DDI_JAM_2005_MICS_v01_M Gaynor, Avery Forbes, Douglas James, Rhiannon 2008-12-23 NADA JAMAICA MICS 2005 UNICEF v0.2 Slightly edited version of UNICEF's DDI ref. DDI-JAM-UNICEF-MICS32005/v0.1 Multiple Indicator Cluster Survey 2005 MICS3 2005 JAM_2005_MICS_v01_M Statistical Institute Of Jamaica

CABINET OFFICE

ECC

PIOJ

SALISES

UNFPA

PAHO

CDA

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STATIN

OECD

 Statistical Institute Of Jamaica UNICEF, Jamaica Office (c) 2007, STATIN NADA UNICEF UNESCO UNDP UNAIDS UNICEF-ABCDEFGH-1234567890 STATIN UNICEF Jamaica Country Office Multiple Indicator Cluster Survey - Round 3 [hh/mics-3] The Multiple Indicator Cluster Survey, Round 3 (MICS3) is the third round of MICS surveys, previously conducted around 1995 (MICS1) and 2000 (MICS2). However, this is the second round for Jamaica, the first was done in 2000. Many questions and indicators are consistent and compatible with the prior round of MICS (MICS2) but less so with MICS1, although there have been a number of changes in definition of indicators between rounds. Details can be found by reviewing the indicator definitions. Version 1.0: Edited data used for final report Household members Education Water and sanitation Child labour Salt iodization Women's background Child mortality Tetanus toxoid Maternal and newborn health Marriage and union HIV/AIDS Children's background Birth registration Early learning Breastfeeding Care of illness Immunization Support to children orphaned and made vulnerable by HIV/AIDS Child discipline Source and cost of ORS and antibiotics Attitudes towards domestic violence Child development Disability The Multiple Indicator Cluster Survey (MICS) is a household survey programme developed by UNICEF to assist countries in filling data gaps for monitoring human development in general and the situation of children and women in particular. MICS is capable of producing statistically sound, internationally comparable estimates of social indicators. The current round of MICS is focused on providing a monitoring tool for the Millennium Development Goals (MDGs), the World Fit for Children (WFFC), as well as for other major international commitments. Survey Objectives The 2005 Jamaica Multiple Indicator Cluster Survey has as its primary objectives: - To provide up-to-date information for assessing the situation of children and women in Jamaica. - To furnish data needed for monitoring progress toward goals established by the Millennium Development Goals, the goals of A World Fit For Children (WFFC), and other internationally agreed upon goals, as a basis for future action; - To contribute to the improvement of data and monitoring systems in Jamaica and to strengthen technical expertise in the design, implementation, and analysis of such systems. Survey Content MICS questionnaires are designed in a modular fashion that can be easily customized to the needs of a country. They consist of a household questionnaire, a questionnaire for women aged 15-49 and a questionnaire for children under the age of five (to be administered to the mother or caretaker). Other than a set of core modules, countries can select which modules they want to include in each questionnaire. Survey Implementation The survey was carried out by STATIN with the support and assistance of UNICEF and other partners. Technical assistance and training for the surveys is provided through a series of regional workshops, covering questionnaire content, sampling and survey implementation; data processing; data quality and data analysis; report writing and dissemination. Jamaica The survey is nationally representative and covers the whole of Jamaica. Households (defined as a group of persons who usually live and eat together) De jure household members (defined as members of the household who usually live in the household, which may include people who did not sleep in the household the previous night, but does not include visitors who slept in the household the previous night but do not usually live in the household) Women aged 15-49 Children aged 0-4 The survey covered all de jure household members (usual residents), all women aged 15-49 years resident in the household, and all children aged 0-4 years (under age 5) resident in the household. Sample survey data [ssd] The Jamaica Multiple Indicator Cluster Survey included the following modules in the questionnaires: HOUSEHOLD QUESTIONNAIRE : Household information panel, household listing, orphaned and vulnerable children, education, child labour, water and sanitation, salt iodization, child discipline and child disability. WOMEN'S QUESTIONNAIRE: Women's characteristics, child mortality, tetanus toxoid, maternal and newborn health, marriage and HIV/AIDS knowledge and domestic violence. CHILDREN'S QUESTIONNAIRE: Children's characteristics, birth registration and early learning, breastfeeding, care of illness plus source and cost of oral rehydration salts (ORS) and antibiotics, immunization and child development. Statistical Institute of Jamaica The sample for the Jamaica Multiple Indicator Cluster Survey (MICS) was designed to provide estimates on a large number of indicators on the situation of children and women at the national level, as well as urban and rural areas. Parishes were identified as the main sampling domains and were divided into sampling regions of equal sizes. The sample was selected in two stages. Within each sampling region, two census enumeration areas/Primary Sampling Units (PSUs) were selected with probability proportional to size. Using the household listing from the selected PSUs a systematic sample of 6,276 dwellings was drawn. The sampling procedures are more fully described in the the sampling appendix (appendix A) of the final report. Five of the selected enumeration areas were not visited because they were inaccessible due to flooding during the fieldwork period. Sample weights were used in the calculation of national level results. Face-to-face [f2f] The questionnaires for the Jamaica MICS were structured questionnaires based on the MICS3 Model Questionnaire with some modifications and additions. A household questionnaire was administered in each household, which collected various information on household members including sex, age, relationship, and orphanhood status. The household questionnaire includes support to orphaned and vulnerable children, education, child labour, water and sanitation, and salt iodization, with optional modules for child discipline, child disability and security of tenure and durability of housing. In addition to a household questionnaire, questionnaires were administered in each household for women age 15-49 and children under age five. For children, the questionnaire was administered to the mother or caretaker of the child. The women's questionnaire include women's characteristics, child mortality, tetanus toxoid, maternal and newborn health, marriage, contraception, and HIV/AIDS knowledge, with optional modules for unmet need, domestic violence, and sexual behavior. The children's questionnaire includes children's characteristics, birth registration and early learning, vitamin A, breastfeeding, care of illness, malaria, immunization, and an optional module for child development. All questionnaires and modules are provided as external resources. The pretest for the survey took place in August 2005 and included 4 interviewers and one supervisor. Data collection took place over a period of about 6 weeks from October, 10 2006 until late November of the same year. Interviews averaged 35 minutes for the household questionnaire (excluding salt testing), 23 minutes for the women's questionnaire, and 27 for the under five children's questionnaire. Three staff members of Statistical Institute of Jamaica provided overall fieldwork coordination and supervision. The overall field coordinator was Isbeth Bernard. Interviewing was conducted by teams of interviewers. Each interviewing team comprised of 3-4 female interviewers, a field editor and a supervisor, and a driver. Each teams used a 4 wheel dirve vehicle to travel from cluster to cluster (and where necessary within cluster). The role of the supervisor was to coordinator field data collection activities, including management of the field teams, supplies and equipment, finances, maps and listings, coordinate with local authorities concerning the survey plan and make arrangements for accomodation and travel. Additionally, the field supervisor assigned the work to the interviewers, spot checked work, maintained field control documents, and sent completed questionnaires and progress reports to the central office The field editor was responsible for reviewing each questionnaire at the end of the day, checking for missed questions, skip errors, fields incorrectly completed, and checking for inconsistencies in the data. The field editor also observed interviews and conducted review sessions with interviewers. Responsibilities of the supervisors and field editors are described in the Instructions for Supervisors and Field Editors, together with the different field controls that were in place to control the quality of the fieldwork. Field visits were also made by a team of central staff on a periodic basis during fieldwork. The senior staff of GenCenStat also made 3 visits to field teams to provide support and to review progress. The Jamaica Multiple Indicator Cluster Survey sample is not self-weighted. Essentially, by allocating equal numbers of households to each of the regions, different sampling fractions were used in each region since the size of the regions varied. For this reason, sample weights were calculated and these were used in the subsequent analyses of the survey data. The major component of the weight is the reciprocal of the sampling fraction employed in selecting the number of sample households in that particular sampling domain: Since the estimated numbers of households per enumeration area prior to the first stage selection (selection of primary sampling units) and the updated number of households per enumeration area were different, individual sampling fractions for households in each enumeration area (cluster) were calculated. The sampling fractions for households in each enumeration area (cluster) therefore included the probability of selection of the enumeration area in that particular sampling domain and the probability of selection of a household in the sample enumeration area (cluster). Sample weights were appended to all data sets and analyses were performed by weighting each household, woman or under-5 with these sample weights. Data editing took place at a number of stages throughout the processing (see Other processing), including: a) Office editing and coding b) During data entry c) Structure checking and completeness d) Secondary editing e) Structural checking of SPSS data files Detailed documentation of the editing of data can be found in the data processing guidelines In the 6,276 dwellings selected for the sample, 5,604 households were found to be occupied (Table HH.1). Of these, 4,767 were successfully interviewed for a household response rate of 85.1 percent. The reason for this lower response rate is given in the previous section. In the interviewed households, 3,777 women (age 15-49) were identified. Of these, 3,647 were successfully interviewed, yielding a response rate of 96.6 percent. In addition, 1,444 children under age five were listed in the household questionnaire. Of these, questionnaires were completed for 1,427 which correspond to a response rate of 98.8 percent. Overall response rates of 82.1 and 84.1 percent were calculated for the women's and under-5's interviews respectively. Note that the response rates for the Kingston Metropolitan Area (KMA) were lower than in other urban areas and in the rural area. Two factors contributed to this - more dwellings were vacant, often as a result of urban violence, and in the upper income areas access to dwellings was more difficult. In the rural areas, the rains prevented access to some households as some roads were inundated. Estimates from a sample survey are affected by two types of errors: 1) non-sampling errors and 2) sampling errors. Non-sampling errors are the results of mistakes made in the implementation of data collection and data processing. Numerous efforts were made during implementation of the 2005-2006 MICS to minimize this type of error, however, non-sampling errors are impossible to avoid and difficult to evaluate statistically. Sampling errors can be evaluated statistically. The sample of respondents to the 2005-2006 MICS is only one of many possible samples that could have been selected from the same population, using the same design and expected size. Each of these samples would yield results that differe somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability in the results of the survey between all possible samples, and, although, the degree of variability is not known exactly, it can be estimated from the survey results. The sampling erros are measured in terms of the standard error for a particular statistic (mean or percentage), which is the square root of the variance. Confidence intervals are calculated for each statistic within which the true value for the population can be assumed to fall. Plus or minus two standard errors of the statistic is used for key statistics presented in MICS, equivalent to a 95 percent confidence interval. If the sample of respondents had been a simple random sample, it would have been possible to use straightforward formulae for calculating sampling errors. However, the 2005-2006 MICS sample is the result of a multi-stage stratified design, and consequently needs to use more complex formulae. The SPSS complex samples module has been used to calculate sampling errors for the 2005-2006 MICS. This module uses the Taylor linearization method of variance estimation for survey estimates that are means or proportions. This method is documented in the SPSS file CSDescriptives.pdf found under the Help, Algorithms options in SPSS. Sampling errors have been calculated for a select set of statistics (all of which are proportions due to the limitations of the Taylor linearization method) for the national sample, urban and rural areas, and for each of the five regions. For each statistic, the estimate, its standard error, the coefficient of variation (or relative error -- the ratio between the standard error and the estimate), the design effect, and the square root design effect (DEFT -- the ratio between the standard error using the given sample design and the standard error that would result if a simple random sample had been used), as well as the 95 percent confidence intervals (+/-2 standard errors). Details of the sampling errors are presented in the sampling errors appendix to the report and in the sampling errors table presented in te external resources. A series of data quality tables and graphs are available to review the quality of the data and include the following: Age distribution of the household population Age distribution of eligible women and interviewed women Age distribution of eligible children and children for whom the mother or caretaker was interviewed Age distribution of children under age 5 by 3 month groups Age and period ratios at boundaries of eligibility Percent of observations with missing information on selected variables Presence of mother inthe household and person interviewed for the under 5 questionnaire School attendance by single year age Sex ratio at birth among children ever born, surviving and dead by age of respondent Distribution of women by time since last birth Scatterplot of weight by height, weight by age and height by age Graph of male and female population by single years of age Population pyramid The results of each of these data quality tables is shown in the appendix of the final report and is also given in the external resources section. The general rule for presentation of missing data in the final report tabulations is that a column is presented for missing data if the percentage of cases with missing data is 1% or more. Cases with missing data on the background characteristics (e.g. education) are included in the tables, but the missing data rows are suppressed and noted at the bottom of the tables in the report (not in the SPSS output, however). Users of the data agree to keep confidential all data contained in these datasets and to make no attempt to identify, trace or contact any individual whose data is included in these datasets. Statistical Institute Of Jamaica . Multiple Indicator Cluster Survey: Household , household listing, women and children's files, 2006 [Computer file]. Kingston, Jamaica: Statistical Institute Of Jamaica [producer], 2006. Kingston, Jamaica: Statistical Institute Of Jamaica and New York: Strategic Information Section, Division of Policy and Planning, UNICEF [distributors], 2005. Survey datasets are distributed at no cost for legitimate research, with the condition that we receive and approve the objectives of any research project that will be using the data prior to authorizing their distribution. Copies of all reports and publications based on the requested data must be sent to STATIN (info@statinja.com) and UNICEF(unicefja@cwjamaica.com). Requests for access to the datasets may be made through the website www.childinfo.org. The Statistical Institute of Jamaica and UNICEF provides these data to external users without any warranty or responsibility implied. The Statistical Institute of Jamaica and UNICEF accepts no responsibility for the results and/or implications of any actions resulting from the use of these data. hh Data collected at the household level (MICS Household questionnaire: modules Household information panel, Water and Sanitation, Orphans and vulnerable children, Child discipline, Salt iodization.) 0 74 hl Data collected at the household member's level (MICS Household questionnaire: modules Household listing, Education, Child labour, Water and Sanitation, Orphaned and Vulnerable Children, Child Disability) plus household variables from hh file 0 113 wm Data collected at the women's level (MICS Women's questionnaire: modules Women's Information Panel, Child mortality, Tetanus toxoid, Maternal and newborn health, Marriage/union, HIV/AIDS, Attitudes towards domestic violence) 0 171 ch Data collected at the children's level (MICS Under Five Children's questionnaire: modules Under Five Child Information Panel, Birth registration and early learning, Breastfeeding, Care of Illness, Immunization, Child development) 0 219 Interview and HH identification Water and sanitation Characteristics of the head Members characteristics Education Children's living arrangements Child mortality Maternal and newborn health Nutrition Child health Source and cost of supplies Child protection Marriage/union HIV-AIDS Weighting coefficients Others Antenatal care Child labor Salt iodization Early child development Early learning Child discipline Support to orphans and vulnerable children Child disability Tetanus toxoid Assistance at delivery Attitudes towards domestic violence Newborn health Immunizations Birth registration Early marriage Diarrhoea Acute respiratory infection Breastfeeding Cluster number Cluster number Cluster number Cluster number Cluster number We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. During this time I would like to speak with the household head and all mothers or others who take care of children in the household. May I start now? If permission is given, begin the interview. Cluster number: Households Unique identifier for the cluster in which the household exists Household number Household number Household number Household number Household number Household number: Households Houshold number within the cluster parish parish parish parish parish constituency constituency constituency constituency constituency enumeration district enumeration district enumeration district enumeration district enumeration district dwelling number dwelling number dwelling number dwelling number dwelling number household number household number household number household number household number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Households Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor name and number: Households Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Households Area Area Area Area Area Area: Households 1 KMA 2 Urban 3 Rural Result of HH interview Result of HH interview Result of HH interview Result of HH interview Result of HH interview After all questionnaires for the household have been completed, fill in the following information: Result of HH interview: Households 1 Completed 2 Not at home 3 Refused 4 HH not found/destroyed 6 Other 7 Unable to enter due to violence / threats 8 No interview - bad roads/gated/guarded communities 9 Vacant Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent to HH questionnaire: Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members: Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 No.of children under age 5: Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Households Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk: Households Serial Number Serial Number Serial Number Serial Number Serial Number Total number of Women 15-49 Total number of Women 15-49 Total number of Women 15-49 Total number of Women 15-49 Total number of Women 15-49 Are there any other persons living here - even if they are not members of your family or do not have parents living in this household? Including children at work or at school? If yes, insert child's name and complete form. Then, complete the totals below. Households Total number of Children 5-14 Total number of Children 5-14 Total number of Children 5-14 Total number of Children 5-14 Total number of Children 5-14 Households Total number of Children Under 5 years Total number of Children Under 5 years Total number of Children Under 5 years Total number of Children Under 5 years Total number of Children Under 5 years Households Total adults very sick Total adults very sick Total adults very sick Total adults very sick Total adults very sick Household Total mothers dead Total mothers dead Total mothers dead Total mothers dead Total mothers dead Household Total mothers very sick Total mothers very sick Total mothers very sick Total mothers very sick Total mothers very sick Household Total fathers dead Total fathers dead Total fathers dead Total fathers dead Total fathers dead Household Total fathers very sick Total fathers very sick Total fathers very sick Total fathers very sick Total fathers very sick Household Main source info. Main source info. Main source info. Main source info. Main source info. What is the main source of information on national issues for this household? 1 NEWSPAPER 2 TELEVISION 3 RADIO 4 COMMUNITY ORG. 5 FAMILY MEMBERS 6 OTHER 9 MISSING Distance to Health centre Distance to Health centre Distance to Health centre Distance to Health centre Distance to Health centre What is the distance to the nearest Health Centre? 1 1 MILE OR LESS 2 > 1 TO < 5 MILES 3 5 TO < 10 MILES 4 10 OR MORE 9 MISSING 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 your household? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 91 Bottled water 96 Other 99 Missing Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat What is the main source of water used by your household for other purposes such as cooking and handwashing? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 96 Other 99 Missing Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back How long does it take to go there, get water, and come back? Households 995 On premises 998 DK 999 Missing Person fetching water Person fetching water Person fetching water Person fetching water Person fetching water Who usually goes to this source to fetch the water for your household? Probe: Is this person under age 15? What sex? Circle code that best describes this person. Households 1 Adult woman 2 Adult man 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing How Frequently is water available How Frequently is water available How Frequently is water available How Frequently is water available How Frequently is water available In the last two weeks how often has water been available from this source? 1 ALL THE TIME 2 MOST TIMES 3 FEW HOURS DAILY 4 FEW HOURS WEEKLY 5 ONLY ONCE 7 NOT AT ALL 8 DK 9 MISSING Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Do you treat your water in any way to make it safer to drink? Households 1 Yes 2 No 8 DK 9 Missing Boil Boil Boil Boil Boil What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing A Boil Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing B Add bleach/chlorine Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing C Strain it through a cloth Use water filter Use water filter Use water filter Use water filter Use water filter What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing D Use water filter Solar disinfection Solar disinfection Solar disinfection Solar disinfection Solar disinfection What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing E Solar disinfection Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing F Let it stand and settle Other Other Other Other Other What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing X Other DK DK DK DK DK What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing Z DK Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to? If necessary, ask permission to observe the facility. Households 11 Flush to piped sewer system 12 Flush to septic tank 13 Flush to absorption pit 14 Flush to somewhere else 15 Flush to unknown place/not sure/DK where 21 Ventilated Improved Pit latrine (VIP) 22 Pit latrine with slab 23 Pit latrine without slab/open pit 31 Composting toilet 41 Bucket 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do you share this facility with other households? Households 1 Yes 2 No 9 Missing Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility How many households in total use this toilet facility? Households 10 Ten or more households 98 DK 99 Missing Distance to nearest Primary School Distance to nearest Primary School Distance to nearest Primary School Distance to nearest Primary School Distance to nearest Primary School What is the distance to the nearest Primary school? 1 1 MILE OR LESS 2 > 1 TO < 5 MILES 3 5 TO < 10 MILES 4 10 OR MORE 9 MISSING Distance to nearest Secondary School Distance to nearest Secondary School Distance to nearest Secondary School Distance to nearest Secondary School Distance to nearest Secondary School What is the distance to the nearest Secondary school? 1 1 MILE OR LESS 2 > 1 TO < 5 MILES 3 5 TO < 10 MILES 4 10 OR MORE 9 MISSING HH member died in past 12 months HH member died in past 12 months HH member died in past 12 months HH member died in past 12 months HH member died in past 12 months Check HL5: any children 0-17? Yes Continue to OV2 No Next Module I would like you to think back over the past 12 months. Has any usual member of your household died in the last 12 months? Households 1 Yes 2 No 9 Missing Dead members were aged 15-59 Dead members were aged 15-59 Dead members were aged 15-59 Dead members were aged 15-59 Dead members were aged 15-59 (Of those who died in the past 12 months) were any of these people between the ages of 18 and 59? Households 1 Yes 2 No 9 Missing Dead members were sick 3 months Dead members were sick 3 months Dead members were sick 3 months Dead members were sick 3 months Dead members were sick 3 months (Of those who died in the past 12 months and were between the ages of 18 and 59) were any of these people seriously ill for 3 of the 12 months before he/she died? Return to the Household Listing and check the following: 1. Check totals for HL9 and HL11. At least one mother or father dead. Go to OV8 No mother or father dead 2. Check totals for HL8A. At least one adult aged 18-59 very sick 3 of last 12 months. Go to OV8 No adult aged 18-59 very sick 3 of last 12 months 3. Check totals forHL10A and HL12A. At least one mother or father ill 3 of last 12 months. Go to OV8 No mother or father ill 3 of last 12 months. Go to Next Module Households 1 Yes 2 No 9 Missing Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Review the household listing and list each of the children aged 2-14 years below in order according to their line number (HL1). Do not include other household members outside of the age range 2-14 years. Record the line number, name, sex, age, and the line number of the mother or caretaker for each child. Then record the total number of children aged 2-14 in the box provided (CD7). Total children aged 2-14 years Households Rank number of child (from response box) Rank number of child (from response box) Rank number of child (from response box) Rank number of child (from response box) Rank number of child (from response box) Use this table to select one child between the ages of 2 and 14 years, if there is more than one child in that age range in the household. Look for the last digit of the household number from the cover page. This is the number of the row you should go to in the table below. Check the total number of eligible children (2-14) in CD7 above. This is the number of the column you should go to. Find the box where the row and the column meet and circle the number that appears in the box. This is the rank number of the child about whom the questions will be asked. Record the rank number in CD9 below. Finally, record the line number and name of the selected child in CD11 on the next page. Then, find the mother or primary caretaker of that child, and ask the questions, beginning with CD12. Record the rank number of the selected child from table 2 above Households Child line number Child line number Child line number Child line number Child line number Identify eligible child aged 2 to 14 in the household using the tables on the preceding page, according to your instructions. Ask to interview the mother or primary caretaker of the selected child (identified by the line number in CD6). Write name and line no. of the child selected for the module from CD3 and CD2, based on the rank number in CD9. One selected child per household aged 2-14 97 Inconsistent Took away privileges Took away privileges Took away privileges Took away privileges Took away privileges All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Took away privileges, forbade something (name) liked or did not allow him/her to leave house). One selected child per household aged 2-14 1 Yes 2 No 9 Missing Explaned why something was wrong Explaned why something was wrong Explaned why something was wrong Explaned why something was wrong Explaned why something was wrong All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Explained why something (the behavior) was wrong. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Shook him/her Shook him/her Shook him/her Shook him/her Shook him/her All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Shook him/her. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Shouted yelled at or screamed at him/her Shouted yelled at or screamed at him/her Shouted yelled at or screamed at him/her Shouted yelled at or screamed at him/her Shouted yelled at or screamed at him/her All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Shouted, yelled at or screamed at him/her. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Gave him/her something else to do Gave him/her something else to do Gave him/her something else to do Gave him/her something else to do Gave him/her something else to do All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Gave him/her something else to do. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Spanked, hit or slapped him/her with bare hand Spanked, hit or slapped him/her with bare hand Spanked, hit or slapped him/her with bare hand Spanked, hit or slapped him/her with bare hand Spanked, hit or slapped him/her with bare hand All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Spanked, hit or slapped him/her on the bottom with bare hand. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Hit him/her on the bottom with or elsewhere with a belt Hit him/her on the bottom with or elsewhere with a belt Hit him/her on the bottom with or elsewhere with a belt Hit him/her on the bottom with or elsewhere with a belt Hit him/her on the bottom with or elsewhere with a belt All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Hit him/her on the bottom or elsewhere on the body with something like a belt, hairbrush, stick or other hard object. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Called him/her dumb, lazy Called him/her dumb, lazy Called him/her dumb, lazy Called him/her dumb, lazy Called him/her dumb, lazy All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Called him/her dumb, lazy, or another name like that. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Hit or slapped him/her on the face Hit or slapped him/her on the face Hit or slapped him/her on the face Hit or slapped him/her on the face Hit or slapped him/her on the face All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Hit or slapped him/her on the face, head or ears. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Hit or slapped him/her on the hand Hit or slapped him/her on the hand Hit or slapped him/her on the hand Hit or slapped him/her on the hand Hit or slapped him/her on the hand All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Hit or slapped him/her on the hand, arm, or leg. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Beat him/her up with an implement Beat him/her up with an implement Beat him/her up with an implement Beat him/her up with an implement Beat him/her up with an implement All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Beat him/her up with an implement (hit over and over as hard as one could). One selected child per household aged 2-14 1 Yes 2 No 9 Missing Did name ever require medical attention Did name ever require medical attention Did name ever require medical attention Did name ever require medical attention Did name ever require medical attention 1 Yes 2 No 9 Missing Do you believe to bring up you nedd to punish him/her Do you believe to bring up you nedd to punish him/her Do you believe to bring up you nedd to punish him/her Do you believe to bring up you nedd to punish him/her Do you believe to bring up you nedd to punish him/her Do you believe that in order to bring up (raise, educate) (name) properly, you need to physically punish him/her? One selected child per household aged 2-14 1 Yes 2 No 8 Don't know/no opinion 9 Missing Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight Recoded variable De jure household members (usual residents) Education of household head Education of household head Education of household head Education of household head Education of household head Recoded variable De jure household members (usual residents) 1 None 2 Primary 3 Secondary 4 Higher 5 Non-standard curriculum 9 Missing/DK The variable is created from information collected on educational level in the HL file. See makehh.sps in the data processing folder under technical information. Sex of household head Sex of household head Sex of household head Sex of household head Sex of household head Recoded variable Households 1 Male 2 Female 9 Missing/DK The variable is created from information collected in the HL file. See makehh.sps in the data processing folder under technical information. TOTAL URBAN TOTAL URBAN TOTAL URBAN TOTAL URBAN TOTAL URBAN 1 TOTAL URBAN Cluster number Cluster number Cluster number Cluster number Cluster number We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. During this time I would like to speak with the household head and all mothers or others who take care of children in the household. May I start now? If permission is given, begin the interview. Cluster number: Households Unique identifier for the cluster in which the household exists Household number Household number Household number Household number Household number Household number: Households Houshold number within the cluster Line number Line number Line number Line number Line number Child's line number: Children aged 0-4 Line number Line number Line number Line number Line number FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? (THESE MAY INCLUDE CHILDREN IN SCHOOL OR AT WORK). If yes, complete listing. Then, ask questions starting with HL5 for each person at a time. Add a continuation sheet if there are more than 15 household members. Tick here if continuation sheet used De jure household members (usual residents) Relationship to the head Relationship to the head Relationship to the head Relationship to the head Relationship to the head What is the relationship of (name) to the head of the household? De jure household members (usual residents) 1 Head 2 Wife or Husband 3 Son or Daugher 4 Son/Daughter in law 5 Grandchild 6 Parent 7 Parent in law 8 Brother or sister 9 Brother/sister in law 10 Uncle/Aunt 11 Niece/nephew by blood 12 Niece/nephew by marriage 13 Other relative 14 Adopted/foster/stepchild 15 Not related 97 Inconsistent 98 DK 99 Missing Sex Sex Sex Sex Sex Is (name) male or female Children aged 0-4 1 Male 2 Female 9 Missing Age Age Age Age Age How old is (name)? How old was (name) on his/her last birthday? Record in completed years 98=DK* * See instructions: to be used only for elderly household members (code meaning "do not know/over age 50"). De jure household members (usual residents) 97 97+ 98 DK 99 Missing Line number of eligible women Line number of eligible women Line number of eligible women Line number of eligible women Line number of eligible women Circle Line no. if woman is age 15-49 De jure household members (usual residents) Not eligible Line number of mother/caretaker for child labor module Line number of mother/caretaker for child labor module Line number of mother/caretaker for child labor module Line number of mother/caretaker for child labor module Line number of mother/caretaker for child labor module For each child age 5-14: Who is the mother or primary caretaker of this child? Record Line no. of mother/caretaker De jure household members (usual residents) Not eligible Line number of mother/caretaker for child health module Line number of mother/caretaker for child health module Line number of mother/caretaker for child health module Line number of mother/caretaker for child health module Line number of mother/caretaker for child health module For each child under 5: Who is the mother or primary caretaker of this child? Record Line no. of mother/caretaker De jure household members (usual residents) Not eligible Sick for 3 months Sick for 3 months Sick for 3 months Sick for 3 months Sick for 3 months If age 18-59 years Has (name) been very sick for at least 3 months during the past 12 months? De jure household members (usual residents) 1 Yes 2 No 8 Dont know 9 Missing Mother alive Mother alive Mother alive Mother alive Mother alive For children age 0-17 years ask HL9-HL12 Is (name's) natural mother alive? De jure household members (usual residents) aged 0-17 (under 18) 1 Yes 2 No 8 DK 9 Missing Mother line number in HH Mother line number in HH Mother line number in HH Mother line number in HH Mother line number in HH For children age 0-17 years ask HL9-HL12 If alive: Does (name's) natural mother live in this household? Record Line no. of mother or 00 for 'No' De jure household members (usual residents) aged 0-17 (under 18) 97 Inconsistent 99 Missing Mother sick for 3 months Mother sick for 3 months Mother sick for 3 months Mother sick for 3 months Mother sick for 3 months For children age 0-17 years ask HL9-HL12A If mother does not live in household: Has (name's) mother been very sick for at least 3 months in the past 12 months? De jure household members (usual residents) aged 0-17 (under 18) 1 Yes 2 No 8 DK 9 Missing Father alive Father alive Father alive Father alive Father alive For children age 0-17 years ask HL9-HL12 If alive: Is (name's) natural father alive? De jure household members (usual residents) aged 0-17 (under 18) 1 Yes 2 No 8 DK 9 Missing Father line number in HH Father line number in HH Father line number in HH Father line number in HH Father line number in HH For children age 0-17 years ask HL9-HL12 Does (name's) natural father live in this household? Record Line no. of father or 00 for 'No' De jure household members (usual residents) aged 0-17 (under 18) 97 Inconsistent 99 Missing Father sick for 3 months Father sick for 3 months Father sick for 3 months Father sick for 3 months Father sick for 3 months For children age 0-17 years ask HL9-HL12A If father does not live in household: Has (name's) father been very sick for at least 3 months in the past 12 months? De jure household members (usual residents) aged 0-17 (under 18) 1 Yes 2 No 8 DK 9 Missing Line number Line number Line number Line number Line number For household members age 5 and above De jure household members (usual residents) Ever attended school Ever attended school Ever attended school Ever attended school Ever attended school For household members age 5 and above Has (name) ever attended school or preschool? De jure household members (usual residents) 1 Yes 2 No 9 Missing Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended What is the highest level of school (name) attended? Children aged 0-4 Preschool/kindergarten 1 Primary 2 Secondary 3 Higher 4 Jamal 5 Non-standard curriculum 6 Other 8 DK 9 Missing Highest grade at level Highest grade at level Highest grade at level Highest grade at level Highest grade at level For household members age 5 and above What is the highest grade (name) completed at this level? De jure household members (usual residents) 97 Inconsistent 98 DK 99 Missing Currently attending school during the school year (2004-2005 Currently attending school during the school year (2004-2005 Currently attending school during the school year (2004-2005 Currently attending school during the school year (2004-2005 Currently attending school during the school year (2004-2005 For household members age 5-24 years During the (2004-2005) school year, did (name) attend school or preschool at any time? De jure household members (usual residents) aged 5-24 1 Yes 2 No 9 Missing Days attended school in last week Days attended school in last week Days attended school in last week Days attended school in last week Days attended school in last week For household members age 5-24 years Since last (day of the week), how many days did (name) attend school? Insert number of days in space below. De jure household members (usual residents) aged 5-24 8 Interview during school holidays 9 Missing Level of education attended Level of education attended Level of education attended Level of education attended Level of education attended For household members age 5-24 years During this/that school year, which level and grade is/was (name) attending? De jure household members (usual residents) aged 5-24 Preschool/kindergarten 1 Primary 2 Secondary 3 Higher 4 Jamal 5 Non-standard curriculum 6 Other 8 DK 9 Missing Grade of education attended Grade of education attended Grade of education attended Grade of education attended Grade of education attended For household members age 5-24 years During this/that school year, which level and grade is/was (name) attending? De jure household members (usual residents) aged 5-24 97 Inconsistent 98 DK 99 Missing Attended school last year (2003-2004) Attended school last year (2003-2004) Attended school last year (2003-2004) Attended school last year (2003-2004) Attended school last year (2003-2004) For household members age 5-24 years Did (name) attend school or preschool at any time during the previous school year, that is (2003-2004)? De jure household members (usual residents) aged 5-24 1 Yes 2 No 8 DK 9 Missing Level of education attended last year Level of education attended last year Level of education attended last year Level of education attended last year Level of education attended last year For household members age 5-24 years During that previous school year, which level and grade did (name) attend? De jure household members (usual residents) aged 5-24 Preschool/kindergarten 1 Primary 2 Secondary 3 Higher 4 Jamal 5 Non-standard curriculum 6 Other 8 DK 9 Missing Grade of education attended last year Grade of education attended last year Grade of education attended last year Grade of education attended last year Grade of education attended last year For household members age 5-24 years During that previous school year, which level and grade did (name) attend? De jure household members (usual residents) aged 5-24 97 Inconsistent 98 DK 99 Missing Line number Line number Line number Line number Line number Return to the Household Listing and check the following: 1. Check totals for HL9 and HL11. At least one mother or father dead. Go to OV8 No mother or father dead 2. Check totals for HL8A. At least one adult aged 18-59 very sick 3 of last 12 months. Go to OV8 No adult aged 18-59 very sick 3 of last 12 months 3. Check totals for HL10A and HL12A. At least one mother or father ill 3 of last 12 months. Go to OV8 No mother or father ill 3 of last 12 months. Go to Next Module List all children aged 0-17 below. Record names, line numbers and ages of all children, beginning with the first child and continue in order in which listed in the household listing module. Use a continuation sheet if there are more than 4 children age 0-17 in the household. Ask all questions for one child before moving to the next child. Line number (from HL1) Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS Age Age Age Age Age Age (from HL5) Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS Medical support Medical support Medical support Medical support Medical support I would like to ask you about any formal, organized help or support that your household may have received for (name) and for which you did not have to pay. By formal organized support I mean help provided by someone working for a program. This program could be government, private, religious, charity, or community-based. Remember this should be support for which you did not pay. Now I would like to ask you about the support your household received for (name). In the last 12 months, has your household received any medical support for (name), such as medical care, supplies or medicine? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing What was the source of the support What was the source of the support What was the source of the support What was the source of the support What was the source of the support What is the source of the support? 1 GOVT. 2 PRIVATE 3 RELIGIOUS 4 NGO 5 CBO 6 OTHER 9 MISSING Psychological support (12 months) Psychological support (12 months) Psychological support (12 months) Psychological support (12 months) Psychological support (12 months) In the last 12 months, has your household received any emotional or psychological support for (name), such as companionship, counseling from a trained couselor, or spiritual support, which you received at home? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing Psychological support (3 months) Psychological support (3 months) Psychological support (3 months) Psychological support (3 months) Psychological support (3 months) Did your household receive any of this support in the past 3 months? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing What was the source of the support What was the source of the support What was the source of the support What was the source of the support What was the source of the support What is the source of the support? 1 GOVT. 2 PRIVATE 3 RELIGIOUS 4 NGO 5 CBO 6 OTHER 9 MISSING Material support (12 months) Material support (12 months) Material support (12 months) Material support (12 months) Material support (12 months) In the last 12 months, has your household received any material support for (name), such as clothing, food or financial support? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing Material support (3 months) Material support (3 months) Material support (3 months) Material support (3 months) Material support (3 months) Did your household receive any of this support in the past 3 months? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing What was the source of the support What was the source of the support What was the source of the support What was the source of the support What was the source of the support What is the source of the support? 1 GOVT. 2 PRIVATE 3 RELIGIOUS 4 NGO 5 CBO 6 OTHER 9 MISSING Social support (12 months) Social support (12 months) Social support (12 months) Social support (12 months) Social support (12 months) In the last 12 months, has your household received any social support for (name), such as help in household work, training for a caregiver, or legal services? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing Social support (3 months) Social support (3 months) Social support (3 months) Social support (3 months) Social support (3 months) Did your household receive any of this support in the past 3 months? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing What was the source of the support What was the source of the support What was the source of the support What was the source of the support What was the source of the support What is the source of the support? 1 GOVT. 2 PRIVATE 3 RELIGIOUS 4 NGO 5 CBO 6 OTHER 9 MISSING School support School support School support School support School support Check OV8 for age of child: Age 0-4. next child Age 5-17. OV18 In the last 12 months, has your household received any support for (name's) schooling, such as allowance, free admission, books or supplies? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing What was the source of the support What was the source of the support What was the source of the support What was the source of the support What was the source of the support What is the source of the support? 1 GOVT. 2 PRIVATE 3 RELIGIOUS 4 NGO 5 CBO 6 OTHER 9 MISSING Line number Line number Line number Line number Line number To be administered to mother/caretaker of each child in the household age 5 through 14 years. For household members below age 5 or above age 14, leave rows blank. Now I would like to ask about any work children in this household may do. Children aged 5-14 Worked in past week Worked in past week Worked in past week Worked in past week Worked in past week During the past week, did (name) do any kind of work for someone who is not a member of this household? If yes: For pay in cash or kind? Children aged 5-14 1 Yes, paid 2 Yes, unpaid 3 No 9 Missing Hours worked in past week Hours worked in past week Hours worked in past week Hours worked in past week Hours worked in past week If yes: Since last (day of the week), about how many hours did he/she do this work for someone who is not a member of this household? If more than one job, include all hours at all jobs. Children aged 5-14 98 DK 99 Missing Worked in past year Worked in past year Worked in past year Worked in past year Worked in past year At any time during the past year, did (name) do any kind of work for someone who is not a member of this household? If yes: For pay in cash or kind? Children aged 5-14 1 Yes, paid 2 Yes, unpaid 3 No 9 Missing Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week During the past week, did (name) help with household chores such as shopping, collecting firewood, cleaning, fetching water, or caring for children? Children aged 5-14 1 Yes 2 No 9 Missing Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week If yes: Since last (day of the week), about how many hours did he/she spend doing these chores? Children aged 5-14 98 DK 99 Missing Did other family work in past week Did other family work in past week Did other family work in past week Did other family work in past week Did other family work in past week During the past week, did (name) do any other family work (on the farm or in a business or selling goods in the street?) Children aged 5-14 1 Yes 2 No 9 Missing Hours worked on other family work Hours worked on other family work Hours worked on other family work Hours worked on other family work Hours worked on other family work If yes: Since last (day of the week), about how many hours did he/she do this work? Children aged 5-14 98 DK 99 Missing Line number Line number Line number Line number Line number To be administered to caretakers of all children 2 through 9 years old living in the household. For household members below age 2 or above age 9, leave rows blank I would like to ask you if any children in this household aged 2 through 9 has any of the health conditions I am going to mention to you. Line no. De jure children aged 2-14 Delay in sitting, standing or walking Delay in sitting, standing or walking Delay in sitting, standing or walking Delay in sitting, standing or walking Delay in sitting, standing or walking Compared with other children, does or did (name) have any serious delay in sitting, standing, or walking? De jure children aged 2-14 1 Yes 2 No 9 Missing Difficulty seeing Difficulty seeing Difficulty seeing Difficulty seeing Difficulty seeing Compared with other children, does (name) have difficulty seeing, either in the daytime or at night? De jure children aged 2-14 1 Yes 2 No 9 Missing Difficulty hearing Difficulty hearing Difficulty hearing Difficulty hearing Difficulty hearing Does (name) appear to have difficulty hearing? (uses hearing aid, hears with difficulty, completely deaf?) De jure children aged 2-14 1 Yes 2 No 9 Missing Understands Understands Understands Understands Understands When you tell (name) to do something, does he/she seem to understand what you are saying? De jure children aged 2-14 1 Yes 2 No 9 Missing Difficulty walking Difficulty walking Difficulty walking Difficulty walking Difficulty walking Does (name) have difficulty in walking or moving his/her arms or does he/she have weakness and/or stiffness in the arms or legs? De jure children aged 2-14 1 Yes 2 No 9 Missing Fits, rigid or lose conciousness Fits, rigid or lose conciousness Fits, rigid or lose conciousness Fits, rigid or lose conciousness Fits, rigid or lose conciousness Does (name) sometimes have fits, become rigid, or lose consciousness? De jure children aged 2-14 1 Yes 2 No 9 Missing Learns like other children Learns like other children Learns like other children Learns like other children Learns like other children Does (name) learn to do things like other children his/her age? De jure children aged 2-14 1 Yes 2 No 9 Missing Speaks Speaks Speaks Speaks Speaks Does (name) speak at all (can he/she make him or herself understood in words; can say any recognizable words)? De jure children aged 2-14 1 Yes 2 No 9 Missing Speech different Speech different Speech different Speech different Speech different For 3-9 year olds: Is (name)'s speech in any way different from normal (not clear enough to be understood by people other than the immediate family)? De jure children aged 2-14 1 Yes 2 No 9 Missing Names objects Names objects Names objects Names objects Names objects For 2 year olds: Can (name) name at least one object (for example, an animal, a toy, a cup, a spoon)? De jure children aged 2-14 1 Yes 2 No 9 Missing Mentally backward Mentally backward Mentally backward Mentally backward Mentally backward Compared with other children of the same age, does (name) appear in any way mentally backward, dull or slow? De jure children aged 2-14 1 Yes 2 No 9 Missing parish parish parish parish parish constituency constituency constituency constituency constituency enumeration district enumeration district enumeration district enumeration district enumeration district dwelling number dwelling number dwelling number dwelling number dwelling number household number household number household number household number household number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Households Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor name and number: Households Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Households Area Area Area Area Area Area: Households 1 KMA 2 Urban 3 Rural Result of HH interview Result of HH interview Result of HH interview Result of HH interview Result of HH interview After all questionnaires for the household have been completed, fill in the following information: Result of HH interview: Households 1 Completed 2 Not at home 3 Refused 4 HH not found/destroyed 6 Other 7 Unable to enter due to violence / threats 8 No interview - bad roads/gated/guarded communities 9 Vacant Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent to HH questionnaire: Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members: Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 No.of children under age 5: Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Households Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk: Households Serial Number Serial Number Serial Number Serial Number Serial Number 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 your household? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 91 Bottled water 96 Other 99 Missing Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat What is the main source of water used by your household for other purposes such as cooking and handwashing? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 96 Other 99 Missing Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back How long does it take to go there, get water, and come back? Households 995 On premises 998 DK 999 Missing Person fetching water Person fetching water Person fetching water Person fetching water Person fetching water Who usually goes to this source to fetch the water for your household? Probe: Is this person under age 15? What sex? Circle code that best describes this person. Households 1 Adult woman 2 Adult man 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing How Frequently is water available How Frequently is water available How Frequently is water available How Frequently is water available How Frequently is water available In the last two weeks how often has water been available from this source? 1 ALL THE TIME 2 MOST TIMES 3 FEW HOURS DAILY 4 FEW HOURS WEEKLY 5 ONLY ONCE 7 NOT AT ALL 8 DK 9 MISSING Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Do you treat your water in any way to make it safer to drink? Households 1 Yes 2 No 8 DK 9 Missing Boil Boil Boil Boil Boil What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing A Boil Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing B Add bleach/chlorine Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing C Strain it through a cloth Use water filter Use water filter Use water filter Use water filter Use water filter What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing D Use water filter Solar disinfection Solar disinfection Solar disinfection Solar disinfection Solar disinfection What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing E Solar disinfection Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing F Let it stand and settle Other Other Other Other Other What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing X Other DK DK DK DK DK What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing Z DK Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to? If necessary, ask permission to observe the facility. Households 11 Flush to piped sewer system 12 Flush to septic tank 13 Flush to absorption pit 14 Flush to somewhere else 15 Flush to unknown place/not sure/DK where 21 Ventilated Improved Pit latrine (VIP) 22 Pit latrine with slab 23 Pit latrine without slab/open pit 31 Composting toilet 41 Bucket 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do you share this facility with other households? Households 1 Yes 2 No 9 Missing Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility How many households in total use this toilet facility? Households 10 Ten or more households 98 DK 99 Missing Distance to nearest Primary School Distance to nearest Primary School Distance to nearest Primary School Distance to nearest Primary School Distance to nearest Primary School What is the distance to the nearest Primary school? 1 1 MILE OR LESS 2 > 1 TO < 5 MILES 3 5 TO < 10 MILES 4 10 OR MORE 9 MISSING Distance to nearest Secondary School Distance to nearest Secondary School Distance to nearest Secondary School Distance to nearest Secondary School Distance to nearest Secondary School What is the distance to the nearest Secondary school? 1 1 MILE OR LESS 2 > 1 TO < 5 MILES 3 5 TO < 10 MILES 4 10 OR MORE 9 MISSING Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight Recoded variable De jure household members (usual residents) Mother's line number Mother's line number Mother's line number Mother's line number Mother's line number Recoded variable De jure household members (usual residents) The variable is created from information collected in the houshold listing in the HL file. See makehl.sps in the data processing external documentation. Mother's education Mother's education Mother's education Mother's education Mother's education Recoded variable Children aged 0-4 1 None 2 Primary 3 Secondary 4 Higher 5 Mother not in household 6 Non-standard curriculum 9 Missing/DK The variable is created from information collected on educational level in the HL file. See makewm.sps in the data processing folder under technical information. Father's line number Father's line number Father's line number Father's line number Father's line number Recoded variable De jure household members (usual residents) The variable is created from information collected in the houshold listing in the HL file. See makehl.sps in the data processing external documentation. Father's education Father's education Father's education Father's education Father's education Recoded variable De jure household members (usual residents) 1 None 2 Primary 3 Secondary 4 Higher 5 Father not in household 6 Non-standard curriculum 9 Missing/DK The variable is created from information collected on educational level in the HL file. See makehl.sps in the data processing folder under technical information. Education of household head Education of household head Education of household head Education of household head Education of household head Recoded variable De jure household members (usual residents) 1 None 2 Primary 3 Secondary 4 Higher 5 Non-standard curriculum 9 Missing/DK The variable is created from information collected on educational level in the HL file. See makehh.sps in the data processing folder under technical information. HH member died in past 12 months HH member died in past 12 months HH member died in past 12 months HH member died in past 12 months HH member died in past 12 months Check HL5: any children 0-17? Yes Continue to OV2 No Next Module I would like you to think back over the past 12 months. Has any usual member of your household died in the last 12 months? Households 1 Yes 2 No 9 Missing Dead members were aged 15-59 Dead members were aged 15-59 Dead members were aged 15-59 Dead members were aged 15-59 Dead members were aged 15-59 (Of those who died in the past 12 months) were any of these people between the ages of 18 and 59? Households 1 Yes 2 No 9 Missing Dead members were sick 3 months Dead members were sick 3 months Dead members were sick 3 months Dead members were sick 3 months Dead members were sick 3 months (Of those who died in the past 12 months and were between the ages of 18 and 59) were any of these people seriously ill for 3 of the 12 months before he/she died? Return to the Household Listing and check the following: 1. Check totals for HL9 and HL11. At least one mother or father dead. Go to OV8 No mother or father dead 2. Check totals for HL8A. At least one adult aged 18-59 very sick 3 of last 12 months. Go to OV8 No adult aged 18-59 very sick 3 of last 12 months 3. Check totals forHL10A and HL12A. At least one mother or father ill 3 of last 12 months. Go to OV8 No mother or father ill 3 of last 12 months. Go to Next Module Households 1 Yes 2 No 9 Missing TOTAL URBAN TOTAL URBAN TOTAL URBAN TOTAL URBAN TOTAL URBAN 1 TOTAL URBAN Total adults very sick Total adults very sick Total adults very sick Total adults very sick Total adults very sick Cluster number Cluster number Cluster number Cluster number Cluster number We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. During this time I would like to speak with the household head and all mothers or others who take care of children in the household. May I start now? If permission is given, begin the interview. Cluster number: Households Unique identifier for the cluster in which the household exists Household number Household number Household number Household number Household number Household number: Households Houshold number within the cluster Line number Line number Line number Line number Line number Child's line number: Children aged 0-4 Woman's line number Woman's line number Woman's line number Woman's line number Woman's line number Woman's Line Number: Women aged 15-49 Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Women aged 15-49 Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Women aged 15-49 Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Women aged 15-49 Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Women aged 15-49 Result of women 's interview Result of women 's interview Result of women 's interview Result of women 's interview Result of women 's interview Result of women's interview Women aged 15-49 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 6 Other Month of birth of woman Month of birth of woman Month of birth of woman Month of birth of woman Month of birth of woman Repeat greeting if not already read to this woman: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the woman does not agree to continue, thank her, complete WM7, and go to the next interview. Discuss this result with your supervisor for a future revisit. In what month and year were you born? Women aged 15-49 97 Inconsistent 98 DK 99 Missing Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman Repeat greeting if not already read to this woman: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the woman does not agree to continue, thank her, complete WM7, and go to the next interview. Discuss this result with your supervisor for a future revisit. In what month and year were you born? Women aged 15-49 9997 Inconsistent 9998 DK 9999 Missing Age of woman Age of woman Age of woman Age of woman Age of woman How old were you at your last birthday? Women aged 15-49 Have you ever attended school Have you ever attended school Have you ever attended school Have you ever attended school Have you ever attended school Have you ever attended school? Women aged 15-49 1 Yes 2 No 9 Missing What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended: primary, secondary, or higher? Women aged 15-49 Pre-school 1 Primary 2 Secondary 3 Higher 4 JAMAL 5 NON-STANDARD CURR. 6 Other 8 DON'T KNOW 9 Missing What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade you completed at that level? Women aged 15-49 97 Inconsistent 98 DK 99 Missing What is the main source of income What is the main source of income What is the main source of income What is the main source of income What is the main source of income What is your main source of income/financial support. 1 JOB 2 PARTNER/HUSBAND 3 RELATIVES_JAMAICA 4 RELATIVES_ABROAD 5 SOCIAL ASSISTANCE 6 OTHER 9 MISSING Can read part of the sentence Can read part of the sentence Can read part of the sentence Can read part of the sentence Can read part of the sentence Check WM11: Secondary or higher. Go to Next Module Primary or non-standard curriculum. Continue with WM14 Now I would like you to read this sentence to me. Show sentences to respondent. If respondent cannot read whole sentence, probe: Can you read part of the sentence to me? Example sentences for literacy test: 1. The child is reading a book. 2. The rains came late this year. 3. Parents must care for their children. 4. Farming is hard work Women aged 15-49 1 Cannot read at all 2 Able to read only parts of sentence 3 Able to read whole sentence 4 Required language 5 Blind/visually impaired 9 Missing Ever given birth Ever given birth Ever given birth Ever given birth Ever given birth Now i would like to ask about all the births you have had during your life. Have you ever given birth? If "No" probe by asking: I mean, to a child who ever breathed or cried or showed other signs of life - even if he or she lived only a few minutes or hours? Women aged 15-49 1 Yes 2 No 9 MISSING Day of first birth Day of first birth Day of first birth Day of first birth Day of first birth What was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner. Skip to CM3 only if year of first birth is given. Otherwise, continue with CM2B. Women aged 15-49 97 Inconsistent 98 DK 99 Missing Month of first birth Month of first birth Month of first birth Month of first birth Month of first birth What was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner. Skip to CM3 only if year of first birth is given. Otherwise, continue with CM2B. Women aged 15-49 97 Inconsistent 98 DK 99 Missing Year of first birth Year of first birth Year of first birth Year of first birth Year of first birth What was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner. Skip to CM3 only if year of first birth is given. Otherwise, continue with CM2B. Women aged 15-49 9997 Inconsistent 9998 DK 9999 Missing Years since first birth Years since first birth Years since first birth Years since first birth Years since first birth How many years ago did you have your first birth? Women aged 15-49 97 Inconsistent 99 Missing Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Do you have any sons or daughters to whom you have given birth who are now living with you? Women aged 15-49 1 Yes 2 No Sons living with you Sons living with you Sons living with you Sons living with you Sons living with you How many sons live with you? Women aged 15-49 Daughters living with you Daughters living with you Daughters living with you Daughters living with you Daughters living with you How many daughters live with you? Women aged 15-49 Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Do you have any sons or daughters to whom you have given birth who are alive but do not live with you? Women aged 15-49 1 Yes 2 No Sons living not with you Sons living not with you Sons living not with you Sons living not with you Sons living not with you How many sons are alive but do not live with you? Women aged 15-49 Daughters not living with you Daughters not living with you Daughters not living with you Daughters not living with you Daughters not living with you How many daughters are alive but do not live with you? Women aged 15-49 Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Have you ever given birth to a boy or girl who was born alive but later died? Women aged 15-49 1 Yes 2 No Boys dead Boys dead Boys dead Boys dead Boys dead How many boys have died? Women aged 15-49 Girls dead Girls dead Girls dead Girls dead Girls dead How many girls have died? Women aged 15-49 Children ever born Children ever born Children ever born Children ever born Children ever born Sum answers to CM4, CM6, and CM8. Just to make sure that I have this right, you have had in total (total number) births during your life. Is this correct? Yes. Go to CM11 No. Check responses and make corrections before proceeding to CM11 Women aged 15-49 Day of last birth Day of last birth Day of last birth Day of last birth Day of last birth Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)? If day is not known, enter '98' in space for day. Women aged 15-49 97 Inconsistent 98 DK 99 Missing Month of last birth Month of last birth Month of last birth Month of last birth Month of last birth Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)? Women aged 15-49 97 Inconsistent 98 DK 99 Missing Year of last birth Year of last birth Year of last birth Year of last birth Year of last birth Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)? Women aged 15-49 9997 Inconsistent 9998 DK 9999 Missing Live birth in last 2 years Live birth in last 2 years Live birth in last 2 years Live birth in last 2 years Live birth in last 2 years Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in 2003)? If child has died, take special care when referring to this child by name in the following modules. No live birth in last 2 years. Go to MARRIAGE/UNION module. Yes, live birth in last 2 years. Continue with CM13 Name of child_______________________ Women aged 15-49 N No Y Yes Wanted last child Wanted last child Wanted last child Wanted last child Wanted last child At the time you became pregnant with (name), did you want to become pregnant then, did you want to wait until later, or did you want no (more) children at all? Women aged 15-49 1 Then 2 later 3 No more 9 Missing Tetanus toxoid card Tetanus toxoid card Tetanus toxoid card Tetanus toxoid card Tetanus toxoid card This module is to be administered to all women with a live birth in the 2 years preceding date of interview. Do you have a card or other document with your own immunizations listed? If a card is presented, use it to assist with answers to the following questions. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes (card seen) 2 Yes (card not seen) 3 No 8 DK 9 Missing Tetanus toxoid given in pregnancy Tetanus toxoid given in pregnancy Tetanus toxoid given in pregnancy Tetanus toxoid given in pregnancy Tetanus toxoid given in pregnancy When you were pregnant with your last child, did you receive any injection to prevent him or her from getting tetanus, that is convulsions after birth (an anti-tetanus shot, an injection at the top of the arm or shoulder)? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Times given tetanus toxoid in pregnancy Times given tetanus toxoid in pregnancy Times given tetanus toxoid in pregnancy Times given tetanus toxoid in pregnancy Times given tetanus toxoid in pregnancy If yes: How many times did you receive this anti-tetanus injection during your last pregnancy? How many TT doses during last pregnancy were reported in TT3? At least two TT injections during last pregnancy. Go to Next Module Fewer than two TT injections during last pregnancy. Continue with TT5 Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 98 DK 99 Missing Given tetanus toxoid before pregnancy Given tetanus toxoid before pregnancy Given tetanus toxoid before pregnancy Given tetanus toxoid before pregnancy Given tetanus toxoid before pregnancy Did you receive any tetanus toxoid injection at any time before your last pregnancy? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Times given tetanus toxoid before pregnancy Times given tetanus toxoid before pregnancy Times given tetanus toxoid before pregnancy Times given tetanus toxoid before pregnancy Times given tetanus toxoid before pregnancy How many times did you receive it? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 98 DK 99 Missing Month last given tetanus toxoid before pregnancy Month last given tetanus toxoid before pregnancy Month last given tetanus toxoid before pregnancy Month last given tetanus toxoid before pregnancy Month last given tetanus toxoid before pregnancy In what month and year did you receive the last anti-tetanus injection before that last pregnancy? Skip to next module only if year of injection is given. Otherwise, continue with TT8. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 97 Inconsistent 98 DK 99 Missing Year last given tetanus toxoid before pregnancy Year last given tetanus toxoid before pregnancy Year last given tetanus toxoid before pregnancy Year last given tetanus toxoid before pregnancy Year last given tetanus toxoid before pregnancy In what month and year did you receive the last anti-tetanus injection before that last pregnancy? Skip to next module only if year of injection is given. Otherwise, continue with TT8. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 9997 Inconsistent 9998 DK 9999 Missing Years ago last received tetanus toxoid before pregnancy Years ago last received tetanus toxoid before pregnancy Years ago last received tetanus toxoid before pregnancy Years ago last received tetanus toxoid before pregnancy Years ago last received tetanus toxoid before pregnancy How many years ago did you receive the last anti-tetanus injection before that last pregnancy? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 98 Dont Know 99 Missing Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing A Doctor Antenatal care: Nurse/midwife Antenatal care: Nurse/midwife Antenatal care: Nurse/midwife Antenatal care: Nurse/midwife Antenatal care: Nurse/midwife Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing B Nurse/midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing C Auxiliary/midwife Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing F Traditional birth attendance Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing G Community/health worker Antenatal care: Relative/friend Antenatal care: Relative/friend Antenatal care: Relative/friend Antenatal care: Relative/friend Antenatal care: Relative/friend Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing H Relative/friend Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing X Other Antenatal care: No one Antenatal care: No one Antenatal care: No one Antenatal care: No one Antenatal care: No one Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing Y No one Weighed Weighed Weighed Weighed Weighed As part of your antenatal care, were any of the following done at least once? Were you weighed? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Blood pressure measured Blood pressure measured Blood pressure measured Blood pressure measured Blood pressure measured As part of your antenatal care, were any of the following done at least once? Was your blood pressure measured? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Urine sample Urine sample Urine sample Urine sample Urine sample As part of your antenatal care, were any of the following done at least once? Did you give a urine sample? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Blood sample Blood sample Blood sample Blood sample Blood sample As part of your antenatal care, were any of the following done at least once? Did you give a blood sample? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus During any of the antenatal visits for the pregnancy, were you given any information or counseled about AIDS or the AIDS virus? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS I don't want to know the results, but were you tested for HIV/AIDS as part of your antenatal care? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Where did you get tested for HIV? Where did you get tested for HIV? Where did you get tested for HIV? Where did you get tested for HIV? Where did you get tested for HIV? 1 PUBLIC 2 PRIVATE 3 BOTH 6 OTHER 9 MISSING Received result of HIV test Received result of HIV test Received result of HIV test Received result of HIV test Received result of HIV test I don't want to know the results, but did you get the results of the test? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing A Doctor Assistance at delivery: Nurse/midwife Assistance at delivery: Nurse/midwife Assistance at delivery: Nurse/midwife Assistance at delivery: Nurse/midwife Assistance at delivery: Nurse/midwife Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing B Nurse/midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing C Auxiliary/midwife Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing F Traditional birth attendance Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing G Community/health worker Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing H Relative/friend Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing X Other Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing Y No one Place of delivery Place of delivery Place of delivery Place of delivery Place of delivery Where did you give birth to (NAME)? If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 11 Respondent's home 12 Other home 21 Government hospital 22 Government clinic/health center 26 Other public 31 Private hospital 32 Private clinic 33 Private maternity home 36 Other private medical 96 Other 99 Missing Size of child at birth Size of child at birth Size of child at birth Size of child at birth Size of child at birth When your last child (name) was born, was he/she very large, larger than average, average, smaller than average, or very small? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Very large 2 Larger than average 3 Average 4 Smaller than average 5 Very small 8 DK 9 Missing Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Was (name) weighed at birth? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall How much did (name) weigh? Record weight from health card, if available. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Card 2 Recall 7 Inconsistent 9 Missing Weight at birth Weight at birth Weight at birth Weight at birth Weight at birth 99.97 Inconsistent 99.98 DK 99.99 Missing Weight measurement Weight measurement Weight measurement Weight measurement Weight measurement 1 KILOS 2 POUNDS 7 INCONSISTENT 9 MISSING Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Did you ever breastfeed (name)? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) How long after birth did you first put (name) to the breast? If less than 1 hour, record '00' hours. If less than 24 hours, record hours. Otherwise, record days. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey Immediately 1 Hours 2 Days 9 Missing Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) How long after birth did you first put (name) to the breast? If less than 1 hour, record '00' hours. If less than 24 hours, record hours. Otherwise, record days. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 98 DK 99 Missing Currently married or living with a man Currently married or living with a man Currently married or living with a man Currently married or living with a man Currently married or living with a man Are you currently married or living together with a man as if married? Women aged 15-49 1 Yes, currently married 2 Yes, living with a man 3 No, not in union Age of husband/partner Age of husband/partner Age of husband/partner Age of husband/partner Age of husband/partner How old was your husband/partner on his last birthday? Women aged 15-49 98 DK 99 Missing Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Have you ever been married or lived together with a man? Women aged 15-49 1 Yes, formerly married 2 Yes, formerly lived with a man 3 No Marital status Marital status Marital status Marital status Marital status What is your marital status now: are you widowed, divorced or separated? Women aged 15-49 1 Widowed 2 Divorced 3 Separated 4 Single Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Have you been married or lived with a man only once or more than once? Women aged 15-49 1 Only once 2 More than once 9 Missing Month of first union Month of first union Month of first union Month of first union Month of first union In what month and year did you first marry or start living with a man as if married? Women aged 15-49 97 Inconsistent 98 DK 99 Missing Year of first union Year of first union Year of first union Year of first union Year of first union In what month and year did you first marry or start living with a man as if married? Women aged 15-49 9997 Inconsistent 9998 DK 9999 Missing Age at first union Age at first union Age at first union Age at first union Age at first union Check MA6: Both month and year of marriage/union known? Go to Next Module Either month or year of marriage/union not known? Continue with MA8 How old were you when you started living with your first husband/partner? Women aged 15-49 97 Inconsistent 98 DK 99 Missing If she goes out with out telling him If she goes out with out telling him If she goes out with out telling him If she goes out with out telling him If she goes out with out telling him Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she goes out with out telling him? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing If she neclects the children If she neclects the children If she neclects the children If she neclects the children If she neclects the children Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she neglects the children? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing If she argues with him If she argues with him If she argues with him If she argues with him If she argues with him Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she argues with him? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing If she refuses sex with him If she refuses sex with him If she refuses sex with him If she refuses sex with him If she refuses sex with him Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she refuses sex with him? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing If she burns the food If she burns the food If she burns the food If she burns the food If she burns the food Sometimes a husband is annoyed or angered by things that his wife does. In your opinion, is a husband justified in hitting or beating his wife in the following situations: If she burns the food? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Humiliating her Humiliating her Humiliating her Humiliating her Humiliating her Humilating her 1 Yes 2 No 8 DK 9 Missing Beating her Beating her Beating her Beating her Beating her Beating her 1 Yes 2 No 8 DK 9 Missing Threatening her Threatening her Threatening her Threatening her Threatening her Threatening her 1 Yes 2 No 8 DK 9 Missing Restricting contact with friends/family Restricting contact with friends/family Restricting contact with friends/family Restricting contact with friends/family Restricting contact with friends/family Restricting contact with friends/family 1 Yes 2 No 8 DK 9 Missing Ever heard of HIV or AIDS Ever heard of HIV or AIDS Ever heard of HIV or AIDS Ever heard of HIV or AIDS Ever heard of HIV or AIDS Now I would like to talk with you about something else. Have you ever heard of the virus HIV or an illness called AIDS? Women aged 15-49 1 Yes 2 No 9 Missing Can avoid AIDS by having one unifected partner Can avoid AIDS by having one unifected partner Can avoid AIDS by having one unifected partner Can avoid AIDS by having one unifected partner Can avoid AIDS by having one unifected partner Can people protect themselves from getting infected with the AIDS virus by having one sex partner who is not infected and also has no other partners? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS through supernatural means Can get AIDS through supernatural means Can get AIDS through supernatural means Can get AIDS through supernatural means Can get AIDS through supernatural means Can people get infected with the AIDS virus because of witchcraft or other supernatural means? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can people reduce their chance of getting the AIDS virus by using a condom every time they have sex? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can people get the AIDS virus from mosquito bites? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can people reduce their chance of getting infected with the AIDS virus by not having sex at all? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can people get the AIDS virus by sharing food with a person who has AIDS? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can people get the AIDS virus by getting injections with a needle that was already used by someone else? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Healthy-looking person can have AIDS Healthy-looking person can have AIDS Healthy-looking person can have AIDS Healthy-looking person can have AIDS Healthy-looking person can have AIDS Is it possible for a healthy-looking person to have the AIDS virus? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy Can the AIDS virus be transmitted from a mother to a baby? During pregnancy? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery Can the AIDS virus be transmitted from a mother to a baby? During delivery? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk Can the AIDS virus be transmitted from a mother to a baby? By breastfeeding? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Drugs for pregnant with AIDS to prevent transmission to unbo Drugs for pregnant with AIDS to prevent transmission to unbo Drugs for pregnant with AIDS to prevent transmission to unbo Drugs for pregnant with AIDS to prevent transmission to unbo Drugs for pregnant with AIDS to prevent transmission to unbo 1 Yes 2 No 8 DK 9 Missing Should female teacher with HIV/AIDS be allowed to teach in school Should female teacher with HIV/AIDS be allowed to teach in school Should female teacher with HIV/AIDS be allowed to teach in school Should female teacher with HIV/AIDS be allowed to teach in school Should female teacher with HIV/AIDS be allowed to teach in school If a female teacher has the AIDS virus but is not sick, should she be allowed to continue teaching in school? Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing Should child with aids be allowed to attend school Should child with aids be allowed to attend school Should child with aids be allowed to attend school Should child with aids be allowed to attend school Should child with aids be allowed to attend school If a child has HIV or AIDS, but is not sick, should he or she be allowed to attend school? 1 Yes 2 No 8 DK/not sure/depends 9 Missing Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would you buy fresh vegetables from a shopkeeper or vendor if you knew that this person had the AIDS virus? Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member of your family became infected with the AIDS virus, would you want it to remain a secret? Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household If a member of your family became sick with the AIDS virus, would you be willing to care for him or her in your household? Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing Ever had HIV test Ever had HIV test Ever had HIV test Ever had HIV test Ever had HIV test Check MN5: Tested for HIV during antenatal care? Yes. Go to HA18A No. Continue with HA15 I do not want to know the results, but have you ever been tested to see if you have HIV, the virus that causes AIDS? Women aged 15-49 1 Yes 2 No 9 Missing Received results of HIV test Received results of HIV test Received results of HIV test Received results of HIV test Received results of HIV test I do not want you to tell me the results of the test, but have you been told the results? Women aged 15-49 1 Yes 2 No 9 Missing Asked for HIV test or was it offered to you Asked for HIV test or was it offered to you Asked for HIV test or was it offered to you Asked for HIV test or was it offered to you Asked for HIV test or was it offered to you Did you, yourself, ask for the test, was it offered to you and you accepted, or was it required? Women aged 15-49 1 Asked for the test 2 Offered and accepted 3 Required 9 Missing Know a place to get HIV test Know a place to get HIV test Know a place to get HIV test Know a place to get HIV test Know a place to get HIV test At this time, do you know of a place where you can go to get such a test to see if you have the AIDS virus? A. If tested for HIV during antenatal care: Other than at the antenatal clinic, do you know of a place where you can go to get a test to see if you have the AIDS virus? Women aged 15-49 1 Yes 2 No 9 Missing parish parish parish parish parish constituency constituency constituency constituency constituency enumeration district enumeration district enumeration district enumeration district enumeration district dwelling number dwelling number dwelling number dwelling number dwelling number household number household number household number household number household number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Households Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor name and number: Households Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Households Area Area Area Area Area Area: Households 1 KMA 2 Urban 3 Rural Result of HH interview Result of HH interview Result of HH interview Result of HH interview Result of HH interview After all questionnaires for the household have been completed, fill in the following information: Result of HH interview: Households 1 Completed 2 Not at home 3 Refused 4 HH not found/destroyed 6 Other 7 Unable to enter due to violence / threats 8 No interview - bad roads/gated/guarded communities 9 Vacant Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent to HH questionnaire: Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members: Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 No.of children under age 5: Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Households Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk: Households Serial Number Serial Number Serial Number Serial Number Serial Number 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 your household? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 91 Bottled water 96 Other 99 Missing Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat What is the main source of water used by your household for other purposes such as cooking and handwashing? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 96 Other 99 Missing Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back How long does it take to go there, get water, and come back? Households 995 On premises 998 DK 999 Missing Person fetching water Person fetching water Person fetching water Person fetching water Person fetching water Who usually goes to this source to fetch the water for your household? Probe: Is this person under age 15? What sex? Circle code that best describes this person. Households 1 Adult woman 2 Adult man 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing How Frequently is water available How Frequently is water available How Frequently is water available How Frequently is water available How Frequently is water available In the last two weeks how often has water been available from this source? 1 ALL THE TIME 2 MOST TIMES 3 FEW HOURS DAILY 4 FEW HOURS WEEKLY 5 ONLY ONCE 7 NOT AT ALL 8 DK 9 MISSING Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Do you treat your water in any way to make it safer to drink? Households 1 Yes 2 No 8 DK 9 Missing Boil Boil Boil Boil Boil What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing A Boil Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing B Add bleach/chlorine Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing C Strain it through a cloth Use water filter Use water filter Use water filter Use water filter Use water filter What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing D Use water filter Solar disinfection Solar disinfection Solar disinfection Solar disinfection Solar disinfection What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing E Solar disinfection Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing F Let it stand and settle Other Other Other Other Other What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing X Other DK DK DK DK DK What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing Z DK Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to? If necessary, ask permission to observe the facility. Households 11 Flush to piped sewer system 12 Flush to septic tank 13 Flush to absorption pit 14 Flush to somewhere else 15 Flush to unknown place/not sure/DK where 21 Ventilated Improved Pit latrine (VIP) 22 Pit latrine with slab 23 Pit latrine without slab/open pit 31 Composting toilet 41 Bucket 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do you share this facility with other households? Households 1 Yes 2 No 9 Missing Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility How many households in total use this toilet facility? Households 10 Ten or more households 98 DK 99 Missing Distance to nearest Primary School Distance to nearest Primary School Distance to nearest Primary School Distance to nearest Primary School Distance to nearest Primary School What is the distance to the nearest Primary school? 1 1 MILE OR LESS 2 > 1 TO < 5 MILES 3 5 TO < 10 MILES 4 10 OR MORE 9 MISSING Distance to nearest Secondary School Distance to nearest Secondary School Distance to nearest Secondary School Distance to nearest Secondary School Distance to nearest Secondary School What is the distance to the nearest Secondary school? 1 1 MILE OR LESS 2 > 1 TO < 5 MILES 3 5 TO < 10 MILES 4 10 OR MORE 9 MISSING Women's sample weight Women's sample weight Women's sample weight Women's sample weight Women's sample weight Recoded variable Women aged 15-49 Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) Recoded variable Women aged 15-49 Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Recoded variable Women aged 15-49 Age Age Age Age Age Recoded variable Women aged 15-49 1 15-19 2 20-24 3 25-29 4 30-34 5 35-39 6 40-44 7 45-49 Age at first marriage/union Age at first marriage/union Age at first marriage/union Age at first marriage/union Age at first marriage/union Recoded variable Women aged 15-49 Age at first birth Age at first birth Age at first birth Age at first birth Age at first birth Date of last birth (CMC) Date of last birth (CMC) Date of last birth (CMC) Date of last birth (CMC) Date of last birth (CMC) Age in months of last birth Age in months of last birth Age in months of last birth Age in months of last birth Age in months of last birth Age in months of last birth Age in months of last birth Age in months of last birth Age in months of last birth Age in months of last birth 1 < 6 months 2 6-11 months 3 12-23 months Marital/Union status Marital/Union status Marital/Union status Marital/Union status Marital/Union status Recoded variable Women aged 15-49 1 Currently married /In union 2 Formerly married/In union 3 Never married/In union Education Education Education Education Education Recoded variable Children aged 0-4 1 None 2 Primary 3 Secondary 4 Higher 5 Non-standard curriculum 9 Missing/DK The variable is created from information collected on educational level in the HL file. See makewm.sps in the data processing folder under technical information. Children ever born Children ever born Children ever born Children ever born Children ever born Recoded variable Women aged 15-49 Obtained from infomation provided in the child mortality module of the women's questionnaire. See the makewm.sps in the data processing folder under technical information. Dead children Dead children Dead children Dead children Dead children Recoded variable Women aged 15-49 Obtained from infomation provided in the child mortality module of the women's questionnaire. See the makewm.sps in the data processing folder under technical information. Surviving children Surviving children Surviving children Surviving children Surviving children Recoded variable Obtained from infomation provided in the child mortality module of the women's questionnaire. See the makewm.sps in the data processing folder under technical information. TOTAL URBAN TOTAL URBAN TOTAL URBAN TOTAL URBAN TOTAL URBAN 1 TOTAL URBAN Cluster number Cluster number Cluster number Cluster number Cluster number We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. During this time I would like to speak with the household head and all mothers or others who take care of children in the household. May I start now? If permission is given, begin the interview. Cluster number: Households Unique identifier for the cluster in which the household exists Household number Household number Household number Household number Household number Household number: Households Houshold number within the cluster Line number Line number Line number Line number Line number Child's line number: Children aged 0-4 Child's line number Child's line number Child's line number Child's line number Child's line number Child's line number: Children aged 0-4 Caretaker's line number Caretaker's line number Caretaker's line number Caretaker's line number Caretaker's line number Mother's/Caretaker's Line Number: Children aged 0-4 Interviewer No Interviewer No Interviewer No Interviewer No Interviewer No Interviewer name and number: Children aged 0-4 Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Children aged 0-4 Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Children aged 0-4 Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Children aged 0-4 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for children under 5 Children aged 0-4 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 6 Other Day of birth of child Day of birth of child Day of birth of child Day of birth of child Day of birth of child Repeat greeting if not already read to this respondent: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit. Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday? If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day. Children aged 0-4 97 Inconsistent 98 DK 99 Missing Month of birth of child Month of birth of child Month of birth of child Month of birth of child Month of birth of child Repeat greeting if not already read to this respondent: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit. Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday? If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day. Children aged 0-4 97 Inconsistent 98 DK 99 Missing Year of birth of child Year of birth of child Year of birth of child Year of birth of child Year of birth of child Repeat greeting if not already read to this respondent: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit. Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday? If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day. Children aged 0-4 9997 Inconsistent 9998 DK 9999 Missing Age of child Age of child Age of child Age of child Age of child How old was (NAME) at his/her last birthday? Record age in completed years. Children aged 0-4 8 DK AGE Child has birth certificate Child has birth certificate Child has birth certificate Child has birth certificate Child has birth certificate Does (name) have a birth certificate? May I see it? Children aged 0-4 1 Yes, seen 2 Yes, not seen 3 No 8 DK 9 Missing Child registered Child registered Child registered Child registered Child registered Has (name's) birth been registered with the civil authorities? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Reason birth not registered Reason birth not registered Reason birth not registered Reason birth not registered Reason birth not registered Why is (name's) birth not registered? Children aged 0-4 1 Costs too much 2 Must travel too far 3 Did not know it should be registered 4 Late, and did not want to pay fine 5 Does not know where to register 17 Owe Hospital Fee 19 Father Refused Usu of name 96 Other 97 Inconsistent 98 DK 99 Missing Know how to register birth Know how to register birth Know how to register birth Know how to register birth Know how to register birth Do you know how to register your child's birth? Children aged 0-4 1 Yes 2 No 9 Missing Child attends early childhood education programme Child attends early childhood education programme Child attends early childhood education programme Child attends early childhood education programme Child attends early childhood education programme BR5. Check age of child in UF11: Child is 3 or 4 years old? Yes. Continue with BR6 No. Go to BR8 Does (name) attend any organized learning or early childhood education programme, such as a private or government facility, including kindergarten or community child care? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Hours attended education in last 7 days Hours attended education in last 7 days Hours attended education in last 7 days Hours attended education in last 7 days Hours attended education in last 7 days Within the last seven days, about how many hours did (name) attend? Children aged 0-4 98 DK 99 Missing Books-Mother Books-Mother Books-Mother Books-Mother Books-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Read books or look at picture books with (name)? Children aged 0-4 ? Missing A Mother Books-Father Books-Father Books-Father Books-Father Books-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Read books or look at picture books with (name)? Children aged 0-4 ? Missing B Father Books-Other Books-Other Books-Other Books-Other Books-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Read books or look at picture books with (name)? Children aged 0-4 ? Missing X Other Books-No one Books-No one Books-No one Books-No one Books-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Read books or look at picture books with (name)? Children aged 0-4 ? Missing Y No one Stories-Mother Stories-Mother Stories-Mother Stories-Mother Stories-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Tell stories to (name)? Children aged 0-4 ? Missing A Mother Stories-Father Stories-Father Stories-Father Stories-Father Stories-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Tell stories to (name)? Children aged 0-4 ? Missing B Father Stories-Other Stories-Other Stories-Other Stories-Other Stories-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Tell stories to (name)? Children aged 0-4 ? Missing X Other Stories-No one Stories-No one Stories-No one Stories-No one Stories-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Tell stories to (name)? Children aged 0-4 ? Missing Y No one Songs-Mother Songs-Mother Songs-Mother Songs-Mother Songs-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Sing songs with (name)? Children aged 0-4 ? Missing A Mother Songs-Father Songs-Father Songs-Father Songs-Father Songs-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Sing songs with (name)? Children aged 0-4 ? Missing B Father Songs-Other Songs-Other Songs-Other Songs-Other Songs-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Sing songs with (name)? Children aged 0-4 ? Missing X Other Songs-No one Songs-No one Songs-No one Songs-No one Songs-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Sing songs with (name)? Children aged 0-4 ? Missing Y No one Outside-Mother Outside-Mother Outside-Mother Outside-Mother Outside-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Take (name) outside the home, compound, yard or enclosure? Children aged 0-4 ? Missing A Mother Outside-Father Outside-Father Outside-Father Outside-Father Outside-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Take (name) outside the home, compound, yard or enclosure? Children aged 0-4 ? Missing B Father Outside-Other Outside-Other Outside-Other Outside-Other Outside-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Take (name) outside the home, compound, yard or enclosure? Children aged 0-4 ? Missing X Other Outside-No one Outside-No one Outside-No one Outside-No one Outside-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Take (name) outside the home, compound, yard or enclosure? Children aged 0-4 ? Missing Y No one Play-Mother Play-Mother Play-Mother Play-Mother Play-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Play with (name)? Children aged 0-4 ? Missing A Mother Play-Father Play-Father Play-Father Play-Father Play-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Play with (name)? Children aged 0-4 ? Missing B Father Play-Other Play-Other Play-Other Play-Other Play-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Play with (name)? Children aged 0-4 ? Missing X Other Play-No one Play-No one Play-No one Play-No one Play-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Play with (name)? Children aged 0-4 ? Missing Y No one Naming-Mother Naming-Mother Naming-Mother Naming-Mother Naming-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Spend time with (name) naming, counting, and/or drawing things? Children aged 0-4 ? Missing A Mother Naming-Father Naming-Father Naming-Father Naming-Father Naming-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Spend time with (name) naming, counting, and/or drawing things? Children aged 0-4 ? Missing B Father Naming-Other Naming-Other Naming-Other Naming-Other Naming-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Spend time with (name) naming, counting, and/or drawing things? Children aged 0-4 ? Missing X Other Naming-No one Naming-No one Naming-No one Naming-No one Naming-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Spend time with (name) naming, counting, and/or drawing things? Children aged 0-4 ? Missing Y No one How many books are there in the household How many books are there in the household How many books are there in the household How many books are there in the household How many books are there in the household Question CE1 is to be administered only once to each caretaker How many books are there in the household? Please include schoolbooks, but not other books meant for children, such as picture books If 'none' enter 00 Children aged 0-4 10 Ten or more books 98 Dont Know 99 Missing How many children books or picture books do you have for him How many children books or picture books do you have for him How many children books or picture books do you have for him How many children books or picture books do you have for him How many children books or picture books do you have for him How many children's books or picture books do you have for (name)? If 'none' enter 00 Children aged 0-4 10 Ten or more books Bowls, plate, cups ,pots Bowls, plate, cups ,pots Bowls, plate, cups ,pots Bowls, plate, cups ,pots Bowls, plate, cups ,pots I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with household objects, such as bowls, plates, cups or pots? Children aged 0-4 ? Missing A Household objects Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with objects and materials found outside the living quarters, such as sticks, rocks, animals, shells, or leaves? Children aged 0-4 ? Missing B Outside objects Homemade toys Homemade toys Homemade toys Homemade toys Homemade toys I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with homemade toys, such as dolls, cars and other toys made at home? Children aged 0-4 ? Missing C Outside objects Toys that came from a store Toys that came from a store Toys that came from a store Toys that came from a store Toys that came from a store I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with toys that came from a store? Children aged 0-4 ? Missing D Store bought toys No playthings mentioned No playthings mentioned No playthings mentioned No playthings mentioned No playthings mentioned I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with household objects, such as bowls, plates, cups or pots? If the respondent says "YES" to any of the prompted categories, then probe to learn specifically what the child plays with to ascertain the response Code Y if child does not play with any of the items mentioned. Children aged 0-4 ? Missing Y No playthings mentioned How many time was he/her left in the care of another child How many time was he/her left in the care of another child How many time was he/her left in the care of another child How many time was he/her left in the care of another child How many time was he/her left in the care of another child Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children with others. since last (day of the week) how many times was (name) left in the care of another child (that is, someone less than 10 years old)? If 'none' enter 00 Children aged 0-4 98 DK 99 Missing How many time he was left alone How many time he was left alone How many time he was left alone How many time he was left alone How many time he was left alone In the past week, how many times was (name) left alone? If 'none' enter 00 Children aged 0-4 98 DK 99 Missing Child ever been breastfed Child ever been breastfed Child ever been breastfed Child ever been breastfed Child ever been breastfed Has (name) ever been breastfed? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child still being breastfed Child still being breastfed Child still being breastfed Child still being breastfed Child still being breastfed Is he/she still being breastfed? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received vitamin, mineral supplements or medicine Child received vitamin, mineral supplements or medicine Child received vitamin, mineral supplements or medicine Child received vitamin, mineral supplements or medicine Child received vitamin, mineral supplements or medicine Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Vitamin, mineral supplements or medicine? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received plain water Child received plain water Child received plain water Child received plain water Child received plain water Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Plain water? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received sweetened water or juice Child received sweetened water or juice Child received sweetened water or juice Child received sweetened water or juice Child received sweetened water or juice Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Sweetened, flavoured water or fruit juice or tea or infusion? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received oral rehydration solution Child received oral rehydration solution Child received oral rehydration solution Child received oral rehydration solution Child received oral rehydration solution Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Oral rehydration solution (ORS)? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received infant formula Child received infant formula Child received infant formula Child received infant formula Child received infant formula Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Infant formula? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received milk Child received milk Child received milk Child received milk Child received milk Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Tinned, powdered or fresh milk? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received other liquids Child received other liquids Child received other liquids Child received other liquids Child received other liquids Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Any other liquids? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received solid or mushy food Child received solid or mushy food Child received solid or mushy food Child received solid or mushy food Child received solid or mushy food Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Solid or semi-solid (mushy) food? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Time ate solid, semisolid or soft food other than liquids Time ate solid, semisolid or soft food other than liquids Time ate solid, semisolid or soft food other than liquids Time ate solid, semisolid or soft food other than liquids Time ate solid, semisolid or soft food other than liquids Check BF3H: Child received solid or semi-solid (mushy) food? Yes. Continue with BF5 No or DK. Go to Next Module Since this time yesterday, how many times did (NAME) eat solid, semisolid, or soft foods other than liquids? If 7 or more times, record '7'. Children aged 0-4 7 7+ 8 DK 9 Missing Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Has (name) had diarrhoea in the last two weeks, that is, since (day of the week) of the week before last? Diarrhoea is determined as perceived by mother or caretaker, or as three or more loose or watery stools per day, or blood in stool. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) During this last episode of diarrhoea, did (name) drink any of the following: Read each item aloud and record response before proceeding to the next item. A fluid made from a special packet called (local name for ORS packet solution)? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Pre-packaged ORS fluid for diarrhea Pre-packaged ORS fluid for diarrhea Pre-packaged ORS fluid for diarrhea Pre-packaged ORS fluid for diarrhea Pre-packaged ORS fluid for diarrhea During this last episode of diarrhoea, did (name) drink any of the following: Read each item aloud and record response before proceeding to the next item. A pre-packaged ORS fluid for diarrhoea? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Other recommended remedy Other recommended remedy Other recommended remedy Other recommended remedy Other recommended remedy During this last episode of diarrhoea, did (name) drink any of the following: Read each item aloud and record response before proceeding to the next item. Other recommended remedy 1 Yes 2 No 8 DK 9 Missing Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness During (name's) illness, did he/she drink much less, about the same, or more than usual? Children aged 0-4 1 Much less or none 2 About the same (or somewhat less) 3 More 8 DK 9 Missing Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness During (name's) illness, did he/she eat less, about the same, or more food than usual? If "less", probe: Much less or a little less? Children aged 0-4 1 None 2 Much less 3 Somewhat less 4 About the same 5 More 8 DK 9 Missing Where did you get the ORS packet Where did you get the ORS packet Where did you get the ORS packet Where did you get the ORS packet Where did you get the ORS packet Check CA2A: ORS packet used? Yes. Continue with CA4B No. Go to CA5 Where did you get the (local name for ORS packet from CA2A)? Children aged 0-4 11 Hospital 12 Govt health centre 14 Community Health Aid 15 Mobile/outreach clinic 16 Other public source 21 Private hospital/clinic 22 Private physician 23 Private pharmacy 24 Mobile clinic 26 Other private medical 31 Relative or friend 32 Shop 33 Traditional practitioner 96 Other 98 DK 99 MISSING How much did you pay for the ORS How much did you pay for the ORS How much did you pay for the ORS How much did you pay for the ORS How much did you pay for the ORS How much did you pay for the (local name for ORS packet from CA2A)? Children aged 0-4 996 Free 998 DK 999 MISSING Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Has (name) had an illness with a cough at any time in the last two weeks, that is, since (day of the week) of the week before last? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough When (name) had an illness with a cough, did he/she breathe faster than usual with short, quick breaths or have difficulty breathing? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Were the symptoms due to a problem in the chest or a blocked nose? Children aged 0-4 1 Problem in chest 2 Blocked nose 3 Both 6 Other 8 DK 9 Missing Sought advice or teatment for illness Sought advice or teatment for illness Sought advice or teatment for illness Sought advice or teatment for illness Sought advice or teatment for illness Did you seek advice or treatment for the illness outside the home? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Place sought care: Govt Hospital Place sought care: Govt Hospital Place sought care: Govt Hospital Place sought care: Govt Hospital Place sought care: Govt Hospital From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing A Govt. Hospital Place sought care: Govt Health centre Place sought care: Govt Health centre Place sought care: Govt Health centre Place sought care: Govt Health centre Place sought care: Govt Health centre From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing B Govt. Health centre Place sought care: Village health worker Place sought care: Village health worker Place sought care: Village health worker Place sought care: Village health worker Place sought care: Village health worker From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing D Village health worker Place sought care: Mobile/outreach clinic Place sought care: Mobile/outreach clinic Place sought care: Mobile/outreach clinic Place sought care: Mobile/outreach clinic Place sought care: Mobile/outreach clinic From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing E Mobile/outreach clinic Place sought care: Other public medical center Place sought care: Other public medical center Place sought care: Other public medical center Place sought care: Other public medical center Place sought care: Other public medical center From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing H Other public sources Place sought care: Private hospital/clinic Place sought care: Private hospital/clinic Place sought care: Private hospital/clinic Place sought care: Private hospital/clinic Place sought care: Private hospital/clinic From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing I Private hospital/clinic Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing J Private phisician Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing K Pharmacy Place sought care: Mobile clinic Place sought care: Mobile clinic Place sought care: Mobile clinic Place sought care: Mobile clinic Place sought care: Mobile clinic From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing L Mobile clinic Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing O Other private Place sought care: Relative or friend Place sought care: Relative or friend Place sought care: Relative or friend Place sought care: Relative or friend Place sought care: Relative or friend From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing P Relative or friend Place sought care: Shop Place sought care: Shop Place sought care: Shop Place sought care: Shop Place sought care: Shop From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing Q Shop Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing R Traditional practitioner Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing X Other Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Was (name) given medicine to treat this illness? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Amoxil Amoxil Amoxil Amoxil Amoxil Was Amoxil given? A1 Amoxil Ampicillin Ampicillin Ampicillin Ampicillin Ampicillin Was Ampicillin given? A2 Ampicillin Bactrim Bactrim Bactrim Bactrim Bactrim Was Bactrim given? A3 Bactrim Erithromycin Erithromycin Erithromycin Erithromycin Erithromycin Was Erithromycin given? A4 Erithromycin Paracetamal/Panadol/Acetaminophen Paracetamal/Panadol/Acetaminophen Paracetamal/Panadol/Acetaminophen Paracetamal/Panadol/Acetaminophen Paracetamal/Panadol/Acetaminophen What medicine was (name) given? Circle all medicines given. Children aged 0-4 P Paracetamol/Panadol/Acetaminophen Aspirin Aspirin Aspirin Aspirin Aspirin What medicine was (name) given? Circle all medicines given. Children aged 0-4 Q Aspirin Ibupropfen Ibupropfen Ibupropfen Ibupropfen Ibupropfen What medicine was (name) given? Circle all medicines given. Children aged 0-4 R Ibuprofen Other Other Other Other Other What medicine was (name) given? Circle all medicines given. Children aged 0-4 X Other DK DK DK DK DK What medicine was (name) given? Circle all medicines given. Children aged 0-4 Z DK Where did you get the antibiotic Where did you get the antibiotic Where did you get the antibiotic Where did you get the antibiotic Where did you get the antibiotic Check CA11: Antibiotic given? Yes. Continue with CA11B No. Go to CA12 Where did you get the antibiotic? Children aged 0-4 11 Hospital 12 Govt health centre 14 Village health worker 15 Mobile/outreach clinic 16 Other public source 21 Private hospital/clinic 22 Private physician 23 Private pharmacy 24 Mobile clinic 26 Other private medical 31 Relative or friend 32 Shop 33 Traditional practitioner 96 Other 98 DK 99 MISSING How much did you pay for the antibiotic How much did you pay for the antibiotic How much did you pay for the antibiotic How much did you pay for the antibiotic How much did you pay for the antibiotic How much did you pay for the antibiotic? Children aged 0-4 9996 Free 9998 DK 9999 MISSING What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools Check UF11: Child aged under 3? Yes. Continue with CA13 No. Go to CA14 The last time (name) passed stools, what was done to dispose of the stools? Children aged 0-4 1 Child used toilet/latrine 2 Put/rinsed into toilet or latrine 3 Put/rinsed into drain or ditch 4 Thrown into garbage (solid waste) 5 Buried 6 Left in the open 96 Other 98 DK 99 Missing Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing A Child not able to drink or breatfeed Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing B Child becomes sicker Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing C Child develops a fever Symptoms: Child has faster breathing Symptoms: Child has faster breathing Symptoms: Child has faster breathing Symptoms: Child has faster breathing Symptoms: Child has faster breathing Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing D Child has fast breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing E Child has difficult breathing Symptoms: Child has blood in stool Symptoms: Child has blood in stool Symptoms: Child has blood in stool Symptoms: Child has blood in stool Symptoms: Child has blood in stool Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing F Child has blood in stool Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing G Child is drinking poorly Symptoms: Other X Symptoms: Other X Symptoms: Other X Symptoms: Other X Symptoms: Other X Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing X Other Symptoms: Other Y Symptoms: Other Y Symptoms: Other Y Symptoms: Other Y Symptoms: Other Y Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing Y Other Symptoms: Other Z Symptoms: Other Z Symptoms: Other Z Symptoms: Other Z Symptoms: Other Z Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing Z Other Vaccination card for child Vaccination card for child Vaccination card for child Vaccination card for child Vaccination card for child If an immunization card is available, copy the dates in IM2-IM8 for each type of immunization or vitamin A dose recorded on the card. IM10-IM18 are for recording vaccinations that are not recorded on the card. IM10-IM18 will only be asked when a card is not available. Is there a vaccination card for (name)? Children aged 0-4 1 Yes, seen 2 Yes, not seen 3 No 9 Missing Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization BCG Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization BCG Children aged 0-4 97 Inconsistent 99 Missing Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization BCG Children aged 0-4 9997 Inconsistent 9999 Missing Day of OPV1 immunization Day of OPV1 immunization Day of OPV1 immunization Day of OPV1 immunization Day of OPV1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 1 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of OPV1 immunization Month of OPV1 immunization Month of OPV1 immunization Month of OPV1 immunization Month of OPV1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 1 Children aged 0-4 97 Inconsistent 99 Missing Year of OPV1 immunization Year of OPV1 immunization Year of OPV1 immunization Year of OPV1 immunization Year of OPV1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 1 Children aged 0-4 9997 Inconsistent 9999 Missing Day of OPV2 immunization Day of OPV2 immunization Day of OPV2 immunization Day of OPV2 immunization Day of OPV2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 2 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of OPV2 immunization Month of OPV2 immunization Month of OPV2 immunization Month of OPV2 immunization Month of OPV2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 2 Children aged 0-4 97 Inconsistent 99 Missing Year of OPV2 immunization Year of OPV2 immunization Year of OPV2 immunization Year of OPV2 immunization Year of OPV2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 2 Children aged 0-4 9997 Inconsistent 9999 Missing Day of OPV3 immunization Day of OPV3 immunization Day of OPV3 immunization Day of OPV3 immunization Day of OPV3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 3 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of OPV3 immunization Month of OPV3 immunization Month of OPV3 immunization Month of OPV3 immunization Month of OPV3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 3 Children aged 0-4 97 Inconsistent 99 Missing Year of OPV3 immunization Year of OPV3 immunization Year of OPV3 immunization Year of OPV3 immunization Year of OPV3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 3 Children aged 0-4 9997 Inconsistent 9999 Missing Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 1 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 1 Children aged 0-4 97 Inconsistent 99 Missing Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 1 Children aged 0-4 9997 Inconsistent 9999 Missing Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 2 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 2 Children aged 0-4 97 Inconsistent 99 Missing Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 2 Children aged 0-4 9997 Inconsistent 9999 Missing Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 3 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 3 Children aged 0-4 97 Inconsistent 99 Missing Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 3 Children aged 0-4 9997 Inconsistent 9999 Missing Day of HepB1 or DPTHepB1 immunization Day of HepB1 or DPTHepB1 immunization Day of HepB1 or DPTHepB1 immunization Day of HepB1 or DPTHepB1 immunization Day of HepB1 or DPTHepB1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB1 (or DPTHepB1) Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB1 (or DPTHepB1) Children aged 0-4 97 Inconsistent 99 Missing Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB1 (or DPTHepB1) Children aged 0-4 9997 Inconsistent 9999 Missing Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB2 (or DPTHepB2) Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB2 (or DPTHepB2) Children aged 0-4 97 Inconsistent 99 Missing Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB2 (or DPTHepB2) Children aged 0-4 9997 Inconsistent 9999 Missing Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB3 (or DPTHepB3) Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB3 (or DPTHepB3) Children aged 0-4 97 Inconsistent 99 Missing Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB3 (or DPTHepB3) Children aged 0-4 9997 Inconsistent 9999 Missing Day of HIB1 immunization Day of HIB1 immunization Day of HIB1 immunization Day of HIB1 immunization Day of HIB1 immunization Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of HIB1 immunization Month of HIB1 immunization Month of HIB1 immunization Month of HIB1 immunization Month of HIB1 immunization 97 Inconsistent 99 Missing Year of HIB1 immunization Year of HIB1 immunization Year of HIB1 immunization Year of HIB1 immunization Year of HIB1 immunization 9997 Inconsistent 9999 Missing Day of HIB2 immunization Day of HIB2 immunization Day of HIB2 immunization Day of HIB2 immunization Day of HIB2 immunization Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of HIB2 immunization Month of HIB2 immunization Month of HIB2 immunization Month of HIB2 immunization Month of HIB2 immunization 97 Inconsistent 99 Missing Year of HIB2 immunization Year of HIB2 immunization Year of HIB2 immunization Year of HIB2 immunization Year of HIB2 immunization 9997 Inconsistent 9999 Missing Day of HIB3 immunization Day of HIB3 immunization Day of HIB3 immunization Day of HIB3 immunization Day of HIB3 immunization Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month of HIB3 immunization Month of HIB3 immunization Month of HIB3 immunization Month of HIB3 immunization Month of HIB3 immunization 97 Inconsistent 99 Missing Year of HIB3 immunization Year of HIB3 immunization Year of HIB3 immunization Year of HIB3 immunization Year of HIB3 immunization 9997 Inconsistent 9999 Missing Day Measles or MMR immunization Day Measles or MMR immunization Day Measles or MMR immunization Day Measles or MMR immunization Day Measles or MMR immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Measles (or MMR) Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Measles (or MMR) Children aged 0-4 97 Inconsistent 99 Missing Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Measles (or MMR) Children aged 0-4 9997 Inconsistent 9999 Missing Day measles or MMR2 Day measles or MMR2 Day measles or MMR2 Day measles or MMR2 Day measles or MMR2 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistent 99 Missing Month Measles or MMR2 Month Measles or MMR2 Month Measles or MMR2 Month Measles or MMR2 Month Measles or MMR2 97 Inconsistent 99 Missing Year of Measles or MMR2 Year of Measles or MMR2 Year of Measles or MMR2 Year of Measles or MMR2 Year of Measles or MMR2 9997 Inconsistent 9999 Missing Received additional vaccinations Received additional vaccinations Received additional vaccinations Received additional vaccinations Received additional vaccinations In addition to the vaccinations and vitamin A capsules shown on this card, did (name) receive any other vaccinations - including vaccinations received in campaigns or immunization days? Record 'Yes' only if respondent mentions BCG, OPV 0-3, DPT 1-3, Hepatitis B 1-3, Measles, Yellow Fever vaccine(s), or Vitamin A supplements. (If yes, Probe for vaccinations and write '66' in the corresponding day column on IM2 to IM8B.) 1 Yes 2 No 8 DK 9 Missing Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a campaign or immunization day? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Has (name) ever been given a BCG vaccination against tuberculosis - that is, an injection in the arm or shoulder that caused a scar? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Has (name) ever been given any "vaccination drops in the mouth" to protect him/her from getting diseases - that is, polio? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination How many times has he/she been given these drops? Children aged 0-4 99 Missing Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Has (name) ever been given "DPT vaccination injections" - that is, an injection in the thigh or buttocks - to prevent him/her from getting tetanus, whooping cough, diphtheria? (sometimes given at the same time as polio) Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination How many times? Children aged 0-4 99 Missing Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Has (name) ever been given "Measles vaccination injections" or MMR - that is, a shot in the arm at the age of 9 months or older - to prevent him/her from getting measles? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child participated in national immunization day A Child participated in national immunization day A Child participated in national immunization day A Child participated in national immunization day A Child participated in national immunization day A Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Date/type of campaign A Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child participated in national immunization day B Child participated in national immunization day B Child participated in national immunization day B Child participated in national immunization day B Child participated in national immunization day B Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Date/type of campaign B Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child participated in national immunization day C Child participated in national immunization day C Child participated in national immunization day C Child participated in national immunization day C Child participated in national immunization day C Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Date/type of campaign C 1 Yes 2 No 8 DK 9 Missing Sex Sex Sex Sex Sex Is (name) male or female Children aged 0-4 1 Male 2 Female 9 Missing Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended What is the highest level of school (name) attended? Children aged 0-4 Preschool/kindergarten 1 Primary 2 Secondary 3 Higher 4 Jamal 5 Non-standard curriculum 6 Other 8 DK 9 Missing parish parish parish parish parish constituency constituency constituency constituency constituency enumeration district enumeration district enumeration district enumeration district enumeration district dwelling number dwelling number dwelling number dwelling number dwelling number household number household number household number household number household number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Households Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor name and number: Households Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Households Area Area Area Area Area Area: Households 1 KMA 2 Urban 3 Rural Result of HH interview Result of HH interview Result of HH interview Result of HH interview Result of HH interview After all questionnaires for the household have been completed, fill in the following information: Result of HH interview: Households 1 Completed 2 Not at home 3 Refused 4 HH not found/destroyed 6 Other 7 Unable to enter due to violence / threats 8 No interview - bad roads/gated/guarded communities 9 Vacant Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent to HH questionnaire: Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members: Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 No.of children under age 5: Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Households Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk: Households Serial Number Serial Number Serial Number Serial Number Serial Number 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 your household? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 91 Bottled water 96 Other 99 Missing Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat What is the main source of water used by your household for other purposes such as cooking and handwashing? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 96 Other 99 Missing Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back How long does it take to go there, get water, and come back? Households 995 On premises 998 DK 999 Missing Person fetching water Person fetching water Person fetching water Person fetching water Person fetching water Who usually goes to this source to fetch the water for your household? Probe: Is this person under age 15? What sex? Circle code that best describes this person. Households 1 Adult woman 2 Adult man 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing How Frequently is water available How Frequently is water available How Frequently is water available How Frequently is water available How Frequently is water available In the last two weeks how often has water been available from this source? 1 ALL THE TIME 2 MOST TIMES 3 FEW HOURS DAILY 4 FEW HOURS WEEKLY 5 ONLY ONCE 7 NOT AT ALL 8 DK 9 MISSING Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Do you treat your water in any way to make it safer to drink? Households 1 Yes 2 No 8 DK 9 Missing Boil Boil Boil Boil Boil What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing A Boil Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing B Add bleach/chlorine Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing C Strain it through a cloth Use water filter Use water filter Use water filter Use water filter Use water filter What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing D Use water filter Solar disinfection Solar disinfection Solar disinfection Solar disinfection Solar disinfection What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing E Solar disinfection Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing F Let it stand and settle Other Other Other Other Other What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing X Other DK DK DK DK DK What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing Z DK Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to? If necessary, ask permission to observe the facility. Households 11 Flush to piped sewer system 12 Flush to septic tank 13 Flush to absorption pit 14 Flush to somewhere else 15 Flush to unknown place/not sure/DK where 21 Ventilated Improved Pit latrine (VIP) 22 Pit latrine with slab 23 Pit latrine without slab/open pit 31 Composting toilet 41 Bucket 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do you share this facility with other households? Households 1 Yes 2 No 9 Missing Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility How many households in total use this toilet facility? Households 10 Ten or more households 98 DK 99 Missing Distance to nearest Primary School Distance to nearest Primary School Distance to nearest Primary School Distance to nearest Primary School Distance to nearest Primary School What is the distance to the nearest Primary school? 1 1 MILE OR LESS 2 > 1 TO < 5 MILES 3 5 TO < 10 MILES 4 10 OR MORE 9 MISSING Distance to nearest Secondary School Distance to nearest Secondary School Distance to nearest Secondary School Distance to nearest Secondary School Distance to nearest Secondary School What is the distance to the nearest Secondary school? 1 1 MILE OR LESS 2 > 1 TO < 5 MILES 3 5 TO < 10 MILES 4 10 OR MORE 9 MISSING Children's sample weight Children's sample weight Children's sample weight Children's sample weight Children's sample weight Recoded variable Children aged 0-4 Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Recoded variable Children aged 0-4 Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Recoded variable Children aged 0-4 Age (months) Age (months) Age (months) Age (months) Age (months) Recoded variable Children aged 0-4 Age Age Age Age Age Recoded variable Children aged 0-4 1 < 6 months 2 6-11 months 3 12-23 months 4 24-35 months 5 36-47 months 6 48-59 months Age Age Age Age Age Recoded variable Children aged 0-4 1 0-11 months 2 12-23 months 3 24-35 months 4 36-47 months 5 48-59 months Mother's education Mother's education Mother's education Mother's education Mother's education Recoded variable Children aged 0-4 1 None 2 Primary 3 Secondary 4 Higher 5 Non-standard curriculum 9 Missing/DK The variable is created from information collected on educational level in the HL file. See makewm.sps in the data processing folder under technical information. TOTAL URBAN TOTAL URBAN TOTAL URBAN TOTAL URBAN TOTAL URBAN 1 TOTAL URBAN