her a portable radio to listen to for a few hours.
For[Tamara’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
480
4345
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-10
R-Vignette - Set D Q-10
R-Vignette - Set D Q-10
R-Vignette - Set D Q-10
R-Vignette - Set D Q-10
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Tamara] was in hospital for two weeks, her family visited her every few days during the evening visiting hours, but she was alone the rest of the day.
There was little to read or do in the hospital . Every few days, the nurses brought her a portable radio to listen to for a few hours.
For [Tamara’s] last hospital stay, how would you rate her experience of
staying in contact with the outside world when she was in hospital?
480
4345
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-11
R-Vignette - Set D Q-11
R-Vignette - Set D Q-11
R-Vignette - Set D Q-11
R-Vignette - Set D Q-11
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Bob] had a broken arm. The doctor explained different ways of fixing it and then ordered some blood tests. [Bob] didn’t know why he needed blood tests and
was worried until the doctor explained what they were for.
How would you rate [Bob’s] experience of getting information about other
types of treatments or tests?
479
4346
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
R-Vignette - Set D Q-12
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Bob] had a broken arm. The doctor explained different ways of fixing it and then ordered some blood tests. [Bob] didn’t know why he needed blood tests and
was worried until the doctor explained what they were for.
How would you rate [Bob’s] experience of being involved in making
decisions about his health care or treatment?
481
4344
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
R-Vignette - Set D Q-13
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Carol] was in hospital, she was allowed visitors at any time of the day. Whenever she needed to contact her family, work or friends, she could easily
get a message delivered to them.
For [Carol’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
481
4344
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-14
R-Vignette - Set D Q-14
R-Vignette - Set D Q-14
R-Vignette - Set D Q-14
R-Vignette - Set D Q-14
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Carol] was in hospital, she was allowed visitors at any time of the day. Whenever she needed to contact her family, work or friends, she could easily
get a message delivered to them.
For [Carol’s] last hospital stay, how would you rate her experience of
staying in contact with the outside world when she was in hospital?
481
4344
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-15
R-Vignette - Set D Q-15
R-Vignette - Set D Q-15
R-Vignette - Set D Q-15
R-Vignette - Set D Q-15
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Sarah] wanted treatment for her swollen limbs, the nurses at her clinic discussed many possible treatments with her. They discussed all the pro’s and
con’s of each treatment with her and then recommended one to her.
How would you rate [Sarah’s] experience of getting information about
other types of treatments or tests?
481
4344
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
R-Vignette - Set D Q-16
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
When [Sarah] wanted treatment for her swollen limbs, the nurses at her clinic discussed many possible treatments with her. They discussed all the pro’s and
con’s of each treatment with her and then recommended one to her.
How would you rate [Sarah’s] experience of being involved in making
decisions about her health care or treatment?
480
4345
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
R-Vignette - Set D Q-17
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Jane] gave birth in hospital. Her husband was permitted to visit her every morning and evening. [Jane] was able to contact her family and friends once a day.
For [Jane’s] last hospital stay, how would you rate the ease of having
family and friends visit her?
480
4345
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-18
R-Vignette - Set D Q-18
R-Vignette - Set D Q-18
R-Vignette - Set D Q-18
R-Vignette - Set D Q-18
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Jane] gave birth in hospital. Her husband was permitted to visit her every morning and evening. [Jane] was able to contact her family and friends once a day.
For [Jane’s] last hospital stay, how would you rate her experience of
staying in contact with the outside world when she was in hospital?
480
4345
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-19
R-Vignette - Set D Q-19
R-Vignette - Set D Q-19
R-Vignette - Set D Q-19
R-Vignette - Set D Q-19
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Tara] is unhappy and has no energy. She gave birth to a baby girl two months ago and the doctor has told her that she may be suffering from depression. The
doctor discussed her condition with her and then suggested that she could either try some medication or, if she prefers, talk to a counsellor.
How would you rate [Tara’s] experience of getting information about
other types of treatments or tests?
480
4345
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
R-Vignette - Set D Q-20
I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad.
Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications").
[Tara] is unhappy and has no energy. She gave birth to a baby girl two months ago and the doctor has told her that she may be suffering from depression. The
doctor discussed her condition with her and then suggested that she could either try some medication or, if she prefers, talk to a counsellor.
How would you rate [Tara’s] experience of being involved in making
decisions about her health care or treatment?
476
4349
1
Very good
2
Good
3
Moderate
4
Bad
5
Very bad
Sysmiss
Time end section 7000
Time end section 7000
Time end section 7000
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Time begin section 8000
Time begin section 8000
Time begin section 8000
Time begin section 8000
Time begin section 8000
4437
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control the important things
control the important things
control the important things
control the important things
control the important things
In the last month: How often have you felt that you were unable to control the important things in your life?
4804
21
1
Never
2
Almost never
3
Sometimes
4
Fairly often
5
Very often
Sysmiss
could not cope with all the things
could not cope with all the things
could not cope with all the things
could not cope with all the things
could not cope with all the things
In the last month: How often have you found that you could not cope with all the things that you had to do?
4804
21
1
Never
2
Almost never
3
Sometimes
4
Fairly often
5
Very often
Sysmiss
Satisfied with health
Satisfied with health
Satisfied with health
Satisfied with health
Satisfied with health
How satisfied are you with your health?
4801
24
1
Very dissatisfied
2
Dissatisfied
3
Neither satisfied nor dissatisfied
4
Satisfied
5
Very satisfied
Sysmiss
Rank 1 (most important goal)
Rank 1 (most important goal)
Rank 1 (most important goal)
Rank 1 (most important goal)
Rank 1 (most important goal)
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
4784
FFC
HIN
HTH
REI
RES
Rank 2
Rank 2
Rank 2
Rank 2
Rank 2
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
4783
FFC
HIN
HTH
REI
RES
Rank 3
Rank 3
Rank 3
Rank 3
Rank 3
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
4781
FFC
HIN
HTH
REI
RES
Rank 4
Rank 4
Rank 4
Rank 4
Rank 4
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
4779
FFC
HIN
HTH
REI
RES
Rank 5 (least important goal)
Rank 5 (least important goal)
Rank 5 (least important goal)
Rank 5 (least important goal)
Rank 5 (least important goal)
READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been
identified:
1. Improving the health of the population (population lives longer and with less illness)
2. Minimizing inequalities in health between people (all people should have equal chances of being healthy)
3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by
medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to
choose to see the doctor one wants).
4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or
religious or other beliefs)
5. Fairness in financial contribution (every household should pay a fair share towards the health system)
..
Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to
you in order of importance.
INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1
AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT.
Health Systems Goals
4776
FFC
HIN
HTH
REI
RES
Did you vote
Did you vote
Did you vote
Did you vote
Did you vote
Lots of people find it difficult to get out and vote. Did you vote in the last state/national/presidential election?
4771
54
1
Yes
5
No
7
Refusal
8
Do not know
Sysmiss
trust national government
trust national government
trust national government
trust national government
trust national government
How much of the time do you think you can trust the NATIONAL government to do what is right ?
4790
35
1
Always
2
Most of the time
3
Some of the time
4
Hardly ever
5
Never
Sysmiss
trust the local government
trust the local government
trust the local government
trust the local government
trust the local government
How about your LOCAL government? How much of the time do you think you can trust the LOCAL government to do what is right?
4797
28
1
Always
2
Most of the time
3
Some of the time
4
Hardly ever
5
Never
Sysmiss
how safe do you feel when you are alone at home
how safe do you feel when you are alone at home
how safe do you feel when you are alone at home
how safe do you feel when you are alone at home
how safe do you feel when you are alone at home
In general, how safe from crime and violence do you feel when you are alone at home?
4799
26
1
Completely safe
2
Very safe
3
Moderately safe
4
Slightly safe
5
Not safe at all
Sysmiss
how safe do you feel when walking down your street alone
how safe do you feel when walking down your street alone
how safe do you feel when walking down your street alone
how safe do you feel when walking down your street alone
how safe do you feel when walking down your street alone
How safe do you feel when walking down your street alone after dark?
4782
43
1
Completely safe
2
Very safe
3
Moderately safe
4
Slightly safe
5
Not safe at all
Sysmiss
anyone in your household been the victim of a violent crime
anyone in your household been the victim of a violent crime
anyone in your household been the victim of a violent crime
anyone in your household been the victim of a violent crime
anyone in your household been the victim of a violent crime
In the past year, have you or anyone in your household been the victim of a violent crime, such as assault or mugging?
4726
99
1
Yes
5
No
Sysmiss
how much do you have in getting the government to address issues
how much do you have in getting the government to address issues
how much do you have in getting the government to address issues
how much do you have in getting the government to address issues
how much do you have in getting the government to address issues
How much say do you have in getting the government to address issues that interest you?
4799
26
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government rep
How free do you think you are to express yourself without fear of government reprisal?
4801
24
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
Record Set
Record Set
Record Set
Record Set
Record Set
4813
A
B
8000 vignette 1 (set A)
8000 vignette 1 (set A)
8000 vignette 1 (set A)
8000 vignette 1 (set A)
8000 vignette 1 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Jane] lacks clean drinking water because the government is pursuing an
industrial development plan. In the campaign for an upcoming election, an
opposition party has promised to address the issue, but she feels it would
be futile to vote for the opposition since the government is certain to win.
2385
2440
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 2 (set A)
8000 vignette 2 (set A)
8000 vignette 2 (set A)
8000 vignette 2 (set A)
8000 vignette 2 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Alison] lacks clean drinking water. She and her neighbours are
supporting an opposition candidate in the forthcoming elections that has
promised to address the issue. It appears that so many people in her area
feel the same way that the opposition candidate will defeat the incumbent
representative.
2382
2443
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 3 (set A)
8000 vignette 3 (set A)
8000 vignette 3 (set A)
8000 vignette 3 (set A)
8000 vignette 3 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Moses] lacks clean drinking water. He would like to change this, but he
can’t vote, and feels that no one in the government cares about this issue.
So he suffers in silence, hoping something will be done in the future.
2384
2441
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 4 (set A)
8000 vignette 4 (set A)
8000 vignette 4 (set A)
8000 vignette 4 (set A)
8000 vignette 4 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Imelda] lacks clean drinking water. She and her neighbours are drawing
attention to the issue by collecting signatures on a petition. They plan to
present the petition to each of the political parties before the upcoming
election.
2384
2441
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 5 (set A)
8000 vignette 5 (set A)
8000 vignette 5 (set A)
8000 vignette 5 (set A)
8000 vignette 5 (set A)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these
people have in getting their government to address issues of importance to each person.
For each vignette ask:
How much say [does] [name of person] have in getting the government to address issues that interest [him/her]?
Please circle one option per vignette.
[Toshiro] lacks clean drinking water. There is a group of local leaders
who could do something about the problem, but they have said that
industrial development is the most important policy right now instead of
clean water.
2376
2449
1
Unlimited say
2
A lot of say
3
Some say
4
Little say
5
No say at all
Sysmiss
8000 vignette 1 (setB)
8000 vignette 1 (setB)
8000 vignette 1 (setB)
8000 vignette 1 (setB)
8000 vignette 1 (setB)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Bob] has political views at odds with the government. He has heard of
people occasionally being arrested for speaking out against the
government, and government leaders sometimes make political speeches
condemning those who criticize. He sometimes writes letters to
newspapers about politics, but he is careful not to use his real name.
2426
2399
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 2 (set B)
8000 vignette 2 (set B)
8000 vignette 2 (set B)
8000 vignette 2 (set B)
8000 vignette 2 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Kay] does not like many of the government’s policies. She frequently
publishes her opinion in newspapers, criticizing decisions by officials and
calling for change. She sees little reason these actions could lead to
government reprisal.
2419
2406
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 3 (set B)
8000 vignette 3 (set B)
8000 vignette 3 (set B)
8000 vignette 3 (set B)
8000 vignette 3 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Connie] does not like the government’s stance on many issues. She has a
friend who was arrested for being too openly critical of governmental
leaders, and so she avoids voicing her opinions in public places.
2420
2405
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 4 (set B)
8000 vignette 4 (set B)
8000 vignette 4 (set B)
8000 vignette 4 (set B)
8000 vignette 4 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Sonny] lives in fear of being harassed for his political views. Everyone
he knows who has spoken out against the government has been arrested or
taken away. He never says a word about anything the government does,
not even when he is at home alone with his family.
2421
2404
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 5 (set B)
8000 vignette 5 (set B)
8000 vignette 5 (set B)
8000 vignette 5 (set B)
8000 vignette 5 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Michael] disagrees with many of the government’s policies. Though he
knows criticism is frowned upon, he doesn’t believe the government
would punish someone for expressing critical views. He makes his
opinion known on most issues without regard to who is listening.
2422
2403
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
8000 vignette 6 (set B)
8000 vignette 6 (set B)
8000 vignette 6 (set B)
8000 vignette 6 (set B)
8000 vignette 6 (set B)
I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people
are to express themselves without fear of reprisal from their government.
For each vignette ask:
How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette.
[Vito] disagrees with many of the government’s policies, and is very
careful about whom he says this to, reserving his real opinions for family
and close friends only. He knows several men who have been taken away
by government officials for saying negative things in public.
2422
2403
1
Completely free
2
Very free
3
Moderately free
4
Slightly free
5
Not free at all
Sysmiss
Time end section 8000
Time end section 8000
Time end section 8000
Time end section 8000
Time end section 8000
4453
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Time begin section 9000
Time begin section 9000
Time begin section 9000
Time begin section 9000
Time begin section 9000
4097
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13:59
14:00
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14:41
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14:45
14:46
14:47
14:48
14:49
14:50
14:51
14:52
14:53
14:54
14:55
14:56
14:57
14:58
14:59
15:00
15:01
15:02
15:03
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15:05
15:06
15:07
15:08
15:09
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15:11
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15:58
15:59
16:00
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16:59
17:00
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17:56
17:57
17:58
17:59
18:00
18:01
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18:06
18:07
18:08
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19:45
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19:47
19:48
19:49
19:50
19:51
19:52
19:53
19:55
19:58
19:59
20:00
20:02
20:04
20:05
20:08
20:10
20:12
20:13
20:15
20:17
20:18
20:19
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20:23
20:24
20:25
20:27
20:28
20:30
20:31
20:33
20:35
20:38
20:40
20:44
20:45
20:49
20:51
20:52
20:53
20:57
20:59
21:01
21:02
21:03
21:04
21:07
21:10
21:11
21:12
21:13
21:14
21:15
21:17
21:18
21:19
21:20
21:22
21:25
21:27
21:28
21:30
21:31
21:32
21:33
21:35
21:40
21:42
21:44
21:45
21:46
21:47
21:50
21:54
21:55
21:56
21:59
22:00
22:03
22:05
22:07
22:10
22:12
22:14
22:17
22:24
22:25
22:27
22:34
22:37
22:52
22:56
22:57
22:58
22:59
23:09
23:40
hearing problem
hearing problem
hearing problem
hearing problem
hearing problem
Did the respondent have a hearing problem?
4779
46
1
Yes
5
No
Sysmiss
vision problem
vision problem
vision problem
vision problem
vision problem
Did the respondent have a vision problem?
4780
45
1
Yes
5
No
Sysmiss
wheelchair
wheelchair
wheelchair
wheelchair
wheelchair
Did the respondent use a wheelchair?
4779
46
1
Yes
5
No
Sysmiss
cane/crutches/walker
cane/crutches/walker
cane/crutches/walker
cane/crutches/walker
cane/crutches/walker
Did the respondent use cane / crutches / walker?
4777
48
1
Yes
5
No
Sysmiss
difficulties walking
difficulties walking
difficulties walking
difficulties walking
difficulties walking
Did the respondent have any difficulties walking?
4779
46
1
Yes
5
No
Sysmiss
paralysis in the arms hands or legs
paralysis in the arms hands or legs
paralysis in the arms hands or legs
paralysis in the arms hands or legs
paralysis in the arms hands or legs
Did the respondent have paralysis in the arms, hands or legs?
4780
45
1
Yes
5
No
Sysmiss
cough continually
cough continually
cough continually
cough continually
cough continually
Did the respondent cough continually?
4779
46
1
Yes
5
No
Sysmiss
shortness of breath
shortness of breath
shortness of breath
shortness of breath
shortness of breath
Did the respondent have shortness of breath?
4779
46
1
Yes
5
No
Sysmiss
mental problem
mental problem
mental problem
mental problem
mental problem
Did the respondent have a mental problem?
4779
46
1
Yes
5
No
Sysmiss
other health problem
other health problem
other health problem
other health problem
other health problem
Did the respondent other health problem?
4778
47
1
Yes
5
No
Sysmiss
have an amputation of a limb
have an amputation of a limb
have an amputation of a limb
have an amputation of a limb
have an amputation of a limb
Did the respondent have an amputation of a limb or part of a limb?
4773
52
1
Yes
5
No
Sysmiss
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was
The respondent cooperation was:
4765
60
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
Sysmiss
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent
Accuracy and completeness of respondent’s answers:
4735
90
1
Very high
2
High
3
Average
4
Low
5
Very Low
Sysmiss
unusual circumstances
unusual circumstances
unusual circumstances
unusual circumstances
unusual circumstances
Any unusual circumstances or happenings during the interview:
3622
- LA PRESENCE DE TEMPS EN TEMPS DE SON FRERE NOUS A GENE
2
3
3RAS
4
5
6 DECEDES AVANT SA NAISSANCE.
A CHAQUE QUESTION L'ENQUETE AVAIT UN REFREIN IL N Y A PAS LES MOYENS.
A SOUVENT ETE DERANGEE PAR SA FILETTE DE 3 ANS.
ACCEIL PARFAIT ESPERE UNE SUITE FAVORABLE.
ACCES DIFFICIL A l'ENTREVUE. LE REPONDANT N'EST JAMAIS A LA MAISON
ACCEUIL CHALEUREUX
ACCEUIL CHALEUREUX ET BONNE CAUSERIE SUR LE QUESTIONNAIRE.
ACCEUIL CHALEUREUX ET BONNE CONVERSATION
ACCEUIL CHALEUREUX ET PARFAIT
ACCEUIL CHALEUREUX ET PARFAIT.
ACCEUIL CHALEUREUX.
ACCEUIL COORDIAL
ACCEUIL MERVEILLEUX ET PARFAIT.
ACCEUIL MERVEILLEUX ET SANS DIFFICULTE.
ACCEUIL PARFAIT
ACCEUIL PARFAIT ET BON
ACCEUIL PARFAIT ET CHALEUREUX
ACCEUIL PARFAIT ET CHALEUREUX.
ACCUEIL ASSEZ PARFAIT. ESPERE UNE SUITE FAVORABLE.
ACCUEIL BIEN CHALEUREUX
ACCUEIL CHALEUREUW LANCE UN APPEL POUR ACQUISITION D'UN CSPS DANS LE VILLAGE DE
ACCUEIL CHALEUREUX
ACCUEIL CHALEUREUX ET PARFAIT
ACCUEIL CHALEUREUX ET PARFAIT.
ACCUEIL CHALEUREUX ET PARFAIT. ESPERE AVOIR UN SPS A SOLINANA.
ACCUEIL CHALEUREUX ET PARFAIT. ESPERE UNE SUITE FAVORABLE ET SOUFFRE ACTUELLEME?
ACCUEIL CHALEUREUX.
ACCUEIL CHALEUREUX. COMPTE SUR UN SOUTIEN SANITAIRE POUR L'AMELIORATION DE LA SA
ACCUEIL CHALEUREUX. ESPERE AVOIR 1 CSPS DANS LE VILLAGE DE SOLIMANA.
ACCUEIL COORDIAL
ACCUEIL CORDIAL
ACCUEIL CORDIAL.
ACCUEIL MERVEILLEUX ET PARFAIT
ACCUEIL PARFAIT
ACCUEIL PARFAIT ESPERE UNE SUITE FAVORABLE POUR LEUR DONNER LA BONNE SANTE.
ACCUEIL PARFAIT ET BIEN
ACCUEIL PARFAIT ET BONNE COLLABORATION
ACCUEIL PARFAIT ET BONNE CONVERSATION. INQUIET DES MOUSTIQUES QUI PROVOQUENT DES
ACCUEIL PARFAIT ET CHALEUREUX
ACCUEIL PARFAIT ET CHARLEUREUX. REMERCIEMENT POUR SA CONSIDERATION POUR CETTE EN
ACCUEIL PARFAIT LANCE UN APPEL POUR LE RESPECT DES MALADES QUAND ILS SE PRESENTE
ACCUEIL PARFAIT.
ACCUEIL PARFAITE
ACCUEUIL CHALEUREUX.
ACUEIL CORDIAL
AFFLUENCE DE JEUNES, VIEUX, FEMMES, ENFANTS. INTERRUPTIONS SUITE A AUTRES INFORM
AFFLUENCE DES BADAUDS LORS DE L'ENTRETIEN.
ANNONCE DU DECES D'UN VOISIN. INCAPACITE DE DONNER DES INFORMATION A SON FRERE D
APPELS INCESSANS DE LA REPONDANTE POUR LE CABARET.
ARRET DU TRAVAIL POUR QUE LE REPONDANT SE RENDE AU MARCHE.
ARRET POUR S'Y RENDRE A LA PRIERE DU VENDREDI
ARRIVEE D'UNE TIERCE PERSONNE D'OU INTERRUPTION MOMENTANEE DE L'ENTRETIEN.
ARRIVEE DE CERTAINS AMIS.
ATTENTIF.
ATTROUPEMENT AUTOUR DE L'ENQUETE
ATTROUPEMENT AUTOUR DE L'ENQUETE PENDANT L'ADMINISTRATION DU QUESTIONNAIRE.
ATTROUPEMENT D'ENFANTS PENDANT L'ENTRETIEN
ATTROUPEMENT DE TOUTE LA FAMILLE AUTOUR DE L'EQUETEUR ET DE L'ENQUETE.
ATTROUPEMENT DES ENFANTS AUTOUR DE L'ENQUETE
ATTROUPEMENTS D'ENFANTS LORS DE L'ENTRETIEN.
AU MOUMENT DE FAIRE L'EXERCICE DE CLASSEMENT ORDINAL L'ETAT DE SANTE DE L'ENQUET
AUCUN
AUCUN COMMENTAIRE
AUCUN DIFFICULTE ET CURIOSITE DES BADOUDS
AUCUN DIFFICULTE SAUF CURIOSITE DES BADAUDS LORS DE L'ENTRETIEN AUX DES PHOTOS.
AUCUN DIFFICULTE.
AUCUN DIFFICUTE.
AUCUN EFFORT A REPONDRE AUX QUESTIONS POSEES
AUCUN EVENEMENT EXCEPTIONNEL
AUCUN EVENEMENT EXCEPTIONNEL. LE REPONDANT A DEPLORE LA LOURDEUR DU QUESTIONNAIR
AUCUN EVENEMENT EXCEPTIONNEL. SEULEMENT ,POUR MA PART, DEPUIS LE DEBUT DE L'ENQ
AUCUN INCIDENT
AUCUN INTERRUPTION POUR ALLER CHERCHER DES PRODUITS
AUCUN L'ENTREVUE A ETE ACCEPTABLE.
AUCUN LE JEUNE AGE DU REPONDANT A FAVORISE LA COMPREHENSION DES OBJECTIFS DE L'E
AUCUN LE REPONDANT M'A DONNE PLUSIEURS RENDEZ VOUS ET NE M' A RECU QU'AU BOUT DU
AUCUN OBJECTION, CURIOSITE DES BAGAUDS INTERVENTION DE L'EPOUX DE TEMPS EN TEMPS
AUCUN PROBLEME MAJEUR
AUCUN PROBLEME MAJEUR L'ENTREVUE S'EST BIEN DEROULEE.
AUCUN PROBLEME POUR LE CONTACT MAIS SEULEMENT LA CERTITUDE AU NIVEAU DES REPONSE
AUCUN PROBLEME SAUF L'INTERVENTION D'UNE TIERCE PERSONNE AINSI LA CURIOSITE DES
AUCUN PROBLEME. TOUTES LES QUESTIONS ONT ETE BIEN COMPRISES ET LA COOPERATION ET
AUCUN PROBLEMEPOUR LES REPONSES A PART LA TENEUR DU QUESTIONNAIRE.
AUCUN. AGE APROXIMATIF DE LA REPONDANTE DONNE PAR SON MARI, SINON PLUS AGE QUE S
AUCUN. INTERVENTION DE L'EPOUX DANS LA LANGUE DAFING AVANT QUE L'ENGUETER NE REP
AUCUN. INTERVENTION DE TEMPS A AUTRE DU PERE DE L'ENQUETER AVANT QU'IL NE REPOND
AUCUNE
AUCUNE ABJECTION ENTRETIEN RELISE SANS UNE DIFFICULTE.
AUCUNE AUTRE DIFFICULTE.
AUCUNE DESCRIPTION A FAIRE
AUCUNE DIFFICULTE
AUCUNE DIFFICULTE AGREABLE ENTRETIEN AVEC UNE CURIOSITE DE BADOUDS.
AUCUNE DIFFICULTE ET ENTRETIEN REUSSI.
AUCUNE DIFFICULTE ET INTERVENTION AVEC CURIOSITE DE FEMMES ET BADANDS.
AUCUNE DIFFICULTE ET INTERVENTION DE TIERCES PERSONNES.
AUCUNE DIFFICULTE ET LENTE DANS LES TENTENTIVES DE REPONSE.
AUCUNE DIFFICULTE LORS DE L'ENTRETIEN CURIOSITE DES FEMMES
AUCUNE DIFFICULTE LORS DE L'ENTRETIEN.
AUCUNE DIFFICULTE PARTICULIERE
AUCUNE DIFFICULTE PARTICULIERE.
AUCUNE DIFFICULTE RENCONTRE
AUCUNE DIFFICULTE RENCONTREE PENDANT L'ENTRETIEN.
AUCUNE DIFFICULTE SAUF CURIOSITE DES ENFANTS LORS DE L'ENTRETIEN AINSI QUE LES V
AUCUNE DIFFICULTE SAUF LA FETE
AUCUNE DIFFICULTE, INTERVENTION D'UNE TIERCE PERSONNE.
AUCUNE DIFFICULTE,ACCUEIL CHALEUR ENTRETIEN REUSSI.
AUCUNE DIFFICULTE,CURIOSITE DE LA FAMILLE ET INTERVENTION DE L'EPOUX.
AUCUNE DIFFICULTE.
AUCUNE NEANT
AUCUNE REMARQUE.
AUNCUN
AVEC SON ETAT DE SANTE, IL ETAIT TOUT LE TEMPS ENERVER.
Allaitait l'enfant qui pleurait de temps en temps lors de l'entretien. Affluence
Aucun
Aucun , je suis allée la chercher à son lieu de travail.
Avec les travaux champetes leur temps était très limité, ce qui nous amenait à
BEAUCOUP D'INTERRUPTION ET BEAUCOUP DE LENTEUR DANS LES REPONSES EMISES.
BEAUCOUP D'INTERRUPTION POUR RAISON DE TRAVAUX MENAGERS
BEAUCOUP D'INTERRUPTION POUR RAISON DE TRAVAUX MENAGERS.
BEAUCOUP D'INTERRUPTION POUR RAISON DE TRAVAUX.
BEAUCOUP D'INTERRUPTION POUR RAISON DE VISITE.
BEAUCOUP D'INTERRUPTION. TRES TIMIDE
BEAUCOUP D'INTERRUPTIONS POUR DEMANDER DES EXPLICATIONS SUR CERTAINS POINTS DE L
BEAUCOUP D'INTERRUPTIONS POUR RAISON DE VISITE.
BEAUCOUP D'INTERVENANTS.CE QUI FAISAIT HESITER L'INTERROGE QUI D'AILLEUR TROUVAI
BEAUCOUP DE BRUITS ET DES PRESENCES.
BEAUCOUP DE COMMENTAIRE
BEAUCOUP DE DEPLACEMENT ET L'ENVIRONEMENT N'ETAIT PAS FAVORABLE SURTOUT AU NIVEA
BEAUCOUP DE LENTEUR DANS LA TRANSMISSION DES REPONSE.
BEAUCOUP DE PERTURBATEUR. MAIS DANS L'ENSEMBLE TOUT S'EST BIEN PASSE. LE REPONDA
BEAUCOUP DE PROBLEME A REPONDRE ET A SAISIR LE TEXTE QUI LUISEMBLAIT TROP LONG.
BEAUCOUP DE PROBLEMES POUR REPONDRE AU QUESTIONS.
BEAUCOUP DE QUESTIONS A PROPOS DE L'ENQUETE.
BEAUCOUP DE TEMPS MORTS
BEAUCOUP DE TEMPS MORTS. GRANDE TIMIDITE PENDANT L'ENTRETIEN
BEAUCOUP DE TEMPS MORTS. TRES TIMIDE
BEAUCOUP DE TENTATIVE AVANT l'ENTRETIEN.
BEAUCOUP DE VISITES RECUES
BEAUCOUP DE VISITEURS ET BEAUCOUP DE QUESTIONS DECLAICISSEMENT. LE REPONDANT ETA
BEAUCOUP DE VISITEURS ET PERTURBATION DE L'ENTREVUE.
BEBE PEUGUICHARD D'OU BEAUCOUP D'INTERRUPTIONS.
BIEN
BIEN A D'ECRIRE
BIEN DEROULER
BIEN PASSE.
BON ACCEUIL
BON ACCEUIL .
BON ACCEUIL ET PARFAIT
BON ACCEUIL PARFAIT.
BON ACCUEI LANCE UN APPEL SOLENNEL POUR OCCUPER BIEN LES FEMMES LORS DES ACCOUCH
BON ACCUEIL
BON ACCUEIL CHALEUREUX ENCOURAGE CETTE BONNE INITIATIAVE ET J'ESPERE
BON ACCUEIL COMPTE TENU AUX PERSONNES AGEES POUR
BON ACCUEIL ET CHALEUREUX.
BON ACCUEIL ET PARFAIT
BON ACCUEIL PARFAIT
BON ACCUEIL RECU ESPERE AVOIR UN SOUTIEN SUR LE PLAN SANITAIRE.
BON ACCUEIL.
BON ACCUUEIL COMPTE SUR UN APUI ALLANT DANS L'AIDE SANITAIRE AU NIVEAU DU VILLAG
BON CCUEIL ET PARFAIT; VISITE DU CONTORLEUR SANOU.
BONNE AMBIANCE
BONNE COLLABORATION
BONNE CONVERSATION ET ACCUEIL CHALEUREUX
BONNE PARTICIPATION
BONNE RECEPTION POUR CONVERSATION
Bien à décrire
Bon entretien.
C'EST LA QUE SA FOLIE A COMMENCE ENCORE ET IL A COMMENCE A PARLER AU HASARD EN D
C'EST LE PROBLEME DES TRAVAUX CHAMPETE QUI NOUS OBLIGE A ALLER AU CHAMP SUR LES
C'EST SUR RENDEZ-VOUS QUE J'AI PU L'EQUETE.
C'est au champ que l'enquete a eu lieu
CALME.
CAS DE SON ACCIDENT DE CIRCULATION, DIFFICULTES PERSONNELLES RENCONTREES PENDANT
CET ENTRETIEN A COMMENCE LE 03 ET N'A PRIS FIN QUE LE 11-12-02 A L'ISSUE DE MULT
CETTE FEMME A ETE PRATIQUEMENT CONTRAINTE PAR SON MARI A REPONDRE AUX QUESTIONS.
CETTE SEANCE D'ENQUETE A EU LIEU GRACE A LA BONNE VOLONTE DES ENFANTS DE MONSIEU
CHAGRIN DE LA REPONDANTE EN ME CITANT SES ENFANTS DECEDES
COMMUNICATION PAR INTREMEDIAIRE
COMPREHENSIF
COMPREND DIFFICILEMENT
COMPTE TENU DE SON HANDICAP, SES VOISINES PASSAIENT POUR VOIR QUELLES QUESTIONS
CONCERNANT LA FRATRIE DE CETTE DAME , SA MERE A CERTE FAIT BEAUCOUP D'ENFANTS QU
CONDITIONS DE L'ENTRETIEN EPOUVANTES. TOUS A MEME LE SOL EN PLEINE BROUSSE.
COUPURE D'ELECTRICITE PENDANT 5 MINUTES ENVIRONS. LES AMIS ET LES FRERES L'EMPEC
CURIOSITE DE BADOUDS ET DE VIEUX ET JEUNES AVEC INTERVENTION DE TIERCES PERSONNE
CURIOSITE DES BADAUD LORS DE L'ENTRETIEN
CURIOSITE DES BADAUDS ET FEMMES AVEC INTERVENTION DU FRERE ET DU PAPA DE TEMPS E
CURIOSITE DES BADAUDS LORS DE L'ENTRETIEN AINSI QUE LES VIEUX ET LES FEMMES.
CURIOSITE DES BADAUDS SURTOUT A LA VUE DES IMAGES DE LA SERIE A 3000 ET 8000.
CURIOSITE DES BADAUDS, INTERRUPTION MOMENTANEE POUR CAUSE D'INFORMATION AVEC UNE
CURIOSITE DES BADOURDS LORS DE l'ENTRETIEN.
CURIOSITE DES ENFANTS ET DES JEUNES LORS DE l'ENTRETIEN, INTERVENTION DE TEMPS A
CURIOSITE DES ENFANTS ET JEUNES, INTERVENTION DE L'EPOUX POUR FACILITER L'ENTRET
CURIOSITE DES ENFANTS POUR COMPRENDRE ET ENTENDRE L'ENTRETIEN.
CURIOSITE DES ENFANTS.
CURIOSITE DES FEMMES ET DES ENFANTS LORS DE L'ENTRETIEN, PLUS INTERRUPTION PENDA
CURIOSITE DES FEMMES ET VIEILLES FEMMES AVEC INTERVENTION DE TEMPS A AUTRE.
CURIOSITE DES MEMBRES DE LA FAMILLE TRES ATTENTIFS
CURIOSITE LORS DE L'ENTRETIEN
Ce n'était pas facile car il etait tout le temps pris par les travaux champêtres
DANS CE MENAGE IL N'Y PAS UN ENFANT DE MOINS DE CING ANS.
DANS L'ENQUETE S'EST DEROULE DANS UN CADRE IDEAL ; EN FIN D'ENQUETE, L'ENQUETEE
DANS UN MAGASIN.
DE CHRONIQUE MAUX DE VENTRE
DE FREQUENTES VISITES ONT INTERROMPU L'ENTRETIEN
DE NOMBREUSES INTERRUPTIONS
DE NOMBREUSES INTERRUPTIONS DU FAIT DES CURIEUX.
DE NOMBREUSES VISITES DE PARENTS ET AMIS ONT RETARDEES L'ENTRETIEN.
DE NOMBREUSES VISITES. CE FUT L'ENTRETIEN LE PLUS LONG MAIS LE PLUS INTERESSANT
DEFILE DE CLIENTS
DEFILET DE CLIENTS
DEPLACEMENT POUR FAIRE CE CUISINE.
DERANGE PAR SES AMIS, REFUS DE CHERCHER SA CIB
DERANGEMENT DE L'ENFANT
DERANGER PAR SON ENFANT.
DEROULEMENT DE L'ENTREVUE EN 2 PHASES.
DEROULEMENT PARFAIT DE L'ENQUÊTE
DEROULEMENT PARFAIT.
DES FUITES REPETEES ONT EU LIEU LORS DE L'ENTRETIEN.
DES INTERRUPTIONS POUR TRAVAUX CHAMPETRE.
DES PERTURBATIONS PAR LES FEMMES DU QUARTIER ET SA BELLE SOEUR, MERE.
DEUX INTERRUPTIONS POUR ABREUVER LES ANIMAUX ET POUR SE REPOSER ET DEMANDE SA RE
DIFFICILE A TROUVER A DOMICILE.
DIFFICILE A TROUVER/ JARDINIERE
DIFFICULTE A COMPRENDRE LES QUESTIONS D'OU BEAUCOUP D'EXPLICATION AU COURS DE L'
DIFFICULTE A LA SITUATION DE FETE
DIFFICULTE A S'EXPRIMER ET TRES RETISSANTE INTERVENTION DE TIERCES PERSONNES.
DIFFICULTE DANS L'EVALUATION DES DEPENSES DU MENAGE.
DIFFICULTE DE COMPREHENSION POUR RAISON DE LANGUE PARLE PAS BIEN LE DIOULA.
DIFFICULTE DUE A LA MOBILITE DES GENS DU VILLAGE ET DE L ENQUETE EN PARTICULIER
DIFFICULTE LINGUSTIQUE
DIFFICULTER A TROUVER LE REPONDANT.
DISONS QUE L'ENTRETIEN S'EST PASSE DANS DE BONNES CONDITIONS. LA REPONDANTE ETAI
DISTRAITE
DOIGT ENFLE.
DURANT L'ENTREVUE, IL ARRIVAIT QUE LA REPONTE NE COMPRENNE PAS LA QUESTION OU DI
DURANT TOUT LE LE LONG DE L'INTERVIW UNE PERSONNE ETAIT ENTRAIN DE TOUSSER CONTI
DUREE DU QUESTIONNAIRE UNE SEMAINE
ELLE A BESOIN D'UNE AIDE FINANCIERE POUR SUBVENIR A SES BESOINS.
ELLE A DES PROBLEMES DE MEMOIRE. ELLE NE SE SOUVIENT PLUS DES NOMS NI l'AGE DE S
ELLE A SUBI UNE OPERATION DANS SON ACCOUCHEMENT.
ELLE ATTEND UN SOUTIENT EN MEDICAMENT.
ELLE DIT QU'ELLE A PEUR DES ENQUETTES. IL NE VOULAIT
ELLE EST LA SEULE DE LA MERE.
ELLE EST LA SEULE FILLE DE SA MAMAN ET LA MERE EST DECEDEE.
ELLE EST TIMIDE. ELLE N'A JAMAIS EU BESOIN DE SOINS DEPUIS SA NAISSANCE. MEME ET
ELLE ETAIT COMPREHENSIBLE
ELLE ETAIT FATIGUEE. ELLE A TROUVE LE QUESTIONNAIRE LOURD ENNY ANT. MAIS ELLE ET
ELLE ETAIT GENTILLE
ELLE ETAIT PEU DISPONIBLE.
ELLE ETAIT SOURIANTE
ELLE ETAIT TRES GENTILLE
ELLE ETAIT TRES SAGE
ELLE ETAIT TROP FATIGUEE
ELLE ETAIT TROP FATIGUEE. ELLE A TROUVE LE QUESTIONNAIRE LONG ENNUYANT SURTOUT L
ELLE ETAIT TROP FATIGUEE. ELLE NE SE SOUVIENT D SON AGE EXACT NI DE CELUI DE SES
ELLE N'A AUCUNE INFORMATION SUR SES FRERES ET SOEURS.
ELLE N'A AUCUNE INFORMATION SUR L'AGE DE SES FRERES ET SOEURS
ELLE N'A AUCUNE INFORMATION SUR L'AGE DE SES FRERES ET SOEURS.
ELLE N'A AUCUNE INFORMATION SUR L'AGE DE SES FRERES ET SOEURS. LE CARNET DE DJEL
ELLE N'A AUCUNE INFORMATION SUR L'AGE DE SES FRERES ET SOEURS. VEUVE DE SON ETAT
ELLE N'A AUCUNE INFORMATION SUR SES FRERE ET SOEURS.
ELLE N'A PAS ASSEZ D'INFORMATION SUR L'AGE DE SES FRERES ET SOEURS.
ELLE N'A PAS TOUTE LES INFORMATIONS SUR L'AGE DE SES FRERES ET SOEURS.
ELLE N'A PAS TOUTES LES INFORMATIONS SUR L'AGE DE SES FRERES.
ELLE NE CONNAIT NI L'AGE DE SES ENFANTS NI L'AGE DE SES FRERES ET SOEURS.
ELLE NE CONNAIT PAS L'AGE DE SES FRERES ET DE SES SOEURS. ELLE SOUFFRE PRESENTEN
ELLE NE CONNAIT PAS L'AGE DE SES FRERES ET SOEURS.
ELLE PRENAIT TOUT SON TEMPS POUR REFLECHIR AVANT DE REPONDRE A LA QUESTIONS.
ENFANT MALADE EN MAIN QUI PLEURNICHAIT BEAUCOUP D'INTERRUPTION .
ENFANTS 1 ET 2 : DATES DE NAISSANCE PAS CONNU PAR Q 0408
ENGUETE FATIGUEE PAR L'AGE.
ENQUETE ASSEZ DEPRIME PLYSIQUEMENT.
ENQUETE ASSEZ DISTRAITE
ENQUETE MALADE, CE QUI A ENTRAINE DE NOMBREUSES INTERRUPTIONS. MANQUE DE MOYENS
ENQUETEE ASSEZ AFFECTEE PAR LE DECES BRUSQUE DE SON MARI, LUI LAISSANT 6 ORPHELI
ENQUETEE DEMANDEE A PLUSIEURS REPRISES.
ENQUETEE NERVEUSE S'TETANT LEVEE ASSEZ SOUVENT POUR RIEN
ENQUETTE TRES MALADE
ENTRECOUPE PAR L'ENQUÊTE POUR MANGER
ENTRECOUPER POUR CAUSE DE CUISINE.
ENTRETIEN DANS UNE BOUTIQUE TROP D'INTERRUPTION.
ENTRETIEN INTERROMPU ET REPRIS PAR LA SUITE.
ENTRETIEN PARFAIT
ENTRETIEN RECU SANS DIFFICULTE
ENTRETIEN REUISSIE
ENTRETIEN SYMPATHIQUE.
ENTRETIEN TRES ANIME.
ENTRETIEN TROP LONG
ENTREVUE ACCEPTABLE
ENTREVUE ACCEPTABLE LA REPONDANTE EST ACCEUILLANTE. ELLE A RESERVE TOUT SON TEMP
ENTREVUE ACCEPTABLE. LA REPONDANTE ETAIT MOYENNE DANS SES REPONSES.
ENTREVUE ACCEPTABLE. LE REPONDANT ETAIT CONTENT DE L'ENTREVUE CAR LUI MEME ETAIT
ENTREVUE AMBIANTE SANS DIFFICULTES.
ENTREVUE ASSEZ ACCEPTABLE REPONDANT DISTRAIT PAS DE CONCENTATION, IL ACCORDE PEU
ENTREVUE DEROULEE EN 4 PHASES
ENTREVUE EXCELLENTE. LA REPONDANTE ETAIT CURIEUSE.
ENTREVUE EXELLENTE, REPONDANT SYMPATHE PROPOSITION POUR DIVULQUE L'INFORMATION.
ENTREVUE SOUVENT COUPEE A CAUSE DE LA PRESENCE DE SA FILLE MAIS CA S'EST BIEN DE
ENTREVUE SOUVENT ENTRECOUPEE CAR ELLE FAISAIT LA CUISINE. on etait oblige d'ARRE
ENTREVUE SOUVENT ENTRECOUPEE PAR SON ENFANT
ENTREVUE SOUVENT INTERRONPUE PARCE QUE EU PRETE ENCEINTE TRES SOUVENT FATIQUEE V
EXCELLENTE COLLABORATION
EXTREMENT LENTE DANS LES REPONSES.
Entrevue souvent entrecoupée par des visites.
FAIBLE PARTICIPATION PARCE QU'IL ETAIT REVENU DES CHAMPS
FATIGUE DUE A L'AGE DE L'ENGUETEE.
FATRIE IMPRECISIONS QUANT AUX AGES.
FAUSSE COUCHE POUR LE 2E ENFANT.
FEMME EN GROSSESSE.
FEMME ENCEINTE.
FORTE DEPRESSION NERVEUSE.
FREQUENTES INTERRESPTION SURVENUS DURANT L'ENTRETIEN PAR LE PASSAGE DES CLIENTS
FRERE 6 ET SOEUR 10 : PRENOMS PAS CONNUS.
FRERES / SOEURS [1-3] ET 9 : PRENOMS PAS CONNUS.
FUMAIT CONTINUELLEMENT.
HANDICAPE / PHYSIQUE DES 2 PIEDS
HESITATION DANS LES REPONSES.
IL A BEAUCOUP INSISTE SUR LE PROBLEME D'EAU DANS LEUR SECTEUR ET SURTOUT LA REDU
IL A FAIT SORTIR TOUT CE QU'IL AVAIT COMME DOCUMENTS ECRITS.
IL A FALLU AU MOINS SEPT RENDEZ-VOUS POUR POUVOIR RENCONTRER LE CHEF DE MENAGE Q
IL A TROUVE LE QUESTIONNAIRE TRES LONG ET LOURD MAIS S'EST TROUVE DISPONIBLE.
IL A TROUVE QUE LE QUESTIONNAIRE ETAIT TRES LOURD.
IL EST UN PEU DES PROBLEMES DE MEMOIRE IL NE SE SOUVIENT PLUS EXACTEMENT DE SES
IL ETAIT COMPREHENSIF
IL ETAIT DISPONIBLE
IL ETAIT FATIGUE IL A TROUVE LE QUESTIONNAIRE TRES LONG,ENNUYANT
IL ETAIT GENTIL
IL ETAIT SAGE
IL ETAIT TRES GENTIL
IL ETAIT TRES OCCUPE.
IL ETAIT TRES SAGE
IL ETAIT TROP BAVARD
IL FALLAIT CRIER POUR QU'ELLE T'ATTENDE ELLE ETAIT TRES FATIGUEE.
IL FALLAIT EXPLIQUER PLUSIEURS FOIS LA MEME QUESTION POUR QU ELLE PUISSE COMPREN
IL FALLAIT L'APPUI DE LA MERE POUR POUVOIR CONTINUER LE QUESTIONNAIRE.
IL FALLAIT L'APPUI DE MA MERE POUR QUE L'ENQUETE PARTICIPE.
IL FALLAIT LA PRESENCE DE L'EPOUX POUR TRADUIRE CERTAINS PASSAGES A CAUSE DE LA
IL FALLAIT QUE CHAQUE FOIS QUE JE PERD 3 A 4 MINUTES POUR DIRE AUX GENS DE LA CO
IL INTERVIENT A L'ENDROIT DE LA JEUNESSE BURKINABE. IL DEMANDE QUE LE GOURVERNEM
IL N' A PAS TOUTES LES INFORMATIONS SUR LES DECES.
IL N'A AUCUNE INFORMATION SUR LES DECES.
IL N'A PAS D'INFORMATION SUR LES FRERES ET SOEURS
IL N'A PAS TOUTES LES INFORMATIONS SUR L'AGE DE SES FRERES
IL N'A PAS TOUTES LES INFORMATIONS SUR L'AGE DE SES FRERES ET SOEURS. IL A MAL A
IL NE SE SOUVIENT PLUS DE L'AGE DE SES FERES ET SOEURS, NI LA CAUSE DES DECES.
IL REPONDAIT SOUVENT PAR LE SILENCE SURTOUT EN CE QUI CONCERNAIT LES QUETIONS SU
IL VOULAIT REFUSE PARCE QU'IL CROYAIT QUE SE SONT
IL VOULAIT REFUSE, C'ES APRES UNE LONGUE EXPLICATION
IL Y A EU BEAUCOUP D'INTERRUPTION CAR ELLE AVAIT DE LA VISITE. ELLE A PERDU SON
IL Y A EU DES INTERUPTIONS PAR CE QU'ELLE FAISAIT LA CUISINE.
IL Y A EU QUELQUES INTERRUPTIONS AU COURS DES ENTRETIENS. L'ENQUETEE SE PLAIGNAI
IL Y A EU UN PEU DE DIFFICULTE CAR LE REPONDANTE ETAIT PEU DISPONIBLE. LA REPOND
IL Y A QUELQUES INTERRUPTIONS DUES AU FAIT QUE L'EN-
IL Y AVAIT DES INTERROPTIONS DUES A DES VISITES . ELLE ETAIT SYMPATIQUE.
IL Y AVAIT DES INTERRUPTIONS CAR ELLE FAISAIT SON MENAGE ELLE NE CONNAIT NI L'AG
IL Y AVAIT DES INTERRUPTIONS PARCE QU'ELLE ETAIT DANS SON LIEU DE COMMERCE.
IL Y AVAIT DES INTERRUPTIONS.
IL Y AVAIT DES INTERUPTIONS DUES A LA VISITE DES GENS. IL ETAIT SYMPATHIQUE MAIS
IL Y AVAIT SOUVENT DES INTERRUPTIONS . IL TROUVAIT LE QUESTIONNAIRE ENNUANT, IL
INCERTUDE QUANT AUX AGES DES FRERES ET SOEURS.
INDISPONIBILITE
INDISPONIBLE
INDISPONIBLE A CAUSE DES TRAVAUX CHAMPETRES
INDISPONIBLE.
INDIVIDUS 2 ET 5 : Q 0400 NE SE RAPPELLE PAS DE LEURS PRENOMS RESPECTIFS.
INDIVIDUS [09-13] : PRENOMS PAS CONNUS. INCERTITUDES QUANT AUX AGES AU MOMENT DE
INDIVIDUS [10-12] : PRENOMS PAS CONNUS DE Q 0400.
INFORMATEUR RETICENT.
INTERESSE ET MOTIVE DANS LES REPONSES.
INTERPRETER
INTERPRETER.
INTERROMPU POUR DEMANDER L'AVIS DE SON MARI.
INTERRRUPTION PETITE FILLE DERANGEANTE.
INTERRUPTION A UN MOMENT DONNE, POUR RECEPTIONNER UN COUP DE FIL QUI ETAIT DESTI
INTERRUPTION D'UNE TIERCE PERSONNE
INTERRUPTION DU QUESTIONNAIRE PARCE QUE LA REPONDANTE DEVAIS FAIRE SES PRIERES.
INTERRUPTION IMPREVU DE L'INTERVIEW.
INTERRUPTION MOMENTANEE DE L'ENTRETIEN.
INTERRUPTION MOMENTANEE DE LA CONVERSATION PAR UNE TIERCE PERSONNE
INTERRUPTION MOMENTANEE POUR RAISON DE FAMILLE.
INTERRUPTION MOMENTANEE POUR RAISON DE PRIERE, ENTRETIEN EFFECTUE SANS DIFFICULT
INTERRUPTION MOMENTANEES POUR TROUBLE CAR C'EST UN LIEU TROP FREQUENTE. SA FEMME
INTERRUPTION PARCE QUE PORTE UN BEBE DE 10 JOURS A LA
INTERRUPTION POUR CASSER SON CAREM ET PRIERE.
INTERRUPTION POUR CAUSE DE PREPARATION DE REPAS.
INTERRUPTION POUR DECES ET MARIAGE.
INTERRUPTION POUR DEJEUNER ET POUR LES VISITEURS
INTERRUPTION POUR FAIRE DES COURSES.
INTERRUPTION POUR PRIERE
INTERRUPTION POUR TRAVAIL LE PREMIER JOUR ET 2E JOUR ENTRETIEN REALISE PENDANT L
INTERRUPTION POUR VENDRE L'EAU
INTERRUPTION TEMPORAIRE AVEC AFFLUENCES DE FEMMES DE BADAUDS ET DE VIEILLARDS.
INTERRUPTIONS DE TEMPS EN TEMPS POUR S'OCCUPER DU BEBE.
INTERRUPTIONS MOMENTAIRES POUR PRENDRE SOINS DE BEBE L'ENQUETTEE NA PAS RETOURVE
INTERRUPTIONS POUR S'OCCUPER DU BEBE.
INTERUPTION POUR PRIERE ET OBSCURITE.
INTERVENTION D UNE TIERCE PERSONNE
INTERVENTION D'UNE TIERCE PERSONNE
INTERVENTION D'UNE TIERCE PERSONNE LORS DE L'ENTRETIEN.
INTERVENTION DE L'EPOUX DE TEMPS A AUTRE.
INTERVENTION DE L'EPOUX ET DE TIERCES PERSONNES.
INTERVENTION DE PEMPS A OUTRE DE L'EPOUX OCCUPATION MOMENTANEE POUR LA PREPARATI
INTERVENTION DE PLUSIEURS PERSONNES.
INTERVENTION DE SON EPOUX CA MEDERANGE
INTERVENTION DE SON EPOUX.
INTERVENTION DE TEMPS A AUTRE DE LA SOEUR.
INTERVENTION DE TEMPS EN TEMPS DE L'EPOUSE.
INTERVENTION DE TEMPS EN TEMPS DU MARI ET CURIOSITE DES BADAUDS
INTERVENTION DE TIECES PERSONNES LORS DE L'ENTRETIEN.
INTERVENTION DE TIERCE PERSONNES CURIOSITE DES BADAUDS,FEMMES
INTERVENTION DE TIERCES PERSONNES
INTERVENTION DE TIERCES PERSONNES 2 CURIOSITE DES BADAUDS ET DE FEMMES.
INTERVENTION DE TIERCES PERSONNES ET CURIOSITE DES
INTERVENTION DE TIERCES PERSONNES ET PEU RETISSANTE PENDANT L'ENTRETIEN.
INTERVENTION DE TIERCES PERSONNES LORS DE L'ENTRETIEN
INTERVENTION DE TIERCES PERSONNES LORS DE L'ENTRETIEN.
INTERVENTION DE TIERCES PERSONNES,CURIOSITE DE FEMEEES
INTERVENTION DE TIERCES PERSONNES,CURIOSITE DES FEMMES
INTERVENTION DE TIERCES PERSONNES.
INTERVENTION DES IERCES PERSONNES
INTERVENTION DU CHEF DE MENAGE RUPTURE DE L'ENTREVUE. LA REPONDANTE A DEPLORE LA
INTERVENTION DU FILS AINE LORS DE L'ENTRETIEN ET CURIOSITE DES FEMMES
INTERVENTION DU FRERE CADET DE TEMPS EN TEMPS.
INTERVENTION DU PAPA DE TEMPS A AUTRE.
INTERVENTION DU PERE DE TEMPS EN TEMPS.
INTERVENTION MOMENTANE DE TIERCE ET CURIOSITE DE BADANDS ET DE JEUNES LORS DE L'
INTERVENTIONS DES PARENTS.
INTERVENTON D'UNE TIERCE DE TEMPS EN TEMPS.
INTERVUE SOUVENT ENTRECOUPEE A CAUSE DE LA VIELLESSE ET DU MAUVAIS ETAT DE SANTE
ITERRUPTION MOMENTANEE DE L'ENTRETIEN.
Il a fallu l'intervention de l'épouse de la repondante pour que cette entrevue a
Il n'a pas toutes les informations sur les decès
Il était gentil.
Il était très poli.
Interruption pour allaiter.
J'AI REJOINS L'ENQUETE A SON SERVICE ET L'ENTRETIEN A SOUVENT ETE DERANGE PAR SO
JE L'AI ENQUETE AU CHAMP A CAUSE DE SES RECOLTES. IL DORMAIT AU CHAMP
JE ME SUIS RENDU AU CHAMP POUR POUVOIR L'ENQUETE.
Je suis alle au champ pour l'enqueté.
L'AGE DU REPONDANT EXIGEAIT LA COMPLICITE DE SES ENTFANTS AFIN DE POUVOIR COMPLE
L'ENQUETE A ETE INTERROMPU L'ENTRETIEN A PLUSIEURS REPRISES SOIT POUR VENDRE DU
L'ENQUETE A SOUHAITE UNE SUSPENSION A LA FIN DU MODULE 2000 PARCE QU'ELLE VOULAI
L'ENQUETE A SOUVENT ETE DERANGEE PAR SA FILLETTE. ELLE ETAIT EN CAREME ET SE LEV
L'ENQUETE AU DEBUT DE L'ENTRETIEN ETAIT TRES A L'AISE MAIS AU MILIEU DE L'ENTRET
L'ENQUETE ETAIT BIEN CONTENT ET TROUVAIT QUE L'ENQUETEUR FAISAIT BEAUCOUP D'EFFO
L'ENQUETE N'AVAIT PAS UNE BONNE VOLONTE ET L CERTITUDE DES REPONSES EST DOUTEUSE
L'ENQUETE SE DEPLACAIT CONSTAMMENT POUR S'OCCUPER DE SA BOUTIQUE L'ENDROIT EST B
L'ENQUETEE A MAL A LA DENT ET NE PEUT PARLER FORT.
L'ENQUETEE FAISAIT SES GALETTES AU MOMENT DE L'ENQUETTE
L'ENQUETEE IGNORE LES NOMS DE SES 7 GRANDS FRERES MORTS TRES JEUNES. ELLE DIT QU
L'ENQUETEE N'A PAS TOUTES LES INFORMATIONS SUR SA PATRIE. SON PRPRE AGE LUI A ET
L'ENQUETEE S'ADONNAIT A D'AUTRES OCCUPATIONS.
L'ENQUETEE SE RAPEELE PLUS DES NOMS NI DES AGES DES MEMEBRES DE SA FAMILLE SA RE
L'ENQUÊTE S'EST PASSE DANS UNE COURS TRES BRUYANTE.
L'ENTREBUE S'EST BIEN DEROULEE PARCE QUE L'ENQUETE EST ELEVE EN CLASSE D'EXAMEN.
L'ENTREPRISE S'EST BIEN PASSEE IL ME DIT QU'IL N'A JAMAIS ETE A L'HOPITAL A PART
L'ENTREPRISE S'EST BIEN PASSEE,IL A REPONDU A TOUTES LES QUESTIONS
L'ENTREPRISE S'EST TRES BIEN DEROULEE GRACE A LA
L'ENTRETIEN A PRIS BEAUCOUP DE TEMPS, PARCE QU'ELLE ETAIT TROP BAVARD, ELLE ETAI
L'ENTRETIEN S'EST DEROULE EN 3 TEMPS AVEC UNE SEMAINE D'INTERVALLE ENTRE LES ENT
L'ENTRETIEN S'EST PASSE SANS INCIDENT.
L'ENTREVUE A ETE PARFAIT BEAUCOUP DE MOTIVATIONS DE LA PART DE L'ENQUETE MAIS A
L'ENTREVUE A SOUVENT ETE PERTURBEE PAR LA PRESENCE DE SES AMIS.
L'ENTREVUE ETAIT PASSABLE CAR NOUS AVONS ETE INTERROPMPU COOPERATION FRANCHE MAI
L'ENTREVUE ETAIT PASSABLE MAIS IL FAUT SIGNALER QUE LE REPONDANT N'ETAIT PAS SUR
L'ENTREVUE ETAIT SOUVENT INTERROMPUE CAR SES SOEURS ETAIENT SOUVENT CURIEUSES DE
L'ENTREVUE S'EST BIEN DEROULEE
L'ENTREVUE S'EST BIEN DEROULEE AUCUN PROBLEME A SIGNALER
L'ENTREVUE S'EST BIEN DEROULEE AUCUN PROBLEME MAJEUR SAUF LA DUREE QUI A BEAUCOU
L'ENTREVUE S'EST BIEN DEROULEE MALGRE LE PROBLEME D'AUDITION.
L'ENTREVUE S'EST BIEN DEROULEE. MAIS IL FAUT SIGNALER QUE LE REPONDANT AVAIT BEA
L'ENTREVUE S'EST BIEN PASSEE L'ENQUETE A SOUVENT ETE DERANGE PAR SES VOISINES MA
L'ENTREVUE S'EST BIEN PASSEE PAS DE COMMENTAIRE.
L'ENTREVUE S'EST BIEN PASSEE,SANS DERANGEMENT.
L'ENTREVUE S'EST BIEN PASSEE.
L'ENTREVUE S'EST DEROULEE DANS DE BONNES CONDITIONS
L'ENTREVUE S'EST PASSE DANS DE BONNES CONDITIONS. LA DAME ETAIT SYMPATHIQUE, MAI
L'ENTREVUE S'EST PASSEE SANS PROBLEME PARTICULIER MAIS ELLE SOUFFRE D'UNE MALAD
L'Epouse de la repondante d'un ton menacant se pleignait pour la dure de l'entre
L'INTERESSE ETAIT COUCHEE DURANT L'ENTRETIEN POUR CAUSE DE VERTIGE.
L'INTERESSE ETAIT EN DEPLACEMENTSUR UN AUTRE VILLAGE DOU INTERRUPTION ET REPRISE
L'INTERVENTION TEMPORAIRE D'UNE TIERCE PERSONNE.
L'INTERVIEW A ETE TRES LONG ET LE REPONDANT TROUVAIT LE CONTENU UN PEU LONG POUR
L'INTERVIEW S'EST BIEN PASSE, LA COOPERATION DE L'ENQUETE ETAIT VRAIMENT BONNE.
L'INTERVUE S'EST BIEN DEROULEE A CAUSE DU DELEGUE DE LA VILLE QUI A REUNI TOUS L
L'INTERVUE S'EST BIEN DEROULEE MAIS S'IL FAUT SIGNALER QUE L'INTERESSE S'EST BEA
L'entretien s'est déroulé dans de très mauvaise condition. Un mariage s'était dé
L'entrevue s'est bien passée.
L'entrevue était coupée par des discussions hors ses problèmes de famille. Mais
L'informatrice exigeait des médicaments pour prevenir les maladies de ses enfant
LA BARRIERE ENTRE L'ENQUETE ET L'ENQUETEUR ETAIT LE PROBLEME DE LA LANGUE. IL FA
LA CURIOSITE DES VOISINS
LA DAME A TROUVE LE QUESTIONNAIRE TRES LONG ENNUANT.
LA FEMME A FAIT 9 ACCOUCHEMENTS MAIS AUCUN NE SUIVIE ACTUELLEMENT CAR TOUS SONT
LA FEMME DIT N'AVOIR JAMAIS ETE AU DISPENSAIRE DE TOUTE SA VIE DE FEMME DANS SON
LA FEMME N'A PAS ETE ACCUEILLANTE ET REFUSE DE MONTRER LE CARNET DE VACCINATION
LA LANGUE PARLEE ET TOUJOURS IL FALLAIT FAIRE INTERVENIR L'EPOUX.
LA MALADIE EST DUE A L'AGE ET A L'ALIMENTATION.
LA MERE DE L'ENQUETEE A EU SES 5 FRERES ET SOEURS CHEZ UN AUTRE HOMME DANS UNE A
LA PARTICIPATION N ETAIT PAS A LA HAUTEUR POUR RAISON DE FETE
LA PERSONNE ENQUETE SOUFRAIT D'UNE CESITE PARTIELLE SOURCE DE MAUX DE TETES PERM
LA REPONDANTE A BEAUCOUP HESITER AVANT D'ACCEPTER L'ENTREVUE . C4EST AU COURS DE
LA REPONDANTE A DES DIFFICULTES POUR REPONDRE A CERTAINES QUESTIONS MEME PORTANT
LA REPONDANTE A ETE PLUSIEURS FOIS DERANGEE PAR SES ENFANTS
LA REPONDANTE A SOUHAITE UN ARRET DE L'ENTRETIEN PARCEQU'ELLE PRETENDU QUE L'ORS
LA REPONDANTE A TROUVE LE QUESTIONNAIRE TROP LONG.
LA REPONDANTE AVAIT EXPRIME UNE CERTAINE RETISSANCE.
LA REPONDANTE ETAIT CURIEUSE ET SOURIANTE ELLE ETAIT ACCUEILLANTE ET EXPLICITE D
LA REPONDANTE N'ETAIT PAS DE BONNE FOI ELLE REPONDAIT DE FACON NEGLIGEANTE
LA REPONDANTE NE CONNAIT PAS L'AGE DE SES FRERES ET SOEURS. QUAND SES ENFANTS SO
LA REPONDANTE S'EST VRAIMENT INTERESSEE A L'INTERVU.
LA REPONDANTE S'OPPOSAIT.
LA REPONDANTE SOUFFRE DU PALUDISME ELLE A PASSE SON TEMPS A CROCHER.
LA REPONDANTE VOULAIT A TOUT PRIX M'EXPLIQUER SES PROPRES PROBLEMES DE SANTE AVA
LE DERNIER NE DE CE MENAGE PLEURAIT INCESSAMMENT. IL Y AVAIT D'AUTRES ENFANTS QU
LE DERNIER NE MALADE ETAIT DANS SES BRAS AU COURS DE L'ENTRETIEN DOU CERTAINS AR
LE MOMME IDRISSA EST UN ENFANT DE 9 MOIS QUE SA MERE
LE PROBLEME DE LANGUE SE POSE PRESQUE PARTOUT. J'ETAIS OBLIGE DE FAIRE PARTICIPE
LE PROBLEME DE TRAVAIL POUR LES JEUNES SURTOUT QU'ILS VIENNENT DE LA COTE D'IVOI
LE QUESTIONNAIRE A ETE EFFECTUE DANS UN JARDIN POTAGE AVEC BEAUCOUP DE GENS.
LE QUESTIONNAIRE C'EST EFFECTUE DANS LE JARDIN POTAGER DU REPONDANT. LE VENT SOU
LE REPONDANT A SOUHAITE UNE SUSPENSION DE L'ENTRETIEN DEPUIS LE 17/12/2002 DEPUI
LE REPONDANT A TROUVE LE QUESTIONNAIRE LOURD, TRES LONG
LE REPONDANT AVAIT SUSPENDU L'ENTRETIEN DEPUIS LE 21/12/02 PARCEQU'IL DEVAIT VAC
LE REPONDANT AVAIT UN BEBE QUI L'EMPECHAIT DE SE CONCENTRER POUR R
LE REPONDANT AVAIT UN PROBLEME D'AUDITION JE ME SUIS FAIT AIDER PAR UN DE SES EN
LE REPONDANT COMMERCANT DE SON ETAT N'EST JAMAIS DISPONIBLE. IL A FALLU PLUS DE
LE REPONDANT D'UN AGE AVANCE AVAIT TENDANCE A TOURNER CHAQUE FOIS AUTOUR DU POT
LE REPONDANT ETAIT EN DEUIL ELLE A PERDU SA SOEUR IL Y A 9 JOURS AUJOURD'HUI. EN
LE REPONDANT ETAIT FATIGUE CAR IL A TROUVE LE QUESTIONNAIRE TRES LONG.
LE REPONDANT ETAIT IMPATIENT PARCEQUE LE QUESTIONNAIRE ETAIT LONG
LE REPONDANT ETAIT PRESSE D'ALLER AU MARCHE.
LE REPONDANT ETAIT TROP RENMUANT C 'EST A DIRE QU'IL SE DEPLACAIT A CHAQUE 30 MI
LE REPONDANT N'A PAS CONSOMME D'ALCOOL DURANT LES 7 DERNIERS JOURS.
LE REPONDANT N'A PAS TOUTES LES INFORMATIONS SUR LES AGES DE SES SOEURS AINEES
LE REPONDANT N'A PAS TOUTES LES INFORMATIONS SUR SA PATRIE.
LE REPONDANT N'A PAS VOULU REPONDRE A LA VIGNETTE 2000 CAR IL NE PEUT APPRECIER
LE REPONDANT NE CONNAIT LA DATE DE NAISSANCE DE SA PATRIE.
LE REPONDANT NE CONNAIT PAS L'AGE DE SES FRERES ET SOEURS.
LE REPONDANT NE CONNAIT PAS LES PRENONS DE SES 4 FRERES AINES DECEDES TOUS ETANT
LE REPONDANT PORTAIT BEAUCOUP PLUS DE SES PROBLEMES A CHAQUE FOIS QU'ON LUI POSA
LE REPONDANT REGARDAIT LA TELE.
LE REPONDANT S'APPELLE AMIDOU MAIS SUR SA CARTE D'IDENTITE C'EST ALIDOU
LE REPONDANT SOUFFRE DE LA TOUX.
LE SOUHAIT DES VILLAGEOIS C'EST D'AVOIR UN CSPS.
LE TEMPS FAIT PROBLEME POUR ELLE.
LE TEMPS TROP LONG.
LENTE DANS LES REPONSES
LES FRERES / SOEURS [2 - 11 ] SONT TOUS DECEDES. LEURS NOMS, leurs ÂGES AU MOME
LES GENS AU MARCHE CHERCHAIENT A ECOUTER ET DONC
LES MEMBRES DU MENAGE AVAIENT BEAUCOUP D'INQUIE-
LES MEMEBRES DE LA FAMILLE VOISINE AVAIENT UNE INFLUENCE SUR LA REPONDANTE . CE
LES MENTIONS DE LA FAMILLE DU REPONDANT FAISAIENT PRESSION SUR L'ENQUETEUR.ET CE
LES PARENTS ETAIENT PRESENT AU DEBUT DE L'ENTREVU CE QUI EMPECHAIT LA REPONDANTE
LES PREPARATIFS DE LA CAN JUNIOR NE PERMETTAIENT
LES REPONSES ETAIENT COMPRISES ET TRES BIEN.
LES TROIS GRANDS FRERES SONT DECEDES AVANT LA NAISSANCE DE L'ENQUETE.
LES TROIS PREMIERS FRERES FURENT DES MORTS NEES CE QUI FAIT QUE L'ENQUETEE N'A A
LES VISITEURS ET LES PARENTS DE CETTE FEMME ONT TENU A ENRGISTRER A CET ENTRETIE
LEUR BESOIN ENORME EST SURTOUT LE MANQUE
La repondante s'est fait aider par ses camarades parce qu'elle avait un peu perd
Le questionnaire s'est administre dans un endroit tres bouillant.
Le repondant aurait souhaité que le gouvernement fasse assez de fontaine d'eau d
Le repondant était couché pendant l'administration du questionnaire interruption
Les travaux champêtes sont aux questions majeurs . C'est le champs qie j'ai lu l
MALGRE SON AGE AVANCE L'ENQUETEE DISPOSE DE TOUTE SA JEUNESSE.
MANQUE DE VOLONTE DE LA PART DE L'ENQUETE. IL FALLAIT UNE MOTIVATION DE 1000 F P
MILITAIRE
MOINS BAVARDE MAIS BON ENTRETIEN
N'AVAT PAS DU TOUT ENVIE DE REPONDRE ET TROUVAIT LE QUESTIONNAIRE TROP LONG.
NB:PRESENTATION DE CONDOLEANCES PAR LES PARENTS
NE CONNAIT PAS SES FRERES ET SOEURS.
NE PARLE PRATIQUEMENT PAS
NEANT
NEANT NE PEUT PAS DONNER LES DEPENSES LIEES A L'HOSPITALISATION , MARI INTROUVA
NEANT.
NOMBREUSES INTERVENTION DE L'EPOUX
NONBREUSES VISITES ONT PERTURBE L'ENTRETIEN.
NONS AVONS SUSPENDU L'ENTRETIEN POUR LE REPRENDRE LE LENDEMAIN EN RAISON D'UNE C
NOTRE REPONDANTE EST UNE VIELLE FEMME AGEE DE 60 ANS. IL A FALLU QUE SON FILS NO
NOUS AVONS DU INTERROMPU L'ENTRETION POUR LE REPRNDRE LE LENDEMAIN EN RAISON DE
NOUS AVONS DU SUSPENDRE L'ENTRETIEN POUR LE REPRENDRE LE LENDEMAIN CAR IL SE FAI
NOUS AVONS DU SUSPENDRE L'ENTRETIEN POUR LE REPRENDRE LE LENDEMAIN CAR LE REPOND
NOUS AVONS ETE PERTURBER PAR LES CLIENTS DU CABARET OU NOUS ETIONS OBLIGES DE RE
NOUS AVONS EU L'IMPRESSION A UN MOMENT DONNE AU FAIT, MEME POUR CERTAINES QUESTI
NOUS AVONS SUSPENDU L'ENTRETIEN LA VEILLE POUR LE POUSUIVRE LE JOUR SUIVANT POUR
NOUS AVONS SUSPENDU L'ENTRETIEN LE 24 POUR LE REPONDRE LE 27 A CAUSE DES OCCUPA
NOUS AVONS SUSPENDU QUELQUES INSTANTS AFIN DE PRENDRE DES FORCES.
NOUS SOMMES ALLES AU CHAMP ENSEMBLE . SI NON RESTE A LA MAISON ETAIT IMPOSSIBLE
NOUS SOMMES PARTI AU LIEU DU TRAVAIL DU REPONDANT.
OCCUPE DURANT L'ENTRETIEN AU METIER DE TISSAGE (TISSERAND COMME 2é METIER).
OCCUPEE POUR LA PREPARATION DU REPAS D'OU QUELQUES PERTURBATIONS.
On attend parler des dons des aides des autres pays et nous nousdormions avec la
PARFAIT
PARFAIT ACCEUIL ET CHALEUREUX.
PARFAIT ACCUEIL RAS
PARFAIT ACCUEIL.
PARFAITE COLLABORATION
PARFOIS UN PEU DE DOUTE.
PARTICIPATION DU FILS AINE A LA CONVERSATION.
PARTICIPATION FRANCHE DU REPONDANT. IL SE SENTAIT MAL A L'AISE A CAUSE DE LA LOU
PARTICIPATION TRES FRANCHE
PAS D'EFFORT POUR REPONDRE.
PAS D'ENFANT DE MOINS DE 5 ANS.
PAS D'EVEMENTS EXCEPTIONELS. LA REPONDANTE S'EST MONTRE TRES DISPONIBLE ET CLAIR
PAS D'EVENEMENT
PAS D'EVENEMENTS EXCEPTIONNELS
PAS DE CE TYPE DE VACCIN DANS LE CARNET.
PAS DE CONSIDERATION.
PAS DE DESCRIPTION A FAIRE
PAS DE DESCRIPTION EXEPTIONNEL
PAS DE DIFFICULTE MAIS INQUIET POUR UNE SUSCEPTIBLE CONDAMNATION POUR AVOIR SUBI
PAS DE DIFFICULTES TRES MOTIVE ET TRES DYNAMIQUE.
PAS DE PAPIERS.
PAS DE VACCIN MARQUE SUR LE CARNET.
PAS DE VERITABLE PROBLEME DE SANTE MALGRE L'AGE ASSEZ AVANCE.
PAS DEVENEMENT
PAS TROP DISPONIBLE
PAS TROP DISPONIBLES.
PAS TROP SUR DES REPONSES DONNEES.
PASSABLE
PENDANT LE QUESTONNAIRE CONCERNANT LA FRATTRIE, LA REPONDANTE PLEURAIT.
PERPETUEL DEPLACEMENT DU REPONDANT ARRIVEE DES VISITEURS
PERSONNE ALCOOLIQUE
PERTUBATION DES AMIS VISITEURS QUI LE DISTRAYAIENT.
PERTURBATION
PERTURBATION PAR DES VISITEURS.
PERTURBATION PAR LE NEVEU
PERTURBATION.
PERTURBATIONS
PERTURBATIONS.
PEU DISPONIBLE.
PEUR DE S'EXPRIMER, REISSANTE, INTERVENTION DE TIERCES PERSONNES.
PLAINTE PROFEREE PAR L'ENQUETE ESSENTIELLEMENT LIEES A LA LONGUEUR
PLAINTES RELATIVE AU TEMPS.
PLEIN D'ENFANTS QUI FAISAIT DU BRUIT.
PLEURS D'ENFANTS TOUT TEMPS.
PLEURS DE SON ENFANT
PLEURS DES ENFANTS.
PLUSIEURS INTERRUPTIONS DUES AUX VISITES.
PLUSIEURS INTERRUPTIONS POUR S'OCCUPER DE SON ENFANT.
PLUSIEURS PASSAGES AVANT DE RENCONTRER LE REPONDANT TROP BAVARD
POURSUITE DE L'ENTREVUE AU MARCHE. LA NON DISPONIBILITE ET LA LONGEUR DU QUESTIO
PRENOMS PAS CONNU PAR LE REPONDANT.
PRENSENCE DE LA TOUTE LA FAMILLE.
PRESENCE D'UN BEBE PLEURNICHARD D'OU CERTAINS ARRETS AU COURS DE L'ENTRETIEN.
PRESENCE DE BEAUCOUPS D'ENFANTS.
PRESENCE DE NOMBREUSES FEMMES.
PRESENCE DE NOMBREUSES PERSONNES.
PRESENCE DE PLUSIEURS HOMMES DONT PLUSIEURS INTERVENTION.
PRESENCE DU PERE.
PRESQUE TOUS LES MEMEBRES DU MENAGE TENAIENT A ASSISTER A L'ENTRETIEN INCITES EN
PROBLEME CARDIAQUE.
PROBLEME DE COMMUNICATION DÛ A L'ETAT DE SANTE DE L'ENQUETE.
PROBLEME DE LANGUE
PROBLEME MENTAL
Q0400 semble ne pas pleinement jouir de toutes ses facultés mentales.
Q0401: ne se porte pas très bien, mentalement.
QUELQUES RUPTURES CAUSES : PRIERE REPAS VISITE
QUESTIONNAIRE TRES LONG. REPONDANT CONCENTRE AU DEBUT MAIS APRES 30 MNS ENVIRON
RAD
RAD - EXCELLENT
RAP
RAS
RAS (RIEN A SIGNALER)
RAS RAS
RECLAMER A MANGER
RENDEZ VOUS OBTENU DIFFICILEMENT AU PRES DE SON MARI APRES LE QUESTIONNAIRE MENA
REPONADNTE PEU COOPERATES.
REPONDANT AVEUGLE S'OCCUPANT DE LA FAMILLE DE SON FRERE DEFUNT. DDDDD
REPONDANT AVEUGLE, INCAPABLE DE SE DEPLACER TOUT SEUL. EN AUTRE , IL A UNE BLESS
REPONDANT PAS TRES BIEN COOPERANT. IL ESTIME Q'IL N'A JUSQU'A CE QUE LE QUESTION
REPONDANT PEU COOPERANT AVEC QUELQUES DIFFICULTES DE COMPREHENSION.
REPONDANT TRES COOPERANT AVEC QUELQUES EXAGERATIONS DANS SES RESPONSES
REPONDANT TRES COOPERANT AVEC UNE BONNE PRECISION DANS CES REPONSES.
REPONDANT TRES COOPERANT AVEC UNE BONNE PRECISION DANS SES REPONSES.
REPONDANT TRES COOPERANT ET PROMPTE A REPONDRE QUX QUESTIONS.
REPONDANT TRES COOPERANT, MAIS QUI MALHEUREUSEMENT NOUS DEMANDAIT A MAINTES REPR
REPONDANT TRES COOPERANT.
REPONDANT TRES COOPERANT. INTERRUPTION A DES MOMENTS DONNES POUR FAIRE LA PRIERE
REPONDANT TRES COOPERATIF ET TRES DISPONIBLE POUR REPONDRE A NOS QUESTIONS.
REPONDANT TRES MOTIVE ET SATISFAIT DU TRAVAIL QU'IL VENAIT DE FAIRE.
REPONDANT TRES SOCIABLE TRES OUVERT, REPONDANT UN PEU BAVARD, SURTOUT DES CHOSES
REPONDANT TRES TIMIDE.
REPONDANT UN PEU HESITANT A REPONDRE AUX QUESTIONS.
REPONDANTE CONSTAMMENT DEROUGEE PAR ENFANT
REPONDANTE GENTILLE.
REPONDANTE PEU ANXIEUSE. ELLE N'ETAIT PAS MOTIVEE.
REPONDANTE QUELQUE PEU COOPERANTE MAIS A TENDANCE DE REPONDRE A NOS QUESTIONS PO
REPONDANTE TRES AFFECTEE PAR LA PERTE DE SON EPOUX.
REPONDANTE TRES APPERANTE, CEPENDANT LENTE IL Y A EU BEAUCOUP D'INTERRUPTIONS PA
REPONDANTE TRES COOPERANTE AVEC UNE BONNE PRECISION DANS SES REPONSES
REPONDANTE TRES COOPERANTE AVEC UNE BONNE PRECISION DANS SES REPONSES. ELLE N'A
REPONDANTE TRES COOPERANTE ET ANIMEE D'UNE TRES SURTOUT
REPONDANTE TRES COOPERANTE ET PASSIONNEE PAR L'ENTRETIEN. MAIS IL FAUT NOTER QUE
REPONDANTE TRES COOPERANTE ET QUI S'EST LIBERE DE SES TRAVAUX DE COMMERCE POUR S
REPONDANTE TRES COOPERANTE, BAVARDE, SE LEVE DE TEMPS A AUTRE POUR VAGUER A SES
REPONDANTE TRES COOPERANTE, DOUEE D'UNE CERTAINE PATIENCE ET ANIME D'UNE VOLONTE
REPONDANTE TRES COOPERANTE, MAIS AIMANT TROP S'AMUSER. IL ARRIVE PARFOIS QU'ON L
REPONDANTE TRES COOPERANTE, OUVERTE SANS GENE. VOULAIT PREPARER CAR DEPUIS QUELQ
REPONDANTE TRES COOPERATIVE, AVEC QUELQUES DIFFICULTES DE COMPREHENSION AUX PREM
REPONDANTE TRES COOPERATIVE.
REPONDANTE TRES INTERESSANTE.
REPONDANTE TRES TIMIDE AVEC TROP DE DIFFICULTES POUR REPONDRE AUX QUESTIONS ELLE
REPONDANTE TRES TIMIDE.
REPONDANTE TRES VIEILLE 80 ANS N'AYANT PLUS DE DIFFICULTES AUDITIVES. TRES HESIT
REPONDANTE UN PEU COOPERANTE AVEC QUELQUES DIFFICULTES POUR REPONDRE AUX QUESTIO
REPONSE MONOTONE
REPONSE MONOTONE. ENQUETE PAS MOTIVE.
REPONSE TOUJOURS PRECISE
REPROCHE SUR LA LONGUEUR DES TEXTES TROP LONGS ET EMBETANTS LE REPONDANT N'ETAIT
RETICENCE VIS A VIS DE CERTAINES QUESTIONS PROBLEMES D'AUDITION AIGUE IL A FALL
RETICENTE AU DEBUT ET INTERVENTION D'UNE TIERCE PERSONNE.
RETISSANTE, PEUR PAR CRAINTE D'UNE QUELCONQUE INTERVENTION. L'INTERVENTION DE TI
RETIVANT.
RETRAIT POUR CHERCHER LISTE DE FAMILLE A L'INTERIEUR DE LA MAISON.
RIEN A DECRIRE
RIEN A DIRE
RIEN A NOTER
RIEN A SIGNALER
RUPTURE ET TEMPS MORT DE PLUSIEURS JOURS.
RUPTURE POUR QUE LE REPONDANT VAQUE A SES OCCUPATIONS. LE REPONDANT A DEPLORE LA
RUPTURE POUR REPRENDRE LE LENDEMAIN CAR LE REPONDANT ETAIT FATIGUE (JAMBE GAUCHE
S'EST PLAINT DE LA DUREE DE L'ENTRETIEN.
SA MERE FAISAIT CHAQUE FOIS DES FAUSSES COUCHES.
SANS DIFFICULTE
SANS DIFFICULTE.
SANS DIFFICULTES PARTICULIERES
SANS DIFFICULTES PARTICULIERES.
SANS INCONVENIENT
SANS OBJET
SANS PROBLEME
SANS PROBLEME PARTICULIER
SANS PROBLEME PARTICULIER. IL A TROUVE LE QUESTIONNAIRE TRES LONG, EN PLUS IL NE
SANS PROBLEME PARTICULIERS
SANS PROBLEMES PARTICULIERS
SAUF QUE LA REPONDANTE TROUVAIT TROP LONG LE QUETIONNAIRE.
SE PLAINT DU FAIT QUE LES ADMINISTRES SONT DELAISSES ALORS QU'ILS SONT CONTINUEL
SEMBLAIT ETE ALCOOLISE
SEREINETE DU REPONDANT.
SOLLICITER POUR DES SOINS TRADITIONNELS
SON EPOUX ET UN DE SES AMIS ONT TENU A ASSISTER A L'ENTRETIEN. L'AMI QUANT A LUI
SON MARI EST ALLE EN COTE D'IVOIRE IL Y A 7 MOIS.
SON MARI EST MALADE DEPUIS LONGTEMPS.
SON MARI ETAIT A COTE DE NOUS LORS DE L'ENTRETIEN.
SOUVENT QUELQUES ARRETS DE L'ENQUETE POUR SES ACTIVITES DE MAISON EN QUALITE DE
SUR LE CARNET DE L'ENFANT LE MOINS AGE DU MENAGE IL EST MENTIONNE DEUX VACCINS
SURVEILLANCE DU MARI INFLUANCANT SES REPONSES.
TEMPS LONG ET QUESTIONNAIRE VOLUMINEUX POUR ELLE.
TOUT L'INTERVUE S'EST PASSE SOUS L'OEIL DE L'EPOUX TOUT SIMPLEMENT, L'ENQUETE AV
TOUT LE CAMPEMENT PEULH TENAIT A ASSISTER A L'ENTRETIEN.
TOUT S'EST BIEN DEROULE
TOUT S'EST BIEN DEROULE SE QUESTIONNAIRE PARAISSAIT TROP LONG.
TOUT S'EST BIEN PASSE.
TRAVAIL SUSPENDU HIER LE 05/01/2003
TRES ATTENTIF AUX QUESTIONS POSEES AVEC DES REPONSES PRECISES
TRES BONNE
TRES BONNE RECEPTION ET AUCUNE DIFFICULTE
TRES COOPERANT
TRES COOPERATIVE
TRES DECEVANT. NE VOULANT RIEN DIRE.
TRES DISPOSE.
TRES DISTRAITE PENDANT L'ENTRETIEN.
TRES FAIBLE PHYSIQUEMENT.
TRES GENTIL
TRES HESITANT ET RETISSANT LORS DE L'ENTRETIEN
TRES LENTE DANS LA REPONSE.
TRES LENTE DANS LES REPONSES.
TRES MALADE D'OU BEAUCOUP DE SOUFFRANCE PENDANT l'ENTRETIEN. L(entre
TRES MOBILE.
TRES OCCUPE
TRES OCCUPE ET VOULAIT VITE SE DEBARRASSER DE MOI ET TROUVAIT LE QUESTIONNAIRE T
TRES OCCUPE PAR LES TRAVAUX CHAMPETRES.
TRES RETISSANT LORS DE L ENTRETIEN ET LENT A REPONDRE AUX QUESTIONS
TRES RETISSANTE PEU BAVARD REPOND AVEC CRAINTE
TRES SYMPATHIQUE
TRES TIMIDE CE QUI EMPECHAIT DE TEMPS A AUTRE L'EVOLUTION DE L'ENTRETIEN. BEAUCO
TRES TIMIDE ET RETISSANT, DIFFICULTES POUR S'EXPRIMER. CURIOSITE DES BADAUDS LOR
TRES TIMIDE ET REVERVEE LORS DE L'ENTRETIEN
TRES TIMIDE REPOND AVEC RETICENCE.
TRES TRES RETISSANTE REPOND DIFFICILEMENT AUX QUESTIONS
TRES VIEILLE PERSONNE FATIGUEE.
TROIS FRERES DECEDES AVANT SA NAISSANCE.
TROP D'INTERRUPTIONS DANS L'ADMINISTRATION DU QUESTIONNAIRE PARCE QUE LA FEMME (
TROP D'INTERVENTION EXTERNES AVEC INFFLUENCE DE BADAUX,DE JEUNES, DE FEMMES ET D
TROP DE COMMENTAIRES
TROP DE DEPLACEMENT
TROP DE DEPLACEMENT POUR S'OCCUPER DU BEBE
TROP DE GENS ONT ASSISTE A L'ENTRETIEN CE QUI ETAIT DE NATURE A NOUS PERTURBE PU
TROP DE MONDE. HESITATION ET MANQUE DE VOLONTE
TROP FATIGUE ET IL FAIT DE LA MOTIVATION. ELLE TROUVAIT L'INTERVIEW TRES LONG ET
TROP LENT DANS LES REPONSES.
TROP RETISSANTE A FOURNIR LES INFORMATIONS
TROP VIEUX.
TROUBLES OBSERVEES LORS DE L'INTERVENTION, BRUITS DES
TROUVE LE TEMPS TRES LONG.
Tres polie
Très comprénhensif.
UN BEBE QUI PLEURAIT DE TEMPS EN TEMPS.
UN FEU
UN PEU DEDOUTE POUR LES QUESTIONS.
UN PEU ETONNE SUR LES QUESTIONS.
UN PEU RETISSANTE POUR LES REPONSES.
UN PEU TIMIDE ET INTERVENTION D'UNE TIERCE PERSONNE
UN PEU TIMIDE ET RETISSANT.
UNE TRES VIEILLE PERSONNE AMPUTE D'UNE JAMBE A LA SUITE D'UNE PLAIE.
VENUE DES VOISINS POUR ECOUTER LA CONVERSATION.
VEUVE DEPUIS 36 JOURS ELLE A PASSE SON TEMPS A FLEURER
VISITE AU REPONDANT, SOUVENT PRESENT.
VISITES PERCTUELLES D'AMIS OU PARENTS DELASSEMENT DE L'ENQUETE
VISITES PONCTUELLES DE PARENTS.
VOUS ALLEZ NOUS DONNE DES PRODUITS ?
aucun
aucune difficulté
beaucoup d'interruption par travaux et surveillance de son bébé.
beaucoup d'interruptions
beaucoup distraite pendant l'entretien
dans le soucis de minimiser les refus, je suis resté très patient, pour réussir
difficulté dans l'entretien et intervention du beau-père lors de l'entretien
l'ENQUETE A INTERROMPU BRUSQUEMENT L'ENTRETIEN ET M'A ACCEPTE DE LE REPRENDRE QU
l'ENQUETE ETAIT TRES DISTRAITE PENDANT L'ENTRETIEN.
l'ENTRETIEN S'EST PASSE SOUS UNE FINE PLEINE
l'ENTREVUE S'EST BIEN PASSEE. ELLE ETAIT TRES GENTILLE.
l'enguetée somnolait à q 6806 et j'ai suspendu pour le lendemain matin .
l'entrevue s'est bien paasée.
ras
repondante toujours occupée à ses tâches menageres, bloquant à chaque moment le
²
Other comments
Other comments
Other comments
Other comments
Other comments
Any other comments:
2403
- PROBLEME DE LANGUE. NE SE DEBROUILLE PAS EN MOORE , NE PARLE QUE LE PEULH
.
09:03
2
3
4
5
A LAISSE DERIERE ELLE.
AA
ACCEUIL PARFAIT
ACCUEIL CHALEUREUX
ACCUEIL CHALEUREUX DE L'ENQUETE ET TRES DISPO. MAIS IL A FALLU AU MOINS TROIS RE
ACCUEIL CHALEUREUX.
ACCUEIL TRES CHALEUREUX
ACTIF ET DETERMINE DANS LES REPONSES
AGE APPROXIMATIF DE L'ENQUETE ET DE SES COEPOUSES.
AGE APPROXIMATIF DE L'ENQUETER.
AGES INCOMPLETS, SOUVENT NE SAIT PAS.
AGRANDIR LES SALLES DE SOINS ET VOIR LE PRIX DES
AIDE AU SOUTIENT EN MEDICAMENTS ET EN MOUSTIQUAIRES IMPREGNEES
AMBIANCE TRES RELAXE SAUF AUX HEURES OU L'INTERESSE A RECU SES AMIS OU DEVAIT AL
AMELIORATION DE LA VUE DES GENS AGES ET EN LES APPUYANT AVEC DES MEDICAMENTS
APPEL A LA DISPONIBILITE DES MEDICAMENTS A UN PRIX SOCIAL ET PARFOIS GRADUIT POU
APPEL LANCE AUX AUTORITES POUR ACQUISITION D'UN CSPS ET SON PERSONNEL DANS LE VI
APRES ETRE SATISFAIT IL M'A ACCOMPAGNE JUSQU'UN GOU
ARS
ATTEND UNE AIDE SANITAIRE APRES CETTE ENQUÊTE POUR LEUR SANTE.
ATTENTIF
ATTENTIVE ET ACCUEILLANTE.
ATTENTIVE ET DEVOUEE MAIS IL PLEURE LA SITUATION DE SES FRERES EN C.I
ATTENTIVE ET INTERESSEE PAR L'ENQUETE.
AU DEBUT ELLE S'EST MONTREE TRES DURE MAIS QUELQUES INSTANTS PLUS TARD ELLE A C
AUCUN
AUCUN COMMENTAIRE
AUCUN COMMENTAIRE.
AUCUN COMMERTAIRE
AUCUN.
AUX QUESTIONS POSEES PARLE AVEC ASSURANCE,
AVAIT PRIS DE L'ALCOOL
AVEC LES TRAVAUX CHAPETRE LEUR TEMPS EST LIMITE
AVEUGLE.
AVIS FAVORABLE DU REPONDANT INTERESSE ET ACTIF. IL PLEURE LA CRISE IVOIRIENNE
Aucun
Aucun.
BADAUDS.
BEAUCOUP DE RENDEZ-VOUS MANQUES
BESOINS ARDENTS : L'EAU ET LE CSPS.
BESOINS MENAGERS. SOLITUDE TRISTESSE.
BONNE VOLONTE DE REPONDRE AUX QUESTIONS SUR-
C'EST A DIRE DORT AU CHAMP AVEC LA GROSSESSE.
C'EST AU MARCHE QUE JE SUIS ALLE L'ENQUETE.
C'est ceux qui n'ont pas besoin d'aide que vous aidiez et ceux qui n'ont pas bes
CABARET
CE QUI FUT CHOSE FAITE.
CE SONT MES ESCLAVES.
CETTE FEMME SOUFFRE DE BEAUCOUP DE MAUX . LE PIRE DE SES PROBLEMES EST LIE AU FA
CHEF DE MENAGE ETAIT TRES INTERESSE PAR L'ENQUETE ET DEMANDE NOTRE SOUTIEN.
CLIMAT CONVENABLE.
COMPTE AVOIR DE BONS PRODUITS POUR COMBATTRE LES MALADIES DANS LE PAYS.
COMPTE L'AIDE SANITAIRE POUR SON ETAT DE SANTE.
COMPTE RECEVOIR UNE ECOLE DES FORAGES D'EAU UN CSPS UNE PHARMACIE.
COMPTE SUR L'AIDE DES AUTORITES POUR L'AMELIORATION DE LA SANTE.
COMPTE SUR L'AIDE POUR LA SANTE.
COMPTE SUR L'AIDE POUR MENER LES ACTIVITES AGRICOLES EN BONNE SANTE.
COMPTE SUR LA PRISE EN CHARGE DES DIABETIQUES
COMPTE SUR LES CAMPAGNES DE VACCINATION CONTRE LES
COMPTE SUR LES CAMPAGNES DE VACCINATION POUR
COMPTE SUR UN SOUTIEN EN MOYEN DE DEPLACEMENT POUR LES PAUVRES SURTOUT LES FEMME
COMPTE SUR UN SOUTIEN PARTICULIER DU COTE DE LA SANTE.
COMPTE SUR UN SOUTIEN POUR AMELIORATION DE LEUR SANTE.
COMPTE SUR UN SOUTIEN POURL LES SOINS DE SES YEUX ET DES VACCINS CONTRE LES MALA
COMPTE SUR UN SOUTIEN SANITAIRE DANS LE VILLAGE.
COMPTE SUR UN SOUTIEN SANITAIRE EN CSPS DANS LE VILLAGE DE DARSALAM
COMPTE SUR UN SOUTIEN SANITAIRE.
COMPTE SUR UN SOUTIEN SUR LE DOMAINE DE LA SANTE DANS LA VILLAGE
D'EMPLOIS . AUCUN COMMENTAIRE.
DATE DE NAISSANCE DE L'ENFANT 1 PAS CONNU PAR Q407
DEMANDE D'EXCUSE POUR LE PREMIER RENDEZ VOUS MANQUE
DEMANDE UN DISPENSAIRE POUR LE SECTEUR.
DEMANDE UNE AIDEFINANCIAIRE.
DES DEPLACEMENTS PENDANT L'ENTRETIEN
DES TEMOINS DE JEHOVAH .
DEUX AUTRES PERSONNES HOSPITALISEES L'AN DERNIER : Q 0402 ET Q 0407.
DIFFICILE A TROUVER.
DISCONTINUITE DE L'ENQUETE COMPTE TENU DE L'AGE PAR RAPPORT A L'HEURE AVANCEE
DISCONTINUITE DE L'ENTRETIEN COMPTE TENU DE L'OCCUPATION DU REPONDANT.²
DISCONTINUTE ENTRE LE QUESTIONNAIRE MENAGE COMPTE DE TENU DE L'HEURE TARDIVE ET
DISPENSAIRE TROP ELOIGNE DU VILLAGE
DU QUESTIONNAIRE ET A SON TEMPS QU'ON LUI PRENAIT CAR DIT IL "JE DOIS ALLER RECO
ELEE ETAIT SYMPATHIQUE.
ELLE A BESOIN D'UNE AIDE FINANCIAIRE. AU COURS DE L'ENTRETIEN ELLE A PASSER TOUT
ELLE A TROUVE LE QUESTIONNAIRE ENNUANT.
ELLE A TROUVE LE QUESTIONNAIRE LONG. ELLE ETAIT TRES FATIGUEE.
ELLE EST PRESENTEMENT SOUFFRANTE.
ELLE EST SEULE CHEZ SA MAMAN ET ELLE MEME N'A PAS D'ENFANT.
ELLE ETAIT DISPONIBLE ELLE NE CONNAIT PAS L'AGE DE SES PETITS FRERES ET SOEURS C
ELLE ETAIT FATIGUEE ET A TROUVE LE QUESTIONNAIRE TRES LONG MAIS ELLE ETAIT DISPO
ELLE ETAIT SYMPATHIQUE MAIS A TROUVE LE QUESTIONNAIRE TROP LOURD.
ELLE N'A PAS D'INFORMATION SUR LA SOEUR ASSETOU. ELLE NE CONNAIT NI L'AGE NI LA
ELLE NE CONNAIT PAS EXACTEMENT L'AGE DE SES SOEURS CAR ELLE S'EST SEPAREE TRES T
ELLE SE PLAINT DU TEMPS LONG ET DU FAIT QUE NOUS VENONS LES QUESTIONNER DANS JAM
ELLE VOULAIT NOUS EXPLIQUER SES PROBLEMES DE SANTE DES ANNEES PRECEDENTES. MAIS
ENCOURAGE TOUS CEUX QUI LUTTENT POUR LA SANTE DE LA POPULATION.
ENCOURAGE TOUS CEUX QUI OEUVRENT POUR LA SANTE DE TOUS ET ESPERE UNE SUITE FAVOR
ENFANTS ET DES JEUNES. BAVARDAGE GENERAL AUTOUR DE
ENQUETE BôITE DU PIEDS GAUCHE
ENQUETE DETENDUE ASSEZ EVEILLEE.
ENQUETE ETAINT AVEUGLE ET TRES SOUFFRANT.
ENQUETE MALADE SUIVANT DES SOINS CHEZ SON FRERE.
ENQUETE RETICENCE.
ENQUETE TRES SYMPATIQUE.
ENQUETE TROP BAVARD, MALADE MENTAL.
ENQUTE EPUISE.
ENTRETIEN REALISE AU BOUT DU 5é RENDEZ VOUS
ENTRETIEN REALISE EN 3 ETAPES.
ENTRETRTIENT PLUTOT EXPEDITIF POUR CAUSE MANQUE DE TEMPS.
ENTREVUE ACCEPTABLE
ENTREVUE ACCEPTABLE.
ENTREVUE ACCEPTABLE. LE QUESTIONNAIRE MENAGE A ETE REMPLI AU PREMIER CONTACT, MA
ENTREVUE TROP LONGUE SEMBLE-T-IL!
ESPACE LIBRE (AVEC TROP DE VENT)
ESPERE AVOIR DE BONS REMEDES POUR LES PAUVRES EN CAMPAGNE A UN PRIX SOCIAL.
ESPERE AVOIR UN CSPS DANS LE VILLAGE DE DARSALAM
ESPERE AVOIR UN CSPS ET DES PUITS .
ESPERE EST UN SOUTIEN SANITAIRE POUR LES FEMMES
ESPERE UN SOUTIEN SANTAIRE
ESPERE UNE SUITE FAVORABLE POUR UN SOUTIEN DANS LE VILLAGE.
ESPERE UNE SUITE FAVORABLE.
ESPOIR AVOIR LES PRODUITS A UN PRIX SOCIAL ET A LA
ESPOIR D'UNE AIDE EN CSPS DANS LE QUARTIER SECT. 19 DE OUAGA.
ESPOIR D'UNE SUITE FAVORABLE EN LEUR FAVEUR EN STRUCTURE DE SOINS ET MEDICAMENTS
ESPOIR D'UNE SUITE FAVORABLE.
ESPOIR DE DON SUR LES BONS REMEDES POUR LUTTER
ESPOIR DE LEUR CONDITION DE SANTE EN ELARGISSANT
ET AMIS SUITE AU DECES DU NOMME ISSOUFI SURVENU LA VEILLE
ET DES JEUNES.
ET ENFANTS
ET REPRIS LE LENDEMAIN PARCE QUE L'ENFANT DE LA FEMME A PEUR ET PLEURAIT CROYANT
ET SOEURS.
IL A FALLU LE TROISIEME RENDEZ-VOUS POUR REMPLIR LE QUESTIONNAIRE. SOUVENT LA RE
IL A FALLU PLUSIEURS RENDEZ VOUS POUR POUVOIR RENCONTRER LA REPONDANTE QUI EST U
IL A FALLU UN INTERPRETE COMPTE TENU DE LA LANGUE DIOULA QUE LE RPONDANT AVAIT D
IL A FALLUT AUMOINS 4 RDV POUR POUVOIR RENCONTRER LE CHEF DE MENAGE TOUTEFOIS L'
IL A TROUVE LE QUESTIONNAIRE LONG ENNUYANT ET TRES LOURD. MAIS IL S'EST MONTRE
IL A TROUVE LE QUESTIONNAIRE LONG S'EST TROUVE DISPONIBLE.
IL A TROUVE LE QUESTIONNAIRE LONG.
IL A TROUVE LE QUESTIONNAIRE LOURD ET LONG.
IL A TROUVE LE QUESTIONNAIRE TRES LONG MAIS IL ETAIT UNPEU DISPONIBLE
IL A TROUVE LE QUETIOONAIRE LONG.
IL A TROUVER LE QUESTIOONAIRE LONG MAIS S'EST MONTRE DISPONIBLE.
IL DIT QUE L'ENQUETE DOIT ETRE ANONYME.
IL EST SYMPATHIQUE
IL ETAIT DISPONIBLE MAIS IL N'A D'INFORMATION CONCERNANT LE DECES DE SON FRERE M
IL ETAIT DISPONIBLE.
IL ETAIT DYNAMIQUE.
IL ETAIT INTERESSE PAR LES QUESTIONS
IL FALLAIT POURSUIVRE LE MONSIEUR A TOUT MOMENT.
IL FALLAIT QUE LE CHEF DE MENAGE VENAIT AVEC LUI.
IL N'A MANIFESTE AUCUNE RESISTANCE ET S'EST CONSACRE TOUTE SA MATINEE POUR NOUS
IL SE DEBROUILLE UN PEU DANS LE COMMERCE.
IL SE SOUVIENT DES NAISSANCES DE SA MAMAN
INDISPONIBLE
INDIVIDU BORGUE.
INQUIETE PAR LA CRISE IVOIRIENNE CAR IL A DES ENFANTS LA-BAS
INTERESSE ET ACTIF
INTERESSE ET PENSE AVOIR UNE SUITE FAVORABLE/
INTERESSE ET PRECIS.
INTERESSE PAR L'ENQUETE ETCOMPTE AVOIR UNE SUITE FAVORABLE POUR LA SANTE DE LA P
INTERESSEE ET ESPERE AVOIR UNE SUITE FAVORABLE POUR L'AMELIORATION DE LA SANTE D
INTERESSEE PAR L'ENQUETE.
INTERRUPTION POUR CHERCHER DES PIECES .
INTERVENTIONS OCCASIONNELLES DE LA BELLE-MERE.
INTERVIEW ENTRECARPE POUR CAUSE DE CUISINE.
J'AI REJOINT LA REPONDANTE AU CHAMP.
J'ESPERE AVOIR DES COMPRIMES OU MEDICAMENTS A UN PRIX SOCIAL POUR EUX LES PAUVRE
J'ESPERE AVOIR UN CSPS A DARSALAM POUR LES SOULAGEMENTS LORS DES MALADIES.
J'ETAIS OBLIGE DE L'AMENER UN PEU ISOLE DE SON LIEU DE
JE SUIS ALLE AU CHAMP L'ENQUETE.
JEUNE DELINQUANT.
JEUNES.
KM/H.
L
L EPOUX SERVAIT D INTERPRETE
L' enquêté dit qu'il n'a pas connu les autres ni les causes de leurs déces ils s
L'ACCEIL ETAIT CORRECT ET LA COOPERATION TRES BONNE.
L'AGE DU REPONDANT N'A PAS PERMIS DE RECUEILLIR LES INFORMATIONS RELATIVES A LA
L'ENQUETE A EVOQUER LE PROBLEME DE SANTE, MAIS EGALEMENT LE PROBLEME D'EAU POTAB
L'ENQUETE NE COMPRENANT PAS LE DIOULA L'EPOUX SERVAIT D'INTERPRETE.
L'ENQUETE VOULAIT CAUSER AVEC DES ETRANGERS ET REPONDRE A MES QUESTIONS A LA FOI
L'ENQUETEE IGNORE TOUT SUR SES GRANDS FRERES MORTS TRES JEUNES.
L'ENTRETIEN A QUELQUE PEU PRIS DU TEMPS, CEPENDANT, ELLE N'A MANIFESTE AUCUNE IM
L'ENTRETIEN NE SAVAIT PAS ASSEZ D'INFORMATION SUR SA FRATRIE. IL SE SOUVENAIT A
L'ENTREVUE A ETE SUSPENDUE A CAUSE DES CURIEUX QUI VEULENT SAVOIR DE QUI IL EST
L'ENTREVUE ETAIT ACCEPTABLE. LE CONTRAT ETAIT FACILE MAIS IL Y A EU UN PEU D'INC
L'EPOUX DE L'ENQUETE SERVAIT D'INTERPRETE PARCE QU'ELLE NE COMPRENAIT PAS LE DIO
L'INFORMATEUR MENAGE UN PEU IVRE
L'INTERESSE A DU LAISSER SES TRAVAUX POUR REPONDRE AUX QUESTIONS.
LA PRESENCE DE SON MARI QUI ETAIT NON LOIN DE NOUS LA DERANGEAIT DANS LA REPONSE
LA REPONDANTE A FAIT RECOURS A SON FILS AVANT DE REPONDRE A CERTAINES QUESTIONS
LA REPONDANTE A PERDU TOTALEMENT LA VUE
LA REPONDANTE A SOUVENT DES DIFFICULTES A SE CONCENTRER.
LA REPONDANTE DEVAIT ALLER FAIRE LE MARCHE ET S'INQUIETAIT DE LA LOURDEUR DU QUE
LA REPONDANTE EST LA SEULE ENFANT VIVANTE DE SA MAMAN ET N'AUCUNE INFORMATION SU
LA REPONDANTE ETAIT ACCUEILLANTE, CURIEUSE ET ETAIT TRES CLAIRE DANS SES REPONSE
LA REPONDANTE ETAIT ACCUEILLANTE. ELLE SOUFFRAIT DES PROBLEMES DE JAMBES.
LA REPONDANTE ETAIT FATIGUEE ET ELLE A TROUVE LA QUESTIONNAIRE LONG. EN PLUS ELL
LA REPONDANTE MOUVEMENTEE
LA REPONDANTE N'A PAS TOUTES LES INFORMATIONS SUR L'AGE DE SES FRERES ET SOEURS.
LA REPONDANTE NE CONNAIT PAS L AGE DE SES FRERES ET SOEURS.
LA REPONDANTE NE CONNAIT PAS L'ÂGE DE SES FRERES ET SOEURS CAR ILS NE SONT PAS D
LA REPONDANTE S'EST MONTREE TRES COOPERATIVE ET OUVERTE A L'ETUDE. ELLE ETAIT EN
LANCE APPEL POUR LA BAISSE DU PRIX DE PRODUITS.
LANCE UN APPEL A LA PROPRETE DES ALIMENTS AU MARCHE COMME AU VILLAGE. QUE LA SAN
LANCE UN APPEL DE REMERCIEMENT ET D'ENCOURAGEMENT
LANCE UN APPEL POR LE PRIX DES MEDICAMENTS A CAUSE DES PRIX TRES CHERS ET DE L A
LANCE UN APPEL POUR AVOIR UN CSPS.
LANCE UN APPEL POUR DES FORAGES D'EAU POTABLE ET CSPS.
LANCE UN APPEL POUR L'APPUI AUX VACCINATION DES
LANCE UN APPEL POUR LA REDUCTION DES FRAIS DES MEDICAMENTS ET AUSSI POUR LE RESP
LANCE UN APPEL POUR LA REDUCTION DES PRIX DE MEDICAMENTS
LANCE UN APPEL POUR LE RESPECT DES MALADES ET REDUIRE LES COUTS DES SOINS ET DES
LANCE UN APPEL POUR LES AIDES SANITAIRES EN CAPAGNES AFIN QUE LES VILLAGEOIS EN
LANCE UN APPEL POUR LES PRODUITS DE PREMIER NECESSITE POUR LES MALADES; AUSSI IL
LANCE UN APPEL POUR MULTIPLIER LES CSPS DANS LE
LANCE UN APPEL POUR RECEVOIR PRIX DES MEDICAMENTS DE LA PHARMACIE.
LANCE UN APPEL POUR UN SOUTIEN EN CSPS ET EN FORAGE D'EAU DANS LE VILLAGE.
LE BEAU FRERE DE L'ENQUETE SERVAIT D'INTERPRETE.
LE CHEF DE MENAGE (le repondant) PAIE LES MEDICAMENTS POUR LES PREVISIONS. PERSO
LE QUESTIONNAIRE MENAGE EST REMPLI SANS TROP DE DIFFICILE. POUR REMPLIR LE QUEST
LE REPONDANT A DEPLORE LA LOUDEUR DU QUESTIONNAIRE ET DEVRAIT AVOIR UNE SUITE DA
LE REPONDANT A DEPLORE LA LOURDEUR DU QUESTIONNAIRE ET ESPERE QUE SON TEMPS N'ES
LE REPONDANT A DEPLORE LA LOURDEUR DU QUESTIONNAIRE.IL A DU REMETTRE A PLUS TARD
LE REPONDANT A FAIT RECOURS A SON FILS AINE AVANT DE REPONDRE A CERTAINES QUESTI
LE REPONDANT A REGRETTE LA LASSITUDE DU QUESTIONNAIRE ET SE PREOCUPAIT PLUS DES
LE REPONDANT A TROUVE LE QUESTIONNAIRE LONG LOURD MAIS MAIS DISPONIBLE MAIS IL
LE REPONDANT A TROUVE LE QUESTIONNAIRE LOURD SURTOUT LA VIGNETTE SERIE 2000 UNE
LE REPONDANT AIDE SA MERE A VENDRE LA PHARMACOPEE. IL DIT QU'IL NE SE SOIGNE QU'
LE REPONDANT BOIT OCCASIONNELLEMENT (CONCERNANT LA QUESTION 4000)
LE REPONDANT BOIT OCCASIONNELLEMENT / Q 4011
LE REPONDANT DIT QU'IL BOIT OCCASIONNELLEMENT.
LE REPONDANT DONNAIT DES REPONSES VRAIMENT COHERENTES ET PRECISES.
LE REPONDANT EST PARALYSE CE QUI FAIT QU'IL EST DIFFICILE DE DONNER SON POIDS ET
LE REPONDANT EST PARFAITEMENT AVEUGLE MAIS SON ENTREVUE A ETE TRES INTERESSANT
LE REPONDANT EST SOURD MUET. NOUS AVONS ALORS FAIT APPEL A SON FRERE AINE QUI TR
LE REPONDANT EST TRES BAVARD.
LE REPONDANT ETAIT APTE A L'ENTREVUE
LE REPONDANT ETAIT ASSEZ TACITURNE
LE REPONDANT ETAIT BEAUCOUP PREOCCUPE DE SAVOIR LE SORT DE SA FAMILLE RESTEE EN
LE REPONDANT ETAIT BEAUCOUP PREOCCUPE PAR L'ETAT DE SA PREMIERE FEMME QUI SOUFFR
LE REPONDANT ETAIT BEAUCOUP PREOCCUPE PAR LA LOURDEUR DU QUESTIONNAIRE
LE REPONDANT ETAIT DISCRET. IL DISAIT QUE LES QUESTIONNAIRES SONT TROP LONGS. DO
LE REPONDANT ETAIT DISPONIBLE MAIS ELLE NE SAIT RIEN SUR SES FRERES ET SOEURS (D
LE REPONDANT ETAIT FATIGUE A CAUSE DE LA LOURDEUR DU QUESTIONNAIRE MAIS S'EST S'
LE REPONDANT ETAIT OUVERT, TRES BAVARDS, CEPENDANT TROUVE QUE LE QUESTIONNAIRE E
LE REPONDANT ETAIT SOUVENT TRES EVASIF CE QUI RENDAIT L'ENTREVUE TRES COMPLEXE.
LE REPONDANT ETAIT TRES COMPREHENSIF
LE REPONDANT ETAIT TRES OUVERT ET VU SON SATUT DE GRIO IL A IDE A LA SENSIBILISA
LE REPONDANT INTROUVABLE. IL EST UN BERGER. L'ENTREVUE EST FAITE SUR PLUSIEURS
LE REPONDANT M'A DONNE 1000F POUR UN RAFRAICHISSEMENT
LE REPONDANT N'A PAS TOUTES LES INFORMATIONS SUR SA PATRIE.
LE REPONDANT N'ETAIT PAS DE BONNE VOLONTE. IL NE VOULAIT PAS PARTICIPER A L'ENTR
LE REPONDANT OCCUPE PAR SES TRAVAUX MENAGERS ETAIT CONTRAINT DE SE LEVER A PLUSI
LE REPONDANT PRENAIT UNE A DEUX MINUTES POUR REFLECHIR AVANT DE DONNER SA REPONS
LE REPONDANT REFUSE DE SE PRONONCER SUR LES CAS DE DECES.
LE REPONDANT S'EST MONTRE TRES EvASSIF ET TRES PRESSE DE SE DEFAIRE DU QUESTIONN
LE REPONDANT SOUFFRAIT D'UN MAL QU'IL TRAINE DEPUIS 10 ANS. L'ECHOGRAPHIE MONTR
LE REPONDANT SOUFFRAIT DE MAUX DE VENTRE / DIARRHEE.
LE REPONDANT SOUFFRE DE TEMPS EN TEMPS DES MAUX DE SEIN/
LE REPONDANT SOUFRANT DE CRISES HEMOROIDAIRES ET DE PROBLEME URINAIRE (PROSTATE)
LE REPONDANT VENAIT DU DISPENSAIRE OU IL A ACCOMPAGN E SON EPOUSE EN TRAVAIL
LE SOUCIS MAJEUR DU REPONDANT EST L'AIDE DU GOUVERNEMENT POUR LES APPUYER DANS L
LE SOUHAIT LE PLUS ARDENT D'ETRE EN BONNE SANTE ET DU COURAGE DANS VOTRE TRAVAIL
LE VILLAGE ETAIT BIEN INFORME DE NOTRE ARRIVE.
LES MEMBRES DU MENAGES SONT LES DEPRIMES
La répondante souffre d'arthrite ; maux de coeur mais n'a pas reçu de soins. Qua
Le répondant est triste car il n'a pas les nouvelles de ses parents vivants en c
Les freres aînés de la personne sont mortes avant elle sa naissance donc ignore
MAIN.
MAIS,IL A TROUVE LE QUESTIONNAIRE TRES LONG,ENNUYANT ET LOUD.
MALADE TRES SOUFFRANT.
MAUVAISE VOLONTE ET IL FALLAIT LA MOTIVER AVEC DE L'ARGENT POUR QU'ELLE PUISSE A
MENAGE OU LES 2 PERSONNES SONT SOUTENUES PAR LEURS FILLES MARIEES.
MORALITE IL FALLAIT NEGOCIER POUR LE REDONNER COURAGE A CHAQUE 30 MN. IL TROUVAI
MOTIVE PAR LA SUITE DE L'ENQUETE POUR L'AMELIORATION DE LEUR SANTE DANS LE PAYS
N.B: NOUS AVONS ETE PATIENTS ET NOUS NOUS SOMMES ARMES DE COURAGE ET DE DETERMIN
NEANT
NEANT.
NOUS AVONS DU PATIENTER PRESQU'UN MOIS POUR POUVOIR TOUCHER LE REPONDANT PARCE Q
NOUS AVONS FAIT UNE EVALUATION APPROXIMATIVE DES DEPENSES DU MENAGE CAR L'INFORM
On n'etait pas en securité car quelques soit le temps il fallait l'interroger
PARTICIPATION ACTIVE
PARTICIPATION ACTIVE ET PARFAITE
PARTICIPATION DU PERE QUI EST GRAND IMAN DE BOBO
PAS AU REPONDANT D'ETRE LIBRE. BEAUCOUP DE DE-
PAS D'EVENEMENT
PAS DE COMMENTAIRE
PAS DE COMMENTAIRE.
PAS DE DIFFICULTE RENCONTRE
PAS EU DE PROBLEME PARTICULIER.
PAS REPONDRE, QU'IL PESAIT QUE C'ETAIT UNIQUEMENT
PASTEUR
PENSE AVOIR CSPS ET DEPOT DE MEDICAMENTS DANS LE VILLAGE DE DARSALAM.
PENSE AVOIR UN CSPS AU VILLAGE.
PENSE AVOIR UN CSPS ET DES FORAGES DANS LE VILLAGE DE KONZO.
PENSE AVOIR UNE STRUCTURE DE SANTE POUR LEUR VILLAGE
PENSE BENEFICIE D'UN SOUTIEN SANITAIRE APRES CETTE ENQUETE / CSPS ET POMPE D'EAU
PENSE RECEVOIR UNE SUITE FAVORABLE.
PENSE UNE SOLUTION AUX QUESTIONS DE SANTE ET D'AIDE A L'ACQUISITION DE FORAGE D'
PEU DISPONIBLE
PEUR DE REPONDRE A CERTAINES QUESTIONS
PLAIND DE LA LONGUEUR DU QUESTIONNAIRE
PLAIND DE LA LONGUEUR DU QUESTIONNAIRE.
PLAIND DU LONG TEMPS ET DU VOLUME DU QUESTIONNAIRE.
PLUSIEURS RENDEZ-VOUS MANQUES.
POSE LE PROBLEME DE LA PLANIFICATION FAMILIALE QU'IL N'APPRECIE PAS DU TOUT/ IL
POUR CONTINUER LE QUESTIONNAIRE QU'IL TROUVAIT TROP
PRESENCE DU PERE QUI RACONTAIT DES HISTOIRES PASSEES DU VILLAGE ET DE SA VIE
PROBLEME D'EAU . PAS ASSEZ DE POMPE.
Pour avoir de l'eau il faut passer au moins 12 à 16 heures de temps à la fontain
Q0407: MALADE HOSPITALISE
RAD
RAS
RAS A PART LA LOURDEUR DU QUESTIONNAIRE SOULIGNEE PAR LA REPONDANTE UNE ENTREVUE
RAS l'enquêté est aveugle depuis son jeune âge)
RAS.
RDV RATE DEUX FOIS SUCCESSIF.
REFUS DE REPONDRE (CLASSER)MODULE 8000. CONSTAT PERSONNEL INDIVIDU UN PEU TROUBL
REFUS TOTAL DE REPONDRE A D'AUTRES QUESTIONS.
REMERCIEMENTS AUX AGENTS DE LA SANTE CAR ILS
REMERCIMENT AUX AUTORITES OEUVRANT POUR LA BONNE MARCHE DU FASO.
REPONDANT DISPONIBLE ET OUVERT AUX DEBATS
REPONDANT LEPREUX ET MAL VOYANT.
REPONDANT SYMPATHIQUE
REPONDANTE PLUS PREOCCUPEE PAR DES COURSES QU'ELLE AVAIT PREVUE DE FAIRE. CERTAI
REPONDUS LA FAVEUR D'UN INTELLECTUEL.
REPONSE CLAIRE
RETISANT.
RIEN
RIEN A SIGNALER
RIEN A SIGNALER
RIEN A SIGNALER A PART LA LASSITUDE DU QUESTIONNAIRE.
RIEN A SIGNALER.
RIEN DE PARTICULIER
RS
SE FAIT BEAUCOUP ATTENDRE.
SOMMES ALLEES LA CHERCHER A SON LIEU DE TRAVAIL
SOUTIEN AUX PAUVRES SUR LE PLAN SANITAIRE SURTOUT
SOUTIEN AUX PERSONNES AGEES AVEC DES MEDICAMENTS
SUJET TROP DISTRAIT
TOUT S'EST BIEN PASSE.
TRAVAIL PLUSIEURS FOIS INTERROMPUS
TRES INTERESSE ET RESTE DANS L'ESPOIR D'UNE SUITE FAVORABLE
TRES MALADE.
TREVUE S'EST DEROULEE DANS UN KIOSQUE.
TROP DE COMMENTAIRES.
TUDES PARCE QUE CE JOUR MEME LES AUTORITES DE LA
UN MALADE MENTAL
UNE BONNE SUITE FAVORABLE
VIEILLESSE DE L'ENQUETEE
VIEUX FATIGUE COMMUNICATION DIFFICILE.
aucun
ras
²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²²
Time end section 9000
Time end section 9000
Time end section 9000
Time end section 9000
Time end section 9000
444
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Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
6429
18000460
18705180
18702008.716
21490.144
Child No
Child No
Child No
Child No
Child No
6429
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
name
name
name
name
name
What is the name of your child?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
6418
month / year of birth
month / year of birth
month / year of birth
month / year of birth
month / year of birth
What is the month and year of birth?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
6271
01/1945
01/1960
01/1963
01/1964
01/1965
01/1966
01/1967
01/1968
01/1969
01/1970
01/1971
01/1972
01/1973
01/1974
01/1975
01/1976
01/1977
01/1978
01/1979
01/1980
01/1981
01/1982
01/1983
01/1984
01/1985
01/1986
01/1987
01/1988
01/1989
01/1990
01/1991
01/1992
01/1993
01/1994
01/1995
01/1996
01/1997
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
02/1981
02/1982
02/1983
02/1984
02/1985
02/1986
02/1987
02/1988
02/1989
02/1990
02/1991
02/1992
02/1993
02/1994
02/1995
02/1996
02/1997
02/1998
02/1999
02/2000
02/2001
02/2002
02/2003
03/1975
03/1976
03/1979
03/1982
03/1984
03/1985
03/1986
03/1987
03/1988
03/1989
03/1990
03/1991
03/1992
03/1993
03/1994
03/1995
03/1996
03/1997
03/1998
03/1999
03/2000
03/2001
03/2002
03/2003
04/1975
04/1978
04/1979
04/1980
04/1981
04/1982
04/1983
04/1985
04/1986
04/1987
04/1988
04/1989
04/1990
04/1991
04/1992
04/1993
04/1994
04/1995
04/1996
04/1997
04/1998
04/1999
04/2000
04/2001
04/2002
05/1972
05/1973
05/1979
05/1981
05/1983
05/1985
05/1986
05/1988
05/1989
05/1990
05/1991
05/1992
05/1993
05/1994
05/1995
05/1996
05/1997
05/1998
05/1999
05/2000
05/2001
05/2002
06/1977
06/1978
06/1980
06/1982
06/1983
06/1985
06/1986
06/1987
06/1988
06/1989
06/1990
06/1991
06/1992
06/1993
06/1994
06/1995
06/1996
06/1997
06/1998
06/1999
06/2000
06/2001
06/2002
07/1984
07/1985
07/1986
07/1987
07/1988
07/1989
07/1990
07/1991
07/1992
07/1993
07/1994
07/1995
07/1996
07/1998
07/1999
07/2000
07/2001
07/2002
08/1976
08/1978
08/1979
08/1980
08/1981
08/1983
08/1984
08/1985
08/1986
08/1987
08/1988
08/1989
08/1990
08/1991
08/1992
08/1993
08/1994
08/1995
08/1996
08/1997
08/1998
08/1999
08/2000
08/2001
08/2002
09/1977
09/1978
09/1980
09/1984
09/1985
09/1986
09/1987
09/1988
09/1989
09/1990
09/1991
09/1992
09/1993
09/1994
09/1995
09/1996
09/1997
09/1998
09/1999
09/2000
09/2001
09/2002
10/1975
10/1976
10/1979
10/1980
10/1981
10/1982
10/1985
10/1986
10/1987
10/1988
10/1989
10/1990
10/1991
10/1992
10/1993
10/1994
10/1995
10/1996
10/1997
10/1998
10/1999
10/2000
10/2001
10/2002
11/1971
11/1974
11/1978
11/1980
11/1981
11/1982
11/1984
11/1987
11/1988
11/1989
11/1990
11/1991
11/1992
11/1993
11/1994
11/1995
11/1996
11/1997
11/1998
11/1999
11/2000
11/2001
11/2002
12/1974
12/1977
12/1978
12/1979
12/1980
12/1981
12/1982
12/1983
12/1984
12/1985
12/1986
12/1987
12/1988
12/1989
12/1990
12/1991
12/1992
12/1993
12/1994
12/1995
12/1996
12/1997
12/1998
12/1999
12/2000
12/2001
12/2002
sex
sex
sex
sex
sex
What is the sex?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
6283
146
1
2
Sysmiss
alive
alive
alive
alive
alive
Is the child still alive?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
6305
124
1
Yes
5
No
Sysmiss
Age of child (Years)
Age of child (Years)
Age of child (Years)
Age of child (Years)
Age of child (Years)
What is the child's current age in years?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
3899
2530
5
39
12.675
6.16
Age (months)
Age (months)
Age (months)
Age (months)
Age (months)
What is the child's current age in months?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
1597
4832
2
59
26.205
15.976
Age (days)
Age (days)
Age (days)
Age (days)
Age (days)
What is the child's current age in days?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
68
6361
54
19.059
16.542
living with you
living with you
living with you
living with you
living with you
Is the child currently living with you?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
5578
851
1
Yes
5
No
Sysmiss
month / year of death
month / year of death
month / year of death
month / year of death
month / year of death
Month / Year of death
This question is to be asked to women respondens of reproductive (18-49) yrs age.
511
01/1964
01/1966
01/1967
01/1968
01/1970
01/1971
01/1972
01/1974
01/1975
01/1976
01/1977
01/1978
01/1979
01/1980
01/1981
01/1982
01/1983
01/1984
01/1985
01/1986
01/1987
01/1988
01/1989
01/1990
01/1991
01/1992
01/1993
01/1994
01/1995
01/1996
01/1997
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
01/2007
02/1978
02/1980
02/1983
02/1987
02/1991
02/1995
02/2000
02/2001
03/2001
04/1984
04/1988
04/1993
05/1990
05/1995
05/1999
05/2000
05/2002
06/1984
06/1986
06/1993
07/1978
07/1989
07/2001
07/2002
08/1990
08/2000
08/2002
09/1982
09/1998
10/1982
10/1988
10/1992
10/1997
10/2001
10/2002
11/1975
11/1994
11/1998
11/1999
11/2002
12/1978
12/1992
12/1995
12/1999
12/2001
12/2002
age of death in days
age of death in days
age of death in days
age of death in days
age of death in days
Age at death in: Days
This question is to be asked to women respondens of reproductive (18-49) yrs age.
197
6232
40
8.579
10.718
Age at death in months
Age at death in months
Age at death in months
Age at death in months
Age at death in months
Age at death in: Months
This question is to be asked to women respondens of reproductive (18-49) yrs age.
414
6015
2
59
19.246
13.737
Age at death in years of child
Age at death in years of child
Age at death in years of child
Age at death in years of child
Age at death in years of child
Age at death in: Years
This question is to be asked to women respondens of reproductive (18-49) yrs age.
104
6325
5
36
9.615
6.232
fever
fever
fever
fever
fever
Did s/he have fever?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
712
5717
1
Yes
5
No
Sysmiss
continuous fever
continuous fever
continuous fever
continuous fever
continuous fever
Was the fever continuous (1) or on and off
(5)?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
636
5793
1
Yes
5
No
Sysmiss
fever associated with chills/shivering
fever associated with chills/shivering
fever associated with chills/shivering
fever associated with chills/shivering
fever associated with chills/shivering
Was the fever associated with
chills/shivering?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
685
5744
1
Yes
5
No
Sysmiss
convulsions
convulsions
convulsions
convulsions
convulsions
Did s/he have convulsions or fits?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
718
5711
1
Yes
5
No
Sysmiss
child unconscious
child unconscious
child unconscious
child unconscious
child unconscious
Was the child unconscious for more than a
day during the illness that led to death?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
718
5711
1
Yes
5
No
Sysmiss
stiff neck
stiff neck
stiff neck
stiff neck
stiff neck
Did s/he have a stiff neck?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
719
5710
1
Yes
5
No
Sysmiss
cough
cough
cough
cough
cough
Did s/he have a cough?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
721
5708
1
Yes
5
No
Sysmiss
type of cough
type of cough
type of cough
type of cough
type of cough
If yes, was it (1) dry, (2) productive, (3) with
blood, (4) or unknown ?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
105
6324
1
2
3
4
Sysmiss
fast breathing
fast breathing
fast breathing
fast breathing
fast breathing
Did s/he have fast breathing?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
716
5713
1
Yes
5
No
Sysmiss
indrawing of the chest
indrawing of the chest
indrawing of the chest
indrawing of the chest
indrawing of the chest
Did s/he have in drawing of the chest while
breathing?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
719
5710
1
Yes
5
No
Sysmiss
diarrhea
diarrhea
diarrhea
diarrhea
diarrhea
Did s/he have diarrhea?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
719
5710
1
Yes
5
No
Sysmiss
Visible blood
Visible blood
Visible blood
Visible blood
Visible blood
Was there visible blood in the stools?
This question is to be asked to women respondens of reproductive (18-49) yrs age.
717
5712
1
Yes
5
No
Sysmiss
Identification
Identification
Identification
Identification
Identification
Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field?
27104
18000460
18705180
1
Accident
2
Suicide
3
Murder
4
War
5
Natural disaster
27104
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Name of sibling
Name of sibling
Name of sibling
Name of sibling
Name of sibling
If 2 or more births, continue here, starting with eldest child.
Name
26974
04
1
14
15
2
3
3Z
3e
5
7
8e
?
A.
AB
AC
AD
AF
AG
AH
AI
AJ
AK
AL
AM
AN
AP
AR
AS
AT
AU
AV
AW
AY
AZ
AÏ
B
B.
BA
BE
BI
BL
BN
BO
BR
BU
C.
CA
CE
CH
CI
CL
CM
CO
CP
CR
CY
D
D.
DA
DE
DI
DJ
DO
DR
E
EC
ED
EG
EK
EL
EM
EN
ER
ES
ET
EU
EV
EY
EZ
F.
FA
FE
FI
FL
FO
FR
FU
G
G.
GA
GE
GH
GI
GN
GO
GR
GU
H
H.
HA
HE
HI
HO
HY
I
I.
IB
ID
IE
IF
IG
IK
IL
IM
IN
IP
IR
IS
J.
JA
JE
JI
JO
JU
K
K.
K/
KA
KB
KE
KI
KK
KL
KO
KP
KR
KU
KW
KY
L.
LA
LE
LI
LM
LO
LU
LY
M.
MA
MB
ME
MI
MO
MY
N
N'
N.
NA
NB
NE
NG
NI
NO
NS
NY
O
O.
OA
OD
OE
OI
OL
OM
ON
OP
OR
OS
OU
P.
PA
PE
PH
PI
PO
PR
PU
QU
R
R.
RA
RE
RI
RO
RU
S
S.
SA
SE
SI
SN
SO
SR
SS
SU
SW
SY
T
T.
TA
TC
TE
TH
TI
TO
TR
TS
TU
UR
V.
VA
VE
VI
VO
W.
WA
WE
WI
WO
WU
X
X1
X3
X4
XA
Y.
YA
YE
YI
YO
YS
YU
YV
Z
Z.
ZA
ZE
ZI
ZO
ZU
fa
ou
ÏC
sex
sex
sex
sex
sex
Sex
26690
414
1
Sex Sibling 1
2
Sex Sibling 2
3
Sex Sibling 3
4
Sex Sibling 4
5
Sex Sibling 5
6
Sex Sibling 6
7
Sex Sibling 7
8
Sex Sibling 8
Sysmiss
month / year of birth
month / year of birth
month / year of birth
month / year of birth
month / year of birth
Month/ Year of birth, e.g. Feb-02
26098
01/1900
01/1901
01/1902
01/1903
01/1904
01/1905
01/1906
01/1907
01/1908
01/1909
01/1910
01/1911
01/1912
01/1913
01/1914
01/1915
01/1916
01/1917
01/1918
01/1919
01/1920
01/1921
01/1922
01/1923
01/1924
01/1925
01/1926
01/1927
01/1928
01/1929
01/1930
01/1931
01/1932
01/1933
01/1934
01/1935
01/1936
01/1937
01/1938
01/1939
01/1940
01/1941
01/1942
01/1943
01/1944
01/1945
01/1946
01/1947
01/1948
01/1949
01/1950
01/1951
01/1952
01/1953
01/1954
01/1955
01/1956
01/1957
01/1958
01/1959
01/1960
01/1961
01/1962
01/1963
01/1964
01/1965
01/1966
01/1967
01/1968
01/1969
01/1970
01/1971
01/1972
01/1973
01/1974
01/1975
01/1976
01/1977
01/1978
01/1979
01/1980
01/1981
01/1982
01/1983
01/1984
01/1985
01/1986
01/1987
01/1988
01/1989
01/1990
01/1991
01/1992
01/1993
01/1994
01/1995
01/1996
01/1997
01/1998
01/1999
01/2000
01/2001
01/2002
01/2003
02/1915
02/1919
02/1930
02/1932
02/1933
02/1934
02/1935
02/1946
02/1951
02/1954
02/1955
02/1956
02/1957
02/1959
02/1960
02/1961
02/1962
02/1963
02/1964
02/1965
02/1966
02/1967
02/1968
02/1969
02/1970
02/1971
02/1972
02/1973
02/1974
02/1975
02/1976
02/1977
02/1978
02/1979
02/1980
02/1981
02/1982
02/1983
02/1984
02/1985
02/1986
02/1987
02/1988
02/1989
02/1990
02/1991
02/1992
02/1993
02/1994
02/1995
02/1996
02/2000
02/2002
03/1912
03/1926
03/1937
03/1940
03/1941
03/1948
03/1949
03/1951
03/1953
03/1954
03/1957
03/1958
03/1960
03/1961
03/1962
03/1963
03/1964
03/1965
03/1966
03/1967
03/1968
03/1969
03/1970
03/1971
03/1972
03/1973
03/1974
03/1975
03/1976
03/1977
03/1978
03/1979
03/1980
03/1981
03/1982
03/1983
03/1984
03/1985
03/1986
03/1987
03/1988
03/1989
03/1992
03/1993
03/1996
04/1905
04/1922
04/1936
04/1941
04/1943
04/1945
04/1947
04/1948
04/1949
04/1950
04/1951
04/1952
04/1953
04/1955
04/1956
04/1957
04/1958
04/1959
04/1960
04/1961
04/1962
04/1963
04/1964
04/1965
04/1966
04/1967
04/1968
04/1969
04/1970
04/1971
04/1972
04/1973
04/1974
04/1975
04/1976
04/1977
04/1978
04/1979
04/1980
04/1981
04/1982
04/1983
04/1984
04/1985
04/1986
04/1987
04/1988
04/1989
04/1991
04/1992
04/1993
04/1994
04/1998
04/1999
04/2002
05/1900
05/1915
05/1927
05/1928
05/1930
05/1931
05/1934
05/1935
05/1937
05/1938
05/1939
05/1940
05/1941
05/1942
05/1944
05/1945
05/1946
05/1948
05/1950
05/1951
05/1952
05/1953
05/1954
05/1956
05/1957
05/1958
05/1959
05/1960
05/1961
05/1962
05/1963
05/1964
05/1965
05/1966
05/1967
05/1968
05/1969
05/1970
05/1971
05/1972
05/1973
05/1974
05/1975
05/1976
05/1977
05/1978
05/1979
05/1980
05/1981
05/1982
05/1983
05/1984
05/1985
05/1986
05/1987
05/1989
05/1991
05/1995
05/2000
06/1900
06/1923
06/1924
06/1925
06/1929
06/1934
06/1935
06/1936
06/1944
06/1945
06/1947
06/1948
06/1949
06/1950
06/1952
06/1953
06/1954
06/1956
06/1959
06/1960
06/1961
06/1962
06/1963
06/1964
06/1966
06/1967
06/1968
06/1969
06/1970
06/1971
06/1972
06/1973
06/1974
06/1975
06/1976
06/1977
06/1978
06/1979
06/1980
06/1981
06/1982
06/1983
06/1984
06/1985
06/1986
06/1987
06/1988
06/1989
06/1990
06/1992
06/1995
06/1996
06/1997
06/2000
07/1921
07/1929
07/1939
07/1956
07/1959
07/1960
07/1961
07/1963
07/1965
07/1967
07/1968
07/1969
07/1971
07/1972
07/1973
07/1974
07/1975
07/1976
07/1977
07/1978
07/1979
07/1980
07/1981
07/1982
07/1983
07/1984
07/1985
07/1986
07/1987
07/1989
07/1995
07/2002
08/1900
08/1910
08/1919
08/1927
08/1929
08/1930
08/1936
08/1938
08/1942
08/1945
08/1946
08/1948
08/1949
08/1950
08/1951
08/1954
08/1955
08/1956
08/1957
08/1958
08/1959
08/1960
08/1962
08/1963
08/1964
08/1965
08/1966
08/1967
08/1968
08/1969
08/1970
08/1971
08/1972
08/1973
08/1974
08/1975
08/1976
08/1977
08/1978
08/1979
08/1980
08/1981
08/1982
08/1983
08/1984
08/1985
08/1987
08/1988
08/1989
08/1990
08/1991
08/1992
08/1993
08/1994
08/1998
08/1999
08/2002
09/1920
09/1921
09/1929
09/1936
09/1937
09/1942
09/1945
09/1950
09/1951
09/1954
09/1956
09/1957
09/1958
09/1959
09/1960
09/1961
09/1962
09/1963
09/1964
09/1965
09/1966
09/1967
09/1968
09/1969
09/1970
09/1971
09/1972
09/1973
09/1974
09/1975
09/1976
09/1977
09/1978
09/1979
09/1980
09/1981
09/1982
09/1983
09/1984
09/1985
09/1986
09/1987
09/1988
09/1989
09/1990
09/1991
09/1992
09/1993
09/1995
09/1997
09/1998
09/2000
09/2001
09/2002
1
Date of birth Sibling 1
10/1900
10/1915
10/1923
10/1925
10/1926
10/1932
10/1933
10/1934
10/1938
10/1939
10/1942
10/1945
10/1946
10/1947
10/1948
10/1949
10/1950
10/1952
10/1953
10/1954
10/1956
10/1957
10/1958
10/1959
10/1960
10/1961
10/1962
10/1963
10/1964
10/1965
10/1966
10/1967
10/1968
10/1969
10/1970
10/1971
10/1972
10/1973
10/1974
10/1975
10/1976
10/1977
10/1978
10/1979
10/1980
10/1981
10/1982
10/1983
10/1984
10/1985
10/1986
10/1987
10/1988
10/1989
10/1991
10/1992
10/1993
10/1996
10/1998
11/1927
11/1937
11/1939
11/1940
11/1941
11/1945
11/1950
11/1953
11/1955
11/1957
11/1958
11/1959
11/1960
11/1961
11/1962
11/1963
11/1964
11/1965
11/1966
11/1967
11/1968
11/1969
11/1970
11/1971
11/1972
11/1973
11/1974
11/1975
11/1976
11/1977
11/1978
11/1979
11/1980
11/1981
11/1982
11/1983
11/1984
11/1985
11/1986
11/1988
11/1989
11/1990
11/1991
11/1992
11/1993
11/1994
11/1995
11/1997
11/2000
11/2002
12/1900
12/1917
12/1918
12/1919
12/1920
12/1921
12/1923
12/1924
12/1925
12/1927
12/1928
12/1929
12/1930
12/1931
12/1932
12/1933
12/1934
12/1937
12/1939
12/1940
12/1941
12/1942
12/1943
12/1944
12/1945
12/1946
12/1947
12/1948
12/1949
12/1950
12/1951
12/1952
12/1953
12/1954
12/1955
12/1956
12/1957
12/1958
12/1959
12/1960
12/1961
12/1962
12/1963
12/1964
12/1965
12/1966
12/1967
12/1968
12/1969
12/1970
12/1971
12/1972
12/1973
12/1974
12/1975
12/1976
12/1977
12/1978
12/1979
12/1980
12/1981
12/1982
12/1983
12/1984
12/1985
12/1986
12/1987
12/1988
12/1989
12/1990
12/1991
12/1992
12/1993
12/1994
12/1995
2
Date of birth Sibling 2
3
Date of birth Sibling 3
4
Date of birth Sibling 4
5
Date of birth Sibling 5
6
Date of birth Sibling 6
7
Date of birth Sibling 7
8
Date of birth Sibling 8
age between respondent and sibling
age between respondent and sibling
age between respondent and sibling
age between respondent and sibling
age between respondent and sibling
What is the age difference (in years) between
you and [NAME]?
25231
1873
30
6.064
5.153
1
Difference in age between respondent and sibling 1
2
Difference in age between respondent and sibling 2
3
Difference in age between respondent and sibling 3
4
Difference in age between respondent and sibling 4
5
Difference in age between respondent and sibling 5
6
Difference in age between respondent and sibling 6
7
Difference in age between respondent and sibling 7
8
Difference in age between respondent and sibling 8
alive
alive
alive
alive
alive
Is [NAME] still alive?
26587
517
1
Yes
5
No
Sysmiss
contact with person
contact with person
contact with person
contact with person
contact with person
How often are you in contact with [NAME] in
person, by phone, mail or other means of
communication?
17597
9507
1
Weekly
2
Monthly
3
Yearly
4
Every 2-3 years
5
Every 3 years or more
Sysmiss
age
age
age
age
age
If YES to 5108, how old is [NAME]?
21552
5552
120
31.685
14.6
age at death
age at death
age at death
age at death
age at death
If NO to 5108, how old was [NAME] when
died?
4273
22831
105
18.759
19.328
how many years ago died
how many years ago died
how many years ago died
how many years ago died
how many years ago died
How many years ago did [NAME] die?
4106
22998
80
22.611
17.318
where living / lived
where living / lived
where living / lived
where living / lived
where living / lived
Is [NAME] currently living / did [NAME]
before s/he died live in?
25989
1115
1
Private dwelling / house
2
Military establishment
3
Hospital
4
Nursing home
5
Other institution
6
DK
Sysmiss
Pregnant when died Sibling
Pregnant when died Sibling
Pregnant when died Sibling
Pregnant when died Sibling
Pregnant when died Sibling
If deceased, a woman aged 15-49, was she
pregnant when she died?
1094
26010
1
Yes
5
No
Sysmiss
Died during childbirth Sibling
Died during childbirth Sibling
Died during childbirth Sibling
Died during childbirth Sibling
Died during childbirth Sibling
If deceased, a woman aged 15-49 did she die
during childbirth?
1075
26029
1
Yes
5
No
Sysmiss
Died within two months after end of pregnancy or childbirth -Sibling
Died within two months after end of pregnancy or childbirth -Sibling
Died within two months after end of pregnancy or childbirth -Sibling
Died within two months after end of pregnancy or childbirth -Sibling
Died within two months after end of pregnancy or childbirth -Sibling
If deceased, a woman aged 15-49 did she die
within 2 months after the end of pregnancy or
childbirth?
1078
26026
1
Yes
5
No
Sysmiss
Death associated with injury- Sibling
Death associated with injury- Sibling
Death associated with injury- Sibling
Death associated with injury- Sibling
Death associated with injury- Sibling
Was the death associated with injury?
4083
23021
1
Yes
5
No
Sysmiss
Cause of death- Sibling
Cause of death- Sibling
Cause of death- Sibling
Cause of death- Sibling
Cause of death- Sibling
Was it due to
100
27004
1
Accident
2
Suicide
3
Murder
4
War
5
Natural disaster
Sysmiss
Details concerning events that led to injury- Sibling
Details concerning events that led to injury- Sibling
Details concerning events that led to injury- Sibling
Details concerning events that led to injury- Sibling
Details concerning events that led to injury- Sibling
Provide details of events that led to the
injury.
What was the mechanism or cause of injury?
104
27000
1
Motor vehicle
2
Pedestrian-vehicle crash
3
Motorcycle
4
Pedal cycle
5
Fall
6
Gunshot, firearm related
7
Landmine / bomblast
8
Stab / cut / pierce
9
Fire / burn
10
Poisoning
11
Near drowning / drowning / submersion
12
Other mechanism / cause of injury
Sysmiss
Where injury occurred- Sibling
Where injury occurred- Sibling
Where injury occurred- Sibling
Where injury occurred- Sibling
Where injury occurred- Sibling
Where did the injury occur?
95
27009
1
Home
2
School
3
Street/highway
4
Parking lot
5
Trade and service areas (shop, bank, etc.)
6
Farm
7
River/lake/stream/ocean
8
Industrial/construction area
9
Other public building
10
Other
Sysmiss
Where injury occurred- Sibling Specify others
Where injury occurred- Sibling Specify others
Where injury occurred- Sibling Specify others
Where injury occurred- Sibling Specify others
Where injury occurred- Sibling Specify others
17
1
11
5
Chest pain- Sibling
Chest pain- Sibling
Chest pain- Sibling
Chest pain- Sibling
Chest pain- Sibling
Did the deceased report / experience chest
pain lasting less than 24 hrs in the month
preceding the death?
4128
22976
1
Yes
5
No
Sysmiss
Paralysis of a body part- Sibling
Paralysis of a body part- Sibling
Paralysis of a body part- Sibling
Paralysis of a body part- Sibling
Paralysis of a body part- Sibling
Did the deceased experience paralysis of any
part of the body in the month preceding
death?
4119
22985
1
Yes
5
No
Sysmiss
paralysis accompanied by loss of consciousness- Sibling
paralysis accompanied by loss of consciousness- Sibling
paralysis accompanied by loss of consciousness- Sibling
paralysis accompanied by loss of consciousness- Sibling
paralysis accompanied by loss of consciousness- Sibling
If yes, was the paralysis accompanied or
followed by sudden loss of consciousness?
2664
24440
1
Yes
5
No
Sysmiss
Cough- Sibling
Cough- Sibling
Cough- Sibling
Cough- Sibling
Cough- Sibling
Did the deceased have a cough that lasted
more than 3 weeks?
4103
23001
1
Yes
5
No
Sysmiss
Blood in the sputum- Sibling
Blood in the sputum- Sibling
Blood in the sputum- Sibling
Blood in the sputum- Sibling
Blood in the sputum- Sibling
If yes, was there blood in the sputum ?
4090
23014
1
Yes
5
No
Sysmiss
Medical treatment for Tuberculosis - Sibling
Medical treatment for Tuberculosis - Sibling
Medical treatment for Tuberculosis - Sibling
Medical treatment for Tuberculosis - Sibling
Medical treatment for Tuberculosis - Sibling
Did (s)he receive any medical treatment for
tuberculosis ?
4121
22983
1
Yes
5
No
Sysmiss
Diarrhoea that lasted more than a month - Sibling
Diarrhoea that lasted more than a month - Sibling
Diarrhoea that lasted more than a month - Sibling
Diarrhoea that lasted more than a month - Sibling
Diarrhoea that lasted more than a month - Sibling
Did the deceased have diarrhoea that lasted
more than a month ?
4118
22986
1
Yes
5
No
Sysmiss
Rapid loss of weight - Sibling
Rapid loss of weight - Sibling
Rapid loss of weight - Sibling
Rapid loss of weight - Sibling
Rapid loss of weight - Sibling
Was there any rapid loss of weight ?
4104
23000
1
Yes
5
No
Sysmiss
White patches in mouth - Sibling
White patches in mouth - Sibling
White patches in mouth - Sibling
White patches in mouth - Sibling
White patches in mouth - Sibling
Were there any white patches in the mouth ?
4105
22999
1
Yes
5
No
Sysmiss