DDI_CIV_2003_WHS_v01_M 2012-01-25 NADA Version 01 (January 2012) World Health Survey 2003 WHS 2003 CIV_2003_WHS_v01_M World Health Organization (WHO) NADA World Health Organization Multi-Country Studies, Measurement and Health Information Systems World Health Survey [hh/whs] WHO has developed and implemented a Survey Programme and a World Health Survey to compile comprehensive baseline information on the health of populations and on the outcomes associated with the investment in health systems; baseline evidence on the way health systems are currently functioning; and, ability to monitor inputs, functions, and outcomes. The Survey Programme was developed in individual countries through consultation with policy-makers and in collaboration with the people involved in routine HIS. It was complementary to their efforts, to ensure periodic data input in a cost-effective way so that important gaps in health information are covered. It also established a baseline for efforts to scale-up health activities. The World Health Survey has been completed in 70 countries and the data sets have been cleaned and weighted and prepared for analysis by country teams. The majority of the data sets are ready and have been distributed to the partners in the countries with the basic tabulations and discussions are in progress to interpret the results. Many countries have produced a country report. World Health Survey (WHS) Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers. The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters. The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules. The objectives of the survey programme are to: 1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems. 2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes. 3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary. Côte d'Ivoire The survey sampling frame must cover 100% of the country's eligible population, meaning that the entire national territory must be included. This does not mean that every province or territory need be represented in the survey sample but, rather, that all must have a chance (known probability) of being included in the survey sample. There may be exceptional circumstances that preclude 100% national coverage. Certain areas in certain countries may be impossible to include due to reasons such as accessibility or conflict. All such exceptions must be discussed with WHO sampling experts. If any region must be excluded, it must constitute a coherent area, such as a particular province or region. For example if ¾ of region D in country X is not accessible due to war, the entire region D will be excluded from analysis. Households and individuals The WHS will include all male and female adults (18 years of age and older) who are not out of the country during the survey period. It should be noted that this includes the population who may be institutionalized for health reasons at the time of the survey: all persons who would have fit the definition of household member at the time of their institutionalisation are included in the eligible population. If the randomly selected individual is institutionalized short-term (e.g. a 3-day stay at a hospital) the interviewer must return to the household when the individual will have come back to interview him/her. If the randomly selected individual is institutionalized long term (e.g. has been in a nursing home the last 8 years), the interviewer must travel to that institution to interview him/her. The target population includes any adult, male or female age 18 or over living in private households. Populations in group quarters, on military reservations, or in other non-household living arrangements will not be eligible for the study. People who are in an institution due to a health condition (such as a hospital, hospice, nursing home, home for the aged, etc.) at the time of the visit to the household are interviewed either in the institution or upon their return to their household if this is within a period of two weeks from the first visit to the household. Sample survey data [ssd] SAMPLING GUIDELINES FOR WHS Surveys in the WHS program must employ a probability sampling design. This means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. While a Single Stage Random Sample is ideal if feasible, it is recognized that most sites will carry out Multi-stage Cluster Sampling. The WHS sampling frame should cover 100% of the eligible population in the surveyed country. This means that every eligible person in the country has a chance of being included in the survey sample. It also means that particular ethnic groups or geographical areas may not be excluded from the sampling frame. The sample size of the WHS in each country is 5000 persons (exceptions considered on a by-country basis). An adequate number of persons must be drawn from the sampling frame to account for an estimated amount of non-response (refusal to participate, empty houses etc.). The highest estimate of potential non-response and empty households should be used to ensure that the desired sample size is reached at the end of the survey period. This is very important because if, at the end of data collection, the required sample size of 5000 has not been reached additional persons must be selected randomly into the survey sample from the sampling frame. This is both costly and technically complicated (if this situation is to occur, consult WHO sampling experts for assistance), and best avoided by proper planning before data collection begins. All steps of sampling, including justification for stratification, cluster sizes, probabilities of selection, weights at each stage of selection, and the computer program used for randomization must be communicated to WHO STRATIFICATION Stratification is the process by which the population is divided into subgroups. Sampling will then be conducted separately in each subgroup. Strata or subgroups are chosen because evidence is available that they are related to the outcome (e.g. health, responsiveness, mortality, coverage etc.). The strata chosen will vary by country and reflect local conditions. Some examples of factors that can be stratified on are geography (e.g. North, Central, South), level of urbanization (e.g. urban, rural), socio-economic zones, provinces (especially if health administration is primarily under the jurisdiction of provincial authorities), or presence of health facility in area. Strata to be used must be identified by each country and the reasons for selection explicitly justified. Stratification is strongly recommended at the first stage of sampling. Once the strata have been chosen and justified, all stages of selection will be conducted separately in each stratum. We recommend stratifying on 3-5 factors. It is optimum to have half as many strata (note the difference between stratifying variables, which may be such variables as gender, socio-economic status, province/region etc. and strata, which are the combination of variable categories, for example Male, High socio-economic status, Xingtao Province would be a stratum). Strata should be as homogenous as possible within and as heterogeneous as possible between. This means that strata should be formulated in such a way that individuals belonging to a stratum should be as similar to each other with respect to key variables as possible and as different as possible from individuals belonging to a different stratum. This maximises the efficiency of stratification in reducing sampling variance. MULTI-STAGE CLUSTER SELECTION A cluster is a naturally occurring unit or grouping within the population (e.g. enumeration areas, cities, universities, provinces, hospitals etc.); it is a unit for which the administrative level has clear, nonoverlapping boundaries. Cluster sampling is useful because it avoids having to compile exhaustive lists of every single person in the population. Clusters should be as heterogeneous as possible within and as homogenous as possible between (note that this is the opposite criterion as that for strata). Clusters should be as small as possible (i.e. large administrative units such as Provinces or States are not good clusters) but not so small as to be homogenous. In cluster sampling, a number of clusters are randomly selected from a list of clusters. Then, either all members of the chosen cluster or a random selection from among them are included in the sample. Multistage sampling is an extension of cluster sampling where a hierarchy of clusters are chosen going from larger to smaller. In order to carry out multi-stage sampling, one needs to know only the population sizes of the sampling units. For the smallest sampling unit above the elementary unit however, a complete list of all elementary units (households) is needed; in order to be able to randomly select among all households in the TSU, a list of all those households is required. This information may be available from the most recent population census. If the last census was >3 years ago or the information furnished by it was of poor quality or unreliable, the survey staff will have the task of enumerating all households in the smallest randomly selected sampling unit. It is very important to budget for this step if it is necessary and ensure that all households are properly enumerated in order that a representative sample is obtained. It is always best to have as many clusters in the PSU as possible. The reason for this is that the fewer the number of respondents in each PSU, the lower will be the clustering effect which increases sample variance and effectively reduces our estimating power. WHO requires an absolute maximum of 50 respondents per PSU, and ideally would suggest 20-30. This means that for a sample size of 5000 respondents, 100- 200 PSU clusters should be taken into the sample. Calculating that, roughly, one fifth of the total number of PSU clusters in a country will be randomly selected into the survey sample, the sampling frame should consist of 500-1000 PSU clusters. PROBABILITY SAMPLING Probability sampling means that every single individual in the sampling frame has a known and non-zero chance of being selected into the survey sample. Non-probability methods of sampling such as quota or convenience sampling and random walk, may introduce bias into the survey, will throw survey findings into question, and are not accepted by WHO. The probability of selection into the survey sample for each cluster will be proportional to its relative size. Systematic Sampling Systematic sampling is the ordered sampling at fixed intervals from a list, starting from a randomly chosen point. Typically, systematic sampling is not used at the first stage of sampling (selection of PSUs) because it renders the estimation of sampling error difficult. Systematic sampling is recommended at the SSU, TSU, and household selection stages of sampling. Systematic sampling may be linear or circular. SELECTION OF HOUSEHOLDS The Household is a device used to get at the individual. The household is the sampling unit while the individual is the observational unit. While it would be preferable to randomly select from a list of all eligible persons in a country, such lists, with a few exceptions, are not available, so we must employ a final cluster, the household, to get at our observational units. Households will be selected from lists of dwelling units. Non-probabilistic methods of household selection such as the random walk are not acceptable. Such lists are typically available from population registries, household listings, voter lists and census list. As it is essential to include all households in the sampling frame, an assessment of the methodology employed to select households must be made: - How much has the population changed since these lists were made? - Completeness of coverage. Are there unregistered populations (e.g. slums) - Population shifts - Changes in Registry QUALITY Almost all lists will suffer from routine problems. WHO recommends that survey institutions manually enumerate all the households in the sampling units randomly selected into the survey sample. If existing lists or registries will be used, then a detailed analysis of their quality must be made and they must be updated to ensure that there is no exclusion of households from the survey sampling frame. SELECTION OF INDIVIDUALS FROM HOUSEHOLD ROSTER All members of each household selected into the survey sample will be enumerated on the household roster. A member of the household is defined as someone who usually stays in the household, sleeps and shares meals, who has that address as primary place of residence, or who spends more than 6 months a year living there. Country-specific variations in this standard definition are allowed in consultation with WHO. KISH TABLES The respondent for the survey will be selected among all eligible members of the household using Kish tables. Kish tables provide a method by which each eligible person in a household has an equal probability of selection into the survey sample. It is extremely important for the representativeness of the survey sample and the integrity of the survey that the Kish tables are properly implemented. All interviews where the Kish selection method is not properly implemented will be rejected. The Kish technique allows adequate representation for all the persons in the household. Face-to-face [f2f] Participation in the survey is voluntary and the respondent can refuse to be interviewed. The interviewer is responsible for explaining what the survey is about, providing all the necessary information, and making sure the respondent understands the implications of his / her participation before giving his / her consent. The information given should be simple and clear and adapted to the respondent's level of understanding. Consents must be documented by asking the respondents to sign an Informed Consent Forms ( Household Informant Consent Form; Individual Consent Form) before doing the interview. These forms must mention who will be doing the study, the types of questions that will be asked, why the study is being done, and who will have access to the information provided. The interviewer must check that the respondent has read and understood the form before signing, and should offer to go over it with him /her emphasizing the different items mentioned. If the respondent is illiterate or unable to read for himself / herself (e.g. due to a visual impairment), the form will be read and explained to him / her. In cases where it is not appropriate for the respondent to sign the form, the interviewer alone will sign the form. In cases where the respondent is being dissuaded from, or coerced into, participating in the study by a third party such as a spouse, relative or any other member in the community, the interviewer should make it clear that it is the respondent alone who must decide whether or not s/he wishes to be interviewed. FIELD SUPERVISION The role of the supervisor is to monitor the progress and quality of the data collection, and ensure that interviewers are performing work. This includes handling the logistics of the survey, coordinating with other staff, recruiting and training additional interviewers, and supervision. Supervision must be given to interviewers before, during, and after the interview. Supervisors must not only check that contact procedures are followed correctly but that interviews are conducted appropriately. They should be present for 10 interviews and ensure that standardized interviewing techniques are observed when asking questions, clarifying, probing and giving feedback in a non-directive manner. After the interview has been conducted, they must also check that data is coded and entered correctly. Supervisors must give feedback and debrief on a regular basis, in order to update the organization responsible for the study on the progress of the survey and any problems that have arisen. Countries has provided WHO with the population sizes, probabilities of selection and sampling weights of all sampling units for each stage of the sampling process Since clusters are often of unequal size, sampling weights are necessary to be able to reconstruct population estimates from our sample estimates. The weights essentially describe the number of persons in the sampling frame represented by each person in the cluster (i.e. each person in County 1 represents 12.5 people, each person in County 2 represents 9.1 persons etc.). Weights for SSUs, TSUs, etc. are calculated in the same way. The probability of selection of the elementary unit, the household, is not proportional to the number of people in the household. Rather, the household level weights will be generated at the time of respondent selection within the household. The number of households selected within each chosen sampling unit will be proportional to the total number of households in that sampling unit. All households in each unit will have equal probability of selection. The proper and complete enumeration and description of the entire household is a critical component of the survey process. The household roster must be completed for all households selected randomly into the survey sample, whether they agreed to participate in the survey or not. It is only in this way that we can collect the basic information required to estimate the non-response bias in the survey. The requirement of augmenting the survey sample size to adjust for estimated non-response is necessary to ensure that we have adequate persons in the sample to have the power to make precise estimates. This does not, however, account for the bias that is created by non-response, since non-responders are often different from responders with respect to key variables that are linked to the domains under study in the survey. All effort, therefore, must be made to minimise non-response, and to interview as many people in the survey sample as possible. A detailed discussion of refusal conversion methods, survey awareness raising, and call-backs is found in the WHS Survey Manual. There are two possible scenarios of non-response: 1) The interviewer completes the household roster and the randomly chosen respondent refuses to participate. 2) The interviewer is refused access to the household and is unable to fill in the household roster. In second scenario, sites must ensure that, at least, pages 00.1 and 00.3 of the Coversheet are completed for the household. In addition, if available from census information, the number of adult (18 years of age or older) males and females in the household, and their respective ages should be provided. It is important to note that the completion of the household roster serves a purpose above and beyond providing a list from which a respondent will be selected. The demographic and other information collected in the household roster and requested from sites serves to calculate the denominators for statistical analysis of the survey data; without the information in the household roster, we would not be able to determine the health-related outcome rates in your country. World Health Organization (WHO) Citation requirement is the way that the dataset should be referenced when cited in any publication. This will guarantee that the data producer gets proper credit, and that analytical results can be linked to the proper version of the dataset. The citation should include at least the primary investigator, the name and abbreviation of the dataset, the reference year, and the version number (and website address and date of download when the dataset was obtained on-line). The user of the data undertakes to carry out work on the data of the WHO surveys, in accordance with the following conditions: (1) He/she undertakes to keep confidential any information concerning individual persons or households. (2) He/she undertakes not to distribute the data to any other user. (3) He/she undertakes to use the data for scientific research only. The undersigned will provide a reference of all publications based on the data to the WHO co-ordination team and will include the following acknowledgement: "This paper uses data from the WHO World Health Surveys / Multi-Country Survey Study (as appropriate)." See also the citation requirement. The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses. CotedIvoire-ID 3251 6 WHS-CotedIvoire_F2 3245 101 WHS-Cotedivoire_F3 17113 16 WHS-CotedIvoire_F4 94 27 WHS-CotedIvoire_F5 3184 681 WHS-CotedIvoire_F6 2096 26 WHS-CotedIvoire_F7 12285 29 Identification Identification Identification Identification Identification 3251 19200001 19203500 19201758.316 1019.08 country code country code country code country code country code 3251 CIV Household probability weight Household probability weight Household probability weight Household probability weight Household probability weight 3251 252.321 1032.79 610.588 123.505 Probability weight Probability weight Probability weight Probability weight Probability weight 3241 10 252.321 9280.662 1895.222 1371.697 3251 1 2 3 4 5 3251 1 179 89.885 52.833 Identification Identification Identification Identification Identification Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field? 3245 19200001 19203500 19201758.719 1018.884 If retest interview, indicate number of days If retest interview, indicate number of days If retest interview, indicate number of days If retest interview, indicate number of days If retest interview, indicate number of days If retest interview, indicate number of days between initial and retest 3 3242 1 Sysmiss Rotation Code Rotation Code Rotation Code Rotation Code Rotation Code 3245 A B C D Interviewer ID Interviewer ID Interviewer ID Interviewer ID Interviewer ID 3201 44 1 940 155.062 161.462 name of interviewer name of interviewer name of interviewer name of interviewer name of interviewer 3233 ABABKA AFF ABAKA AFFI ABAKA EFFI ABAKA EMIL ABATE ELOG ADAI ANMAN ADAI ARMAN ADAI ARNAU ADAI CLAUD ADAI Claud ADAÏ ARM%A ADAÏ ARMAN ADJEFI KOU ADJEFIE K ADJEFIE K. ADJEFIE KO ADJEHI KOU ADOU GERAR ADOU SEKOU ADOU SOKOU ADÏ ARMAND AFFIAN AFF AFFOUA WOR AFFOUDA W. AFFOUDA WO AFFOUDA WQ AFFOUDA WR AFFOUDA Wo AFFRAN AFF AFFRAN Aff AFKE AGMINI EMM AGNERO AGNERO LAT AGNERO Lat AGNERO MIC AGNINI F. AGNINI F. AGNINI F.K AGNINI FAS AGNINI FOF AGNINI FOL AGNINI KOF AGO P. SYL AGOUA BEBA AHA MARI AHA ABRAN AHA MARINA AKA ANAST AKA ANASTA AKA ANASTH AKA BOSSON AKA NOEL AKAK BOSSO AKOU KOFFI AKOU Koffi AKOUKOFFI AKRE JACO AKRE DJAKO AKRE JACOB AKRE YAO J ALIDJI GNA ALIGBI C B ALIGBI CLA ALIGBI Cla ALIGBI GNA ALLEBY ALLEBY MON ALLEBY Mon AMABO ATSE AMAMBO AST AMAMBO ATS AMAMNI CLE AMANBO AST AMANBO ATS AMANI AMOI AMANI CLEM AMBE CLAR AMBE Clar AMBE CLARI AMBE Clari AMBE M'BOY AMBE R. CL AMBE REINE AMNI CLEME AMON AMON AMON AMONA ANNE BLA M ANNE MARIE ANSANVO KO ANSSANVO K ARICKO HER ASNINI FOF ASSANVO K ASSANVO JE ASSANVO K ASSANVO KE ASSANVO KO ASSANVO MA ASSI KOUAS ASSI SERGE ASSIE KOUA ASSIE SERG ASSOUE NEE ASSOUIE NE ASSOUMOU ATT ABRAN ATTA ABRA ATTA JULI ATTA ABRAN ATTA MARIN ATTAABRAN Adai Arama Adai Arman Adjefie Ko Adou Sokor Adou Sokou Adou gerar Affran Aff Aligbi Gna Alleby MON Aricko Kev Aricko kev Assi Clovi Assie serg Assoumou B LON ARMA BABE A. NE BABE AGOUA BAHI CASIM BAHI CASMI BAI CASIMI BAI CASMIR BAI Casimi BAMBA ZOUM BAT CASIMI BEGOU VERO BLON ARMAN BLON Arman BLON Arrma BLON FABRI BOGBE MAX BOGBE Max BOGBO MAX BOGE MAX D BOI BI VLO BOLI BI VL BOLI VLO BOSSO N'GU BOSSO NGUE Bai Casimi CASIMIR COULIBALY D. INES DAGO DJEK DAGO DJEDO DAGO DJEKO DAGO ROLAN DAGOU DJEK DAN EMMANU DAN G EMMA DAN GLA AM DAN GLA E. DAN GLA EM DANGIA EMM DIOKO N HY DIOKO N. H DIOKO NEHI DIOKO Néhi DIOLCO NEH DIOP OUMAR DJEDJE MEL DJEFI INES DJEHI DJELI DJELI INES DJELI T. I DJELI THOB DOIP OUMAR DROH GBONG DROH Gbong Dai Armand EDWIGE ARS EHOUEU ACH EHOUMAN JO FOFIE KRA GBAHI GNIO GBAHI GUIO GBOBE MAX GBOGBE MAX GLOYE BRIC GLOYE ZOZA GLOYE ZOZZ GOGBE MAX GONDE KOUE GONDE KPUE GONDO KONE GONDO KOUE GONDO Koné GONDO Koue GONDO Koué GONDO LAZA GONDO Laza GONOA KONE GORE BI GORE BI GO GORE BI SE GORE SEVER GORE SYLVA GOSSE KOUA GOU DJEKOU GOULI ALBE GOULI BI T GOURE BI G GOYE BRICE GUEGU MOMI GUEU M. ER GUEU MENGN GUEU MEUGN GUEU MOMIN GUEU MONIM GUEU MONIN GUEU Meugn GUIOUNOU F Gore sever Goré Bi Go Goré Bi Sé Gouli Albe Gouli BI t Gouli Bi T Gouli Bi t Gouli bi t GouliBi Ta Gueu Fulge Gueu Meugn Gueu Momim Gueu Momin Gueu fulge HOUEU PAUL JAE G. ERI JEA ERIC JEA G. ERI JEA G.ERIC JEA GNONKA JEA GONKAN JEA TOMIN Jea Gonkan K. CHRISTI KAGA BOUAH KAN KOUADI KANGA B. E KANGA B.E. KANGA BOUA KANGAH B.E KANGAH BOU KANGAH ENO KARIDIOULA KESSE CONS KESSE Cons KESSE MOUS KESSE Mous KESSE PAUL KESSE PIER KESSEE PIE KOFFI ADJO KOFFI EZAH KOFFI EZAI KOFFI EZAÏ KOFFI GISE KOFFI KOUA KOFFI N'DR KOKOUN KOU KONAN A. S KONAN AMEN KONATE KA KONATE KAM KONATE KAR KONATE KOU KOPOIN KOPOIN OTI KOTAN K. M KOTAN K.Ma KOTAN K: M KOTAN KOTA KOTAN Kota KOTAN MARI KOUADIO A KOUADIO A. KOUADIO AM KOUADIO CO KOUADIO DE KOUADIO FL KOUADIO Fl KOUADIO K. KOUADIO KO KOUADIO Ko KOUADIO SI KOUAME Kou KOUASSI KOUASSI AR KOUASSI HA KOUASSI KO KOUASSI N' KOUASSI N4 KOUASSI NG KOUASSI VA KOUASSI ZE KOUTOUAN KOUTOUAN I KOUTOUAN O KOUTOUAN R KOUTOUAN S KRAMO KRAMO HERV KRAMO Herv Karidiaula Karidioula Konan Amen Konan Amén Kouadio Ko Kouadio Si Kouadio si Koulibaly Koutouan I LAGO P. SY LAGO PREGN LAGO PREGO LAGO SYLVA LY M'BROH N'G M'BROH N. M. ASSI CL MAMBO DIA MAMBO ABEL MAMBO DIAH MAMBO Diah MAMBO PATR MOH ACHILL Mambo patr Mme TRAORE N'DRI ALAI N'DRI CLAU N'DRI N'GU N'GUESSAN N'dri Clau N'dri N'gu N'dri clau NGUESSAN J NGUESSAN K NGUESSAN Y NIAMIEN GU Ndri claud O0UATTARA OGOU BEBA OGOUA BEBA OGOUA BEBI OGOUA BEDA OGOUA SEVE OHOUEN FRA OHOUEN KAC OHOUEU FR OHOUEU A. OHOUEU ACH OHOUEU FRA OHOUEU Fra OHOUEU KAC OHOUEU KAK OHOUEU PAS OHOUEU PAU OHOUEV FRA OHUEN KACO OUATTARA D OUFFOUE KO OUFFOUET K OUFOUE KOF OUTTARA DO Ohoueu Pa Ohoueu Pau Ohoueu pau SAN KOUADI SAN KOUADS SAN KOUDIO SAN KUOADI SAVANE MOH SEKA ASSI SEKA ASSY SEKA JEAN SEKA JOSEP SEKA SASSI SERI CHRIS SERI IRAM SERI IRAME SERY CHRIS SORO DRISS SOUMALO SO SOUMANO MO SOUMANO SO SUPERVISEU Seka Assi Soro Driss Soro Idris Soro driss Séka Assi Séka Assé TA SAHI AR TAHE OUELL TAO M'SOH TAPE BLE P TEHUA LABD TEHUA LAND TEHUA P LA TEHUA P. L TEHUA PEGN TIA MODEST TIA SAHI TIA SAHI A TIA SAHIE TIA SHI AR TOHOURI TA TOHOURI TH TOHOURI TI TOHOUROU T TOUHOU TAB TOUHOURI T TOURE DAVI TOURE SAGO TOURE SERG TOURESERGO TOURZE SER TRAORE TRAORE E. TRAORE EPO TRAORE EPS TRAORE Epo TRAORE MAR TRAORE Mar TRAORE PEN TRAORE éps Tape Tape Phili YA0 A. JUL YAO A JULI YAO A. JUL YAO ADRAH YAO AMA YAO AMA E YAO AMA ED YAO AMA EM YAO AYA JU YAO DAPPON YAO DIAPOM YAO DIAPON YAO DIAPPO YAO Diappo YAO JULIET YAO M'SOH YAO M'soh YAO MARIE YAO MSO YAO MSOH YAO MSOH S YAO N'GORA YAO N'gora YAO NGO ST YAO NGOH S YAO NGORAN YAO Ngoran YAO RAYMON YAO STEPHA YAODIAPPON YEDE YEDE FRANC YEMANKO CO YENAN FELI YENAN K FE YENAN K. F YENAN KACO YENAN KOCO YENEN COCO YENEN KOCO YENOU KOCO YEO ALI YRA GONDO Yao Diappo Yao ama em Yao arsene Yao edwige ZADI CELES ZADI LOGNO ZE BI GOUL ZEBE A. V. ZEBE ABIA ZEBE ABTA ZEBE PATRI ZOUMANA CO Zadi celes Zadi logno Ze Bi Goul Zebe Abia Zé Bi Goul Zébé Abia abaka affi adjefie ko adou sokou agnero lat agnini fof agnro lath aka anasth aka bosson aligbi gna amani clém babe agoua bosso n'gu dioko néhi djeli thob djéli thob gloye zoza gloze zoza gueu momin kesse pier koffi ezai koffi gisè konan amen kouadio ko kouassi ng koutouan i lago pregn ouattara d superviseu tehua land toure serg yao diappo yao n'soh yra gondo zoumana co total calls total calls total calls total calls total calls 3093 152 8 1.184 0.754 date of final results (dd/mm/yyyyy) date of final results (dd/mm/yyyyy) date of final results (dd/mm/yyyyy) date of final results (dd/mm/yyyyy) date of final results (dd/mm/yyyyy) 3245 . 02/05/2003 02/06/2003 03/03/2003 03/06/2003 05/06/2003 09/03/2003 09/06/2003 10/03/2003 10/06/2003 11/06/2003 12/03/2003 12/06/2003 13/06/2003 14/06/2003 15/06/2003 16/03/2003 16/05/2003 16/06/2003 17/03/2003 17/06/2003 18/03/2003 18/06/2003 19/03/2003 19/06/2003 20/03/2003 20/06/2003 21/03/2003 21/06/2003 22/06/2003 23/06/2003 24/06/2003 25/06/2003 26/06/2003 27/06/2003 28/06/2003 Final result code Final result code Final result code Final result code Final result code 3245 6 7 8 9 10 11 12 15 date of editing (dd/mm/yyyyy) date of editing (dd/mm/yyyyy) date of editing (dd/mm/yyyyy) date of editing (dd/mm/yyyyy) date of editing (dd/mm/yyyyy) 1576 02/07/2003 07/06/2003 09/06/03 10/06/2003 11/06/03 11/06/2003 12/06/03 12/06/2003 12/06/2006 13/06/03 13/06/2003 14/03/2003 14/06/03 14/06/2003 15/06/03 15/06/2003 16/03/03 16/06/03 16/06/2003 16/06/2033 17/06/03 17/06/2003 18/06/03 18/06/2003 19/03/03 19/03/2003 19/06/03 19/06/2003 2/06/03 20/03/03 20/03/2003 20/06/03 20/06/2003 21/06/03 21/06/2003 21/0620/03 22/06/03 22/06/2003 22/08/2003 22/09/2003 23/02/2003 23/06/03 23/06/2003 24/06/03 24/06/2003 24/06/2006 25/06/03 25/06/2003 26/06/03 26/06/2003 27/06/03 27/06/2003 28/06/2003 29/06/03 29/06/2003 30/06/03 30/06/2003 4/06/2003 Data entry 1st date (dd/mm/yyyyy) Data entry 1st date (dd/mm/yyyyy) Data entry 1st date (dd/mm/yyyyy) Data entry 1st date (dd/mm/yyyyy) Data entry 1st date (dd/mm/yyyyy) 2908 009/07/2003 01/01/03 01/06/03 01/06/2003 01/07/03 01/07/2003 01/07/2006 014/07/2003 02/06/2003 02/07/03 02/07/2003 03/06/03 03/06/2003 03/07/03 03/07/2003 03/07/2006 04/06/03 04/06/2003 04/07/03 04/07/2003 07/06/03 07/06/2003 07/07/03 07/07/2003 08/06/03 08/06/2003 08/07/03 08/07/2003 09/06/03 09/06/2003 09/07/03 09/07/2003 09/08/2003 1/07/2003 10/06/2003 10/07/03 10/07/2003 10/08/2003 11/06/03 11/06/2003 11/07/03 11/07/2003 12/06/03 12/07/03 12/07/13 12/07/2003 13/06/03 13/06/2003 13/07/03 13/07/2003 14/06/2003 14/07/03 14/07/2003 15/06/03 15/06/2003 15/07/03 15/07/2003 16/06/03 16/06/2003 16/07/03 16/07/2003 17/06/03 17/06/2003 17/07/03 17/07/2003 17/7/2003 18/06/2003 18/07/2003 19/06/03 19/06/2003 19/07/2003 19/08/2003 20/03/2003 20/06/2003 21/06/03 21/06/2003 22/06/2003 22/07/2003 23/06/2003 23/07/2003 24/03/03 24/03/2003 24/06/2003 24/07/2003 25/03/03 25/03/2003 25/06/03 25/06/2003 26/03/2003 26/06/03 26/06/2003 27/06/03 27/06/2003 28/03/2003 28/06/2003 28/07/2003 29/06/2003 3/07/2003 30/06/02003 30/06/03 30/06/2003 7/07/02003 9/07/2003 Data entry 2nd date (dd/mm/yyyyy) Data entry 2nd date (dd/mm/yyyyy) Data entry 2nd date (dd/mm/yyyyy) Data entry 2nd date (dd/mm/yyyyy) Data entry 2nd date (dd/mm/yyyyy) 44 08/07/03 08/07/2003 11/07/03 15/07/2003 23/07/2003 24/06/2003 25/03/03 25/03/2003 25/06/2003 26/03/03 26/03/2003 psu psu psu psu psu Sampling Information Primary Sampling Unit (PSU) Name/Code 3245 1 58 22.346 16.151 ssu ssu ssu ssu ssu Sampling Information Secondary Sampling Unit (SSU) Name/Code 3245 1 5 2.198 0.999 tsu tsu tsu tsu tsu Sampling Information Tertiary Sampling Unit (TSU) Name/Code 3245 2 3670 1372.643 835.325 qsu qsu qsu qsu qsu Sampling Information Quarternary Sampling Unit (QSU) Name/Code 3158 87 3711 199.662 507.377 settings settings settings settings settings Sampling information: Additional information Setting 3245 1 Urban 2 Peri-urban/Semi-urban 3 rural 4 Other Specify Specify Specify Specify Specify 115 3 FOER FORE fore latitude N/S latitude N/S latitude N/S latitude N/S latitude N/S The Geocoding information is recorded for the cluster that the respondent belongs to, in the smallest sampling unit above the household level. Latitude 3245 N latitude (degree) latitude (degree) latitude (degree) latitude (degree) latitude (degree) The Geocoding information is recorded for the cluster that the respondent belongs to, in the smallest sampling unit above the household level. Latitude 3245 4 5 6 7 8 latitude (decimal degree) latitude (decimal degree) latitude (decimal degree) latitude (decimal degree) latitude (decimal degree) The Geocoding information is recorded for the cluster that the respondent belongs to, in the smallest sampling unit above the household level. Latitude 3245 97 98775 40203.158 26561.732 longitude (E/W) longitude (E/W) longitude (E/W) longitude (E/W) longitude (E/W) Longitude 3245 W longitude (degree) longitude (degree) longitude (degree) longitude (degree) longitude (degree) Longitude 3245 2 3 4 5 6 longitude (decimal degree) longitude (decimal degree) longitude (decimal degree) longitude (decimal degree) longitude (decimal degree) Longitude 3245 460 99625 45182.682 32773.592 waypoint waypoint waypoint waypoint waypoint Waypoint 3243 2 1 center of gravity of the cluster 2 In front of the household 3 Nearby location Sysmiss Time begin section 0400 - Household roster Time begin section 0400 - Household roster Time begin section 0400 - Household roster Time begin section 0400 - Household roster Time begin section 0400 - Household roster Household roster In order to determine whom to interview, I need to know who lives at this address. Let me assure you that any information you provide is strictly confidential. I would like the age, sex, education, marital status and relationship to you of each of the members of this household who live here. Please include people who may presently be in an institution due to their health (hospital, nursing home etc.) for a short or long period. All the males in the househo9ld should be entered first, from oldest to youngest. All the females should then be entered, from the oldest to the youngest female. Don't forget to include yourself in the appropriate order. You have said there are (REPEAT LISTING); does that include everyone living here at the present time or who is in an institution because of their health? IF NO, CORRECT LISTING Now, I will use a selection procedure - I am going to number the persons in household to determine whom we need to interview - (it will take a second) 3096 05:06 06:00 06:01 06:05 06:10 06:12 06:13 06:25 06:28 06:30 06:31 06:32 06:35 06:36 06:37 06:40 06:45 06:46 06:47 06:48 06:49 06:50 06:51 06:52 06:53 06:54 06:55 06:56 06:57 06:58 06:59 07:00 07:02 07:03 07:04 07:05 07:06 07:07 07:08 07:09 07:10 07:11 07:12 07:14 07:15 07:16 07:18 07:20 07:21 07:22 07:23 07:25 07:26 07:27 07:28 07:29 07:30 07:31 07:32 07:33 07:35 07:36 07:37 07:38 07:40 07:41 07:42 07:43 07:45 07:46 07:47 07:48 07:49 07:50 07:52 07:53 07:54 07:55 07:56 07:58 08:00 08:01 08:02 08:03 08:04 08:05 08:06 08:07 08:08 08:09 08:10 08:11 08:12 08:13 08:15 08:16 08:17 08:18 08:20 08:21 08:22 08:23 08:24 08:25 08:26 08:27 08:28 08:29 08:30 08:31 08:32 08:33 08:34 08:35 08:37 08:38 08:40 08:41 08:42 08:43 08:44 08:45 08:46 08:47 08:48 08:49 08:50 08:52 08:53 08:54 08:55 08:56 08:57 08:58 08:59 09:00 09:01 09:02 09:03 09:04 09:05 09:06 09:07 09:08 09:10 09:11 09:12 09:13 09:14 09:15 09:16 09:17 09:18 09:19 09:20 09:21 09:22 09:23 09:24 09:25 09:26 09:27 09:28 09:29 09:30 09:31 09:32 09:33 09:35 09:36 09:37 09:39 09:40 09:41 09:42 09:43 09:44 09:45 09:46 09:47 09:48 09:49 09:50 09:51 09:53 09:54 09:55 09:56 09:57 09:58 09:59 10:00 10:01 10:02 10:03 10:04 10:05 10:06 10:07 10:08 10:09 10:10 10:11 10:12 10:13 10:14 10:15 10:16 10:17 10:18 10:20 10:21 10:22 10:23 10:24 10:25 10:26 10:27 10:28 10:29 10:30 10:31 10:32 10:33 10:34 10:35 10:36 10:37 10:38 10:39 10:40 10:41 10:42 10:43 10:44 10:45 10:46 10:47 10:49 10:50 10:51 10:52 10:53 10:55 10:56 10:57 10:58 10:59 11:00 11:01 11:02 11:03 11:04 11:05 11:06 11:07 11:08 11:10 11:11 11:12 11:13 11:14 11:15 11:16 11:17 11:18 11:19 11:20 11:21 11:22 11:23 11:24 11:25 11:26 11:27 11:28 11:29 11:30 11:31 11:32 11:33 11:34 11:35 11:36 11:37 11:38 11:39 11:40 11:41 11:42 11:43 11:44 11:45 11:46 11:47 11:48 11:50 11:51 11:52 11:53 11:54 11:55 11:56 11:57 11:58 11:59 12:00 12:01 12:02 12:03 12:04 12:05 12:06 12:07 12:09 12:10 12:11 12:13 12:14 12:15 12:16 12:17 12:18 12:19 12:20 12:21 12:23 12:24 12:25 12:26 12:27 12:28 12:29 12:30 12:31 12:32 12:33 12:35 12:36 12:37 12:40 12:41 12:42 12:43 12:44 12:45 12:46 12:47 12:49 12:50 12:51 12:52 12:53 12:54 12:55 12:56 12:57 12:58 12:59 13:00 13:01 13:02 13:03 13:04 13:05 13:06 13:08 13:09 13:10 13:11 13:12 13:13 13:14 13:15 13:16 13:17 13:18 13:19 13:20 13:22 13:23 13:25 13:27 13:28 13:29 13:30 13:31 13:33 13:35 13:36 13:37 13:38 13:40 13:42 13:44 13:45 13:46 13:48 13:49 13:50 13:51 13:52 13:53 13:54 13:55 13:56 13:58 14:00 14:01 14:02 14:03 14:05 14:06 14:07 14:08 14:09 14:10 14:11 14:13 14:14 14:15 14:16 14:17 14:18 14:19 14:20 14:22 14:24 14:25 14:26 14:27 14:28 14:29 14:30 14:31 14:32 14:33 14:34 14:35 14:36 14:37 14:38 14:39 14:40 14:41 14:42 14:43 14:44 14:45 14:46 14:47 14:48 14:49 14:50 14:51 14:52 14:53 14:55 14:56 14:58 15:00 15:01 15:02 15:03 15:04 15:05 15:06 15:07 15:08 15:10 15:11 15:12 15:13 15:14 15:15 15:16 15:17 15:18 15:19 15:20 15:21 15:22 15:23 15:24 15:25 15:26 15:27 15:28 15:29 15:30 15:31 15:32 15:33 15:35 15:36 15:37 15:38 15:40 15:41 15:42 15:43 15:44 15:45 15:46 15:47 15:50 15:51 15:52 15:53 15:54 15:55 15:57 15:58 15:59 16:00 16:01 16:02 16:03 16:04 16:05 16:06 16:08 16:09 16:10 16:11 16:12 16:13 16:14 16:15 16:16 16:17 16:18 16:19 16:20 16:21 16:22 16:24 16:25 16:26 16:27 16:28 16:30 16:31 16:32 16:34 16:35 16:36 16:37 16:38 16:40 16:42 16:43 16:44 16:45 16:46 16:47 16:48 16:49 16:50 16:51 16:52 16:55 16:56 16:57 16:58 16:59 17:00 17:01 17:02 17:03 17:04 17:05 17:06 17:07 17:08 17:10 17:12 17:13 17:15 17:16 17:17 17:18 17:20 17:22 17:23 17:25 17:28 17:29 17:30 17:31 17:32 17:33 17:34 17:35 17:36 17:37 17:38 17:39 17:40 17:41 17:42 17:43 17:44 17:45 17:46 17:47 17:48 17:49 17:50 17:51 17:53 17:54 17:55 17:56 17:58 18:00 18:01 18:02 18:03 18:04 18:05 18:06 18:07 18:08 18:09 18:10 18:12 18:14 18:15 18:17 18:18 18:20 18:22 18:23 18:24 18:25 18:27 18:28 18:29 18:30 18:31 18:33 18:35 18:36 18:37 18:38 18:40 18:41 18:42 18:43 18:44 18:45 18:46 18:47 18:48 18:49 18:50 18:52 18:55 18:56 18:58 19:00 19:02 19:03 19:04 19:05 19:06 19:07 19:08 19:10 19:11 19:12 19:13 19:14 19:15 19:16 19:17 19:18 19:20 19:21 19:23 19:24 19:25 19:28 19:29 19:30 19:31 19:32 19:33 19:36 19:37 19:38 19:39 19:40 19:41 19:45 19:46 19:47 19:48 19:50 19:52 19:55 19:56 19:59 20:00 20:01 20:02 20:05 20:06 20:07 20:08 20:10 20:11 20:12 20:13 20:14 20:15 20:16 20:20 20:21 20:25 20:28 20:30 20:31 20:32 20:33 20:35 20:37 20:38 20:40 20:45 20:46 20:47 20:48 20:50 20:51 20:57 21:00 21:01 21:02 21:04 21:06 21:10 21:11 21:12 21:13 21:15 21:20 21:25 21:30 21:31 21:32 21:35 21:42 21:45 21:48 21:58 22:00 22:01 22:15 22:32 22:58 23:02 Kish table code Kish table code Kish table code Kish table code Kish table code 3174 A B1 B2 C D E1 E2 F head of household head of household head of household head of household head of household To be asked to all households Who is the person who provides the main economic support for the household? The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501. 3215 30 400 410 401.345 2.758 Household informant Household informant Household informant Household informant Household informant To be asked to all households The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501. 3175 70 400 401 402 403 404 405 406 407 408 409 410 411 412 Sysmiss Have mosquito bed Have mosquito bed Have mosquito bed Have mosquito bed Have mosquito bed The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501. Malaria Prevention: Use of (bed) nets Do you have a mosquito bed-net in the house? 3216 29 1 Yes 5 No 8 Do not know Sysmiss bed nets treated with insecticide bed nets treated with insecticide bed nets treated with insecticide bed nets treated with insecticide bed nets treated with insecticide The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501. Malaria Prevention: Use of (bed) nets Were the bed-nets treated with insecticide, a product that kills insects? 517 2728 1 Yes 5 No 8 Do not know Sysmiss when were bed nets treated when were bed nets treated when were bed nets treated when were bed nets treated when were bed nets treated The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501. Malaria Prevention: Use of (bed) nets Were the bed-nets treated with insecticide, a product that kills insects? If Yes: When was the last time the bed-net was (re-)treated with this product? 133 3112 1 within last 6 months 2 7-12 months 3 more than 1 year ago 8 Do not know Sysmiss Number of Children age under 5 Number of Children age under 5 Number of Children age under 5 Number of Children age under 5 Number of Children age under 5 The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501. Malaria Prevention: Use of (bed) nets Can you please tell me how many children aged under 5 years live in this household? 503 2742 8 0.849 1.133 how many children slept under mosquito bed how many children slept under mosquito bed how many children slept under mosquito bed how many children slept under mosquito bed how many children slept under mosquito bed The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501. Malaria Prevention: Use of (bed) nets How many of these children slept under a mosquito (bed) net last night? 244 3001 6 0.84 0.891 Number of pregnant Number of pregnant Number of pregnant Number of pregnant Number of pregnant The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501. Malaria Prevention: Use of (bed) nets Can you please tell me how many women who live in this household are currently pregnant? 479 2766 8 0.144 0.57 Number of pregnant women slept under bed net Number of pregnant women slept under bed net Number of pregnant women slept under bed net Number of pregnant women slept under bed net Number of pregnant women slept under bed net The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501. Malaria Prevention: Use of (bed) nets How many of the pregnant women in this household slept under a mosquito bed-net last night? 75 3170 8 0.493 1.005 Number of other slept under bed net Number of other slept under bed net Number of other slept under bed net Number of other slept under bed net Number of other slept under bed net The Household Questionnaire is to be administered to the "Household Informant", identified in Q0501. Malaria Prevention: Use of (bed) nets How many other persons who live in this household slept under a mosquito bed-net last night? (That is, all the other household members except for young children or pregnant women). 480 2765 9 1.419 1.705 Anyone in institution due to health conditions Anyone in institution due to health conditions Anyone in institution due to health conditions Anyone in institution due to health conditions Anyone in institution due to health conditions Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition? 3166 79 1 Yes 5 No Sysmiss Household member 1 in institution Household member 1 in institution Household member 1 in institution Household member 1 in institution Household member 1 in institution Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition? 14 3231 400 401 403 405 407 408 Sysmiss Household member 2 in institution Household member 2 in institution Household member 2 in institution Household member 2 in institution Household member 2 in institution Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition? 5 3240 401 402 408 Sysmiss Household member 3 in institution Household member 3 in institution Household member 3 in institution Household member 3 in institution Household member 3 in institution Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition? 1 3244 402 Sysmiss household member 4 in institution household member 4 in institution household member 4 in institution household member 4 in institution household member 4 in institution Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition? 1 3244 407 Sysmiss House hold member 5 in institution House hold member 5 in institution House hold member 5 in institution House hold member 5 in institution House hold member 5 in institution Is there anyone in your house who is in an institution (hospital, after care home, home for the aged, hospice etc.) due to their health condition? 1 3244 408 Sysmiss Needs care because of a long term illness Needs care because of a long term illness Needs care because of a long term illness Needs care because of a long term illness Needs care because of a long term illness Is there anyone in your home, a child or adult) who needs care because of a long-term physical or mental illness or disability, or is getting old and weak? 3009 236 1 Yes 5 No Sysmiss How much care does this person need How much care does this person need How much care does this person need How much care does this person need How much care does this person need How much care does this person need? 82 3163 1 Needs help/ watching all the time (day and night) 2 Cannot be without help/ watching or be left alone at home for more than an hour 3 Can be left on his/her own at home for several hours but requires accompaniment when leaving home 4 Needs some help at home and sometimes needs to be accompanied when leaving home Sysmiss Time end section 0500 Time end section 0500 Time end section 0500 Time end section 0500 Time end section 0500 3159 06:08 06:09 06:12 06:13 06:15 06:26 06:27 06:30 06:32 06:34 06:35 06:36 06:37 06:38 06:39 06:40 06:41 06:42 06:48 06:49 06:50 06:54 06:55 06:56 06:57 06:58 06:59 07:00 07:01 07:02 07:05 07:06 07:07 07:08 07:09 07:10 07:11 07:12 07:13 07:14 07:15 07:16 07:17 07:18 07:19 07:20 07:21 07:22 07:24 07:25 07:26 07:27 07:30 07:31 07:32 07:33 07:34 07:35 07:36 07:37 07:38 07:39 07:40 07:41 07:42 07:43 07:44 07:45 07:47 07:48 07:49 07:50 07:51 07:52 07:53 07:54 07:55 07:56 07:57 07:58 07:59 08:00 08:01 08:02 08:03 08:05 08:06 08:07 08:08 08:09 08:10 08:11 08:12 08:13 08:14 08:15 08:16 08:17 08:18 08:19 08:20 08:22 08:23 08:24 08:25 08:27 08:28 08:29 08:30 08:31 08:32 08:33 08:34 08:35 08:36 08:37 08:38 08:39 08:40 08:41 08:42 08:43 08:44 08:45 08:46 08:47 08:48 08:50 08:51 08:52 08:53 08:54 08:55 08:56 08:57 08:59 09:00 09:01 09:02 09:03 09:04 09:05 09:06 09:07 09:08 09:09 09:10 09:11 09:12 09:13 09:14 09:15 09:16 09:17 09:18 09:19 09:20 09:21 09:22 09:23 09:24 09:25 09:26 09:27 09:28 09:29 09:30 09:31 09:32 09:33 09:34 09:35 09:36 09:37 09:38 09:39 09:40 09:41 09:42 09:43 09:45 09:46 09:47 09:48 09:49 09:50 09:51 09:52 09:53 09:54 09:55 09:56 09:57 09:58 09:59 10:00 10:01 10:02 10:03 10:04 10:05 10:06 10:07 10:08 10:09 10:10 10:11 10:12 10:13 10:14 10:15 10:16 10:17 10:18 10:19 10:20 10:21 10:22 10:23 10:24 10:25 10:26 10:27 10:28 10:29 10:30 10:31 10:32 10:33 10:34 10:35 10:36 10:37 10:38 10:39 10:40 10:41 10:42 10:43 10:44 10:45 10:46 10:47 10:48 10:49 10:50 10:51 10:52 10:53 10:54 10:55 10:56 10:57 10:58 10:59 11:00 11:01 11:02 11:03 11:04 11:05 11:06 11:07 11:08 11:09 11:10 11:11 11:12 11:13 11:15 11:16 11:17 11:18 11:19 11:20 11:21 11:22 11:23 11:24 11:25 11:26 11:27 11:28 11:29 11:30 11:31 11:32 11:33 11:34 11:35 11:36 11:37 11:38 11:39 11:40 11:42 11:43 11:44 11:45 11:46 11:47 11:48 11:49 11:50 11:51 11:52 11:53 11:54 11:55 11:56 11:58 11:59 12:00 12:01 12:02 12:03 12:04 12:05 12:06 12:07 12:08 12:09 12:10 12:11 12:12 12:13 12:14 12:15 12:16 12:17 12:18 12:19 12:20 12:21 12:22 12:23 12:24 12:25 12:26 12:27 12:28 12:30 12:32 12:34 12:35 12:36 12:37 12:38 12:39 12:40 12:41 12:42 12:43 12:44 12:45 12:46 12:47 12:48 12:50 12:51 12:52 12:53 12:54 12:55 12:56 12:57 12:58 12:59 13:00 13:01 13:02 13:03 13:04 13:05 13:06 13:07 13:08 13:09 13:10 13:11 13:12 13:13 13:14 13:15 13:16 13:17 13:18 13:19 13:20 13:21 13:22 13:23 13:24 13:25 13:26 13:27 13:28 13:29 13:30 13:31 13:32 13:33 13:34 13:35 13:37 13:38 13:39 13:40 13:41 13:42 13:43 13:44 13:45 13:46 13:47 13:48 13:50 13:52 13:53 13:54 13:55 13:56 13:57 13:58 13:59 14:00 14:01 14:02 14:03 14:04 14:05 14:06 14:07 14:08 14:09 14:10 14:11 14:12 14:13 14:14 14:15 14:16 14:17 14:18 14:19 14:20 14:21 14:22 14:23 14:24 14:25 14:27 14:28 14:29 14:30 14:31 14:32 14:33 14:34 14:35 14:36 14:37 14:38 14:39 14:40 14:41 14:42 14:43 14:44 14:45 14:46 14:47 14:48 14:49 14:50 14:51 14:52 14:53 14:54 14:55 14:56 14:57 14:58 14:59 15:00 15:01 15:02 15:03 15:04 15:05 15:06 15:07 15:08 15:09 15:10 15:11 15:12 15:13 15:14 15:15 15:16 15:17 15:18 15:19 15:20 15:21 15:22 15:23 15:24 15:25 15:26 15:27 15:28 15:29 15:30 15:31 15:32 15:33 15:34 15:35 15:36 15:37 15:38 15:39 15:40 15:41 15:42 15:43 15:44 15:45 15:47 15:48 15:49 15:50 15:51 15:53 15:54 15:55 15:56 15:57 15:58 15:59 16:00 16:01 16:02 16:03 16:04 16:05 16:06 16:07 16:08 16:09 16:10 16:11 16:12 16:13 16:14 16:15 16:17 16:18 16:19 16:20 16:21 16:22 16:23 16:24 16:25 16:26 16:27 16:28 16:29 16:30 16:31 16:32 16:33 16:34 16:35 16:36 16:37 16:38 16:39 16:40 16:41 16:42 16:43 16:44 16:45 16:46 16:47 16:48 16:49 16:50 16:51 16:52 16:53 16:54 16:55 16:56 16:57 16:58 16:59 17:00 17:01 17:02 17:03 17:04 17:05 17:06 17:07 17:08 17:09 17:10 17:12 17:14 17:15 17:16 17:17 17:18 17:19 17:20 17:21 17:22 17:23 17:24 17:25 17:26 17:27 17:28 17:29 17:30 17:32 17:33 17:34 17:35 17:36 17:37 17:38 17:39 17:40 17:41 17:42 17:43 17:44 17:45 17:46 17:47 17:48 17:49 17:50 17:51 17:52 17:53 17:54 17:55 17:56 17:57 17:58 17:59 18:00 18:01 18:03 18:04 18:05 18:06 18:07 18:08 18:09 18:10 18:11 18:12 18:13 18:14 18:15 18:16 18:17 18:18 18:19 18:20 18:21 18:22 18:23 18:24 18:25 18:26 18:27 18:28 18:29 18:30 18:31 18:32 18:33 18:34 18:35 18:36 18:37 18:38 18:39 18:40 18:41 18:42 18:43 18:44 18:45 18:46 18:47 18:48 18:49 18:50 18:51 18:52 18:54 18:55 18:56 18:57 18:58 18:59 19:00 19:02 19:03 19:04 19:05 19:06 19:07 19:08 19:09 19:10 19:11 19:12 19:13 19:14 19:15 19:16 19:17 19:18 19:20 19:21 19:22 19:23 19:25 19:26 19:27 19:28 19:30 19:32 19:33 19:34 19:35 19:36 19:38 19:39 19:40 19:41 19:42 19:44 19:45 19:46 19:48 19:49 19:50 19:51 19:53 19:55 19:56 19:57 20:00 20:02 20:03 20:04 20:05 20:06 20:07 20:08 20:10 20:12 20:15 20:16 20:17 20:18 20:19 20:20 20:21 20:25 20:30 20:32 20:33 20:35 20:36 20:37 20:38 20:40 20:42 20:45 20:47 20:48 20:49 20:50 20:51 20:53 20:55 21:00 21:02 21:03 21:05 21:07 21:08 21:09 21:10 21:13 21:15 21:16 21:17 21:18 21:20 21:22 21:29 21:30 21:34 21:35 21:37 21:38 21:40 21:44 21:52 21:55 22:01 22:03 22:10 22:11 22:15 22:25 22:44 23:00 23:10 Name of CHIP Name of CHIP Name of CHIP Name of CHIP Name of CHIP Community Health Insurance Programs [CHIP] Joining the plan You indicated that someone in your household has health insurance with a [CHIP]. What is the name of the [CHIP]? 1 . When joined CHIP (dd/mm/yyyy) When joined CHIP (dd/mm/yyyy) When joined CHIP (dd/mm/yyyy) When joined CHIP (dd/mm/yyyy) When joined CHIP (dd/mm/yyyy) Community Health Insurance Programs [CHIP] Joining the plan When did these household members first join [that CHIP]? Reason for joining CHIP Reason for joining CHIP Reason for joining CHIP Reason for joining CHIP Reason for joining CHIP Community Health Insurance Programs [CHIP] Joining the plan What was the main reason for joining [that CHIP]? 1 PR Expect renewal Expect renewal Expect renewal Expect renewal Expect renewal Community Health Insurance Programs [CHIP] Joining the plan Do you expect membership in [that CHIP] will be renewed? 1 3244 1 Yes 5 No Sysmiss Household members join CHIP Household members join CHIP Household members join CHIP Household members join CHIP Household members join CHIP Community Health Insurance Programs [CHIP] Payments and Benefits Did your household members join the [CHIP]… 3245 1 Individually 2 As a family 3 As members of a cooperative or credit program 4 Other (specify) How high is contribution How high is contribution How high is contribution How high is contribution How high is contribution Community Health Insurance Programs [CHIP] Payments and Benefits How high is the [contribution] compared to benefits you get from the [CHIP]? 1 3244 1 Too high 2 High 3 About right 4 Low 5 Very low Sysmiss How difficult is it to pay the CHIP How difficult is it to pay the CHIP How difficult is it to pay the CHIP How difficult is it to pay the CHIP How difficult is it to pay the CHIP Community Health Insurance Programs [CHIP] Payments and Benefits How difficult is for your household to pay the [CHIP] [contribution]? 1 3244 1 Very difficult 2 Difficult 3 Not too difficult 4 Easy 5 Very easy Sysmiss Know where to ask questions Know where to ask questions Know where to ask questions Know where to ask questions Know where to ask questions Community Health Insurance Programs [CHIP] Communication and Information If someone in your household had questions about the [CHIP], would they know whom to ask or where to go? 4 3241 1 Yes 5 No Sysmiss How difficult to reach the person How difficult to reach the person How difficult to reach the person How difficult to reach the person How difficult to reach the person Community Health Insurance Programs [CHIP] Communication and Information How difficult is it to reach that person or place when information is needed? 1 3244 1 Very difficult 2 Difficult 3 Not too difficult 4 Easy 5 Very easy Sysmiss How much healthy should contribute How much healthy should contribute How much healthy should contribute How much healthy should contribute How much healthy should contribute Community Health Insurance Programs [CHIP] Attitudes towards risk pooling How much do you think healthy people in [the country] should contribute to pay for the health care used by sick people? 31 3214 1 None of the cost 2 Some of the cost 3 Half of the cost 4 Most of the cost 5 All of the cost Sysmiss How much should people contribute How much should people contribute How much should people contribute How much should people contribute How much should people contribute Community Health Insurance Programs [CHIP] Attitudes towards risk pooling How much do you think people in [the country] should contribute to pay for the health care used by poor people when they become sick? 32 3213 1 None of the cost 2 Some of the cost 3 Half of the cost 4 Most of the cost 5 All of the cost Sysmiss How many rooms there are in your home? How many rooms there are in your home? How many rooms there are in your home? How many rooms there are in your home? How many rooms there are in your home? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Can you please tell me how many rooms there are in your home? 3210 35 25 3.039 2.011 How many chairs are there in your home? How many chairs are there in your home? How many chairs are there in your home? How many chairs are there in your home? How many chairs are there in your home? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. How many chairs are there in your home? 3204 41 48 4.419 4.465 How many tables are there in your home? How many tables are there in your home? How many tables are there in your home? How many tables are there in your home? How many tables are there in your home? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. How many tables are there in your home? 3207 38 14 1.673 1.514 How many cars are there in your household? How many cars are there in your household? How many cars are there in your household? How many cars are there in your household? How many cars are there in your household? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. How many cars are there in your household? 3169 76 5 0.113 0.446 Your home have electricity Your home have electricity Your home have electricity Your home have electricity Your home have electricity Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does your home have electricity? 3177 68 1 Yes 5 No Sysmiss Anyone in your household have a bicycle? Anyone in your household have a bicycle? Anyone in your household have a bicycle? Anyone in your household have a bicycle? Anyone in your household have a bicycle? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a bicycle? 3199 46 1 Yes 5 No Sysmiss Anyone in your household have a clock? Anyone in your household have a clock? Anyone in your household have a clock? Anyone in your household have a clock? Anyone in your household have a clock? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a clock? 3198 47 1 Yes 5 No Sysmiss Anyone in your household have a bucket? Anyone in your household have a bucket? Anyone in your household have a bucket? Anyone in your household have a bucket? Anyone in your household have a bucket? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a bucket? 3197 48 1 Yes 5 No Sysmiss Anyone in your household have a washing machine for clothes? Anyone in your household have a washing machine for clothes? Anyone in your household have a washing machine for clothes? Anyone in your household have a washing machine for clothes? Anyone in your household have a washing machine for clothes? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a washing machine for clothes? 3192 53 1 Yes 5 No Sysmiss Anyone in your household have a refrigerator? Anyone in your household have a refrigerator? Anyone in your household have a refrigerator? Anyone in your household have a refrigerator? Anyone in your household have a refrigerator? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a refrigerator? ? 3182 63 1 Yes 5 No Sysmiss Anyone in your household have a refrigerator? Anyone in your household have a refrigerator? Anyone in your household have a refrigerator? Anyone in your household have a refrigerator? Anyone in your household have a refrigerator? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a refrigerator? 3189 56 1 Yes 5 No Sysmiss Anyone in your household have a fixed line telephone? Anyone in your household have a fixed line telephone? Anyone in your household have a fixed line telephone? Anyone in your household have a fixed line telephone? Anyone in your household have a fixed line telephone? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a fixed line telephone? 3185 60 1 Yes 5 No Sysmiss Anyone in your household have a mobile/cellular telephone? Anyone in your household have a mobile/cellular telephone? Anyone in your household have a mobile/cellular telephone? Anyone in your household have a mobile/cellular telephone? Anyone in your household have a mobile/cellular telephone? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a mobile/cellular telephone? 3190 55 1 Yes 5 No Sysmiss Anyone in your household have a television? Anyone in your household have a television? Anyone in your household have a television? Anyone in your household have a television? Anyone in your household have a television? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a television? 3192 53 1 Yes 5 No Sysmiss Anyone in your household have a computer? Anyone in your household have a computer? Anyone in your household have a computer? Anyone in your household have a computer? Anyone in your household have a computer? Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have a computer? 3181 64 1 Yes 5 No Sysmiss DVD/video(VCR) DVD/video(VCR) DVD/video(VCR) DVD/video(VCR) DVD/video(VCR) Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have DVD/video(VCR)? 3186 59 1 Yes 5 No Sysmiss Motorbike Motorbike Motorbike Motorbike Motorbike Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have motorbike? 3167 78 1 Yes 5 No Sysmiss Radio Radio Radio Radio Radio Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have radio? 3195 50 1 Yes 5 No Sysmiss Satellite dish Satellite dish Satellite dish Satellite dish Satellite dish Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have satellite dish? 3170 75 1 Yes 5 No Sysmiss Gas stove Gas stove Gas stove Gas stove Gas stove Permanent Income Indicators (Lower Income Countries). I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. Does anyone in your household have gas stove? 3188 57 1 Yes 5 No Sysmiss Total household expenditure Total household expenditure Total household expenditure Total household expenditure Total household expenditure Household Expenditure: I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. For all questions in this section report all values in local currency, whether paid in cash or in kind. In the last 4 weeks, how much did your household spend in total? 3069 176 2474430 78991.626 123362.326 Amount spend on food Amount spend on food Amount spend on food Amount spend on food Amount spend on food Household Expenditure: I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. For all questions in this section report all values in local currency, whether paid in cash or in kind. In the last 4 weeks, how much did your household spend on food, including such things as [rice], meat, fruits, vegetables, and cooking oils? Include the value of any food that was produced and consumed by the household, and exclude alcohol, tobacco and restaurant meals. 3134 111 1250000 34928.549 38488.407 Spent on Housing Spent on Housing Spent on Housing Spent on Housing Spent on Housing Household Expenditure: I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. For all questions in this section report all values in local currency, whether paid in cash or in kind. In the last 4 weeks, how much did your household spend on housing, gas, electricity, water, telephone, and heating fuel? 3062 183 852000 19046.801 46747.593 Spent on Education Spent on Education Spent on Education Spent on Education Spent on Education Household Expenditure: I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. For all questions in this section report all values in local currency, whether paid in cash or in kind. In the last 4 weeks, how much did your household spend on education fees and supplies? 2902 343 1000000 5521.767 28508.453 Health care costs Health care costs Health care costs Health care costs Health care costs Household Expenditure: I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. For all questions in this section report all values in local currency, whether paid in cash or in kind. In the last 4 weeks, how much did your household spend on health care costs, excluding any insurance reimbursements? 2954 291 2425000 11736.219 57670.576 Insurance Premiums Insurance Premiums Insurance Premiums Insurance Premiums Insurance Premiums Household Expenditure: I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. For all questions in this section report all values in local currency, whether paid in cash or in kind. In the last 4 weeks, how much did your household spend on voluntary insurance premiums or prepaid health plans? 2763 482 240000 830.461 6357.722 Other Goods and services Other Goods and services Other Goods and services Other Goods and services Other Goods and services Household Expenditure: I would like to quickly ask you a few questions about your home. Remember that any information you provide will be kept confidential. For all questions in this section report all values in local currency, whether paid in cash or in kind. In the last 4 weeks, how much did your household spend on all other goods and services? 2889 356 1000000 8817.889 37660.906 Care required staying overnight Care required staying overnight Care required staying overnight Care required staying overnight Care required staying overnight Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 4 weeks, how much did your household spend on care that required staying overnight in a hospital or health facility? 3032 213 2200000 4104.182 48202.479 Care by doctors nurses and trained midwives Care by doctors nurses and trained midwives Care by doctors nurses and trained midwives Care by doctors nurses and trained midwives Care by doctors nurses and trained midwives Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 4 weeks, how much did your household spend on care by doctors, nurses, or trained midwives that did not require an overnight stay? 2988 257 200000 2243.139 10313.611 Household spend on traditional healers Household spend on traditional healers Household spend on traditional healers Household spend on traditional healers Household spend on traditional healers Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 4 weeks, how much did your household spend on care by traditional or alternative healers? 2987 258 250000 864.033 7521.86 Amount spent on dentists Amount spent on dentists Amount spent on dentists Amount spent on dentists Amount spent on dentists Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 4 weeks, how much did your household spend on dentists? 2953 292 400000 491.87 8468.881 Amount spent on Medication or drugs Amount spent on Medication or drugs Amount spent on Medication or drugs Amount spent on Medication or drugs Amount spent on Medication or drugs Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 4 weeks, how much did your household spend on medication or drugs? 2986 259 610000 4562.095 20673.037 Amount spent on health care Amount spent on health care Amount spent on health care Amount spent on health care Amount spent on health care Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 4 weeks, how much did your household spend on health care products such prescription glasses, hearing aids, prosthetic devices, etc.? 2922 323 213000 434.914 6618.187 Diagnostic and Laboratory tests Diagnostic and Laboratory tests Diagnostic and Laboratory tests Diagnostic and Laboratory tests Diagnostic and Laboratory tests Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 4 weeks, how much did your household spend on diagnostic and laboratory tests such as X-rays or Blood tests? 2960 285 1000000 1215.814 21223.946 other other other other other Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 4 weeks, how much did your household spend on any other health care products or services that were not included above? 2759 486 99585 456.825 3926.006 overnight stay in hospital overnight stay in hospital overnight stay in hospital overnight stay in hospital overnight stay in hospital Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 12 months, how many times did members of your household go to a hospital and stay overnight? 3020 225 350000 191.139 6632.341 Household costs associated with overnight stay Household costs associated with overnight stay Household costs associated with overnight stay Household costs associated with overnight stay Household costs associated with overnight stay Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 12 months, how much did the household pay for all costs associated with overnight stays in a hospital? Please exclude any expenses in the last 4 weeks that you have already told me about, and exclude any reimbursement from insurance. 503 2742 1000005 48396.459 102960.845 Current Income of household Current Income of household Current Income of household Current Income of household Current Income of household Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures? Current income of any household members. 2760 485 1 Yes 5 No Sysmiss Savings Savings Savings Savings Savings Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures? Savings (e.g. bank account). 2626 619 1 Yes 5 No Sysmiss payment or reimbursement payment or reimbursement payment or reimbursement payment or reimbursement payment or reimbursement Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures? Payment or reimbursement from a health insurance plan. 2473 772 1 Yes 5 No Sysmiss Sold items Sold items Sold items Sold items Sold items Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures? Sold items (e.g. furniture, animals, jewellery, furniture). 2503 742 1 Yes 5 No Sysmiss family members family members family members family members family members Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures? Family members or friends from outside the household. 2516 729 1 Yes 5 No Sysmiss Borrowed from someone Borrowed from someone Borrowed from someone Borrowed from someone Borrowed from someone Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures? Borrowed from someone other than a friend or family. 2468 777 1 Yes 5 No Sysmiss Other Other Other Other Other Household Expenditure: I would like to ask you more specific questions about how much your household spent on health services. When answering these questions, think about all of the times that any household member used a health service in the last 4 weeks. Please exclude costs to be reimbursed by insurance and any transportation costs. In the last 12 months, which of the following financial sources did your household use to pay for any health expenditures? Other 2452 793 1 Yes 5 No Sysmiss Time end section 0800 Time end section 0800 Time end section 0800 Time end section 0800 Time end section 0800 3086 01:08 06:03 06:11 06:12 06:17 06:18 06:28 06:30 06:33 06:35 06:38 06:40 06:41 06:42 06:43 06:44 06:45 06:46 06:47 06:48 06:53 06:55 06:56 07:00 07:02 07:03 07:05 07:06 07:07 07:08 07:10 07:12 07:13 07:14 07:15 07:16 07:17 07:18 07:19 07:20 07:21 07:22 07:23 07:24 07:25 07:26 07:27 07:28 07:29 07:30 07:32 07:33 07:34 07:35 07:36 07:37 07:38 07:39 07:40 07:41 07:42 07:43 07:44 07:45 07:46 07:47 07:48 07:49 07:50 07:53 07:54 07:55 07:57 07:58 08:00 08:02 08:04 08:05 08:06 08:07 08:08 08:09 08:10 08:11 08:12 08:13 08:14 08:15 08:16 08:17 08:18 08:19 08:20 08:22 08:23 08:24 08:25 08:26 08:27 08:28 08:29 08:30 08:31 08:32 08:33 08:35 08:36 08:37 08:38 08:39 08:40 08:41 08:42 08:43 08:44 08:45 08:46 08:47 08:48 08:49 08:50 08:52 08:53 08:54 08:55 08:56 08:57 08:58 08:59 09:00 09:01 09:02 09:03 09:04 09:05 09:06 09:07 09:08 09:09 09:10 09:11 09:12 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21:53 22:05 22:07 22:12 22:23 22:26 22:35 22:36 22:52 23:22 identification identification identification identification identification 17113 19200001 19203500 19201729.581 1003.462 gender gender gender gender gender 17113 1 Female 2 Male 17113 1 2 3 4 5 6 7 8 9 10 11 12 13 relationship relationship relationship relationship relationship 16464 649 1 himself / herself 2 wife or husband 3 son or daughter 4 son or daughter in law 5 grand child 6 parent 7 parent in law 8 brother or sister 9 co-wife 10 grand parent 11 other relative 12 not related 13 don't know Sysmiss age age age age age 17018 95 109 24.254 17.173 education education education education education 16371 742 1 No formal schooling 2 less than primary school 3 primary school completed 4 secondary school completed 5 high school (or equivalent) completed 6 college / pre-university / university completed 7 post graduate deegree completed Sysmiss marital status marital status marital status marital status marital status 16248 865 1 Never married 2 Currently married 3 Separated 4 Divorced 5 Widowed 6 Chohabiting Sysmiss Ever worked or trained in health field Ever worked or trained in health field Ever worked or trained in health field Ever worked or trained in health field Ever worked or trained in health field 15856 1257 1 Yes 5 No Sysmiss Eligible person Eligible person Eligible person Eligible person Eligible person 10882 6231 not eligible 1 eligible Sysmiss Whs respondent Whs respondent Whs respondent Whs respondent Whs respondent 3227 R covered by health insurance covered by health insurance covered by health insurance covered by health insurance covered by health insurance 15188 1925 1 Yes 5 No Sysmiss covered by mandatory health insurance covered by mandatory health insurance covered by mandatory health insurance covered by mandatory health insurance covered by mandatory health insurance 1101 16012 1 2 3 4 5 6 7 8 Sysmiss covered by voluntary health insurance covered by voluntary health insurance covered by voluntary health insurance covered by voluntary health insurance covered by voluntary health insurance 1463 15650 1 2 3 4 5 6 7 8 Sysmiss How much for voluntary insurance How much for voluntary insurance How much for voluntary insurance How much for voluntary insurance How much for voluntary insurance 407 16706 840000 48549.106 115263.546 Covered because of relationship to someone Covered because of relationship to someone Covered because of relationship to someone Covered because of relationship to someone Covered because of relationship to someone 1399 15714 1 Yes 5 No Sysmiss who is enrolled in the insurance plan that gives this person insurance who is enrolled in the insurance plan that gives this person insurance who is enrolled in the insurance plan that gives this person insurance who is enrolled in the insurance plan that gives this person insurance who is enrolled in the insurance plan that gives this person insurance 776 16337 400 999 498.932 221.368 Identification Identification Identification Identification Identification Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field? 94 19200014 19203463 19201260.851 1121.569 19200014 19200017 19200063 19200068 19200070 19200096 19200120 19200141 19200154 19200199 19200201 19200259 19200260 19200263 19200264 19200270 19200284 19200292 19200301 19200308 19200326 19200329 19200334 19200335 19200340 19200354 19200367 19200518 19200519 19200543 19200560 19200589 19200596 19200668 19200711 19200722 19200729 19200760 19200786 19200792 19200823 19200824 19200825 19200844 19200851 19200859 19200899 19200920 19200928 19200935 19200949 19200964 19201052 19201074 19201150 19201152 19201219 19201321 19201324 19201360 19201557 19201830 19201916 19201928 19202112 19202185 19202201 19202305 19202474 19202528 19202670 19202707 19202813 19202904 19202909 19202918 19203045 19203048 19203073 19203323 19203325 19203328 19203329 19203427 19203429 19203437 19203439 19203463 78 16 12 2.667 3.544 94 1 2 4 Questionnaire completed Questionnaire completed Questionnaire completed Questionnaire completed Questionnaire completed Questionnaire completed Each adult member of the household who has ever worked or been trained in a Health-Related field. 86 8 1 Yes 2 No, respondent not found 3 No, respondent refused Sysmiss Main occupation or occupational trainingMain occupation or occupational training Main occupation or occupational trainingMain occupation or occupational training Main occupation or occupational trainingMain occupation or occupational training Main occupation or occupational trainingMain occupation or occupational training Main occupation or occupational trainingMain occupation or occupational training How would you best describe your main occupation or occupational training? 69 25 1 Medical doctor (including psychiatrist, gynecologist, ophthalmologist, etc.) 2 Dentist, dental surgeon or oral/dentistry or periodontist 3 Pharmacist or pharmaceutical chemist 4 Nurse professional 5 Midwife professional or matron 6 Optometrist or optician 7 Physiotherapist, chiropractor or podiatrist 8 Medical assistant 9 Nutritionist or dietician 10 Dental associate (assistant, hygienist or technician) 11 Pharmaceutical assistant or technician 12 Nursing associate or auxiliary 13 Nursing aide, community health workers, hospital aide or dental aide 14 Midwife associate or auxiliary or traditional birth attendant 15 Sanitarian or health inspector 16 Traditional medicine practitioner 17 Faith healer 18 Other health occupation than above : Specify __ 19 Other occupation (such as administrator, driver, sweeper, etc.) Sysmiss Worked during 12 months Worked during 12 months Worked during 12 months Worked during 12 months Worked during 12 months Have you worked during the last 12 months? 71 23 1 Yes 5 No Sysmiss Place where usually worked over the last 12 months Place where usually worked over the last 12 months Place where usually worked over the last 12 months Place where usually worked over the last 12 months Place where usually worked over the last 12 months How would you best describe the place where you usually worked over the last 12 months? 47 47 1 Public hospital (government, including military or railroad hospital) 2 Private hospital (for profit/not for profit) 3 Public health centre (including dental clinic, palliativile clinic,health post etc. 4 Private health centre, including dental clinic, palliative care centre, mobile clinic, health post, doctor's office etc. 5 Private home-based services) nursing, Medical etc. 6 Public health training or research institution (including medical faculty, dental college, etc. 7 Private health training or research institution (including medical faculty, dental college etc. 8 Laboratory centre 9 Pharmacy 10 Other health services (including district health administration, etc.) 11 Non-health services area Sysmiss Hours per week Hours per week Hours per week Hours per week Hours per week How many hours a week do you usually work at this location, excluding unpaid mealtimes and on-call hours? 46 48 6 70 26.739 19.939 First main type of work First main type of work First main type of work First main type of work First main type of work Select and rank the two main type of work that you usually perform at this location. 36 58 1 Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.) 2 Administration / supervision/care coordination 3 Teaching / health education/research 4 Laboratory / diagnostic procedures 5 Dispensing (medications / health products) 6 Other health-related activities (such as attending in ward, assisting medical practitioners, etc.) 7 Consultation with agencies / professionals 8 Other non-health activities (such as driving car, maintaining equipment, etc.) Sysmiss First main type of work Second type of work Second type of work Second type of work Second type of work Second type of work Select and rank the two main type of work that you usually perform at this location. 25 69 1 Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.) 2 Administration / supervision/care coordination 3 Teaching / health education/research 4 Laboratory / diagnostic procedures 5 Dispensing (medications / health products) 6 Other health-related activities (such as attending in ward, assisting medical practitioners, etc.) 7 Consultation with agencies / professionals 8 Other non-health activities (such as driving car, maintaining equipment, etc.) Sysmiss Second main type of work Method of salary payment Method of salary payment Method of salary payment Method of salary payment Method of salary payment How would you describe the method by which you are usually paid at this location? 47 47 1 Salary (such as weekly or hourly wage, etc.) 2 Salary plus bonus 3 Fee-for-service (according to type of service provided only) 4 Capitation (fixed amount per patient) 5 Capitation plus fees for extra services 6 Other methods 7 Not paid Sysmiss Regularly worked at another location over past 12 months Regularly worked at another location over past 12 months Regularly worked at another location over past 12 months Regularly worked at another location over past 12 months Regularly worked at another location over past 12 months In addition to your main job location, have you regularly worked at another location over the last 12 months? 47 47 1 Yes 5 No Sysmiss Description of other place of work Description of other place of work Description of other place of work Description of other place of work Description of other place of work If also worked at an other location How would you best describe this other place where you worked? 6 88 1 Public hospital (government, including military or railroad hospital) 2 Private hospital (for profit/not for profit) 3 Public health centre (including dental clinic, palliative care centre, mobile clinic, health post, etc. 4 Private health centre, including dental clinic, palliative care centre, mobile clinic, health post, doctor's office etc. 5 Private home-based services (nursing, medical, etc.) 6 Public health training or research institution (including medical faculty, dental college, etc. 7 Private health training or research institution (including medical faculty, dental college, etc. 8 Laboratory centre 9 Pharmacy 10 Other health services (including district health administration etc.) 11 Non- health services area Sysmiss How many hours a week of work at other location How many hours a week of work at other location How many hours a week of work at other location How many hours a week of work at other location How many hours a week of work at other location If also worked at an other location How many hours a week do you usually work at this other location excluding unpaid mealtimes and on-call hours? 5 89 7 40 17.2 13.255 First main type of work at second job location First main type of work at second job location First main type of work at second job location First main type of work at second job location First main type of work at second job location If also worked at an other location Select and rank the two main type of work that you usually perform at this location? 6 88 1 Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.) 2 Administration / supervision/care coordination 3 Teaching / health education/research 4 Laboratory / diagnostic procedures 5 Dispensing (medications / health products) 6 Other health-related activities (such as attending in ward, assisting medical practitioners, etc.) 7 Consultation with agencies / professionals 8 Other non-health activities (such as driving car, maintaining equipment, etc.) Sysmiss First main type of work (second job location) Second type of work at second job location Second type of work at second job location Second type of work at second job location Second type of work at second job location Second type of work at second job location If also worked at an other location Select and rank the two main type of work that you usually perform at this location? 4 90 1 Direct patient care (health diagnosis, surveillance, procedures, interventions, etc.) 2 Administration / supervision/care coordination 3 Teaching / health education/research 4 Laboratory / diagnostic procedures 5 Dispensing (medications / health products) 6 Other health-related activities (such as attending in ward, assisting medical practitioners, etc.) 7 Consultation with agencies / professionals 8 Other non-health activities (such as driving car, maintaining equipment, etc.) Sysmiss Second main type of work (second job location) Method of salary payment at second job Method of salary payment at second job Method of salary payment at second job Method of salary payment at second job Method of salary payment at second job If also worked at an other location How would you describe the method by which you are usually paid at this other location? 5 89 1 Salary (such as weekly or hourly wage, etc.) 2 Salary plus bonus Go to Q0917 3 Fee-for-service (according to type of service provided only) 4 Capitation (fixed amount per patient) 5 Capitation plus fees for extra services 6 Other methods 7 Not paid Sysmiss Reason not worked over last 12 months Reason not worked over last 12 months Reason not worked over last 12 months Reason not worked over last 12 months Reason not worked over last 12 months What is the main reason you have not been working over the last 12 months 23 71 1 Looked but can't find a job 2 Doing unpaid work / voluntary activities 3 Studies / training 4 Caring for family / Homemaker 5 Retired / too old to work 6 Ill health 7 Other Sysmiss Worked for at least 6 months in another country Worked for at least 6 months in another country Worked for at least 6 months in another country Worked for at least 6 months in another country Worked for at least 6 months in another country Over the last 2-3 years, did you worked for at least 6 months in a country other than this one? 69 25 1 Yes 5 No Sysmiss Highest level of schooling completed Highest level of schooling completed Highest level of schooling completed Highest level of schooling completed Highest level of schooling completed What was the highest level of schooling you completed? 70 24 1 No formal schooling 2 Less than primary school 3 Primary school completed 4 Secondary school completed 5 High school (or equivalent) completed 6 College/ pre-university/ University completed 7 University post-graduate degree completed Sysmiss In what year did you reach this level In what year did you reach this level In what year did you reach this level In what year did you reach this level In what year did you reach this level In what year did you reach this level? 54 40 1957 2002 1988.167 11.627 Which country did you reach highest level of schooling Which country did you reach highest level of schooling Which country did you reach highest level of schooling Which country did you reach highest level of schooling Which country did you reach highest level of schooling In what country did you reach this level? 63 31 1 Country of residence 2 Other country Sysmiss Number of days of proffesional training/continuing education program Number of days of proffesional training/continuing education program Number of days of proffesional training/continuing education program Number of days of proffesional training/continuing education program Number of days of proffesional training/continuing education program In the past 12 months, have you been on any professional training or continuing education programmes? 65 29 300 6.092 37.348 Average earnings per week Average earnings per week Average earnings per week Average earnings per week Average earnings per week Thinking over the past year, can you tell me what have been your average earnings? (Please, tell me the amount per week, per month or per one year, whichever is easiest for you). 29 65 7000 247.448 1298.703 7 Refusal 8 Do not know Average earnings per month Average earnings per month Average earnings per month Average earnings per month Average earnings per month Thinking over the past year, can you tell me what have been your average earnings? (Please, tell me the amount per week, per month or per one year, whichever is easiest for you). 34 60 200000 27791.206 52506.39 7 Refusal 8 Do not know Average earnings per year Average earnings per year Average earnings per year Average earnings per year Average earnings per year Thinking over the past year, can you tell me what have been your average earnings? (Please, tell me the amount per week, per month or per one year, whichever is easiest for you). 14 80 199200 7 Refusal 8 Do not know 10 13 5 Chauffeur DELEGUE MEDICAL DOUANIER SECRETAIRE aide infirmière sage-femme professionnel service technique Identification Identification Identification Identification Identification Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field? 3184 19200001 19203500 19201770.74 1018.943 Time begin section 1000 Time begin section 1000 Time begin section 1000 Time begin section 1000 Time begin section 1000 3099 06:12 06:19 06:27 06:30 06:33 06:35 06:37 06:39 06:40 06:42 06:43 06:44 06:45 06:46 06:47 06:48 06:50 06:52 06:54 06:55 06:57 06:58 07:00 07:01 07:04 07:06 07:07 07:08 07:10 07:11 07:12 07:13 07:14 07:15 07:16 07:17 07:18 07:19 07:20 07:21 07:22 07:23 07:24 07:25 07:26 07:27 07:28 07:29 07:30 07:31 07:32 07:33 07:34 07:35 07:36 07:37 07:38 07:39 07:40 07:41 07:42 07:44 07:45 07:46 07:47 07:49 07:50 07:51 07:52 07:53 07:55 07:56 07:57 07:58 07:59 08:00 08:01 08:02 08:03 08:04 08:05 08:06 08:08 08:10 08:11 08:12 08:13 08:14 08:15 08:16 08:17 08:18 08:19 08:20 08:21 08:22 08:23 08:24 08:25 08:26 08:27 08:28 08:29 08:30 08:31 08:32 08:33 08:34 08:35 08:36 08:37 08:38 08:39 08:40 08:41 08:42 08:43 08:44 08:45 08:46 08:47 08:48 08:49 08:50 08:51 08:52 08:53 08:54 08:55 08:56 08:57 08:58 08:59 09:00 09:01 09:02 09:03 09:04 09:05 09:06 09:07 09:08 09:09 09:10 09:11 09:12 09:13 09:14 09:15 09:16 09:17 09:18 09:19 09:20 09:21 09:22 09:23 09:24 09:25 09:26 09:27 09:28 09:30 09:31 09:32 09:33 09:34 09:35 09:36 09:37 09:38 09:39 09:40 09:41 09:42 09:43 09:44 09:45 09:46 09:47 09:48 09:49 09:50 09:51 09:52 09:53 09:54 09:55 09:56 09:57 09:58 09:59 10:00 10:02 10:03 10:04 10:05 10:06 10:07 10:08 10:09 10:10 10:11 10:12 10:13 10:14 10:15 10:16 10:17 10:18 10:19 10:20 10:21 10:22 10:23 10:24 10:25 10:26 10:27 10:28 10:29 10:30 10:31 10:32 10:33 10:34 10:35 10:36 10:37 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This information is confidential and will only be used for research purposes. What is your mother tongue? 3137 00 01 02 03 04 05 06 07 08 09 1 10 11 11:38 12 13 14 15 16 17:13 2 3 4 5 57 6 ABBEY ABIDJI ABOURE ABRON ADJOUKRO AGNI AKAN ALADJAN ALLADJAN APPOLO ASHANTI ATTIE BAOULE BELLA BETE BETINE O BETINI BETINI ( BETINI E BISSA BOBO BOURKINA BURKINAB Baoulé DAFING DIDA DIOULA DJIMINI EBRIE EBRIER EHOTILE EWOTILE Ebrié Ehotilé GNAMBOUA GNANBOO GOURO GUERE Gouro Ma KOULANGO KOYAKA KROBOU KROU LINGALA LOBI MALIEN MALINKE MINAN MOBA TOG MORE MOSSI MOUNAN Malinké Moré NEYO ODIENNEK PEUL SANGO SENOUFO Sénoufo TAGOUANA TOGOLAIS VOLTAÏQU WAN WOBE WOBEY WORLOF YACOUBA aboure abouré abron adjoukro agni ahizi ahoussa aladjan alladjan ashanti attié avikam baoule baoulé bete bissa bourkina burkina burkinab bété cameroun daffi dida dioula ebrie ebrié ehotile guéré koulango koumon kouya koyaka krobou lingala lobi mahouka malienne malinke mona more moré mossi nounouma peuhl peul peule peulh samogo senoufo tagouana wobe wolof wolofe yacouba yorouba zambarma ébrié Sex -- Male/female Sex -- Male/female Sex -- Male/female Sex -- Male/female Sex -- Male/female Respondent’s Socio Demographic Characteristics I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes. Record sex as observed. 3184 1 Female 2 Male Age in years Age in years Age in years Age in years Age in years Respondent’s Socio Demographic Characteristics I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes. How old are you? (Years) 3179 5 18 95 35.564 14.345 Age range Age range Age range Age range Age range Respondent’s Socio Demographic Characteristics I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes. If you don’t know/don’t want to tell me your age could you tell me the age range if I read the different options to you (choose what is most appropriate)? 54 3130 1 18-19 2 20-29 3 30-39 4 40-49 5 50-59 6 60-69 7 70+ Sysmiss Weight in kilos Weight in kilos Weight in kilos Weight in kilos Weight in kilos Respondent’s Socio Demographic Characteristics I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes. What is your weight in Kilos? 2939 245 4 180 64.042 11.922 Weight in pounds Weight in pounds Weight in pounds Weight in pounds Weight in pounds Respondent’s Socio Demographic Characteristics I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes. What is your weight in Pounds? 14 3170 168 100.286 67.434 height in cms height in cms height in cms height in cms height in cms Respondent’s Socio Demographic Characteristics I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes. What is your height in Centimeters? 2989 195 50 195 165.762 11.618 Height in (feet) Height in (feet) Height in (feet) Height in (feet) Height in (feet) Respondent’s Socio Demographic Characteristics I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes. What is your height in Feet/Inches? 9 3175 1 6 2.556 2.007 Height in (inches) Height in (inches) Height in (inches) Height in (inches) Height in (inches) Respondent’s Socio Demographic Characteristics I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes. What is your height in Feet/Inches? 5 3179 3 2 1.225 Marital Status Marital Status Marital Status Marital Status Marital Status Respondent’s Socio Demographic Characteristics I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes. What is your current marital status? 3173 11 1 never married 2 currently married 3 separated 4 divorced 5 widowed 6 cohabiting Sysmiss education education education education education Respondent’s Socio Demographic Characteristics I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes. What is the highest level of education that you have completed? 3169 15 1 No formal schoolong 2 less than primary school 3 primary school completed 4 secondary school completed 5 high school completed 6 college completed 7 post graduate degree completed Sysmiss Years of formal education completed Years of formal education completed Years of formal education completed Years of formal education completed Years of formal education completed Respondent’s Socio Demographic Characteristics I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes. How many years of school, including higher education, have you completed? 1976 1208 26 5.609 6.01 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Sysmiss Background Background Background Background Background Respondent’s Socio Demographic Characteristics I would like to start by asking you some background questions before asking you questions on your health. This information is confidential and will only be used for research purposes. What is your [ethnic group/ racial group/ cultural subgroup/ others] background? 3095 01 02 03 04 05 06 07 08 09 1 10 11 12 13 14 15 16 18 2 3 4 5 6 7 8 9 ABBEY ADJOUKRO AKAN Akan BETE BURKINAB CHRETIEN Chrétien Dioula ( EBRIE EBRIE AK KOULANGO KROU M'batto MALINKE MANDE DU MANDE NO MANDE SU MINAN MORE MUSULMAN Mahou (T Mandé Su Mandé du PAIEN SENEGALA SENOUFO VOLTAIQU VOLTAÏQU VoltaÏqu akan barbo burkinab guinéen krou mande du mandé du nounouma peul senoufo voltaiqu current job current job current job current job current job Respondent’s Socio Demographic Characteristics Now, I would like to ask you a few questions about your work status. What is your current job? 3036 148 1 Government employee 2 Non-government employee 3 Self-employed 4 Employer 5 Not working for pay Sysmiss main occupation main occupation main occupation main occupation main occupation Respondent’s Socio Demographic Characteristics Now, I would like to ask you a few questions about your work status. During the last 12 months, what has been your main occupation? 1868 1316 1 Legislator, Senior Official, or Manager 2 Professional 3 Technician or Associate Professional 4 Clerk 5 Service or sales worker 6 Agricultural or fishery worker 7 Craft or trades worker 8 Plant/machine operator or assembler 9 Elementary worker 10 Armed forces Sysmiss reason not working reason not working reason not working reason not working reason not working Respondent’s Socio Demographic Characteristics Now, I would like to ask you a few questions about your work status. What is the main reason why you are not working for pay? 1087 2097 1 Homemaker / caring for family 2 Looked but cant find a job 3 Doing unpaid work / voluntary activities 4 Studies / training 5 Retired / too old to work 6 Ill health 7 Other Sysmiss Time end section 1000 Time end section 1000 Time end section 1000 Time end section 1000 Time end section 1000 3128 01:03 06:13 06:15 06:20 06:21 06:30 06:35 06:36 06:37 06:39 06:40 06:43 06:47 06:48 06:49 06:50 06:54 06:55 06:56 06:57 06:59 07:00 07:01 07:02 07:03 07:04 07:05 07:06 07:07 07:08 07:10 07:11 07:12 07:13 07:14 07:15 07:16 07:17 07:18 07:19 07:20 07:21 07:22 07:23 07:24 07:25 07:26 07:27 07:28 07:29 07:30 07:31 07:32 07:33 07:34 07:35 07:36 07:37 07:38 07:39 07:40 07:41 07:42 07:43 07:44 07:45 07:46 07:47 07:48 07:49 07:50 07:51 07:52 07:53 07:54 07:55 07:57 07:58 07:59 08:00 08:01 08:02 08:03 08:04 08:06 08:07 08:08 08:09 08:10 08:12 08:13 08:14 08:15 08:16 08:17 08:18 08:19 08:20 08:21 08:22 08:23 08:24 08:25 08:26 08:27 08:28 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16:15 16:16 16:17 16:18 16:19 16:20 16:21 16:23 16:24 16:25 16:26 16:27 16:28 16:29 16:30 16:31 16:32 16:33 16:34 16:35 16:36 16:37 16:38 16:39 16:40 16:41 16:42 16:43 16:44 16:45 16:46 16:47 16:48 16:49 16:50 16:51 16:52 16:53 16:54 16:55 16:56 16:57 16:58 16:59 17:00 17:01 17:02 17:03 17:04 17:05 17:06 17:07 17:08 17:09 17:10 17:11 17:12 17:13 17:14 17:15 17:16 17:17 17:18 17:19 17:20 17:21 17:22 17:23 17:24 17:25 17:26 17:27 17:28 17:29 17:30 17:31 17:32 17:33 17:34 17:35 17:36 17:37 17:38 17:40 17:41 17:42 17:43 17:44 17:45 17:46 17:47 17:48 17:49 17:50 17:51 17:52 17:53 17:54 17:55 17:56 17:57 17:58 17:59 18:00 18:01 18:02 18:03 18:04 18:05 18:06 18:08 18:09 18:10 18:11 18:12 18:13 18:14 18:15 18:16 18:17 18:18 18:19 18:20 18:21 18:22 18:23 18:24 18:25 18:26 18:27 18:28 18:29 18:30 18:31 18:32 18:33 18:34 18:35 18:36 18:37 18:38 18:39 18:40 18:41 18:42 18:43 18:44 18:45 18:46 18:47 18:48 18:49 18:50 18:51 18:52 18:53 18:54 18:55 18:56 18:57 18:58 18:59 19:00 19:01 19:02 19:03 19:04 19:05 19:06 19:07 19:08 19:09 19:10 19:11 19:13 19:14 19:15 19:16 19:17 19:18 19:19 19:20 19:21 19:22 19:23 19:25 19:26 19:28 19:29 19:30 19:31 19:32 19:33 19:34 19:35 19:36 19:37 19:38 19:39 19:40 19:41 19:42 19:43 19:44 19:45 19:46 19:47 19:48 19:50 19:51 19:52 19:53 19:54 19:55 19:56 19:58 20:00 20:01 20:02 20:03 20:04 20:05 20:06 20:08 20:09 20:10 20:11 20:12 20:13 20:14 20:15 20:16 20:17 20:18 20:19 20:20 20:21 20:23 20:24 20:25 20:28 20:29 20:30 20:32 20:33 20:34 20:35 20:36 20:37 20:38 20:40 20:41 20:43 20:44 20:45 20:46 20:47 20:48 20:50 20:51 20:54 20:55 20:58 20:59 21:00 21:01 21:02 21:03 21:05 21:06 21:08 21:09 21:11 21:12 21:13 21:14 21:16 21:17 21:18 21:20 21:21 21:23 21:24 21:25 21:27 21:28 21:30 21:35 21:36 21:37 21:38 21:40 21:41 21:42 21:44 21:46 21:51 21:54 21:56 22:00 22:02 22:04 22:05 22:08 22:13 22:17 22:23 22:29 22:38 22:45 22:54 23:07 23:31 rate your health rate your health rate your health rate your health rate your health Health State Descriptions Time Begin Overall Health The first questions are about your overall health, including both your physical and your mental health. In general, how would you rate your health today? 3118 66 1 Very good 2 Good 3 Moderate 4 Bad 5 Very Bad Sysmiss work or household activities work or household activities work or household activities work or household activities work or household activities Health State Descriptions Time Begin Overall Health The first questions are about your overall health, including both your physical and your mental health. Overall in the last 30 days, how much difficulty did you have with work or household activities? 3061 123 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss difficulty in moving around difficulty in moving around difficulty in moving around difficulty in moving around difficulty in moving around Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Mobility Overall in the last 30 days how much difficulty did you have with moving around? 3135 49 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss vigorous activities vigorous activities vigorous activities vigorous activities vigorous activities Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Mobility In the last 30 days, how much difficulty did you have in vigorous activities, such as running 3km (or equivalent) or cycling? 3129 55 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss self-care, such as washing & dressing self-care, such as washing & dressing self-care, such as washing & dressing self-care, such as washing & dressing self-care, such as washing & dressing Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Self Care Overall in the last 30 days, how much difficulty did you have with self-care, such as washing or dressing yourself? 3133 51 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss maintaining general appearance maintaining general appearance maintaining general appearance maintaining general appearance maintaining general appearance Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Self Care In the last 30 days, how much difficulty did you have in taking care of and maintaining your general appearance (e.g. grooming, looking neat and tidy etc.) 3132 52 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss amount of pain/discomfort amount of pain/discomfort amount of pain/discomfort amount of pain/discomfort amount of pain/discomfort Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Pain and Discomfort Overall in the last 30 days, how much of bodily aches or pains did you have? 3140 44 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss Bodily discomfort Bodily discomfort Bodily discomfort Bodily discomfort Bodily discomfort Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Pain and Discomfort In the last 30 days, how much bodily discomfort did you have? 3126 58 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss concentrating / remembering things concentrating / remembering things concentrating / remembering things concentrating / remembering things concentrating / remembering things Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Cognition Overall in the last 30 days, how much difficulty did you have with concentrating or remembering things? 3108 76 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss learning a new task learning a new task learning a new task learning a new task learning a new task Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Cognition In the last 30 days, how much difficulty did you have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe etc.)? 3125 59 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss personal relationships / participation personal relationships / participation personal relationships / participation personal relationships / participation personal relationships / participation Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Interpersonal Activities Overall in the last 30 days, how much difficulty did you have with personal relationship or participation in the community? 3133 51 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss dealing with conflicts / tension with others dealing with conflicts / tension with others dealing with conflicts / tension with others dealing with conflicts / tension with others dealing with conflicts / tension with others Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Interpersonal Activities In the last 30 days, how much difficulty did you have in dealing with conflicts and tensions with others? 3108 76 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss wear glasses or contact lenses wear glasses or contact lenses wear glasses or contact lenses wear glasses or contact lenses wear glasses or contact lenses Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Vision Do you wear glasses or contact lenses? 3097 87 1 Yes 5 No Sysmiss seeing and recognizing person from across road seeing and recognizing person from across road seeing and recognizing person from across road seeing and recognizing person from across road seeing and recognizing person from across road Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Vision In the last 30 days, how much difficulty did you have in Seeing and recognizing a person you know across the road (i.e. from a distance of about 20 meters)? 3040 144 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss seeing and recognizing object at arms length seeing and recognizing object at arms length seeing and recognizing object at arms length seeing and recognizing object at arms length seeing and recognizing object at arms length Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Vision In the last 30 days, how much difficulty did you have in seeing and recognizing an object at arm’s length or in reading? 3028 156 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss falling asleep, waking up during night or early in the morning falling asleep, waking up during night or early in the morning falling asleep, waking up during night or early in the morning falling asleep, waking up during night or early in the morning falling asleep, waking up during night or early in the morning Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Sleep and Energy Overall in the last 30 days, how much of a problem did you have with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning? 3130 54 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss Problem with feeling rested Problem with feeling rested Problem with feeling rested Problem with feeling rested Problem with feeling rested Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Sleep and Energy In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day? 3127 57 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss feeling sad, low or depressed feeling sad, low or depressed feeling sad, low or depressed feeling sad, low or depressed feeling sad, low or depressed Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Affect Overall in the last 30 days, how much of a problem did you have with feeling sad, low or depressed? 3131 53 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss Worry or anxiety Worry or anxiety Worry or anxiety Worry or anxiety Worry or anxiety Health State Descriptions Time Begin Now I would like to review different functions of your body. When answering these questions, I would like you to think about the last 30 days, taking both good and bad days into account. When I ask about difficulty, I would like you to consider how much difficulty you have had, on an average, in the past 30 days, while doing the activity in the way that you usually do it. By difficulty I mean requiring increased effort, discomfort or pain, slowness or changes in the way you do the activity. Please answer this question taking into account any assistance you have available. Affect Overall in the last 30 days, how much of a problem did you have with worry or anxiety? 3123 61 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss Record Set Record Set Record Set Record Set Record Set 3139 A B C D H-Vignette - Set A Q-1 H-Vignette - Set A Q-1 H-Vignette - Set A Q-1 H-Vignette - Set A Q-1 H-Vignette - Set A Q-1 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Jan] feels nervous and anxious. He worries and thinks negatively about the future, but feels better in the company of people or when doing something that really interests him. When he is alone he tends to feel useless and empty. Overall in the last 30 days, how much of a problem did [name of person] have with feeling sad, low, or depressed? 783 2401 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-2 H-Vignette - Set A Q-2 H-Vignette - Set A Q-2 H-Vignette - Set A Q-2 H-Vignette - Set A Q-2 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Jan] feels nervous and anxious. He worries and thinks negatively about the future, but feels better in the company of people or when doing something that really interests him. When he is alone he tends to feel useless and empty. In the last 30 days, how much of a problem did [name of person] have with worry or anxiety? 781 2403 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-3 H-Vignette - Set A Q-3 H-Vignette - Set A Q-3 H-Vignette - Set A Q-3 H-Vignette - Set A Q-3 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Mary] has no problems with walking, running or using her hands, arms and legs. She jogs 4 kilometres twice a week. Overall in the last 30 days, how much of a problem did [name of person] have with moving around? 780 2404 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-4 H-Vignette - Set A Q-4 H-Vignette - Set A Q-4 H-Vignette - Set A Q-4 H-Vignette - Set A Q-4 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Mary] has no problems with walking, running or using her hands, arms and legs. She jogs 4 kilometres twice a week. In the last 30 days, how much difficulty did [name of person] have in vigorous activities, such as running 3 km (or equivalent) or cycling? 779 2405 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-5 H-Vignette - Set A Q-5 H-Vignette - Set A Q-5 H-Vignette - Set A Q-5 H-Vignette - Set A Q-5 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Anton] does not exercise. He cannot climb stairs or do other physical activities because he is obese. He is able to carry the groceries and do some light household work. Overall in the last 30 days, how much of a problem did [name of person] have with moving around? 777 2407 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-6 H-Vignette - Set A Q-6 H-Vignette - Set A Q-6 H-Vignette - Set A Q-6 H-Vignette - Set A Q-6 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Anton] does not exercise. He cannot climb stairs or do other physical activities because he is obese. He is able to carry the groceries and do some light household work. In the last 30 days, how much difficulty did [name of person] have in vigorous activities, such as running 3 km (or equivalent) or cycling? 775 2409 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-7 H-Vignette - Set A Q-7 H-Vignette - Set A Q-7 H-Vignette - Set A Q-7 H-Vignette - Set A Q-7 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [David] is paralyzed from the neck down. He is unable to move his arms and legs or to shift body position. He is confined to bed. Overall in the last 30 days, how much difficulty did [name of person] have with moving around? 776 2408 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-8 H-Vignette - Set A Q-8 H-Vignette - Set A Q-8 H-Vignette - Set A Q-8 H-Vignette - Set A Q-8 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [David] is paralyzed from the neck down. He is unable to move his arms and legs or to shift body position. He is confined to bed. In the last 30 days, how much difficulty did [name of person] have in vigorous activities, such as running 3 km (or equivalent) or cycling? 776 2408 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-9 H-Vignette - Set A Q-9 H-Vignette - Set A Q-9 H-Vignette - Set A Q-9 H-Vignette - Set A Q-9 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Ken] loves life and is happy all the time. He never worries or gets upset about anything and deals with things as they come. Overall in the last 30 days, how much of a problem did [name of person] have with feeling sad, low, or depressed? 774 2410 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-10 H-Vignette - Set A Q-10 H-Vignette - Set A Q-10 H-Vignette - Set A Q-10 H-Vignette - Set A Q-10 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Ken] loves life and is happy all the time. He never worries or gets upset about anything and deals with things as they come. In the last 30 days, how much of a problem did [name of person] have with worry or anxiety? 773 2411 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-11 H-Vignette - Set A Q-11 H-Vignette - Set A Q-11 H-Vignette - Set A Q-11 H-Vignette - Set A Q-11 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Rob] is able to walk distances of up to 200 metres without any problems but feels tired after walking one kilometre or climbing up more than one flight of stairs. He has no problems with day-to-day physical activities, such as carrying food from the market. Overall in the last 30 days, how much difficulty did [name of person] have with moving around? 771 2413 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-12 H-Vignette - Set A Q-12 H-Vignette - Set A Q-12 H-Vignette - Set A Q-12 H-Vignette - Set A Q-12 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Rob] is able to walk distances of up to 200 metres without any problems but feels tired after walking one kilometre or climbing up more than one flight of stairs. He has no problems with day-to-day physical activities, such as carrying food from the market. In the last 30 days, how much difficulty did [name of person] have in vigorous activities, such as running 3 km (or equivalent) or cycling? 775 2409 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-13 H-Vignette - Set A Q-13 H-Vignette - Set A Q-13 H-Vignette - Set A Q-13 H-Vignette - Set A Q-13 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Vincent] has a lot of swelling in his legs due to his health condition. He has to make an effort to walk around his home as his legs feel heavy. Overall in the last 30 days, how much of a problem did [name of person] have with moving around? 768 2416 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-14 H-Vignette - Set A Q-14 H-Vignette - Set A Q-14 H-Vignette - Set A Q-14 H-Vignette - Set A Q-14 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Vincent] has a lot of swelling in his legs due to his health condition. He has to make an effort to walk around his home as his legs feel heavy. In the last 30 days, how much difficulty did [name of person] have in vigorous activities, such as running 3 km (or equivalent) or cycling? 778 2406 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-15 H-Vignette - Set A Q-15 H-Vignette - Set A Q-15 H-Vignette - Set A Q-15 H-Vignette - Set A Q-15 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Vivian] has already had five admissions into the hospital because she has attempted suicide twice in the past year and has harmed herself on three other occasions. She is very distressed every day for the most part of the day, and sees no hope of things ever getting better. She is thinking of trying to end her life again. Overall in the last 30 days, how much of a problem did [name of person] have with feeling sad, low, or depressed? 779 2405 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-16 H-Vignette - Set A Q-16 H-Vignette - Set A Q-16 H-Vignette - Set A Q-16 H-Vignette - Set A Q-16 VIGNETTES FOR HEALTH STATE DESCRIPTIONS. I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Vivian] has already had five admissions into the hospital because she has attempted suicide twice in the past year and has harmed herself on three other occasions. She is very distressed every day for the most part of the day, and sees no hope of things ever getting better. She is thinking of trying to end her life again. In the last 30 days, how much of a problem did [name of person] have with worry or anxiety? 769 2415 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-17 H-Vignette - Set A Q-17 H-Vignette - Set A Q-17 H-Vignette - Set A Q-17 H-Vignette - Set A Q-17 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Roberta] feels depressed most of the time. She weeps frequently and feels hopeless about the future. She feels that she has become a burden on others and that she would be better dead. Overall in the last 30 days, how much of a problem did [name of person] have with feeling sad, low, or depressed? 774 2410 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-18 H-Vignette - Set A Q-18 H-Vignette - Set A Q-18 H-Vignette - Set A Q-18 H-Vignette - Set A Q-18 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Roberta] feels depressed most of the time. She weeps frequently and feels hopeless about the future. She feels that she has become a burden on others and that she would be better dead. In the last 30 days, how much of a problem did [name of person] have with worry or anxiety? 770 2414 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-19 H-Vignette - Set A Q-19 H-Vignette - Set A Q-19 H-Vignette - Set A Q-19 H-Vignette - Set A Q-19 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Henriette] enjoys her work and social activities and is generally satisfied with her life. She gets depressed every 3 weeks for a day or two and loses interest in what she usually enjoys but is able to carry on with her day to day activities. Overall in the last 30 days, how much of a problem did [name of person] have with feeling sad, low, or depressed? 781 2403 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set A Q-20 H-Vignette - Set A Q-20 H-Vignette - Set A Q-20 H-Vignette - Set A Q-20 H-Vignette - Set A Q-20 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Mobility and Affect [Henriette] enjoys her work and social activities and is generally satisfied with her life. She gets depressed every 3 weeks for a day or two and loses interest in what she usually enjoys but is able to carry on with her day to day activities. Overall in the last 30 days, how much of a problem did [name of person] have with distress, sadness or worry? 774 2410 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-1 H-Vignette - Set B Q-1 H-Vignette - Set B Q-1 H-Vignette - Set B Q-1 H-Vignette - Set B Q-1 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Mark] has pain in his knees, elbows, wrists and fingers, and the pain is present almost all the time. It gets worse during the first half of the day. Although medication helps, he feels uncomfortable when moving around, holding and lifting things. Overall in the last 30 days, how much of bodily aches or pains did [name of person] have? 767 2417 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-2 H-Vignette - Set B Q-2 H-Vignette - Set B Q-2 H-Vignette - Set B Q-2 H-Vignette - Set B Q-2 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Mark] has pain in his knees, elbows, wrists and fingers, and the pain is present almost all the time. It gets worse during the first half of the day. Although medication helps, he feels uncomfortable when moving around, holding and lifting things. In the last 30 days, how much bodily discomfort did [name of person] have? 766 2418 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-3 H-Vignette - Set B Q-3 H-Vignette - Set B Q-3 H-Vignette - Set B Q-3 H-Vignette - Set B Q-3 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Elizabeth] has difficulty climbing up and down the stairs and walking. She is not able to go out as much as she would like to but has many friends who come and visit her at home. Her friends find her a source of great comfort. Overall in the last 30 days, how much difficulty did [name of person] have with personal relationships or participation in the community? 761 2423 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-4 H-Vignette - Set B Q-4 H-Vignette - Set B Q-4 H-Vignette - Set B Q-4 H-Vignette - Set B Q-4 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Elizabeth] has difficulty climbing up and down the stairs and walking. She is not able to go out as much as she would like to but has many friends who come and visit her at home. Her friends find her a source of great comfort. In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others? 761 2423 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-5 H-Vignette - Set B Q-5 H-Vignette - Set B Q-5 H-Vignette - Set B Q-5 H-Vignette - Set B Q-5 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Amala] suffered a stroke three months ago. Her friends do not come and visit anymore as Amala cannot communicate with them. She is constantly upset and shouts at her family members which causes them to avoid her. Overall in the last 30 days, how much difficulty did [name of person] have with personal relationship or participation in the community? 762 2422 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-6 H-Vignette - Set B Q-6 H-Vignette - Set B Q-6 H-Vignette - Set B Q-6 H-Vignette - Set B Q-6 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Amala] suffered a stroke three months ago. Her friends do not come and visit anymore as Amala cannot communicate with them. She is constantly upset and shouts at her family members which causes them to avoid her. In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others? 762 2422 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-7 H-Vignette - Set B Q-7 H-Vignette - Set B Q-7 H-Vignette - Set B Q-7 H-Vignette - Set B Q-7 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Katie] cannot remember when she last felt pain as this has not happened for the last several years now. She does not experience any pain even after hard physical labor or exercise. Overall in the last 30 days, how much of bodily aches or pains did [name of person] have? 762 2422 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-8 H-Vignette - Set B Q-8 H-Vignette - Set B Q-8 H-Vignette - Set B Q-8 H-Vignette - Set B Q-8 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Katie] cannot remember when she last felt pain as this has not happened for the last several years now. She does not experience any pain even after hard physical labor or exercise. In the last 30 days, how much bodily discomfort did [name of person] have? 759 2425 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-9 H-Vignette - Set B Q-9 H-Vignette - Set B Q-9 H-Vignette - Set B Q-9 H-Vignette - Set B Q-9 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Charlie] can join in any community activities that interest him, whenever he wants to, without any restrictions. He gets on well with everybody and enjoys meeting new people. Overall in the last 30 days, how much difficulty did [name of person] have with personal relationship or participation in the community? 759 2425 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-10 H-Vignette - Set B Q-10 H-Vignette - Set B Q-10 H-Vignette - Set B Q-10 H-Vignette - Set B Q-10 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Charlie] can join in any community activities that interest him, whenever he wants to, without any restrictions. He gets on well with everybody and enjoys meeting new people. In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others? 761 2423 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-11 H-Vignette - Set B Q-11 H-Vignette - Set B Q-11 H-Vignette - Set B Q-11 H-Vignette - Set B Q-11 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Steve] has pain in the neck radiating to the arms that is not relieved by any medicines or other treatment. The pain is sharp at all times and keeps him awake most of the night. During the day the pain has made him completely incapacitated. It has necessitated complete confinement to the bed and often makes him think of ending his life. Overall in the last 30 days, how much of bodily aches or pains did [name of person] have? 760 2424 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-12 H-Vignette - Set B Q-12 H-Vignette - Set B Q-12 H-Vignette - Set B Q-12 H-Vignette - Set B Q-12 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Steve] has pain in the neck radiating to the arms that is not relieved by any medicines or other treatment. The pain is sharp at all times and keeps him awake most of the night. During the day the pain has made him completely incapacitated. It has necessitated complete confinement to the bed and often makes him think of ending his life. In the last 30 days, how much bodily discomfort did [name of person] have? 760 2424 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-13 H-Vignette - Set B Q-13 H-Vignette - Set B Q-13 H-Vignette - Set B Q-13 H-Vignette - Set B Q-13 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Johanna] gets on well with the people she knows but has no close friends. She has not spoken to her mother in 5 years and does not want to see her. Because of this tension, her family usually excludes her from family gatherings. Overall in the last 30 days, how much difficulty did [name of person] have with personal relationship or participation in the community? 739 2445 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-14 H-Vignette - Set B Q-14 H-Vignette - Set B Q-14 H-Vignette - Set B Q-14 H-Vignette - Set B Q-14 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Johanna] gets on well with the people she knows but has no close friends. She has not spoken to her mother in 5 years and does not want to see her. Because of this tension, her family usually excludes her from family gatherings. In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others? 762 2422 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-15 H-Vignette - Set B Q-15 H-Vignette - Set B Q-15 H-Vignette - Set B Q-15 H-Vignette - Set B Q-15 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Laura] has a headache once a month that is relieved one hour after taking a pill. During the headache she can carry on with her day to day affairs. Overall in the last 30 days, how much of bodily aches or pains did [name of person] have? 763 2421 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-16 H-Vignette - Set B Q-16 H-Vignette - Set B Q-16 H-Vignette - Set B Q-16 H-Vignette - Set B Q-16 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Laura] has a headache once a month that is relieved one hour after taking a pill. During the headache she can carry on with her day to day affairs. In the last 30 days, how much bodily discomfort did [name of person]have? 753 2431 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-17 H-Vignette - Set B Q-17 H-Vignette - Set B Q-17 H-Vignette - Set B Q-17 H-Vignette - Set B Q-17 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Nobu] is blind and lives in a remote rural area. His family does not allow him to leave the house because they fear he will get hurt. His family tells him that he is a burden to them. Their criticism upsets him and he cries. Overall in the last 30 days, how much difficulty did [name of person] have with personal relationships or participation in the community? 760 2424 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-18 H-Vignette - Set B Q-18 H-Vignette - Set B Q-18 H-Vignette - Set B Q-18 H-Vignette - Set B Q-18 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Nobu] is blind and lives in a remote rural area. His family does not allow him to leave the house because they fear he will get hurt. His family tells him that he is a burden to them. Their criticism upsets him and he cries. In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others? 757 2427 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-19 H-Vignette - Set B Q-19 H-Vignette - Set B Q-19 H-Vignette - Set B Q-19 H-Vignette - Set B Q-19 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Isabelle] has pain that radiates down her right arm and wrist during her day at work. This is slightly relieved in the evenings when she is no longer working on her computer. Overall in the last 30 days, how much of bodily aches or pains did [name of person] have? 760 2424 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set B Q-20 H-Vignette - Set B Q-20 H-Vignette - Set B Q-20 H-Vignette - Set B Q-20 H-Vignette - Set B Q-20 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Pain and Personal Relationships [Isabelle] has pain that radiates down her right arm and wrist during her day at work. This is slightly relieved in the evenings when she is no longer working on her computer. In the last 30 days, how much bodily discomfort did [name of person]have? 752 2432 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-1 H-Vignette - Set C Q-1 H-Vignette - Set C Q-1 H-Vignette - Set C Q-1 H-Vignette - Set C Q-1 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Jennifer] only reads if the text is in very large print, such as 10 lines per page. Otherwise she does not read anything. Even when people are close to her, she sees them blurred. In the last 30 days, how much difficulty did you think [name of person]have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)? 758 2426 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-2 H-Vignette - Set C Q-2 H-Vignette - Set C Q-2 H-Vignette - Set C Q-2 H-Vignette - Set C Q-2 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Jennifer] only reads if the text is in very large print, such as 10 lines per page. Otherwise she does not read anything. Even when people are close to her, she sees them blurred. In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading? 757 2427 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-3 H-Vignette - Set C Q-3 H-Vignette - Set C Q-3 H-Vignette - Set C Q-3 H-Vignette - Set C Q-3 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Paolo] has no trouble falling asleep at night and does not wake up during the night, but every morning he finds it difficult to wake up. He uses an alarm clock but falls back asleep after the alarm goes off. He is late to work on four out of five days and feels tired in the mornings. In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning? 754 2430 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-4 H-Vignette - Set C Q-4 H-Vignette - Set C Q-4 H-Vignette - Set C Q-4 H-Vignette - Set C Q-4 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Paolo] has no trouble falling asleep at night and does not wake up during the night, but every morning he finds it difficult to wake up. He uses an alarm clock but falls back asleep after the alarm goes off. He is late to work on four out of five days and feels tired in the mornings. In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)? 752 2432 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-5 H-Vignette - Set C Q-5 H-Vignette - Set C Q-5 H-Vignette - Set C Q-5 H-Vignette - Set C Q-5 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Hector] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize familiar people’s faces all the time and picks out most details in pictures from across 20 metres. In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e. from a distance of about 20 meters)? 749 2435 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-6 H-Vignette - Set C Q-6 H-Vignette - Set C Q-6 H-Vignette - Set C Q-6 H-Vignette - Set C Q-6 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Hector] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize familiar people’s faces all the time and picks out most details in pictures from across 20 metres. In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm's length or in reading? 749 2435 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-7 H-Vignette - Set C Q-7 H-Vignette - Set C Q-7 H-Vignette - Set C Q-7 H-Vignette - Set C Q-7 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Damien] wakes up almost once every hour during the night. When she wakes up in the night, it takes around 15 minutes for her to go back to sleep. In the morning she does not feel well-rested and feels slow and tired all day. In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning? 756 2428 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-8 H-Vignette - Set C Q-8 H-Vignette - Set C Q-8 H-Vignette - Set C Q-8 H-Vignette - Set C Q-8 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Damien] wakes up almost once every hour during the night. When she wakes up in the night, it takes around 15 minutes for her to go back to sleep. In the morning she does not feel well-rested and feels slow and tired all day. In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)? 754 2430 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-9 H-Vignette - Set C Q-9 H-Vignette - Set C Q-9 H-Vignette - Set C Q-9 H-Vignette - Set C Q-9 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Daniel] takes about two hours every night to fall asleep. He wakes up once or twice a night feeling panicked and takes more than one hour to fall asleep again. Three to four nights a week he wakes up in the middle of the night and cannot go back to sleep for the rest of the night. He is fatigued all day, every day and misses work several times a week. He cannot take part in sports or social activities. In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning? 750 2434 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-10 H-Vignette - Set C Q-10 H-Vignette - Set C Q-10 H-Vignette - Set C Q-10 H-Vignette - Set C Q-10 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Daniel] takes about two hours every night to fall asleep. He wakes up once or twice a night feeling panicked and takes more than one hour to fall asleep again. Three to four nights a week he wakes up in the middle of the night and cannot go back to sleep for the rest of the night. He is fatigued all day, every day and misses work several times a week. He cannot take part in sports or social activities. In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)? 748 2436 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-11 H-Vignette - Set C Q-11 H-Vignette - Set C Q-11 H-Vignette - Set C Q-11 H-Vignette - Set C Q-11 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Norman] needs a magnifying glass to read small print and look at details on pictures. He also takes a while to recognize objects if they are too far from him. In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)? 745 2439 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-12 H-Vignette - Set C Q-12 H-Vignette - Set C Q-12 H-Vignette - Set C Q-12 H-Vignette - Set C Q-12 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Norman] needs a magnifying glass to read small print and look at details on pictures. He also takes a while to recognize objects if they are too far from him. In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading? 750 2434 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-13 H-Vignette - Set C Q-13 H-Vignette - Set C Q-13 H-Vignette - Set C Q-13 H-Vignette - Set C Q-13 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Antonio] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize shapes and colours from across 20 metres but misses out the fine details. In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)? 722 2462 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-14 H-Vignette - Set C Q-14 H-Vignette - Set C Q-14 H-Vignette - Set C Q-14 H-Vignette - Set C Q-14 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Antonio] can read words in newspaper articles (and can recognize faces on a postcard size photograph). He can recognize shapes and colours from across 20 metres but misses out the fine details. In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading? 749 2435 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-15 H-Vignette - Set C Q-15 H-Vignette - Set C Q-15 H-Vignette - Set C Q-15 H-Vignette - Set C Q-15 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Noemi] falls asleep easily at night, but two nights a week she wakes up in the middle of the night and cannot go back to sleep for the rest of the night. On these days she is exhausted at work and cannot concentrate on her job. In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning? 751 2433 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-16 H-Vignette - Set C Q-16 H-Vignette - Set C Q-16 H-Vignette - Set C Q-16 H-Vignette - Set C Q-16 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Noemi] falls asleep easily at night, but two nights a week she wakes up in the middle of the night and cannot go back to sleep for the rest of the night. On these days she is exhausted at work and cannot concentrate on her job. In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)? 748 2436 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-17 H-Vignette - Set C Q-17 H-Vignette - Set C Q-17 H-Vignette - Set C Q-17 H-Vignette - Set C Q-17 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Sebastian] cannot detect any movement close to the eyes or even the presence of a light. In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing a person she knows across the road ( i.e. from a distance of about 20 meters)? 750 2434 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-18 H-Vignette - Set C Q-18 H-Vignette - Set C Q-18 H-Vignette - Set C Q-18 H-Vignette - Set C Q-18 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Sebastian] cannot detect any movement close to the eyes or even the presence of a light. In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading? 748 2436 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-19 H-Vignette - Set C Q-19 H-Vignette - Set C Q-19 H-Vignette - Set C Q-19 H-Vignette - Set C Q-19 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Mark] falls asleep every night within five minutes of going to bed. He sleeps soundly during the whole night and wakes up in the morning feeling well-rested and feels full of energy all day. In the last 30 days, how much difficulty do you think [name of person] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning? 750 2434 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set C Q-20 H-Vignette - Set C Q-20 H-Vignette - Set C Q-20 H-Vignette - Set C Q-20 H-Vignette - Set C Q-20 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Vision, Sleep and Energy [Mark] falls asleep every night within five minutes of going to bed. He sleeps soundly during the whole night and wakes up in the morning feeling well-rested and feels full of energy all day. In the last 30 days, how much of a problem did you have due to not feeling rested and refreshed during the day (e.g. feeling tired, not having energy)? 744 2440 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-1 H-Vignette - Set D Q-1 H-Vignette - Set D Q-1 H-Vignette - Set D Q-1 H-Vignette - Set D Q-1 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Helena] pays a lot of attention to the way she looks. She requires no assistance with cleanliness, dressing and eating. Overall in the last 30 days, how much difficulty did [name of person] have with self-care, such as washing or dressing himself/herself? 790 2394 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-2 H-Vignette - Set D Q-2 H-Vignette - Set D Q-2 H-Vignette - Set D Q-2 H-Vignette - Set D Q-2 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Helena] pays a lot of attention to the way she looks. She requires no assistance with cleanliness, dressing and eating. In the last 30 days, how much difficulty did [name of person] have in taking care of and maintaining his/her general appearance (e.g. grooming, looking neat and tidy etc.) 789 2395 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-3 H-Vignette - Set D Q-3 H-Vignette - Set D Q-3 H-Vignette - Set D Q-3 H-Vignette - Set D Q-3 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Sue] can find her way around the neighborhood and know where her own belongings are kept, but struggles to remember how to get to a place she has only visited once or twice. She is keen to learn new recipes but finds that she often makes mistakes and has to reread several times before she is able to do them properly. Overall in the last 30 days overall how much difficulty did [name of the person] have with concentrating or remembering things? 788 2396 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-4 H-Vignette - Set D Q-4 H-Vignette - Set D Q-4 H-Vignette - Set D Q-4 H-Vignette - Set D Q-4 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Sue] can find her way around the neighborhood and know where her own belongings are kept, but struggles to remember how to get to a place she has only visited once or twice. She is keen to learn new recipes but finds that she often makes mistakes and has to reread several times before she is able to do them properly. In the last 30 days, how much difficulty did [name of person] have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe etc.)? 787 2397 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-5 H-Vignette - Set D Q-5 H-Vignette - Set D Q-5 H-Vignette - Set D Q-5 H-Vignette - Set D Q-5 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Sue] is quadriplegic and must be washed, groomed, dressed and fed by somebody else. Overall in the last 30 days, how much difficulty did [name of person] have with self-care, such as washing or dressing himself/herself? 784 2400 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-6 H-Vignette - Set D Q-6 H-Vignette - Set D Q-6 H-Vignette - Set D Q-6 H-Vignette - Set D Q-6 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Sue] is quadriplegic and must be washed, groomed, dressed and fed by somebody else. In the last 30 days, how much difficulty did [name of person] have in taking care of and maintaining his/her general appearance(e.g. grooming, looking neat and tidy etc.) 780 2404 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-7 H-Vignette - Set D Q-7 H-Vignette - Set D Q-7 H-Vignette - Set D Q-7 H-Vignette - Set D Q-7 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Malcolm] can concentrate while watching TV, reading a magazine or playing a game of cards or chess. He can learn new variations in these games with small effort. Once a week he forgets where his keys or glasses are, but finds them within five minutes. Overall in the last 30 days overall how much difficulty did [name of the person] have with concentrating or remembering things? 782 2402 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-8 H-Vignette - Set D Q-8 H-Vignette - Set D Q-8 H-Vignette - Set D Q-8 H-Vignette - Set D Q-8 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Malcolm] can concentrate while watching TV, reading a magazine or playing a game of cards or chess. He can learn new variations in these games with small effort. Once a week he forgets where his keys or glasses are, but finds them within five minutes. In the last 30 days, how much difficulty did [name of person] have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe etc.)? 776 2408 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-9 H-Vignette - Set D Q-9 H-Vignette - Set D Q-9 H-Vignette - Set D Q-9 H-Vignette - Set D Q-9 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Rob] is very quick to learn new skills at his work. He can pay attention to the task at hand for long uninterrupted periods of time. He can remember names of people, addresses, phone numbers and such details that go back several years. Overall in the last 30 days overall how much difficulty did [name of the person] have with concentrating or remembering things? 786 2398 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-10 H-Vignette - Set D Q-10 H-Vignette - Set D Q-10 H-Vignette - Set D Q-10 H-Vignette - Set D Q-10 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Rob] is very quick to learn new skills at his work. He can pay attention to the task at hand for long uninterrupted periods of time. He can remember names of people, addresses, phone numbers and such details that go back several years. In the last 30 days, how much difficulty did [name of person] have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe etc.)? 782 2402 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-11 H-Vignette - Set D Q-11 H-Vignette - Set D Q-11 H-Vignette - Set D Q-11 H-Vignette - Set D Q-11 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Theo] cannot concentrate for more than 15 minutes and has difficulty paying attention to what is being said to him. Whenever he starts a task, he never manages to finish it and often forgets what he was doing. He is able to learn the names of people he meets but cannot be trusted to follow directions to a store by himself. Overall in the last 30 days overall how much difficulty did [name of the person] have with concentrating or remembering things? 780 2404 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-12 H-Vignette - Set D Q-12 H-Vignette - Set D Q-12 H-Vignette - Set D Q-12 H-Vignette - Set D Q-12 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Theo] cannot concentrate for more than 15 minutes and has difficulty paying attention to what is being said to him. Whenever he starts a task, he never manages to finish it and often forgets what he was doing. He is able to learn the names of people he meets but cannot be trusted to follow directions to a store by himself. In the last 30 days, how much difficulty did [name of person] have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe etc.)? 776 2408 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-13 H-Vignette - Set D Q-13 H-Vignette - Set D Q-13 H-Vignette - Set D Q-13 H-Vignette - Set D Q-13 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Anne] takes twice as long as others to put on and take off clothes, but needs no help with this. Although it requires an effort, she is able to bathe and groom herself, though less frequently than before. She does not require help with feeding. Overall in the last 30 days, how much difficulty did [name of person] have with self-care, such as washing or dressing himself/herself? 757 2427 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-14 H-Vignette - Set D Q-14 H-Vignette - Set D Q-14 H-Vignette - Set D Q-14 H-Vignette - Set D Q-14 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Anne] takes twice as long as others to put on and take off clothes, but needs no help with this. Although it requires an effort, she is able to bathe and groom herself, though less frequently than before. She does not require help with feeding. In the last 30 days, how much difficulty did [name of person] have in taking care of and maintaining his/her general appearance(e.g. grooming, looking neat and tidy etc.) 784 2400 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-15 H-Vignette - Set D Q-15 H-Vignette - Set D Q-15 H-Vignette - Set D Q-15 H-Vignette - Set D Q-15 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Peter] does not recognize even close relatives and gets lost when he leaves the house unaccompanied. Even when prompted, he shows no recollection of events or recognition of relatives. It is impossible for him to acquire any new knowledge as even simple instructions leave him confused. Overall in the last 30 days overall how much difficulty did [name of the person] have with concentrating or remembering things? 781 2403 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-16 H-Vignette - Set D Q-16 H-Vignette - Set D Q-16 H-Vignette - Set D Q-16 H-Vignette - Set D Q-16 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Peter] does not recognize even close relatives and gets lost when he leaves the house unaccompanied. Even when prompted, he shows no recollection of events or recognition of relatives. It is impossible for him to acquire any new knowledge as even simple instructions leave him confused. In the last 30 days, how much difficulty did [name of person] have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe etc.)? 777 2407 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-17 H-Vignette - Set D Q-17 H-Vignette - Set D Q-17 H-Vignette - Set D Q-17 H-Vignette - Set D Q-17 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Sandra] lives on her own and has no relatives or friends nearby. Because of her arthritis, she is house-bound. She often stays all day in the same clothes that she has slept in, as changing clothes is too painful. A neighbour helps her wash herself. Overall in the last 30 days, how much difficulty did [name of person] have with self-care, such as washing or dressing himself/herself? 782 2402 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-18 H-Vignette - Set D Q-18 H-Vignette - Set D Q-18 H-Vignette - Set D Q-18 H-Vignette - Set D Q-18 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Sandra] lives on her own and has no relatives or friends nearby. Because of her arthritis, she is house-bound. She often stays all day in the same clothes that she has slept in, as changing clothes is too painful. A neighbour helps her wash herself. In the last 30 days, how much difficulty did [name of person] have in taking care of and maintaining his/her general appearance (e.g. grooming, looking neat and tidy etc.) 780 2404 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-19 H-Vignette - Set D Q-19 H-Vignette - Set D Q-19 H-Vignette - Set D Q-19 H-Vignette - Set D Q-19 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Victor] requires no assistance with cleanliness, dressing and eating. He occasionally suffers from back pain and when this happens he needs help with bathing and dressing. He always keeps himself tidy. Overall in the last 30 days, how much difficulty did [name of person] have with self-care, such as washing or dressing himself/herself? 781 2403 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss H-Vignette - Set D Q-20 H-Vignette - Set D Q-20 H-Vignette - Set D Q-20 H-Vignette - Set D Q-20 H-Vignette - Set D Q-20 VIGNETTES FOR HEALTH STATE DESCRIPTIONS I will now read to you some descriptions of persons with varying levels of difficulties in different areas of health. I would like to know how you view each of these descriptions and rate how much of a problem or difficulty the person described has in that area of health in the same way that you described your health to me. While giving the rating, think of the person as someone who is of your age and background. Cognition and Self Care [Victor] requires no assistance with cleanliness, dressing and eating. He occasionally suffers from back pain and when this happens he needs help with bathing and dressing. He always keeps himself tidy. In the last 30 days, how much difficulty did [name of person] have in taking care of and maintaining his/her general appearance (e.g. grooming, looking neat and tidy etc.) 772 2412 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss Time end section 2000 Time end section 2000 Time end section 2000 Time end section 2000 Time end section 2000 3112 06:23 06:28 06:29 06:40 06:42 06:50 06:53 06:55 06:57 06:58 06:59 07:01 07:08 07:09 07:10 07:12 07:15 07:16 07:17 07:18 07:19 07:20 07:21 07:25 07:26 07:27 07:28 07:29 07:30 07:31 07:32 07:34 07:35 07:36 07:38 07:39 07:40 07:41 07:42 07:43 07:44 07:45 07:46 07:47 07:48 07:49 07:50 07:51 07:52 07:53 07:54 07:55 07:56 07:58 08:00 08:01 08:02 08:03 08:04 08:05 08:07 08:09 08:10 08:11 08:12 08:13 08:14 08:15 08:16 08:17 08:18 08:19 08:20 08:21 08:22 08:23 08:24 08:25 08:26 08:27 08:28 08:29 08:30 08:31 08:32 08:33 08:34 08:35 08:36 08:37 08:38 08:39 08:40 08:41 08:42 08:43 08:44 08:45 08:46 08:47 08:48 08:49 08:50 08:51 08:52 08:53 08:54 08:55 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17:38 17:39 17:40 17:41 17:42 17:43 17:44 17:45 17:46 17:47 17:48 17:49 17:50 17:52 17:53 17:54 17:55 17:56 17:57 17:58 17:59 18:00 18:01 18:02 18:03 18:04 18:05 18:06 18:07 18:08 18:09 18:10 18:11 18:12 18:13 18:14 18:15 18:16 18:17 18:18 18:20 18:21 18:22 18:24 18:25 18:26 18:27 18:28 18:29 18:30 18:31 18:32 18:33 18:34 18:35 18:36 18:37 18:38 18:40 18:41 18:42 18:43 18:44 18:45 18:46 18:47 18:48 18:49 18:50 18:51 18:52 18:53 18:54 18:55 18:56 18:57 18:58 18:59 19:00 19:01 19:02 19:03 19:04 19:05 19:06 19:07 19:08 19:09 19:10 19:12 19:13 19:14 19:15 19:16 19:17 19:19 19:20 19:21 19:22 19:24 19:25 19:27 19:28 19:29 19:30 19:31 19:32 19:33 19:35 19:37 19:40 19:41 19:42 19:43 19:44 19:45 19:46 19:47 19:48 19:49 19:50 19:53 19:54 19:55 19:56 19:57 19:59 20:00 20:01 20:02 20:03 20:05 20:06 20:07 20:08 20:10 20:11 20:12 20:14 20:15 20:16 20:20 20:21 20:24 20:25 20:27 20:29 20:30 20:33 20:34 20:35 20:36 20:37 20:39 20:41 20:45 20:46 20:47 20:48 20:50 20:51 20:52 20:57 20:59 21:00 21:01 21:02 21:03 21:04 21:05 21:06 21:10 21:11 21:14 21:15 21:16 21:17 21:18 21:19 21:20 21:21 21:22 21:23 21:24 21:25 21:26 21:28 21:30 21:31 21:35 21:38 21:39 21:40 21:42 21:45 21:46 21:47 21:48 21:50 21:51 21:52 21:54 21:57 21:58 22:00 22:03 22:07 22:08 22:10 22:11 22:15 22:16 22:18 22:20 22:24 22:30 22:35 22:42 22:54 23:00 23:09 23:14 23:43 HSV Set code HSV Set code HSV Set code HSV Set code HSV Set code 3137 A B HSV - Set A Q-1 HSV - Set A Q-1 HSV - Set A Q-1 HSV - Set A Q-1 HSV - Set A Q-1 Health State Valuations Descriptions The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available. Overall, how much difficulty would a person in this state have with selfcare, such as washing or dressing himself / herself? 1580 1604 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-2 HSV - Set A Q-2 HSV - Set A Q-2 HSV - Set A Q-2 HSV - Set A Q-2 Health State Valuations Descriptions The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available. Overall, how much difficulty would a person in this state have with moving around? 1575 1609 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-3 HSV - Set A Q-3 HSV - Set A Q-3 HSV - Set A Q-3 HSV - Set A Q-3 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available. Overall, how much of bodily aches and pains would a person in this state have? 1562 1622 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-4 HSV - Set A Q-4 HSV - Set A Q-4 HSV - Set A Q-4 HSV - Set A Q-4 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine what it would be like to live in the following health state: Alcohol dependence, marked by excessive drinking that cannot be controlled. Overall, how much difficulty would a person in this state have with selfcare, such as washing or dressing himself / herself? 1576 1608 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-5 HSV - Set A Q-5 HSV - Set A Q-5 HSV - Set A Q-5 HSV - Set A Q-5 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine what it would be like to live in the following health state: Alcohol dependence, marked by excessive drinking that cannot be controlled. Overall, how much difficulty would a person in this state have with concentrating or remembering things? 1572 1612 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-6 HSV - Set A Q-6 HSV - Set A Q-6 HSV - Set A Q-6 HSV - Set A Q-6 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine what it would be like to live in the following health state: Alcohol dependence, marked by excessive drinking that cannot be controlled. Overall, how much of a problem would a person in this state have with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning? 1576 1608 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-7 HSV - Set A Q-7 HSV - Set A Q-7 HSV - Set A Q-7 HSV - Set A Q-7 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Please try to imagine what it would be like to live in the following health state: having limited long-distance vision - able to read and recognize objects at arm’s length but not to distinguish faces across a room (i.e., at distance of 5 meters); no glasses available. How much difficulty would a person in this state have with vigorous activities, such as running 3 km (or equivalent) or cycling? 1536 1648 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-8 HSV - Set A Q-8 HSV - Set A Q-8 HSV - Set A Q-8 HSV - Set A Q-8 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Please try to imagine what it would be like to live in the following health state: having limited long-distance vision - able to read and recognize objects at arm’s length but not to distinguish faces across a room (i.e., at distance of 5 meters); no glasses available. Overall, how much difficulty would a person in this state have with personal relationships or participation in the community? 1576 1608 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-9 HSV - Set A Q-9 HSV - Set A Q-9 HSV - Set A Q-9 HSV - Set A Q-9 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Please try to imagine what it would be like to live in the following health state: having limited long-distance vision - able to read and recognize objects at arm’s length but not to distinguish faces across a room (i.e., at distance of 5 meters); no glasses available. How much difficulty would a person in this state have with seeing and recognizing a person he or she knows across the road (i.e. from a distance of about 20 meters)? 1568 1616 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-10 HSV - Set A Q-10 HSV - Set A Q-10 HSV - Set A Q-10 HSV - Set A Q-10 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine what it would be like to live in the following health state: Chronic lower back pain, with stiffness in the morning, problems sitting or bending and to a lesser degree walking; difficulties in all physical activities. Overall, how much difficulty would a person in this state have with selfcare, such as washing or dressing himself / herself? 1575 1609 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-11 HSV - Set A Q-11 HSV - Set A Q-11 HSV - Set A Q-11 HSV - Set A Q-11 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine what it would be like to live in the following health state: Chronic lower back pain, with stiffness in the morning, problems sitting or bending and to a lesser degree walking; difficulties in all physical activities. Overall, how much of bodily aches and pains would a person in this state have? 1569 1615 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-12 HSV - Set A Q-12 HSV - Set A Q-12 HSV - Set A Q-12 HSV - Set A Q-12 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine what it would be like to live in the following health state: Chronic lower back pain, with stiffness in the morning, problems sitting or bending and to a lesser degree walking; difficulties in all physical activities. Overall how much difficulty would a person in this state have with moving around? 1568 1616 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-13 HSV - Set A Q-13 HSV - Set A Q-13 HSV - Set A Q-13 HSV - Set A Q-13 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: total blindness in both eyes, acquired as an adult. Overall, how much difficulty would a person in this state have with feeling sad, low or depressed? 1574 1610 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-14 HSV - Set A Q-14 HSV - Set A Q-14 HSV - Set A Q-14 HSV - Set A Q-14 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: total blindness in both eyes, acquired as an adult. Overall, how much difficulty would a person in this state have with moving around? 1572 1612 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-15 HSV - Set A Q-15 HSV - Set A Q-15 HSV - Set A Q-15 HSV - Set A Q-15 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: total blindness in both eyes, acquired as an adult. Overall, how much difficulty would a person in this state have with personal relationships or participation in the community? 1576 1608 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set A Q-16 HSV - Set A Q-16 HSV - Set A Q-16 HSV - Set A Q-16 HSV - Set A Q-16 Health State Valuations Ordinal Ranking Exercise: Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life. I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst. (READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.) Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health. Rank 1 (BEST) 1560 ALC AMP BAK BLI VIS HSV - Set A Q-17 HSV - Set A Q-17 HSV - Set A Q-17 HSV - Set A Q-17 HSV - Set A Q-17 Health State Valuations Ordinal Ranking Exercise: Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life. I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst. (READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.) Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health. Rank 2 1561 ALC AMP BAK BLI VIS HSV - Set A Q-18 HSV - Set A Q-18 HSV - Set A Q-18 HSV - Set A Q-18 HSV - Set A Q-18 Health State Valuations Ordinal Ranking Exercise: Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life. I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst. (READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.) Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health. Rank 3 1559 ALC AMP BAK BLI VIS HSV - Set A Q-19 HSV - Set A Q-19 HSV - Set A Q-19 HSV - Set A Q-19 HSV - Set A Q-19 Health State Valuations Ordinal Ranking Exercise: Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life. I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst. (READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.) Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health. Rank 4 1557 ALC AMP BAK BLI VIS HSV - Set A Q-20 HSV - Set A Q-20 HSV - Set A Q-20 HSV - Set A Q-20 HSV - Set A Q-20 Health State Valuations Ordinal Ranking Exercise: Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life. I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst. (READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.) Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health. Rank 5 (WORST) 1551 ALC AMP BAK BLI VIS HSV - Set B Q-1 HSV - Set B Q-1 HSV - Set B Q-1 HSV - Set B Q-1 HSV - Set B Q-1 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available. Overall, how much difficulty would a person in this state have with selfcare, such as washing or dressing yourself? 1536 1648 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-2 HSV - Set B Q-2 HSV - Set B Q-2 HSV - Set B Q-2 HSV - Set B Q-2 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available. Overall, how much difficulty would a person in this state have with moving around? 1534 1650 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-3 HSV - Set B Q-3 HSV - Set B Q-3 HSV - Set B Q-3 HSV - Set B Q-3 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Please try to imagine what it would be like to live in the following health state: Below the knee amputation in one leg, with no prosthesis but with basic crutches available. Overall how much of bodily aches and pains would a person in this state have? 1508 1676 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-4 HSV - Set B Q-4 HSV - Set B Q-4 HSV - Set B Q-4 HSV - Set B Q-4 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: insomnia: difficulty falling asleep, waking up earlier than wanted and frequently during the night. Overall, how much difficulty would a person in this state have with concentrating or remembering things? 1534 1650 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-5 HSV - Set B Q-5 HSV - Set B Q-5 HSV - Set B Q-5 HSV - Set B Q-5 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: insomnia: difficulty falling asleep, waking up earlier than wanted and frequently during the night. Overall, how much of a problem would a person in this state have due to not feeling rested and refreshed during the day? 1533 1651 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-6 HSV - Set B Q-6 HSV - Set B Q-6 HSV - Set B Q-6 HSV - Set B Q-6 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: insomnia: difficulty falling asleep, waking up earlier than wanted and frequently during the night. Overall how much difficulty would a person in this state have with feeling sad, low or depressed? 1528 1656 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-7 HSV - Set B Q-7 HSV - Set B Q-7 HSV - Set B Q-7 HSV - Set B Q-7 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: arthritis in both hands and wrists, causing major pain, stiffness, swelling and deformities. Overall, how much difficulty would a person in this state have with selfcare, such as washing or dressing himself/herself? 1520 1664 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-8 HSV - Set B Q-8 HSV - Set B Q-8 HSV - Set B Q-8 HSV - Set B Q-8 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: arthritis in both hands and wrists, causing major pain, stiffness, swelling and deformities. Overall how much of bodily aches and pains would a person in this state have? 1527 1657 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-9 HSV - Set B Q-9 HSV - Set B Q-9 HSV - Set B Q-9 HSV - Set B Q-9 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: arthritis in both hands and wrists, causing major pain, stiffness, swelling and deformities. Overall, how much of a problem would a person in this state have due to not feeling rested and refreshed during the day? 1522 1662 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-10 HSV - Set B Q-10 HSV - Set B Q-10 HSV - Set B Q-10 HSV - Set B Q-10 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: major depression, with profound sadness, loss of pleasure in activities, slowness and irritability, poor sleep and appetite and suicidal thoughts. Overall, how much difficulty would a person in this state have with personal relationships or participation in the community? 1529 1655 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-11 HSV - Set B Q-11 HSV - Set B Q-11 HSV - Set B Q-11 HSV - Set B Q-11 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: major depression, with profound sadness, loss of pleasure in activities, slowness and irritability, poor sleep and appetite and suicidal thoughts. Overall, how much difficulty would a person in this state have with concentrating or remembering things? 1522 1662 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-12 HSV - Set B Q-12 HSV - Set B Q-12 HSV - Set B Q-12 HSV - Set B Q-12 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: major depression, with profound sadness, loss of pleasure in activities, slowness and irritability, poor sleep and appetite and suicidal thoughts. Overall how much difficulty would a person in this state have with feeling sad, low or depressed? 1522 1662 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-13 HSV - Set B Q-13 HSV - Set B Q-13 HSV - Set B Q-13 HSV - Set B Q-13 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: quadriplegia, or paralysis from the neck down, unable to move arms or legs or use hands, but able to breathe independently; basic wheelchair available. Overall, how much difficulty would a person in this state have with personal relationships or participation in the community? 1525 1659 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-14 HSV - Set B Q-14 HSV - Set B Q-14 HSV - Set B Q-14 HSV - Set B Q-14 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: quadriplegia, or paralysis from the neck down, unable to move arms or legs or use hands, but able to breathe independently; basic wheelchair available. Overall, how much bodily discomfort would a person in this state have? 1527 1657 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-15 HSV - Set B Q-15 HSV - Set B Q-15 HSV - Set B Q-15 HSV - Set B Q-15 Health State Valuations Descriptions: The questions I am going to ask you now are about different states of health. I will present several different states, and I want you to try to imagine what it would be like to live in those states. If you look at these cards you will see that each card describes one health state. Let me begin by reading each card out loud (READ EACH CARD AND HAND IT TO RESPONDENT). Now, for each state, I am going to ask you to describe what you imagine that state would be like in terms of different aspects of health. Now please try to imagine the following health state: quadriplegia, or paralysis from the neck down, unable to move arms or legs or use hands, but able to breathe independently; basic wheelchair available. Overall how much difficulty would a person in this state have with feeling sad, low or depressed? 1526 1658 1 None 2 Mild 3 Moderate 4 Severe 5 Extreme Sysmiss HSV - Set B Q-16 HSV - Set B Q-16 HSV - Set B Q-16 HSV - Set B Q-16 HSV - Set B Q-16 Health State Valuations Ordinal Ranking Exercise: Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst. (READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.) Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health. Rank 1 (BEST) 1512 AMP ART DEP INS QUA HSV - Set B Q-17 HSV - Set B Q-17 HSV - Set B Q-17 HSV - Set B Q-17 HSV - Set B Q-17 Health State Valuations Ordinal Ranking Exercise: Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst. (READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.) Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health. Rank 2 1513 AMP ART DEP INS QUA HSV - Set B Q-18 HSV - Set B Q-18 HSV - Set B Q-18 HSV - Set B Q-18 HSV - Set B Q-18 Health State Valuations Ordinal Ranking Exercise: Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst. (READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.) Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health. Rank 3 1510 AMP ART DEP INS QUA HSV - Set B Q-19 HSV - Set B Q-19 HSV - Set B Q-19 HSV - Set B Q-19 HSV - Set B Q-19 Health State Valuations Ordinal Ranking Exercise: Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst. (READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.) Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health. Rank 4 1509 AMP ART DEP INS QUA HSV - Set B Q-20 HSV - Set B Q-20 HSV - Set B Q-20 HSV - Set B Q-20 HSV - Set B Q-20 Health State Valuations Ordinal Ranking Exercise: Now that you have described the states on these cards, what I would like you to do is to compare each card to the others and rank them according to how healthy you think somebody in each state would be overall, considering all of the different parts of health. For each state, please try to imagine what it would be like to live in that state for the rest of your life I will read through the cards again, and as I read them, please think carefully about which state you think is the best and which state you think is the worst. (READ EACH CARD TO RESPONDENT AND HAND HIM/HER THE CARD.) Now, of all of these states, please pick the one that you think would be the most healthy out of all of them. (LET RESPONDENT PICK). We will put this card at the top. And which state would you consider to be the least healthy? (LET RESPONDENT PICK). We will put this card at the bottom. Now, I would like for you to place the rest of the cards in order from the best to the worst health. Rank 5 (WORST) 1508 AMP ART DEP INS QUA Time end section 3000 Time end section 3000 Time end section 3000 Time end section 3000 Time end section 3000 3096 06:27 06:35 06:37 06:45 06:46 06:50 06:55 07:04 07:05 07:07 07:10 07:12 07:15 07:16 07:19 07:20 07:21 07:22 07:23 07:24 07:25 07:28 07:29 07:30 07:31 07:32 07:34 07:35 07:36 07:37 07:38 07:39 07:40 07:41 07:42 07:43 07:45 07:46 07:47 07:48 07:49 07:50 07:51 07:52 07:53 07:55 07:56 07:57 07:58 07:59 08:00 08:01 08:02 08:03 08:04 08:05 08:07 08:08 08:09 08:10 08:11 08:12 08:13 08:14 08:15 08:17 08:18 08:20 08:21 08:22 08:23 08:24 08:25 08:26 08:27 08:28 08:29 08:30 08:31 08:32 08:33 08:34 08:35 08:36 08:37 08:38 08:39 08:40 08:42 08:44 08:45 08:46 08:47 08:48 08:49 08:50 08:51 08:52 08:53 08:54 08:55 08:56 08:57 08:58 08:59 09:00 09:01 09:02 09:03 09:04 09:05 09:06 09:07 09:08 09:09 09:10 09:11 09:12 09:13 09:14 09:15 09:16 09:17 09:18 09:19 09:20 09:21 09:22 09:23 09:24 09:25 09:26 09:27 09:28 09:29 09:30 09:31 09:32 09:33 09:34 09:35 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12:00 12:01 12:02 12:03 12:04 12:05 12:06 12:07 12:08 12:09 12:10 12:11 12:12 12:13 12:14 12:15 12:16 12:17 12:18 12:19 12:20 12:21 12:22 12:23 12:24 12:25 12:26 12:27 12:28 12:29 12:30 12:31 12:32 12:33 12:34 12:35 12:36 12:37 12:38 12:39 12:40 12:41 12:42 12:43 12:44 12:45 12:46 12:47 12:48 12:49 12:50 12:51 12:52 12:53 12:54 12:55 12:56 12:57 12:58 12:59 13:00 13:01 13:02 13:03 13:05 13:06 13:07 13:08 13:09 13:10 13:11 13:12 13:13 13:14 13:15 13:16 13:17 13:18 13:19 13:20 13:21 13:22 13:26 13:27 13:29 13:30 13:31 13:32 13:33 13:34 13:35 13:36 13:37 13:38 13:39 13:40 13:42 13:43 13:44 13:45 13:46 13:47 13:48 13:49 13:50 13:51 13:52 13:53 13:54 13:55 13:56 13:57 13:58 13:59 14:00 14:01 14:02 14:03 14:04 14:05 14:06 14:07 14:08 14:10 14:11 14:12 14:13 14:14 14:15 14:16 14:18 14:19 14:20 14:21 14:23 14:24 14:25 14:26 14:27 14:28 14:29 14:30 14:31 14:32 14:33 14:34 14:35 14:36 14:37 14:38 14:39 14:40 14:41 14:42 14:43 14:44 14:45 14:46 14:47 14:48 14:49 14:50 14:51 14:52 14:53 14:54 14:55 14:56 14:57 14:58 14:59 15:00 15:01 15:02 15:03 15:04 15:05 15:06 15:07 15:08 15:09 15:10 15:11 15:12 15:13 15:15 15:16 15:17 15:18 15:19 15:20 15:21 15:22 15:23 15:25 15:26 15:27 15:28 15:29 15:30 15:31 15:32 15:33 15:34 15:35 15:36 15:37 15:38 15:39 15:40 15:41 15:42 15:43 15:44 15:45 15:46 15:47 15:48 15:49 15:50 15:51 15:52 15:53 15:54 15:55 15:56 15:57 15:58 15:59 16:00 16:01 16:02 16:03 16:05 16:06 16:07 16:08 16:09 16:10 16:11 16:12 16:13 16:14 16:15 16:16 16:17 16:18 16:19 16:20 16:21 16:22 16:23 16:24 16:25 16:26 16:27 16:28 16:29 16:30 16:31 16:32 16:33 16:34 16:35 16:36 16:37 16:38 16:40 16:41 16:42 16:43 16:44 16:45 16:46 16:47 16:48 16:49 16:50 16:51 16:52 16:54 16:55 16:56 16:57 16:58 16:59 17:00 17:01 17:02 17:04 17:05 17:06 17:08 17:09 17:10 17:11 17:12 17:13 17:14 17:15 17:16 17:18 17:19 17:20 17:21 17:22 17:24 17:25 17:26 17:27 17:28 17:29 17:30 17:31 17:32 17:33 17:34 17:35 17:36 17:37 17:38 17:39 17:40 17:41 17:42 17:43 17:44 17:45 17:46 17:47 17:48 17:49 17:50 17:51 17:52 17:53 17:54 17:55 17:57 17:58 17:59 18:00 18:01 18:02 18:03 18:04 18:05 18:06 18:07 18:08 18:10 18:11 18:12 18:13 18:14 18:15 18:16 18:17 18:18 18:19 18:20 18:21 18:22 18:24 18:25 18:26 18:27 18:28 18:30 18:31 18:32 18:33 18:34 18:35 18:36 18:37 18:38 18:39 18:40 18:41 18:42 18:43 18:44 18:45 18:46 18:47 18:48 18:49 18:50 18:51 18:52 18:53 18:54 18:55 18:56 18:57 18:58 18:59 19:00 19:01 19:02 19:03 19:04 19:05 19:06 19:07 19:08 19:09 19:10 19:11 19:12 19:14 19:15 19:16 19:17 19:18 19:19 19:20 19:21 19:22 19:24 19:25 19:26 19:27 19:28 19:29 19:30 19:31 19:32 19:33 19:34 19:35 19:36 19:37 19:38 19:40 19:41 19:42 19:43 19:45 19:46 19:47 19:48 19:49 19:50 19:52 19:53 19:55 19:56 19:57 19:58 19:59 20:00 20:01 20:03 20:05 20:07 20:08 20:09 20:10 20:12 20:13 20:14 20:15 20:16 20:17 20:18 20:19 20:20 20:21 20:22 20:23 20:24 20:25 20:26 20:27 20:30 20:31 20:32 20:34 20:35 20:37 20:38 20:40 20:41 20:42 20:43 20:45 20:47 20:48 20:50 20:51 20:55 20:56 20:57 20:59 21:00 21:01 21:05 21:08 21:10 21:11 21:12 21:13 21:14 21:15 21:16 21:18 21:19 21:20 21:21 21:25 21:27 21:28 21:29 21:30 21:31 21:33 21:35 21:38 21:39 21:40 21:41 21:42 21:43 21:44 21:45 21:46 21:47 21:50 21:51 21:52 21:55 21:56 21:57 22:00 22:01 22:02 22:03 22:07 22:10 22:11 22:16 22:17 22:18 22:19 22:20 22:25 22:30 22:33 22:35 22:41 22:42 23:02 23:09 23:10 23:14 23:18 24:00 Currently smoke Currently smoke Currently smoke Currently smoke Currently smoke Do you currently smoke any tobacco products such as cigarettes, cigars, or pipes? 3127 57 1 Daily 2 Yes, but not daily 5 No, not at all Sysmiss How many years How many years How many years How many years How many years For how many years are you been smoking daily? 231 2953 71 11.684 9.526 how many each day manufactured cigarettes how many each day manufactured cigarettes how many each day manufactured cigarettes how many each day manufactured cigarettes how many each day manufactured cigarettes On average, how many manufactured cigarettes do you smoke each day? 283 2901 60 6.177 6.234 Hand-rolled cigarette Hand-rolled cigarette Hand-rolled cigarette Hand-rolled cigarette Hand-rolled cigarette On average, how many hand-rolled cigarettes do you smoke each day? 123 3061 9 0.455 1.439 How many each day pipeful tobacco How many each day pipeful tobacco How many each day pipeful tobacco How many each day pipeful tobacco How many each day pipeful tobacco On average, how many pipefuls of tobacco do you smoke each day? 126 3058 5 0.159 0.72 other tobacco other tobacco other tobacco other tobacco other tobacco On average, how many other tobacco products do you smoke each day? (excluding manufactured cigarettes, hand-rolled cigarettes, pipefuls of tobacco) 126 3058 10 0.444 1.537 ever drink alcohol ever drink alcohol ever drink alcohol ever drink alcohol ever drink alcohol Have you ever consumed a drink that contains alcohol (such as beer, wine, etc.)? 3122 62 1 Yes 5 Never Sysmiss How many each day - Monday How many each day - Monday How many each day - Monday How many each day - Monday How many each day - Monday How many standard drinks of any alcoholic beverage did you have on Monday? 1002 2182 25 0.996 2.16 How many each day_Tuesday How many each day_Tuesday How many each day_Tuesday How many each day_Tuesday How many each day_Tuesday How many standard drinks of any alcoholic beverage did you have on Tuesday? 991 2193 25 0.876 2.112 How many each day_Wednesday How many each day_Wednesday How many each day_Wednesday How many each day_Wednesday How many each day_Wednesday How many standard drinks of any alcoholic beverage did you have on Wednesday? 993 2191 25 0.941 2.142 How many each day_Thursday How many each day_Thursday How many each day_Thursday How many each day_Thursday How many each day_Thursday How many standard drinks of any alcoholic beverage did you have on Thursday? 985 2199 25 0.896 2.159 How many each day_Friday How many each day_Friday How many each day_Friday How many each day_Friday How many each day_Friday How many standard drinks of any alcoholic beverage did you have on Friday? 995 2189 40 1.133 2.531 How many each day_Saturday How many each day_Saturday How many each day_Saturday How many each day_Saturday How many each day_Saturday How many standard drinks of any alcoholic beverage did you have on Saturday? 999 2185 25 1.578 2.852 How many each day_Sunday How many each day_Sunday How many each day_Sunday How many each day_Sunday How many each day_Sunday How many standard drinks of any alcoholic beverage did you have on Sunday? 983 2201 25 1.198 2.389 Number of servings of fruit per day Number of servings of fruit per day Number of servings of fruit per day Number of servings of fruit per day Number of servings of fruit per day Now I am going to ask you about the fruit and vegetables you usually eat. How many servings of fruit do you eat on a typical day? 2985 199 36 1.92 2.153 1 2 3 4 5 6 7 8 9 10 12 15 20 30 36 Sysmiss Number of servings of vegetables per day Number of servings of vegetables per day Number of servings of vegetables per day Number of servings of vegetables per day Number of servings of vegetables per day Now I am going to ask you about the fruit and vegetables you usually eat. How many servings of vegetables do you eat on a typical day? 2952 232 50 2.03 2.919 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 20 21 25 30 35 41 50 Sysmiss vigorous physical activities vigorous physical activities vigorous physical activities vigorous physical activities vigorous physical activities I am going to ask you about the time you spent being physically active in the last 7 days. Please answer each question even if you do not consider yourself to be an active person. Think about the activities you do at work, as part of your house and yard work, to get from place to place, and in your spare time for recreation, exercise or sport. Now, think about all the vigorous activities which take hard physical effort that you did in the last 7 days. Vigorous activities make you breathe much harder than normal and may include heavy lifting, digging, aerobics, or fast bicycling. Think about only those physical activities that you did for at least 10 minutes at a time. During the last 7 days, on how many days did you do vigorous physical activities? 2988 196 1 2 3 4 5 6 7 Sysmiss Vigorous PA hours Vigorous PA hours Vigorous PA hours Vigorous PA hours Vigorous PA hours How much time did you usually spend doing vigorous physical activities on one of those days? (in hours per day) 1262 1922 20 4.022 3.097 How much time in total vigorous physical activities (minutes) How much time in total vigorous physical activities (minutes) How much time in total vigorous physical activities (minutes) How much time in total vigorous physical activities (minutes) How much time in total vigorous physical activities (minutes) How much time did you usually spend doing vigorous physical activities on one of those days? (in minutes per day) 532 2652 59 17.421 17.228 How many days of moderate physical activities How many days of moderate physical activities How many days of moderate physical activities How many days of moderate physical activities How many days of moderate physical activities Now think about activities which take moderate physical effort that you did in the last 7 days. Moderate physical activities make you breathe somewhat harder than normal and may include carrying light loads, bicycling at a regular pace, or doubles tennis. Do not include walking. Again, think about only those physical activities that you did for at least 10 minutes at a time. During the last 7 days, on how many days did you do moderate physical activities? 2980 204 1 2 3 4 5 6 7 Sysmiss Moderate PA hours Moderate PA hours Moderate PA hours Moderate PA hours Moderate PA hours How much time did you usually spend doing moderate physical activities on one of those days? (hours per day) 1675 1509 20 3.801 3.38 How much time in total moderate physical activities (hours/minutes) How much time in total moderate physical activities (hours/minutes) How much time in total moderate physical activities (hours/minutes) How much time in total moderate physical activities (hours/minutes) How much time in total moderate physical activities (hours/minutes) How much time did you usually spend doing moderate physical activities on one of those days? (minutes per day) 791 2393 59 20.226 16.152 how many days did you walk how many days did you walk how many days did you walk how many days did you walk how many days did you walk Now think about the time you spent walking in the last 7 days. This includes at work and at home, walking to travel from place to place, and any other walking that you might do solely for recreation, sport, exercise, or leisure. During the last 7 days, on how many days did you walk for at least 10 minutes at a time? 3024 160 7 5.731 2.212 Walking - hours per day Walking - hours per day Walking - hours per day Walking - hours per day Walking - hours per day How much time did you usually spend walking on one of those days? (in hours per day) 2121 1063 20 4.069 4.476 Walking minutes per day Walking minutes per day Walking minutes per day Walking minutes per day Walking minutes per day How much time did you usually spend walking on one of those days? (in minutes per day) 1451 1733 59 22.892 14.654 What type of floor What type of floor What type of floor What type of floor What type of floor What type of floor does your dwelling / house have? 2952 232 1 Hard floor 2 Earth floor Sysmiss Type of wall Type of wall Type of wall Type of wall Type of wall What type of wall does your dwelling / house have? 2897 287 1 Cement, brick, stone or wood 2 Mud brick 3 Thatch and other 4 Plastic sheet 5 Metal sheet 6 Other Sysmiss main source of drinking water main source of drinking water main source of drinking water main source of drinking water main source of drinking water What is the main source of drinking water for members of this household? 3023 161 1 Piped water through house connection or yard 2 Public standpipe 3 Protected tube well or bore hole 4 Protected dug well or protected spring 5 Unprotected dug well or spring 6 Rainwater (into tank or cistern ) 7 Water taken directly from pond-water or stream 8 Tanker-truck, vendor Sysmiss How long does it take to get water and come back How long does it take to get water and come back How long does it take to get water and come back How long does it take to get water and come back How long does it take to get water and come back How long does it take to get there, get water and come back? 2059 1125 1 5 1 Less than 5 minutes 2 Between 5 to 30 minutes 3 Between 30 to 60 minutes 4 Between 60 to 90 minutes 5 More than 90 minutes 20 liter water available 20 liter water available 20 liter water available 20 liter water available 20 liter water available Are there at least 20 litres of water per person (about one bucket) available per day (for drinking, cooking, personal hygiene etc.) in the household? 2032 1152 1 Yes 5 No Sysmiss What type of toilet facilities What type of toilet facilities What type of toilet facilities What type of toilet facilities What type of toilet facilities What type of toilet facilities does your household use? 3093 91 1 Flush to piped sewage system 2 Flush to septic tank 3 Pour flush latrine 4 Covered dry latrine (with privacy) 5 Uncovered dry latrine (without privacy) 6 Bucket latrine (where fresh excreta are manually removed) 7 No facilities (open defecation) 8 Other Sysmiss How far is the facility from your dwellings How far is the facility from your dwellings How far is the facility from your dwellings How far is the facility from your dwellings How far is the facility from your dwellings How far is the facility from your dwelling/house? 2916 268 1 Within property / yard, used by single household 2 Within property / yard, used by multiple household 3 Outside property / yard, private 4 Outside property / yard, shared Sysmiss What type of fuel What type of fuel What type of fuel What type of fuel What type of fuel What type of fuel does your household mainly use for cooking? 3069 115 1 Gas 2 Electricity 3 Kerosene 4 Coal 5 Charcoal 6 Wood 7 Agriculture/crop 8 Animal dung 9 Shrubs/grass 10 Other Sysmiss Type of cooking stove Type of cooking stove Type of cooking stove Type of cooking stove Type of cooking stove What type of cooking stove is used in your house? 2252 932 1 Open fire or stove without chimney or hood 2 Open fire or stove with chimney or hood 3 Closed stove with chimney 4 Other Sysmiss Where cooking done Where cooking done Where cooking done Where cooking done Where cooking done Where is cooking usually done? 2102 1082 1 In a room used for living or sleeping 2 In a separate room used as kitchen 3 In a separate building used as kitchen 4 Outdoors Sysmiss Do you heat your house when cold Do you heat your house when cold Do you heat your house when cold Do you heat your house when cold Do you heat your house when cold Do you heat your house when it is cold? 3043 141 1 Yes 5 No Sysmiss What type of fuel for heating What type of fuel for heating What type of fuel for heating What type of fuel for heating What type of fuel for heating What type of fuel does your household mainly use for heating? 117 3067 1 Gas 2 Electricity 3 Kerosene 4 Coal 5 Charcoal 6 Wood 7 Agriculture/crop 8 Animal dung 9 Shrubs/grass 10 Other Sysmiss Type of heating stove Type of heating stove Type of heating stove Type of heating stove Type of heating stove What type of heating stove is used in your house? 77 3107 1 Open fire or stove without chimney or hood 2 Open fire or stove with chimney or hood 3 Closed stove with chimney 4 Other Sysmiss Time end section 4000 Time end section 4000 Time end section 4000 Time end section 4000 Time end section 4000 3079 05:56 06:31 06:40 06:47 06:49 06:50 06:53 06:59 07:00 07:10 07:12 07:16 07:18 07:20 07:21 07:22 07:24 07:25 07:26 07:27 07:28 07:29 07:30 07:32 07:33 07:35 07:36 07:37 07:38 07:39 07:40 07:41 07:42 07:44 07:45 07:47 07:48 07:49 07:50 07:51 07:52 07:53 07:54 07:55 07:56 07:57 07:58 08/25 08:00 08:01 08:02 08:03 08:04 08:05 08:06 08:07 08:08 08:09 08:10 08:11 08:12 08:13 08:14 08:15 08:16 08:17 08:18 08:19 08:20 08:21 08:22 08:23 08:24 08:25 08:26 08:27 08:28 08:29 08:30 08:32 08:33 08:34 08:35 08:36 08:37 08:38 08:39 08:40 08:41 08:42 08:43 08:45 08:46 08:47 08:49 08:50 08:52 08:53 08:54 08:55 08:56 08:57 08:58 08:59 09:00 09:02 09:03 09:04 09:05 09:06 09:07 09:08 09:09 09:10 09:11 09:12 09:13 09:14 09:15 09:16 09:17 09:18 09:19 09:20 09:21 09:22 09:23 09:24 09:25 09:26 09:27 09:28 09:29 09:30 09:31 09:32 09:33 09:34 09:35 09:36 09:37 09:38 09:39 09:40 09:41 09:42 09:43 09:44 09:45 09:46 09:47 09:48 09:49 09:50 09:51 09:52 09:53 09:54 09:55 09:56 09:57 09:58 09:59 10:00 10:01 10:02 10:03 10:04 10:05 10:06 10:07 10:08 10:09 10:10 10:11 10:12 10:13 10:14 10:15 10:16 10:17 10:18 10:19 10:20 10:21 10:22 10:23 10:24 10:25 10:26 10:27 10:28 10:29 10:30 10:31 10:32 10:33 10:34 10:35 10:36 10:37 10:38 10:39 10:40 10:41 10:42 10:43 10:44 10:45 10:46 10:47 10:48 10:49 10:50 10:51 10:52 10:53 10:54 10:55 10:56 10:57 10:58 10:59 11:00 11:01 11:02 11:03 11:05 11:07 11:08 11:09 11:10 11:11 11:12 11:13 11:14 11:15 11:16 11:17 11:18 11:19 11:20 11:21 11:22 11:23 11:24 11:25 11:26 11:27 11:28 11:29 11:30 11:31 11:32 11:33 11:34 11:35 11:36 11:37 11:38 11:39 11:40 11:41 11:42 11:43 11:44 11:45 11:46 11:47 11:48 11:49 11:50 11:51 11:52 11:53 11:55 11:56 11:57 11:58 11:59 12:00 12:01 12:02 12:03 12:04 12:05 12:06 12:07 12:08 12:09 12:10 12:12 12:13 12:14 12:15 12:17 12:18 12:20 12:21 12:22 12:23 12:24 12:25 12:26 12:27 12:28 12:29 12:30 12:31 12:32 12:33 12:34 12:35 12:36 12:37 12:38 12:39 12:40 12:41 12:42 12:43 12:44 12:45 12:46 12:47 12:48 12:49 12:50 12:51 12:52 12:53 12:54 12:55 12:56 12:57 12:58 12:59 13:00 13:01 13:02 13:03 13:04 13:05 13:06 13:07 13:08 13:09 13:10 13:11 13:12 13:13 13:14 13:15 13:16 13:17 13:18 13:20 13:21 13:22 13:23 13:24 13:25 13:26 13:27 13:28 13:29 13:30 13:31 13:32 13:33 13:34 13:35 13:36 13:37 13:38 13:40 13:42 13:43 13:45 13:46 13:47 13:48 13:49 13:50 13:51 13:52 13:53 13:55 13:56 13:57 13:58 13:59 14:00 14:01 14:03 14:04 14:05 14:06 14:07 14:08 14:09 14:10 14:11 14:12 14:13 14:14 14:15 14:16 14:17 14:18 14:19 14:20 14:21 14:22 14:23 14:24 14:25 14:26 14:27 14:28 14:30 14:31 14:32 14:33 14:34 14:35 14:36 14:37 14:38 14:39 14:40 14:41 14:42 14:43 14:45 14:46 14:47 14:48 14:49 14:50 14:51 14:52 14:53 14:54 14:55 14:56 14:57 14:58 14:59 15:00 15:01 15:02 15:03 15:04 15:05 15:06 15:07 15:08 15:09 15:10 15:11 15:12 15:13 15:14 15:15 15:16 15:17 15:18 15:20 15:21 15:22 15:23 15:24 15:25 15:26 15:27 15:28 15:29 15:30 15:32 15:33 15:34 15:35 15:36 15:37 15:38 15:39 15:40 15:41 15:42 15:43 15:44 15:45 15:46 15:47 15:48 15:50 15:51 15:52 15:53 15:54 15:55 15:56 15:57 15:58 15:59 16:00 16:01 16:02 16:03 16:04 16:05 16:06 16:07 16:08 16:09 16:10 16:11 16:12 16:13 16:14 16:15 16:16 16:17 16:18 16:19 16:20 16:21 16:22 16:24 16:25 16:26 16:27 16:28 16:29 16:30 16:31 16:32 16:33 16:34 16:35 16:36 16:37 16:38 16:39 16:40 16:41 16:42 16:44 16:45 16:46 16:47 16:48 16:49 16:50 16:51 16:52 16:53 16:54 16:55 16:56 16:57 16:58 16:59 17:00 17:02 17:03 17:04 17:05 17:06 17:07 17:08 17:09 17:10 17:11 17:12 17:13 17:14 17:15 17:16 17:17 17:18 17:20 17:21 17:22 17:23 17:24 17:25 17:26 17:27 17:28 17:29 17:30 17:31 17:32 17:33 17:34 17:35 17:36 17:37 17:38 17:39 17:40 17:41 17:42 17:43 17:44 17:45 17:46 17:47 17:48 17:49 17:50 17:51 17:52 17:53 17:54 17:55 17:56 17:57 17:58 17:59 18:00 18:01 18:02 18:03 18:04 18:05 18:06 18:07 18:08 18:09 18:10 18:11 18:12 18:14 18:15 18:17 18:18 18:19 18:20 18:21 18:22 18:23 18:24 18:25 18:26 18:27 18:29 18:30 18:31 18:32 18:33 18:34 18:35 18:36 18:37 18:38 18:39 18:40 18:41 18:42 18:43 18:44 18:45 18:46 18:47 18:48 18:49 18:50 18:51 18:52 18:53 18:54 18:55 18:56 18:57 18:58 18:59 19:00 19:01 19:02 19:03 19:04 19:05 19:07 19:08 19:09 19:10 19:11 19:12 19:13 19:14 19:15 19:16 19:17 19:18 19:19 19:20 19:21 19:22 19:23 19:24 19:25 19:26 19:27 19:28 19:29 19:30 19:31 19:33 19:34 19:35 19:36 19:37 19:38 19:39 19:40 19:42 19:43 19:45 19:46 19:47 19:48 19:50 19:52 19:53 19:55 19:56 19:57 19:58 19:59 20:00 20:02 20:03 20:05 20:06 20:07 20:08 20:10 20:11 20:12 20:14 20:15 20:16 20:17 20:18 20:19 20:20 20:21 20:22 20:23 20:24 20:25 20:26 20:27 20:28 20:29 20:30 20:31 20:32 20:33 20:34 20:35 20:38 20:39 20:40 20:42 20:44 20:45 20:47 20:48 20:49 20:50 20:51 20:55 20:56 20:57 20:58 20:59 21:00 21:01 21:02 21:03 21:05 21:07 21:10 21:14 21:15 21:16 21:17 21:18 21:19 21:20 21:23 21:25 21:27 21:30 21:32 21:33 21:34 21:35 21:36 21:37 21:39 21:40 21:41 21:43 21:44 21:45 21:47 21:48 21:50 21:52 21:53 21:57 21:59 22:00 22:01 22:03 22:05 22:07 22:08 22:09 22:11 22:13 22:14 22:15 22:20 22:22 22:23 22:24 22:25 22:27 22:32 22:37 22:38 22:40 22:44 22:47 23:13 23:14 23:20 23:23 24:10 Ever given birth Ever given birth Ever given birth Ever given birth Ever given birth Now I would like to aks you about all the births you have had during your life. Have you ever given birth? These questions are to be asked of all women respondents of reproductive (18-49) years age. 978 2206 1 Yes 5 No Sysmiss Household roster line number Household roster line number Household roster line number Household roster line number Household roster line number 2477 707 400 401 402 403 404 405 406 407 408 409 410 411 412 413 Sysmiss number of births to natural mother number of births to natural mother number of births to natural mother number of births to natural mother number of births to natural mother How many children did your mother give birth to, including you ? No. of births to natural mother: 2844 340 1 17 4.997 2.831 number of preceding births number of preceding births number of preceding births number of preceding births number of preceding births How many births did your mother have before you were born? No. of preceding births: 1962 1222 1 20 3.011 2.432 number of succeeding births number of succeeding births number of succeeding births number of succeeding births number of succeeding births How many births did your mother have after you were born? No. of succeeding births: 2211 973 1 20 3.253 2.256 Time begin section 6000 Time begin section 6000 Time begin section 6000 Time begin section 6000 Time begin section 6000 3060 00:05 06:03 06:14 06:34 06:43 06:48 06:53 06:55 06:59 07:00 07:14 07:15 07:20 07:22 07:25 07:26 07:27 07:28 07:29 07:30 07:31 07:33 07:34 07:36 07:37 07:38 07:39 07:40 07:41 07:42 07:45 07:47 07:48 07:49 07:51 07:53 07:54 07:55 07:57 07:58 08:00 08:01 08:02 08:03 08:04 08:05 08:06 08:07 08:09 08:10 08:11 08:12 08:13 08:15 08:16 08:17 08:18 08:19 08:20 08:21 08:23 08:24 08:25 08:26 08:27 08:28 08:29 08:30 08:31 08:32 08:33 08:34 08:35 08:36 08:37 08:38 08:39 08:40 08:41 08:42 08:43 08:44 08:45 08:46 08:48 08:49 08:50 08:51 08:52 08:53 08:54 08:55 08:56 08:57 08:58 08:59 09:00 09:01 09:02 09:03 09:04 09:05 09:06 09:07 09:08 09:09 09:10 09:11 09:12 09:13 09:14 09:15 09:16 09:17 09:18 09:19 09:20 09:21 09:22 09:23 09:24 09:25 09:26 09:27 09:28 09:29 09:30 09:31 09:32 09:33 09:34 09:35 09:36 09:37 09:38 09:39 09:40 09:41 09:42 09:43 09:44 09:45 09:46 09:47 09:48 09:49 09:50 09:51 09:52 09:53 09:54 09:55 09:56 09:57 09:58 10:00 10:01 10:02 10:03 10:04 10:05 10:06 10:07 10:08 10:09 10:10 10:11 10:12 10:13 10:14 10:15 10:16 10:17 10:18 10:19 10:20 10:21 10:22 10:23 10:24 10:25 10:26 10:27 10:28 10:30 10:31 10:32 10:33 10:34 10:35 10:36 10:37 10:38 10:39 10:40 10:41 10:42 10:43 10:44 10:45 10:46 10:47 10:48 10:49 10:50 10:51 10:52 10:53 10:54 10:55 10:56 10:57 10:58 10:59 11:00 11:02 11:03 11:04 11:05 11:06 11:07 11:08 11:09 11:10 11:11 11:12 11:13 11:14 11:15 11:16 11:17 11:18 11:19 11:20 11:21 11:22 11:23 11:24 11:25 11:26 11:27 11:28 11:29 11:30 11:31 11:32 11:33 11:34 11:35 11:36 11:37 11:38 11:39 11:40 11:41 11:42 11:43 11:44 11:45 11:46 11:47 11:48 11:50 11:51 11:52 11:53 11:54 11:55 11:56 11:57 11:58 11:59 12:00 12:01 12:02 12:03 12:04 12:05 12:06 12:07 12:08 12:09 12:10 12:11 12:12 12:13 12:14 12:15 12:16 12:17 12:18 12:19 12:20 12:21 12:22 12:23 12:24 12:25 12:26 12:27 12:28 12:29 12:30 12:31 12:32 12:33 12:34 12:35 12:36 12:37 12:38 12:39 12:40 12:41 12:42 12:43 12:44 12:45 12:46 12:47 12:48 12:49 12:50 12:51 12:52 12:53 12:54 12:55 12:56 12:57 12:58 12:59 13:00 13:01 13:03 13:04 13:05 13:06 13:07 13:08 13:09 13:10 13:11 13:12 13:13 13:14 13:15 13:16 13:17 13:18 13:19 13:20 13:21 13:22 13:23 13:24 13:25 13:27 13:28 13:30 13:31 13:32 13:33 13:35 13:36 13:37 13:39 13:40 13:41 13:42 13:43 13:44 13:45 13:46 13:47 13:48 13:49 13:50 13:53 13:54 13:55 13:56 13:57 13:58 13:59 14:00 14:01 14:02 14:03 14:04 14:05 14:06 14:07 14:08 14:09 14:10 14:11 14:12 14:13 14:14 14:15 14:16 14:17 14:18 14:19 14:20 14:21 14:23 14:24 14:25 14:26 14:27 14:28 14:29 14:30 14:31 14:32 14:34 14:35 14:36 14:37 14:38 14:39 14:40 14:41 14:42 14:43 14:44 14:46 14:47 14:48 14:49 14:50 14:51 14:52 14:53 14:54 14:55 14:56 14:57 14:58 14:59 15:00 15:01 15:03 15:04 15:05 15:06 15:07 15:08 15:09 15:10 15:11 15:12 15:13 15:14 15:15 15:16 15:17 15:18 15:19 15:20 15:22 15:23 15:24 15:25 15:26 15:27 15:28 15:29 15:30 15:31 15:32 15:33 15:35 15:36 15:37 15:38 15:39 15:40 15:42 15:43 15:44 15:45 15:46 15:47 15:48 15:49 15:50 15:51 15:52 15:53 15:54 15:55 15:56 15:57 15:58 15:59 16:00 16:01 16:02 16:04 16:05 16:06 16:07 16:08 16:09 16:10 16:11 16:12 16:13 16:14 16:15 16:16 16:17 16:18 16:19 16:20 16:21 16:22 16:23 16:24 16:25 16:26 16:27 16:28 16:29 16:30 16:31 16:32 16:33 16:35 16:36 16:37 16:39 16:40 16:41 16:42 16:43 16:44 16:45 16:46 16:47 16:48 16:49 16:50 16:51 16:52 16:53 16:54 16:55 16:56 16:57 16:58 16:59 17:00 17:01 17:03 17:04 17:05 17:06 17:07 17:08 17:09 17:10 17:11 17:12 17:13 17:14 17:15 17:16 17:17 17:18 17:19 17:20 17:21 17:22 17:23 17:24 17:25 17:26 17:27 17:28 17:30 17:31 17:33 17:34 17:35 17:36 17:37 17:38 17:40 17:41 17:42 17:43 17:44 17:45 17:46 17:47 17:48 17:49 17:50 17:51 17:52 17:53 17:54 17:55 17:56 17:57 17:59 18:00 18:01 18:02 18:03 18:04 18:05 18:06 18:07 18:08 18:09 18:10 18:11 18:12 18:13 18:14 18:15 18:16 18:17 18:18 18:19 18:20 18:21 18:22 18:23 18:25 18:26 18:27 18:28 18:29 18:30 18:31 18:32 18:33 18:34 18:35 18:36 18:37 18:38 18:39 18:40 18:41 18:42 18:43 18:44 18:45 18:46 18:47 18:48 18:49 18:50 18:51 18:52 18:53 18:54 18:55 18:56 18:57 18:58 18:59 19:00 19:01 19:02 19:03 19:04 19:05 19:06 19:07 19:08 19:09 19:10 19:11 19:12 19:13 19:14 19:15 19:16 19:17 19:18 19:19 19:20 19:21 19:22 19:23 19:24 19:25 19:26 19:27 19:28 19:29 19:30 19:31 19:32 19:33 19:34 19:35 19:36 19:37 19:38 19:39 19:40 19:41 19:42 19:43 19:44 19:45 19:46 19:47 19:48 19:49 19:50 19:51 19:52 19:53 19:54 19:55 19:56 19:57 19:58 20:00 20:01 20:03 20:04 20:05 20:06 20:07 20:08 20:09 20:10 20:11 20:12 20:13 20:14 20:15 20:16 20:17 20:18 20:19 20:20 20:22 20:23 20:24 20:25 20:26 20:27 20:28 20:30 20:31 20:32 20:33 20:34 20:35 20:36 20:37 20:40 20:41 20:42 20:44 20:45 20:46 20:47 20:48 20:49 20:50 20:51 20:52 20:54 20:55 20:56 20:58 20:59 21:00 21:03 21:04 21:05 21:06 21:10 21:11 21:12 21:13 21:16 21:17 21:18 21:19 21:20 21:25 21:26 21:28 21:29 21:30 21:32 21:33 21:34 21:36 21:38 21:39 21:40 21:41 21:42 21:43 21:44 21:45 21:47 21:49 21:50 21:51 21:52 21:53 21:55 21:59 22:00 22:03 22:05 22:06 22:10 22:11 22:13 22:14 22:15 22:16 22:17 22:18 22:19 22:20 22:25 22:28 22:29 22:30 22:33 22:34 22:35 22:39 22:44 22:46 22:49 22:53 22:54 22:57 23:02 23:03 23:10 23:24 23:26 23:30 23:46 24:15 Arthritis Arthritis Arthritis Arthritis Arthritis Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received. Have you ever been diagnosed with arthritis (a disease of the joints)? 3081 103 1 Yes 5 No 8 Do not know Sysmiss Arthritis treated Arthritis treated Arthritis treated Arthritis treated Arthritis treated Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received. Have you ever been treated for it (referring to the disease asked about question Q6001)? 2715 469 1 Yes 5 No 8 Do not know Sysmiss medication for arthritis medication for arthritis medication for arthritis medication for arthritis medication for arthritis Now I would like to read to you questions about some health problems or health care needs that you and the young children in this house may have experienced, and the treatment or medical care that you may have received. Have you been taking any medication or other treatment for it (referring to the disease asked about in question Q6001) during the last two weeks? 2704 480 1 Yes 5 No 8 Do not know Sysmiss pain, aching or stiffness pain, aching or stiffness pain, aching or stiffness pain, aching or stiffness pain, aching or stiffness During the last 12 months, have you experienced any of the following…. This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs. The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine). During the last 12 months, have you experienced pain, aching, stiffness or swelling in or around the joint, which were not related to an injury and lasted more than a month? 3095 89 1 Yes 5 No Sysmiss stiffness in joint in morning stiffness in joint in morning stiffness in joint in morning stiffness in joint in morning stiffness in joint in morning During the last 12 months, have you experienced any of the following…. This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs. The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine). During the last 12 months, have you experienced stiffness in the joint in the morning after getting up from bed or after a long rest of the joint without movement? 3017 167 1 Yes 5 No Sysmiss length of stiffness length of stiffness length of stiffness length of stiffness length of stiffness During the last 12 months, have you experienced any of the following…. This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs. The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine). How long does this stiffness last? 381 2803 1 About 30 minutes or less 2 More than 30 minutes Sysmiss stiffness go away after exercise/movement stiffness go away after exercise/movement stiffness go away after exercise/movement stiffness go away after exercise/movement stiffness go away after exercise/movement During the last 12 months, have you experienced any of the following…. This introductory sentence sets time frame for the symptomatic questions related to arthritis. After setting the time frame, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (“in the last 12 months”) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"), otherwise the results may not be comparable and it will be difficult to properly assess how well the health system is responding to people’s needs. The following symptom questions focus on the most frequent form of arthritis, which is osteoarthritis. This condition is often referred to as "wear and tear" on the bones (most often felt in the knees, hands, hips and spine). Does the stiffness go away after exercise or movement in the joint? 419 2765 1 Yes 5 No Sysmiss Back Pain Back Pain Back Pain Back Pain Back Pain Have you experienced back pain (including disc problems) during the last 30 days? 3086 98 1 Yes 5 No Sysmiss How many days did you have back pain How many days did you have back pain How many days did you have back pain How many days did you have back pain How many days did you have back pain How many days did you have this back pain during the last 30 days? 870 2314 1 30 8.348 9.644 diagnosis of angina pectoris diagnosis of angina pectoris diagnosis of angina pectoris diagnosis of angina pectoris diagnosis of angina pectoris Have you ever been diagnosed with angina or angina pectoris (a heart disease)? 3071 113 1 Yes 5 No 8 Do not know Sysmiss Angina treated Angina treated Angina treated Angina treated Angina treated Have you ever been treated for it (referring to the disease asked about in question Q6009)? 2659 525 1 Yes 5 No 8 Do not know Sysmiss Medication or other treatment for angina Medication or other treatment for angina Medication or other treatment for angina Medication or other treatment for angina Medication or other treatment for angina Have you been taking any medication or other treatment for it (referring to the disease asked about in question Q6009) during the last two weeks? 2698 486 1 Yes 5 No 8 Do not know Sysmiss Pain or discomfort in chest Pain or discomfort in chest Pain or discomfort in chest Pain or discomfort in chest Pain or discomfort in chest During the last 12 months, have you experienced… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). During the last 12 months, have you experienced pain or discomfort in your chest when you walk uphill or hurry? 3074 110 1 Yes 5 No 9 Never walks uphill or hurries Sysmiss pain or discomfort when walking at ordinary pace pain or discomfort when walking at ordinary pace pain or discomfort when walking at ordinary pace pain or discomfort when walking at ordinary pace pain or discomfort when walking at ordinary pace During the last 12 months, have you experienced… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). During the last 12 months, have you experienced pain or discomfort in your chest when you walk at an ordinary pace on level ground? If the respondent has neither exertional pain nor pain at rest or mild physical activity (questions Q6012 and Q6013), then questions Q6014, Q6015, and Q6016 should not be asked. 3055 129 1 Yes 5 No Sysmiss what do you do when you get pain while walking what do you do when you get pain while walking what do you do when you get pain while walking what do you do when you get pain while walking what do you do when you get pain while walking During the last 12 months, have you experienced… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). What do you do if you get the pain or discomfort when you are walking? 285 2899 1 Stop or slow down 2 Carry on after taking a pain relieving medicine 3 Carry on Sysmiss if you stand still, what happens to pain if you stand still, what happens to pain if you stand still, what happens to pain if you stand still, what happens to pain if you stand still, what happens to pain During the last 12 months, have you experienced… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). If you stand still, what happens to the pain or discomfort? 283 2901 1 Relieved 2 Not relieved Sysmiss location of pain (upper or middle chest) (1-checked, 5 unchecked) location of pain (upper or middle chest) (1-checked, 5 unchecked) location of pain (upper or middle chest) (1-checked, 5 unchecked) location of pain (upper or middle chest) (1-checked, 5 unchecked) location of pain (upper or middle chest) (1-checked, 5 unchecked) During the last 12 months, have you experienced… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). Will you show me where the pain or discomfort was? 176 3008 1 Yes 5 No Sysmiss location of pain (lower chest) location of pain (lower chest) location of pain (lower chest) location of pain (lower chest) location of pain (lower chest) During the last 12 months, have you experienced… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). Will you show me where the pain or discomfort was? 89 3095 1 Yes 5 No Sysmiss location of pain (Left arm) (1-checked, 5 unchecked) location of pain (Left arm) (1-checked, 5 unchecked) location of pain (Left arm) (1-checked, 5 unchecked) location of pain (Left arm) (1-checked, 5 unchecked) location of pain (Left arm) (1-checked, 5 unchecked) During the last 12 months, have you experienced… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). Will you show me where the pain or discomfort was? 70 3114 1 Yes 5 No Sysmiss location of pain (Other) (1-checked, 5 unchecked) location of pain (Other) (1-checked, 5 unchecked) location of pain (Other) (1-checked, 5 unchecked) location of pain (Other) (1-checked, 5 unchecked) location of pain (Other) (1-checked, 5 unchecked) During the last 12 months, have you experienced… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). Will you show me where the pain or discomfort was? 65 3119 1 Yes 5 No Sysmiss Asthma Diagnosed Asthma Diagnosed Asthma Diagnosed Asthma Diagnosed Asthma Diagnosed Have you ever been diagnosed with asthma (an allergic respiratory disease)? 3080 104 1 Yes 5 No 8 Do not know Sysmiss Asthma Treated Asthma Treated Asthma Treated Asthma Treated Asthma Treated Have you ever been treated for it (referring to the disease asked about in Q6017)? 2689 495 1 Yes 5 No 8 Do not know Sysmiss Medication or other treatment for asthma Medication or other treatment for asthma Medication or other treatment for asthma Medication or other treatment for asthma Medication or other treatment for asthma Have you been taking any medications or other treatment for it (referring to the disease asked about in Q6017), during the last two weeks? 2685 499 1 Yes 5 No 8 Do not know Sysmiss wheezing or whistling breathing wheezing or whistling breathing wheezing or whistling breathing wheezing or whistling breathing wheezing or whistling breathing During the last 12 months, have you experienced the following…. For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). During the last 12 months, have you experienced attacks of wheezing or whistling breathing? 3106 78 1 Yes 5 No Sysmiss attack of wheezing after physical activity attack of wheezing after physical activity attack of wheezing after physical activity attack of wheezing after physical activity attack of wheezing after physical activity During the last 12 months, have you experienced the following…. For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). During the last 12 months, have you experienced an attack of wheezing that came on after you stopped exercising or some other physical activity? 3077 107 1 Yes 5 No Sysmiss Tightness in chest Tightness in chest Tightness in chest Tightness in chest Tightness in chest During the last 12 months, have you experienced the following…. For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). During the last 12 months, have you experienced feeling of tightness in your chest? 3077 107 1 Yes 5 No Sysmiss tightness in chest upon waking tightness in chest upon waking tightness in chest upon waking tightness in chest upon waking tightness in chest upon waking During the last 12 months, have you experienced the following…. For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). During the last 12 months, have you woken up with a feeling of tightness in your chest in the morning or at any other time? 3072 112 1 Yes 5 No Sysmiss attack of shortness of breath without obvious cause attack of shortness of breath without obvious cause attack of shortness of breath without obvious cause attack of shortness of breath without obvious cause attack of shortness of breath without obvious cause During the last 12 months, have you experienced the following…. For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). During the last 12 months, have you had an attack of shortness of breath that came on without obvious cause when you were not exercising or doing some physical activity? 3067 117 1 Yes 5 No Sysmiss diagnosis of depression diagnosis of depression diagnosis of depression diagnosis of depression diagnosis of depression During the last 12 months, have you ever been diagnosed with depression? 3055 129 1 Yes 5 No 8 Do not know Sysmiss Depression treated Depression treated Depression treated Depression treated Depression treated During the last 12 months, have you ever been diagnosed with depression? Have you ever been treated for it? (referring to condition asked in Q6025) 2708 476 1 Yes 5 No 8 Do not know Sysmiss medication for depression medication for depression medication for depression medication for depression medication for depression During the last 12 months, have you ever been diagnosed with depression? Have you been taking any medications or other treatment for it in the last two weeks? 2658 526 1 Yes 5 No 8 Do not know Sysmiss Feeling of sadness, emptiness or depression Feeling of sadness, emptiness or depression Feeling of sadness, emptiness or depression Feeling of sadness, emptiness or depression Feeling of sadness, emptiness or depression During last 12 months, have you experienced any of the following… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). During last 12 months, have you had a period lasting several days when you felt sad, empty or depressed? 3064 120 1 Yes 5 No 8 Do not know Sysmiss period lasting several days when lost interest period lasting several days when lost interest period lasting several days when lost interest period lasting several days when lost interest period lasting several days when lost interest During last 12 months, have you experienced any of the following… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). During last 12 months, have you had a period lasting several days when you lost interest in most things you usually enjoy such as hobbies, personal relationships or work? 3035 149 1 Yes 5 No 8 Do not know Sysmiss period lasting several days when energy decreased or tired all the time period lasting several days when energy decreased or tired all the time period lasting several days when energy decreased or tired all the time period lasting several days when energy decreased or tired all the time period lasting several days when energy decreased or tired all the time During last 12 months, have you experienced any of the following… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). During last 12 months, have you had a period lasting several days when you have been feeling your energy decreased or that you are tired all the time? 3045 139 1 Yes 5 No 8 Do not know Sysmiss depression more than two weeks depression more than two weeks depression more than two weeks depression more than two weeks depression more than two weeks During last 12 months, have you experienced any of the following… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). Was this period [of sadness/loss of interest/low energy] more than 2 weeks? 1491 1693 1 Yes 5 No Sysmiss depression most of the day nearly every day depression most of the day nearly every day depression most of the day nearly every day depression most of the day nearly every day depression most of the day nearly every day During last 12 months, have you experienced any of the following… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). Was this period [of sadness/loss of interest/low energy] most of the day, nearly every day? 1477 1707 1 Yes 5 No Sysmiss loss of appetite loss of appetite loss of appetite loss of appetite loss of appetite During last 12 months, have you experienced any of the following… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). During this period, did you lose your appetite? 1487 1697 1 Yes 5 No Sysmiss slowing down in thinking slowing down in thinking slowing down in thinking slowing down in thinking slowing down in thinking During last 12 months, have you experienced any of the following… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section (such as "ever" and "the last 2 weeks"). During this period, did you notice any slowing down in your thinking? 1485 1699 1 Yes 5 No Sysmiss Schizophrenia diagnosis Schizophrenia diagnosis Schizophrenia diagnosis Schizophrenia diagnosis Schizophrenia diagnosis Have you ever been diagnosed for a mental health problem such as schizophrenia or psychosis? 3060 124 1 Yes 5 No 8 Do not know Sysmiss Schizophrenia Treated Schizophrenia Treated Schizophrenia Treated Schizophrenia Treated Schizophrenia Treated Have you ever been diagnosed for a mental health problem such as schizophrenia or psychosis? Have you ever been treated for it ? (referring to the condition asked about in Q6035) 2716 468 1 Yes 5 No 8 Do not know Sysmiss Received medication for schizophrenia Received medication for schizophrenia Received medication for schizophrenia Received medication for schizophrenia Received medication for schizophrenia Have you been taking any medications or other treatment for it during the last 2 weeks? 2708 476 1 Yes 5 No 8 Do not know Sysmiss feel strange unexplainable going on feel strange unexplainable going on feel strange unexplainable going on feel strange unexplainable going on feel strange unexplainable going on During the last 12 months, have you experienced any of the following… For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable. A feeling that something strange and unexplainable was going on that other people would find hard to believe? 3025 159 1 Yes 5 No 8 Do not know Sysmiss Feel people were too interested Feel people were too interested Feel people were too interested Feel people were too interested Feel people were too interested During the last 12 months, have you experienced any of the following… For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable. A feeling that people were too interested in you or there was a plot to harm you? 3024 160 1 Yes 5 No 6 Do not know Sysmiss Feel your thoughts were controlled by others Feel your thoughts were controlled by others Feel your thoughts were controlled by others Feel your thoughts were controlled by others Feel your thoughts were controlled by others During the last 12 months, have you experienced any of the following… For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable. A feeling that your thoughts are being directly interfered or controlled by another person, or your mind was being taken over by strange forces. 3024 160 1 Yes 5 No 8 Do not know Sysmiss Hallucinations Hallucinations Hallucinations Hallucinations Hallucinations During the last 12 months, have you experienced any of the following… For the following questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have a specific health condition or disease. Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. It is also important that the time period for the symptoms (in the last 12 months) be clearly understood by the respondent and not confused with other time frames used in this section such as "ever" and "the last 2 weeks". Confusion of the time frame may render results incomparable. An experience of seeing visions or hearing voices that others could not see or hear when you were not half asleep, dreaming or under the influence of alcohol or drugs? 3050 134 1 Yes 5 No 8 Do not know Sysmiss Diagnosed with Diabetes Diagnosed with Diabetes Diagnosed with Diabetes Diagnosed with Diabetes Diagnosed with Diabetes Have you ever been diagnosed with diabetes (or high blood sugar)? 3032 152 1 Yes 5 No 8 Do not know Sysmiss Treatment for Diabetes Treatment for Diabetes Treatment for Diabetes Treatment for Diabetes Treatment for Diabetes Have you ever been diagnosed with diabetes (or high blood sugar)? Have you been treated for it? (referring to the condition asked about in Q6042) 2699 485 1 Yes 5 No 8 Do not know Sysmiss Medications for diabetes Medications for diabetes Medications for diabetes Medications for diabetes Medications for diabetes Have you been taking insulin, or any other blood sugar lowering medications in the last 2 weeks? 2673 511 1 Yes 5 No 8 Do not know Sysmiss Program for diabetes Program for diabetes Program for diabetes Program for diabetes Program for diabetes Are you following a special diet, exercise regime or weight control program for diabetes? 2675 509 1 Yes 5 No 8 Do not know Sysmiss Cough that lasted 3 weeks or longer Cough that lasted 3 weeks or longer Cough that lasted 3 weeks or longer Cough that lasted 3 weeks or longer Cough that lasted 3 weeks or longer During the last 12 months, have you experienced any of the following… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have tuberculosis (TB). Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. During the last 12 months, have you experienced cough that lasted for 3 weeks or longer? 3101 83 1 Yes 5 No Sysmiss Blood in sputum of phlegm or have you coughed blood Blood in sputum of phlegm or have you coughed blood Blood in sputum of phlegm or have you coughed blood Blood in sputum of phlegm or have you coughed blood Blood in sputum of phlegm or have you coughed blood During the last 12 months, have you experienced any of the following… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have tuberculosis (TB). Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. During the last 12 months, have you had blood in your phlegm, or have you coughed blood? 2978 206 1 Yes 5 No Sysmiss had a TB test had a TB test had a TB test had a TB test had a TB test During the last 12 months, have you experienced any of the following… For this set of questions, the interviewer must read out a series of symptoms and determine if the respondent had any of those symptoms in the last 12 months. The point of asking symptom-related questions is to screen those individuals who might have tuberculosis (TB). Because there could be a number of symptoms that characterise a given health condition, and because some symptoms may be common to different conditions, it is important that the interviewer probe for each symptom to see whether the respondent may have an active disease. In the last 12 months, have you had a tuberculosis (TB) test, I mean has a doctor examined your sputum or made an X-ray of your chest? 2981 203 1 Yes 5 No Sysmiss Keeping medicines or drugs in the house Keeping medicines or drugs in the house Keeping medicines or drugs in the house Keeping medicines or drugs in the house Keeping medicines or drugs in the house We are interested in knowing about the availability and use of certain medicines and drugs. Remember that whatever information you give me is confidential and will only be used for research purposes. Do you keep any medicines or drugs in the house? 3083 101 1 Yes 5 No Sysmiss may I see medications may I see medications may I see medications may I see medications may I see medications May I see what drugs or medicines you personally have been using in the last two weeks? 636 2548 1 Yes 5 No Sysmiss Arthritis medicine 1 Arthritis medicine 1 Arthritis medicine 1 Arthritis medicine 1 Arthritis medicine 1 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 23 3161 11 12 11.826 0.388 prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 50 3134 1 Yes 5 No Sysmiss Arthritis medicine 2 Arthritis medicine 2 Arthritis medicine 2 Arthritis medicine 2 Arthritis medicine 2 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3 3181 12 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 30 3154 1 Yes 5 No Sysmiss Arthritis medicine 3 Arthritis medicine 3 Arthritis medicine 3 Arthritis medicine 3 Arthritis medicine 3 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 1 3183 12 12 12 prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 25 3159 1 Yes 5 No Sysmiss Angina medicine 1 Angina medicine 1 Angina medicine 1 Angina medicine 1 Angina medicine 1 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3184 prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 20 3164 1 Yes 5 No Sysmiss Angina medicine 2 Angina medicine 2 Angina medicine 2 Angina medicine 2 Angina medicine 2 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3184 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 17 3167 1 Yes 5 No Sysmiss Angina medicine 3 Angina medicine 3 Angina medicine 3 Angina medicine 3 Angina medicine 3 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3184 prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 17 3167 1 Yes 5 No Sysmiss Asthma medicine 1 Asthma medicine 1 Asthma medicine 1 Asthma medicine 1 Asthma medicine 1 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 8 3176 31 32 36 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 26 3158 1 Yes 5 No Sysmiss Asthma medicine 2 Asthma medicine 2 Asthma medicine 2 Asthma medicine 2 Asthma medicine 2 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 4 3180 31 32 36 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 21 3163 1 Yes 5 No Sysmiss Asthma medicine 3 Asthma medicine 3 Asthma medicine 3 Asthma medicine 3 Asthma medicine 3 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 1 3183 31 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 18 3166 1 Yes 5 No Sysmiss Depression medicine 1 Depression medicine 1 Depression medicine 1 Depression medicine 1 Depression medicine 1 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 4 3180 41 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 22 3162 1 Yes 5 No Sysmiss Depression medicine 2 Depression medicine 2 Depression medicine 2 Depression medicine 2 Depression medicine 2 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3 3181 41 42 43 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 21 3163 1 Yes 5 No Sysmiss Depression medicine 3 Depression medicine 3 Depression medicine 3 Depression medicine 3 Depression medicine 3 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 1 3183 44 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 18 3166 1 Yes 5 No Sysmiss Schizophrenia medicine 1 Schizophrenia medicine 1 Schizophrenia medicine 1 Schizophrenia medicine 1 Schizophrenia medicine 1 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 1 3183 53 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 18 3166 1 Yes 5 No Sysmiss Schizophrenia medicine 2 Schizophrenia medicine 2 Schizophrenia medicine 2 Schizophrenia medicine 2 Schizophrenia medicine 2 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3184 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 18 3166 1 Yes 5 No Sysmiss Schizophrenia medicine 3 Schizophrenia medicine 3 Schizophrenia medicine 3 Schizophrenia medicine 3 Schizophrenia medicine 3 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3184 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 17 3167 1 Yes 5 No Sysmiss Tuberculosis medicine 1 Tuberculosis medicine 1 Tuberculosis medicine 1 Tuberculosis medicine 1 Tuberculosis medicine 1 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3184 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 19 3165 1 Yes 5 No Sysmiss Tuberculosis medicine 2 Tuberculosis medicine 2 Tuberculosis medicine 2 Tuberculosis medicine 2 Tuberculosis medicine 2 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3184 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 17 3167 1 Yes 5 No Sysmiss Tuberculosis medicine 3 Tuberculosis medicine 3 Tuberculosis medicine 3 Tuberculosis medicine 3 Tuberculosis medicine 3 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3184 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 17 3167 1 Yes 5 No Sysmiss HIV/AIDS medicine 1 HIV/AIDS medicine 1 HIV/AIDS medicine 1 HIV/AIDS medicine 1 HIV/AIDS medicine 1 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3184 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 18 3166 1 Yes 5 No Sysmiss HIV/AIDS medicine 2 HIV/AIDS medicine 2 HIV/AIDS medicine 2 HIV/AIDS medicine 2 HIV/AIDS medicine 2 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3184 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 17 3167 1 Yes 5 No Sysmiss HIV/AIDS medicine 3 HIV/AIDS medicine 3 HIV/AIDS medicine 3 HIV/AIDS medicine 3 HIV/AIDS medicine 3 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3184 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 17 3167 1 Yes 5 No Sysmiss Diabetes medicine 1 Diabetes medicine 1 Diabetes medicine 1 Diabetes medicine 1 Diabetes medicine 1 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 2 3182 81 82 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 19 3165 1 Yes 5 No Sysmiss Diabetes medicine 2 Diabetes medicine 2 Diabetes medicine 2 Diabetes medicine 2 Diabetes medicine 2 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 1 3183 82 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 18 3166 1 Yes 5 No Sysmiss Diabetes medicine 3 Diabetes medicine 3 Diabetes medicine 3 Diabetes medicine 3 Diabetes medicine 3 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 3184 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 18 3166 1 Yes 5 No Sysmiss Other medicine 1 Other medicine 1 Other medicine 1 Other medicine 1 Other medicine 1 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 153 3031 99 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 98 3086 1 Yes 5 No Sysmiss Other medicine 2 Other medicine 2 Other medicine 2 Other medicine 2 Other medicine 2 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 72 3112 99 99 99 prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 63 3121 1 Yes 5 No Sysmiss Other medicine 3 Other medicine 3 Other medicine 3 Other medicine 3 Other medicine 3 Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 42 3142 99 Sysmiss prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional prescribed by medical professional Identify the medicines shown by the respondent in the medicine list and then record in the corresponding row in the following table. Please complete the table for a maximum of the 3 most used medicines for each condition. 47 3137 1 Yes 5 No Sysmiss When pelvic examination When pelvic examination When pelvic examination When pelvic examination When pelvic examination When was the last time you had a pelvic examination? (By pelvic examination, I mean when a doctor or nurse examined your vagina?) Questions to be asked to FEMALE respondents aged 18-69 only 1129 2055 1 Within the last 3 years 2 4-5 years ago 3 More than 5 years ago 5 NEVER HAD EXAM 8 Do not know Sysmiss Last time PAP smear test Last time PAP smear test Last time PAP smear test Last time PAP smear test Last time PAP smear test The last time you had the pelvic examination, did you have a PAP smear test? (By PAP smear test, I mean did a doctor or nurse use a swab or stick to wipe from inside your vagina, take a sample and send it to a laboratory?) Questions to be asked to FEMALE respondents aged 18-69 only 320 2864 1 Yes 5 No 8 Do not know Sysmiss Last time mammography Last time mammography Last time mammography Last time mammography Last time mammography When was the last time you had a mammography, if ever? (This is an x-ray of your breasts to detect breast cancer at an early stage). Questions to be asked to FEMALE respondents aged 18-69 only 376 2808 1 Within the last 3 years 2 4-5 years ago 3 more than 5 years ago 5 Never had exam 8 Do not know Sysmiss Pregnancy checked Pregnancy checked Pregnancy checked Pregnancy checked Pregnancy checked When you were pregnant with (NAME), did you see a health care professional to have your pregnancy checked? Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only. 560 2624 1 Yes 5 No 8 Do not know Sysmiss how many times saw health care professional how many times saw health care professional how many times saw health care professional how many times saw health care professional how many times saw health care professional How many times during your pregnancy with (NAME) did you see a health care professional? Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only. 432 2752 1 36 5.463 3.684 who did you see most of the time who did you see most of the time who did you see most of the time who did you see most of the time who did you see most of the time Who did you see most of the time? Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only. 477 2707 1 Doctor 2 Nurse or midwife 3 Auxiliary nurse or midwife 4 Traditional birth attendant 5 Other 8 Do not know Sysmiss Blood pressure measured during pregnancy Blood pressure measured during pregnancy Blood pressure measured during pregnancy Blood pressure measured during pregnancy Blood pressure measured during pregnancy During your pregnancy, when you were visiting a health care provider was any of the following done at least once: Was your blood pressure measured? Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only. 472 2712 1 Yes 5 No 8 Do not know Sysmiss Did you give blood sample Did you give blood sample Did you give blood sample Did you give blood sample Did you give blood sample During your pregnancy, when you were visiting a health care provider was any of the following done at least once: Did you give blood sample? Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only. 465 2719 1 Yes 5 No 8 Do not know Sysmiss Were you told about signs of pregnancy Were you told about signs of pregnancy Were you told about signs of pregnancy Were you told about signs of pregnancy Were you told about signs of pregnancy During your pregnancy, when you were visiting a health care provider was any of the following done at least once: Were you told about the signs of pregnancy complications and what you should do if they occur? Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 5 years only. 470 2714 1 Yes 5 No 8 Do not know Sysmiss HIV counseling HIV counseling HIV counseling HIV counseling HIV counseling During your antenatal care visits for your pregnancy with (NAME), were you given any information or counselled about HIV, the virus that causes AIDS? Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only. 359 2825 1 Yes 5 No Sysmiss HIV testing offered HIV testing offered HIV testing offered HIV testing offered HIV testing offered Was HIV testing offered to you at any time during your visit(s)? Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only. 362 2822 1 Yes 5 No Sysmiss Agreed to HIV test Agreed to HIV test Agreed to HIV test Agreed to HIV test Agreed to HIV test Did you agree to be tested for HIV during any of your visits? Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only. 63 3121 1 Yes 5 No Sysmiss Received results of test Received results of test Received results of test Received results of test Received results of test Did you receive the results of the test? Questions to be asked to women of reproductive age (18-49 years) with a live birth in last 2 years only. 41 3143 1 Yes 5 No Sysmiss doctor asissted in delivery (1-checked 5-Unchecked) doctor asissted in delivery (1-checked 5-Unchecked) doctor asissted in delivery (1-checked 5-Unchecked) doctor asissted in delivery (1-checked 5-Unchecked) doctor asissted in delivery (1-checked 5-Unchecked) When you gave birth to (NAME), who assisted in the delivery? A doctor? Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago. 164 3020 1 Yes 5 No Sysmiss nurse or midwife asissted in delivery (1-checked 5-Unchecked) nurse or midwife asissted in delivery (1-checked 5-Unchecked) nurse or midwife asissted in delivery (1-checked 5-Unchecked) nurse or midwife asissted in delivery (1-checked 5-Unchecked) nurse or midwife asissted in delivery (1-checked 5-Unchecked) When you gave birth to (NAME), who assisted in the delivery? A nurse or midwife? Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago. 369 2815 1 Yes 5 No Sysmiss auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked) auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked) auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked) auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked) auxiliary nurse or midwife asissted in delivery (1-checked 5-Unchecked) When you gave birth to (NAME), who assisted in the delivery? An auxiliary nurse or midwife (including student nurses, nurses' aides, etc.) Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago. 112 3072 1 Yes 5 No Sysmiss trad. birth attendant asissted in delivery (1-checked 5-Unchecked) trad. birth attendant asissted in delivery (1-checked 5-Unchecked) trad. birth attendant asissted in delivery (1-checked 5-Unchecked) trad. birth attendant asissted in delivery (1-checked 5-Unchecked) trad. birth attendant asissted in delivery (1-checked 5-Unchecked) When you gave birth to (NAME), who assisted in the delivery? A traditional birth attendant Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago. 161 3023 1 Yes 5 No Sysmiss relative/friend asissted in delivery (1-checked 5-Unchecked) relative/friend asissted in delivery (1-checked 5-Unchecked) relative/friend asissted in delivery (1-checked 5-Unchecked) relative/friend asissted in delivery (1-checked 5-Unchecked) relative/friend asissted in delivery (1-checked 5-Unchecked) When you gave birth to (NAME), who assisted in the delivery? A relative/friend with no medical training Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago. 119 3065 1 Yes 5 No Sysmiss other (1-checked 5-Unchecked) other (1-checked 5-Unchecked) other (1-checked 5-Unchecked) other (1-checked 5-Unchecked) other (1-checked 5-Unchecked) When you gave birth to (NAME), who assisted in the delivery? Anyone else? Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago. 105 3079 1 Yes 5 No Sysmiss No one (1-checked 5-Unchecked) No one (1-checked 5-Unchecked) No one (1-checked 5-Unchecked) No one (1-checked 5-Unchecked) No one (1-checked 5-Unchecked) When you gave birth to (NAME), who assisted in the delivery? No one Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago. 106 3078 1 5 Sysmiss Dont know (1-checked 5-Unchecked) Dont know (1-checked 5-Unchecked) Dont know (1-checked 5-Unchecked) Dont know (1-checked 5-Unchecked) Dont know (1-checked 5-Unchecked) When you gave birth to (NAME), who assisted in the delivery? Anyone else? Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago. 102 3082 1 5 Sysmiss where given birth where given birth where given birth where given birth where given birth Where did you give birth to (NAME)? Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago. 547 2637 1 Hospital or maternity house 2 Other type of health facility 3 At home 4 Outside Sysmiss Government operated or private Government operated or private Government operated or private Government operated or private Government operated or private Was it government operated or private? Questions to be asked to women of reproductive age (18-49 years) with a live birth 2-5 years ago. 390 2794 1 Government operated 2 Private (including for profit and not for profit) 8 Do not know Sysmiss Name Name Name Name Name Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household. Questions to be asked to households with children under 5 years. 1073 Sex of youngest child in the household Sex of youngest child in the household Sex of youngest child in the household Sex of youngest child in the household Sex of youngest child in the household Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household. Questions to be asked to households with children under 5 years. 1045 2139 1 Male 2 Female Sysmiss date date date date date Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household. Questions to be asked to households with children under 5 years. 3184 . 01/1997 01/1998 01/1999 01/2000 01/2001 01/2002 01/2003 02/1996 02/1997 02/1998 02/1999 02/2000 02/2001 02/2002 02/2003 03/1996 03/1997 03/1998 03/1999 03/2000 03/2001 03/2002 03/2003 04/1997 04/1998 04/1999 04/2000 04/2001 04/2002 04/2003 05/1997 05/1998 05/1999 05/2000 05/2001 05/2002 05/2003 06/1997 06/1998 06/1999 06/2000 06/2001 06/2002 06/2003 07/1998 07/1999 07/2000 07/2001 07/2002 08/1997 08/1998 08/1999 08/2000 08/2001 08/2002 09/1997 09/1998 09/1999 09/2000 09/2001 09/2002 10/1998 10/1999 10/2000 10/2001 10/2002 11/1998 11/1999 11/2000 11/2001 11/2002 12/1996 12/1997 12/1998 12/1999 12/2000 12/2001 12/2002 relationship relationship relationship relationship relationship What is your relationship with this child? Questions to be asked to households with children under 5 years. 1028 2156 1 Parent 2 Grand Parent 3 Brother or sister 4 Other relative 5 Not related Sysmiss card where vaccinations written down card where vaccinations written down card where vaccinations written down card where vaccinations written down card where vaccinations written down Do you have a card where (NAME)’s vaccinations are written down? If YES: May I see it? Questions to be asked to households with children under 5 years. 942 2242 1 Yes, CARD SEEN 2 Yes, BUT CARD NOT SEEN 5 No CARD 8 Do not know Sysmiss DPT1 (dd/mm/yyyy) DPT1 (dd/mm/yyyy) DPT1 (dd/mm/yyyy) DPT1 (dd/mm/yyyy) DPT1 (dd/mm/yyyy) Record vaccination dates for each dose of DTP and measles Questions to be asked to households with children under 5 years. 3184 . 01/01/2001 01/03/2001 01/03/2002 01/04/2003 01/06/2001 01/07/1999 01/07/2002 01/08/2000 01/09/2001 01/10/1999 01/10/2001 02/02/2001 02/03/2001 02/04/2003 02/05/1997 02/05/2001 02/05/2002 02/05/2003 02/06/2001 02/06/2003 02/07/1999 02/08/2002 02/10/2002 02/11/2002 03/01/2001 03/01/2002 03/02/1999 03/02/2003 03/03/2002 03/07/2002 03/08/2001 03/09/2000 03/10/2001 03/11/1998 03/11/1999 03/11/2000 03/12/2001 04/01/2001 04/03/2000 04/03/2002 04/04/04 04/04/2000 04/04/2002 04/05/2002 04/06/1998 04/06/1999 04/06/2002 04/06/2003 04/07/2001 04/08/1999 04/10/2002 04/11/1999 05/02/2002 05/02/2003 05/03/2003 05/04/2000 05/04/2001 05/04/2002 05/05/2000 05/06/2001 05/06/2002 05/07/2000 05/07/2002 05/08/2000 05/08/2002 05/09/2001 05/10/2001 05/11/1998 05/12/2001 06/01/1998 06/02/2002 06/02/2003 06/03/2000 06/03/2003 06/04/2001 06/04/2002 06/05/2003 06/06/2000 06/06/2003 06/07/2001 06/09/1999 06/09/2000 06/09/2002 06/11/2002 07/01/2003 07/03/2003 07/05/1998 07/05/2003 07/06/1999 07/06/2002 07/10/2002 07/11/2001 07/11/2002 07/12/2001 08/01/1999 08/01/2002 08/01/2003 08/02/2000 08/02/2001 08/02/2002 08/02/2003 08/05/2002 08/06/2000 08/08/2001 08/09/2000 08/11/2000 08/11/2001 08/11/2002 09/01/2002 09/02/2001 09/03/2002 09/05/2000 09/08/2000 09/08/2001 09/09/2002 09/10/2002 09/11/2000 09/11/2001 10/01/2000 10/03/1997 10/03/2000 10/03/2003 10/04/2003 10/05/1999 10/05/2001 10/05/2002 10/07/2002 10/09/2001 10/10/2002 10/11/2000 10/12/1999 10/12/2002 11/01/2001 11/01/2002 11/02/2002 11/06/2001 11/06/2002 11/07/2002 11/10/2001 11/10/2002 11/11/2002 11/12/2002 12/01/2000 12/03/2000 12/03/2002 12/03/2003 12/05/2003 12/06/2000 12/06/2002 12/06/2003 12/07/2002 12/08/2003 12/09/2001 12/10/1998 12/10/2001 13/01/2002 13/02/1998 13/02/2001 13/02/2002 13/03/2002 13/05/2002 13/06/2003 13/08/2001 13/08/2002 13/10/1998 13/12/2002 14/01/2003 14/02/2001 14/02/2003 14/03/2003 14/05/2001 14/05/2002 14/08/2001 14/08/2002 14/09/1998 14/09/2000 14/09/2001 14/11/1997 14/12/2001 15/02/1999 15/02/2002 15/03/2001 15/04/2000 15/05/2001 15/05/2002 15/05/2003 15/06/2001 15/06/2003 15/09/2000 15/09/2001 15/10/1999 15/10/2002 15/11/1999 15/12/2000 16/02/1999 16/02/2000 16/02/2003 16/03/2001 16/04/1998 16/04/2003 16/05/2002 16/05/2003 16/06/2003 16/09/2001 16/09/2002 16/10/2002 16/12/2002 17/01/2003 17/03/2000 17/03/2003 17/04/2001 17/05/1999 17/05/2001 17/06/2002 17/07/2000 17/07/2002 17/08/2002 17/09/1999 17/09/2002 17/11/1998 17/11/1999 17/11/2000 17/12/1999 17/12/2001 18/02/2000 18/02/2003 18/03/2002 18/03/2003 18/04/2001 18/05/1999 18/06/2001 18/06/2003 18/07/2000 18/07/2001 18/08/1998 18/09/2002 18/10/1996 18/10/2002 18/12/2002 19/01/2000 19/02/2002 19/02/2003 19/06/2001 19/06/2002 19/06/2003 19/07/1999 19/07/2000 19/07/2002 19/08/2002 19/10/2001 19/12/2000 19/12/2002 20/01/1999 20/01/2000 20/02/2002 20/03/2001 20/03/2002 20/04/1999 20/05/1998 20/05/2001 20/05/2003 20/06/2002 20/07/2001 20/08/1999 20/09/2000 20/09/2001 20/09/2002 20/10/2000 20/11/1998 20/11/2000 20/11/2001 20/11/2002 20/12/2001 21/02/2002 21/02/2003 21/03/2001 21/03/2003 21/04/2000 21/05/2001 21/05/2003 21/06/2000 21/06/2002 21/08/2001 21/09/2000 21/10/1999 21/11/2001 22/01/2003 22/03/2000 22/03/2002 22/04/2003 22/05/2000 22/05/2002 22/07/2002 22/08/2001 22/09/2000 22/10/2001 22/10/2002 22/11/2001 22/11/2002 23/01/2001 23/01/2003 23/02/2003 23/03/2000 23/05/2003 23/06/2000 23/07/1999 23/07/2002 23/08/2000 23/08/2001 24/01/2001 24/01/2002 24/01/2003 24/02/2001 24/04/2002 24/04/2003 24/05/2000 24/05/2002 24/06/2002 24/06/2003 24/07/2002 24/08/2001 24/09/1998 24/09/2001 24/10/2002 24/12/2002 25/01/2002 25/03/2002 25/03/2003 25/04/2000 25/04/2001 25/04/2002 25/04/2003 25/05/1999 25/06/2002 25/07/1998 25/07/2001 25/09/2000 25/10/2002 26/01/2001 26/02/2003 26/03/2003 26/04/2002 26/05/1998 26/05/2000 26/06/2002 26/07/2001 26/11/1998 26/11/1999 26/12/2000 27/05/2003 27/06/2001 27/07/1999 27/07/2000 27/08/2001 27/08/2002 27/09/2001 27/09/2002 27/10/1998 27/12/2001 27/12/2002 28/01/2002 28/01/2003 28/02/2000 28/02/2003 28/03/2001 28/04/2000 28/05/2001 28/05/2002 28/05/2003 28/07/1999 28/07/2002 28/08/2002 28/09/2001 28/10/1998 28/12/2001 29/01/2002 29/01/2003 29/02/2000 29/03/2001 29/03/2002 29/04/2003 29/05/2000 29/05/2001 29/05/2002 29/06/2001 29/08/2000 29/08/2001 29/10/1998 29/10/2002 29/11/2001 29/12/2000 29/12/2001 30/01/2002 30/01/2003 30/03/2001 30/04/2003 30/05/2000 30/05/2001 30/06/1998 30/06/1999 30/07/2002 30/08/2002 30/09/2002 30/10/2001 30/10/2002 30/10/2003 30/11/2001 30/12/1999 30/12/2002 31/03/2003 31/05/1999 31/05/2001 31/05/2002 31/07/1998 31/07/2000 31/10/2001 DPT2 (dd/mm/yyyy) DPT2 (dd/mm/yyyy) DPT2 (dd/mm/yyyy) DPT2 (dd/mm/yyyy) DPT2 (dd/mm/yyyy) Record vaccination dates for each dose of DTP and measles Questions to be asked to households with children under 5 years. 3184 . 01/02/2002 01/08/2001 01/08/2002 01/10/2001 01/12/2000 02/03/2001 02/05/2002 02/07/2001 02/09/2000 02/10/2001 02/10/2002 02/11/2001 03/01/2002 03/03/2000 03/05/2000 03/06/2002 03/06/2003 03/10/2000 03/12/1998 03/12/2002 04/03/2002 04/03/2003 04/04/04 04/04/2002 04/04/2003 04/05/2001 04/06/2003 04/07/2000 04/07/2002 04/07/2003 04/09/2000 04/09/2002 04/10/2002 04/11/1999 04/12/1998 04/12/2002 05/02/2001 05/03/2003 05/04/2001 05/06/2002 05/06/2003 05/07/2001 05/08/1999 05/08/2002 05/09/2000 05/10/2001 05/10/2002 05/11/1999 05/12/2001 05/12/2002 06/01/2002 06/03/2000 06/03/2003 06/04/2001 06/04/2002 06/05/2003 06/06/1997 06/06/2000 06/06/2001 06/07/2000 06/07/2001 06/09/2001 06/09/2002 06/10/1999 06/10/2000 06/11/2000 06/11/2002 06/12/2001 07/01/2000 07/01/2002 07/02/2003 07/05/2002 07/05/2003 07/07/2000 07/07/2002 07/08/2002 07/09/2001 08/01/2002 08/03/2000 08/03/2001 08/03/2002 08/04/2003 08/05/2002 08/06/2002 08/08/2003 08/09/1999 08/11/2002 08/12/2000 09/01/2002 09/02/1998 09/04/2003 09/07/2002 09/08/2000 09/08/2002 09/09/2002 09/10/2001 09/11/2001 09/12/1998 10/01/2000 10/01/2003 10/04/2002 10/04/2003 10/05/2001 10/06/2003 10/07/1998 10/07/2002 10/08/1998 10/09/2002 10/10/2000 10/10/2001 10/10/2002 10/11/2001 10/11/2002 11/01/2002 11/03/2001 11/03/2002 11/04/2001 11/04/2002 11/04/2003 11/07/2001 11/07/2002 11/08/2000 11/09/1998 11/10/1999 11/10/2000 11/10/2002 11/11/2002 12/02/2001 12/02/2002 12/02/2003 12/03/2001 12/04/2001 12/04/2002 12/06/2003 12/07/2000 12/07/2002 12/10/2001 12/12/2002 13/01/2002 13/02/2001 13/02/2003 13/03/1998 13/03/2001 13/03/2002 13/04/2000 13/05/2003 13/06/2001 13/06/2002 13/07/2001 13/08/1999 13/09/2000 13/11/2002 13/12/2000 14/01/2002 14/02/2001 14/03/2002 14/03/2003 14/05/1998 14/05/2003 14/06/1998 14/06/2002 14/08/2001 14/09/1999 14/11/2002 15/01/1998 15/01/2002 15/01/2003 15/02/2000 15/02/2002 15/02/2003 15/03/1999 15/03/2002 15/04/2002 15/05/2002 15/06/2000 15/07/1999 15/07/2002 15/10/1998 15/10/2002 15/12/1998 16/02/2000 16/03/1999 16/04/2002 16/04/2003 16/05/2001 16/05/2002 16/07/2003 16/08/2002 16/11/2001 17/01/2001 17/01/2002 17/02/2001 17/03/1999 17/03/2000 17/04/2002 17/05/2002 17/06/1999 17/06/2003 17/07/2002 17/08/2001 17/09/2001 17/11/1999 17/11/2000 17/11/2002 18/02/2003 18/03/2003 18/04/2000 18/04/2003 18/05/2000 18/06/1998 18/06/2001 18/09/2002 18/10/2002 18/11/2000 18/12/1998 19/02/1999 19/02/2003 19/03/2002 19/04/2002 19/05/2003 19/06/2002 19/07/2001 19/07/2002 19/08/1998 19/08/1999 19/10/1998 19/11/2002 19/12/1997 19/12/2002 20/01/2001 20/02/2002 20/02/2003 20/03/2002 20/03/2003 20/04/2001 20/06/2000 20/06/2002 20/06/2003 20/07/2000 20/07/2001 20/08/2000 20/08/2002 20/09/2000 20/09/2002 20/10/2000 20/10/2001 20/11/2002 20/12/1999 20/12/2002 21/01/2000 21/02/2001 21/02/2003 21/03/2001 21/03/2003 21/04/1999 21/04/2000 21/05/2002 21/05/2003 21/06/2001 21/09/2000 21/11/2001 21/12/1998 21/12/2002 22/01/2003 22/03/2002 22/04/2002 22/04/2003 22/05/2000 22/05/2003 22/06/2000 22/06/2001 22/07/2002 22/08/2000 22/08/2002 22/11/1996 22/11/2002 22/12/2000 23/01/2002 23/01/2003 23/02/2001 23/03/2000 23/08/1999 23/08/2001 23/08/2002 23/10/2002 23/11/1998 23/12/2002 24/01/2003 24/03/2002 24/03/2003 24/04/2001 24/04/2002 24/06/2002 24/07/2001 24/08/2000 24/08/2001 24/12/1999 25/01/2002 25/02/2002 25/02/2003 25/03/2002 25/04/1997 25/04/2002 25/04/2003 25/06/1999 25/07/2001 25/07/2002 25/09/2001 25/10/2001 25/10/2002 25/11/2002 26/02/2003 26/03/2003 26/04/2002 26/05/2000 26/06/1998 26/06/2001 26/06/2002 26/07/2001 26/07/2002 26/08/2001 26/08/2002 26/09/2002 26/10/2000 26/10/2001 26/10/2002 26/11/2002 26/11/2003 27/01/2000 27/03/2000 27/03/2002 27/04/2001 27/06/2000 27/06/2002 27/08/1999 27/08/2001 27/08/2002 27/09/2001 27/09/2002 27/10/2000 27/12/2002 28/01/2000 28/01/2002 28/02/2001 28/02/2002 28/03/2003 28/04/2003 28/05/2002 28/06/2000 28/06/2002 28/07/1998 28/08/2000 28/08/2002 28/09/2001 28/10/2002 28/12/1999 28/12/2001 29/04/2000 29/04/2002 29/05/2002 29/06/2000 29/06/2001 29/07/2002 29/10/1999 29/10/2001 29/12/2001 30/03/2001 30/04/2001 30/04/2003 30/06/1999 30/06/2000 30/08/2000 30/09/1999 30/09/2000 30/10/2001 30/10/2002 31/03/2003 31/05/2000 31/05/2001 31/07/2002 31/12/1999 DPT3 (dd/mm/yyyy) DPT3 (dd/mm/yyyy) DPT3 (dd/mm/yyyy) DPT3 (dd/mm/yyyy) DPT3 (dd/mm/yyyy) Record vaccination dates for each dose of DTP and measles Questions to be asked to households with children under 5 years. 3184 . 01/02/2002 01/05/2003 01/07/2002 01/09/2002 01/10/1999 01/10/2002 01/11/2002 01/12/2000 02/01/2003 02/04/2003 02/05/2003 02/08/2000 02/08/2001 02/08/2002 02/09/1999 02/11/2000 02/11/2001 02/11/2002 02/12/1999 03/01/2001 03/01/2003 03/02/2003 03/06/2003 03/07/2002 03/10/2000 03/11/2000 03/11/2001 03/12/2001 04/01/1999 04/02/2003 04/04/04 04/04/2001 04/04/2002 04/04/2003 04/05/2001 04/09/2002 04/11/1999 04/11/2002 04/12/2001 04/12/2002 04/12/2003 05/02/2002 05/03/2002 05/03/2003 05/06/2001 05/07/2000 05/09/2002 05/11/2001 05/12/2001 05/12/2002 06/01/1999 06/02/2002 06/06/2002 06/08/1999 06/09/2002 06/10/2000 06/11/2001 06/11/2002 06/12/2000 07/01/2002 07/01/2003 07/02/2003 07/03/2001 07/03/2002 07/03/2003 07/05/2003 07/06/2002 08/01/2002 08/01/2003 08/03/2000 08/05/2000 08/05/2002 08/06/2001 08/07/2000 08/10/2001 08/11/2000 08/11/2001 08/11/2002 09/01/2003 09/03/1998 09/03/2002 09/05/2000 09/05/2003 10/02/2002 10/02/2003 10/03/2000 10/03/2003 10/04/1998 10/04/2002 10/04/2003 10/05/2001 10/05/2002 10/06/2003 10/08/1998 10/08/2001 10/08/2002 10/10/2001 10/10/2002 10/11/1999 10/11/2001 10/12/2002 11/01/1999 11/03/2000 11/04/2001 11/04/2002 11/05/2000 11/06/2001 11/06/2003 11/07/2001 11/12/2000 11/12/2002 12/01/2001 12/03/2002 12/04/2000 12/04/2002 12/06/2002 12/07/2002 12/07/2003 12/08/1998 12/08/2000 12/10/2001 12/11/2002 12/12/2000 13/01/2003 13/05/2002 13/05/2003 13/06/2002 13/06/2003 13/07/2001 13/09/2003 13/10/2000 13/11/1998 13/11/1999 13/12/2001 13/12/2002 14/01/1999 14/02/2002 14/02/2003 14/03/2003 14/04/2003 14/05/2002 14/06/2001 14/08/2000 14/08/2001 14/11/2000 15/01/2003 15/02/2001 15/03/2000 15/03/2001 15/03/2003 15/04/1999 15/04/2002 15/05/2002 15/05/2003 15/10/2002 15/12/1998 15/12/2001 16/01/2002 16/03/1999 16/03/2000 16/05/2003 16/06/1998 16/06/2000 16/06/2001 16/08/2002 16/09/1999 16/11/2001 16/12/1999 17/01/2001 17/01/2003 17/02/2000 17/05/2001 17/06/2003 17/07/2002 17/08/1999 17/08/2002 17/10/2001 17/12/1999 18/02/2000 18/02/2002 18/02/2003 18/03/2002 18/03/2003 18/04/2002 18/04/2003 18/07/2000 18/08/2000 18/08/2001 18/10/2000 19/01/2001 19/02/2003 19/03/1999 19/03/2002 19/03/2003 19/04/1999 19/04/2000 19/04/2002 19/06/2002 19/06/2003 19/07/1997 19/07/2001 19/07/2002 19/08/2002 19/10/2001 19/11/2001 19/11/2002 20/01/1999 20/02/2002 20/03/2001 20/03/2003 20/07/1998 20/07/1999 20/07/2001 20/08/2002 20/09/2001 20/09/2002 20/10/1998 20/10/1999 20/10/2002 20/11/2002 20/12/2002 21/01/1999 21/01/2000 21/01/2003 21/02/2001 21/02/2003 21/03/2001 21/03/2003 21/04/2003 21/05/2001 21/06/2002 21/09/2001 21/10/2002 21/11/2000 21/11/2001 22/01/2003 22/02/1999 22/02/2002 22/03/2000 22/04/2002 22/04/2003 22/06/2001 22/08/2000 22/08/2002 22/09/2000 22/11/2002 23/01/2001 23/01/2002 23/01/2003 23/02/2002 23/03/2000 23/04/2002 23/04/2003 23/05/2002 23/05/2003 23/07/1999 23/07/2001 23/07/2002 23/08/2001 23/08/2002 23/09/1999 23/09/2002 23/11/2002 23/12/2002 24/01/2003 24/04/2002 24/08/2000 24/09/1999 24/10/2002 24/11/2000 24/12/2002 25/01/2000 25/01/2002 25/03/2003 25/04/2003 25/05/2001 25/07/2000 25/09/2002 25/11/2002 26/01/2001 26/02/2001 26/04/2002 26/05/2001 26/05/2003 26/07/2002 26/08/2002 26/09/1998 26/09/2000 26/09/2001 26/09/2002 26/11/1999 27/01/1998 27/02/2003 27/04/2001 27/05/1997 27/05/2001 27/05/2002 27/05/2003 27/06/1998 27/06/2001 27/06/2002 27/07/2000 27/07/2001 27/07/2002 27/08/2002 27/09/2000 27/09/2001 27/09/2002 27/11/2001 27/12/2002 28/01/2000 28/02/2000 28/02/2001 28/02/2002 28/03/2002 28/04/2003 28/05/2003 28/06/2002 28/07/2000 28/08/2002 28/10/2002 29/04/2002 29/05/2001 29/05/2002 29/06/2000 29/06/2001 29/06/2002 29/08/2001 29/10/1998 29/11/2000 29/12/2000 30/01/2002 30/01/2003 30/04/2003 30/05/2000 30/06/2000 30/07/1999 30/08/2001 30/08/2002 30/11/2000 30/11/2001 30/12/2001 31/05/2001 31/05/2002 31/07/2001 31/08/2000 Measles (dd/mm/yyyy) Measles (dd/mm/yyyy) Measles (dd/mm/yyyy) Measles (dd/mm/yyyy) Measles (dd/mm/yyyy) Record vaccination dates for each dose of DTP and measles Questions to be asked to households with children under 5 years. 3184 . 01/03/2003 01/04/2001 01/05/2003 01/06/2001 01/07/2002 01/08/2001 01/09/2002 01/10/2002 02/02/2001 02/05/2000 02/06/2003 02/08/2000 02/11/2002 02/12/2000 03/01/2002 03/03/2003 03/04/2001 03/04/2002 03/05/2001 03/05/2003 03/10/2002 04/03/2002 04/04/04 04/04/2003 04/05/1999 04/05/2001 04/06/2003 04/08/2000 04/08/2002 04/10/2000 04/11/1999 04/11/2002 05/02/2002 05/02/2003 05/04/2002 05/07/2001 05/10/1999 05/10/2001 05/10/2002 05/12/2001 06/02/2002 06/02/2003 06/04/2000 06/04/2002 06/05/2002 06/06/2001 06/08/2001 06/09/1999 06/09/2002 06/09/2003 06/10/2000 06/11/2002 07/01/2000 07/04/2000 07/04/2003 07/05/2003 07/06/2002 08/01/2003 08/02/1999 08/02/2001 08/02/2002 08/04/2002 08/06/2002 08/09/2000 08/11/2000 08/11/2002 09/01/2002 09/01/2003 09/04/2002 09/05/2003 09/11/2001 10/01/2000 10/01/2001 10/01/2003 10/05/1999 10/05/2001 10/05/2002 10/06/2003 10/10/2002 10/12/2000 10/12/2001 11/02/1999 11/03/2002 11/04/2002 11/04/2003 11/07/2002 11/09/2002 11/10/2002 11/11/2002 11/12/2002 12/01/2001 12/03/2003 12/06/2002 12/08/2002 12/11/2001 12/11/2002 13/01/1999 13/03/1999 13/03/2002 13/06/2002 13/06/2003 13/08/2001 13/09/2002 13/11/2002 13/12/2002 14/01/2001 14/01/2002 14/02/2001 14/02/2003 14/03/2000 14/03/2001 14/03/2002 14/03/2003 14/06/1999 14/06/2001 14/09/2000 14/09/2002 14/11/2002 15/01/2001 15/01/2002 15/01/2003 15/02/2001 15/02/2003 15/03/2003 15/04/1999 15/04/2001 15/05/2002 15/06/1998 15/06/2001 15/10/2002 16/01/2002 16/06/1999 16/07/2001 16/08/2002 16/12/2002 17/01/2000 17/01/2003 17/04/2003 17/05/2001 17/06/2002 17/07/2002 17/08/2002 17/09/2001 17/10/1997 17/10/2001 17/12/1999 18/01/2002 18/02/2003 18/04/2002 18/05/2002 18/06/2002 18/09/1998 18/10/2001 18/11/2001 18/12/2000 19/04/2000 19/06/2000 19/07/1999 19/07/2000 19/08/2002 20/01/1999 20/03/2002 20/04/1999 20/05/2003 20/06/2000 20/06/2001 20/10/2000 20/11/2001 21/01/2003 21/02/2003 21/05/2001 21/08/1998 21/10/2002 21/12/2002 22/01/2003 22/06/1999 22/08/2001 22/11/2002 22/12/2000 23/01/2001 23/01/2002 23/03/2000 23/03/2001 23/05/2002 23/05/2003 23/06/2000 23/08/2000 23/08/2001 23/09/2003 23/12/2002 24/01/2000 24/01/2002 24/01/2003 24/03/2002 24/04/2002 24/10/2000 24/10/2002 24/12/2000 24/12/2002 25/01/2002 25/02/2002 25/03/2002 25/03/2003 25/04/2001 25/04/2003 25/05/1999 25/05/2001 25/05/2003 25/07/2001 25/07/2002 25/08/1999 25/09/2002 25/11/2002 26/03/2001 26/05/2000 26/06/2002 26/08/2002 26/09/2000 26/09/2001 26/11/1998 26/12/2001 26/12/2002 27/02/2001 27/05/2003 27/07/2002 27/09/2000 27/09/2002 28/01/1999 28/01/2003 28/02/2000 28/03/2000 28/03/2003 28/04/2001 28/04/2003 28/06/2002 28/06/2003 28/07/2000 28/08/2001 28/08/2002 28/09/2001 28/11/2000 28/12/2000 29/03/2001 29/04/2003 29/05/2000 29/05/2002 29/07/2002 29/11/2002 29/12/1999 30/03/2000 30/03/2003 30/08/2001 30/10/2001 30/11/2001 30/12/2002 31/01/2001 31/03/2000 31/03/2001 31/05/2002 31/07/2001 31/10/2001 additional vaccinations not recorded additional vaccinations not recorded additional vaccinations not recorded additional vaccinations not recorded additional vaccinations not recorded Has (NAME) received any vaccinations to prevent him/her form getting disease that are not recorded on this card. Questions to be asked to households with children under 5 years. 537 2647 1 Yes 5 No 8 Do not know Sysmiss Diphtheria, tetanus, whooping cough Diphtheria, tetanus, whooping cough Diphtheria, tetanus, whooping cough Diphtheria, tetanus, whooping cough Diphtheria, tetanus, whooping cough Has (NAME) received additional vaccinations to prevent him/her from getting diphtheria, tetanus or pertussis (whooping cough)? IF YES: How many times? Questions to be asked to households with children under 5 years. 227 2957 1 Yes 5 No 8 Do not know Sysmiss If yes how many times If yes how many times If yes how many times If yes how many times If yes how many times Has (NAME) received additional vaccinations to prevent him/her from getting diphtheria, tetanus or pertussis (whooping cough)? IF YES: How many times? Questions to be asked to households with children under 5 years. 127 3057 1 3 1.811 0.843 Additional vaccinations not recorded to prevent measles Additional vaccinations not recorded to prevent measles Additional vaccinations not recorded to prevent measles Additional vaccinations not recorded to prevent measles Additional vaccinations not recorded to prevent measles Has (NAME) received any vaccinations that are not recorded on this card to prevent him/her from measles? Questions to be asked to households with children under 5 years. 221 2963 1 Yes 5 No 8 Do not know Sysmiss vaccinations vaccinations vaccinations vaccinations vaccinations Did (NAME) ever receive any vaccinations to prevent him/her from getting diseases? Questions to be asked to households with children under 5 years. 368 2816 1 Yes 5 No 8 Do not know Sysmiss DPT vaccination DPT vaccination DPT vaccination DPT vaccination DPT vaccination Please tell me if (NAME) has received any of the following vaccinations: A) DTP vaccination? Questions to be asked to households with children under 5 years. 234 2950 1 Yes 5 No 8 Do not know Sysmiss number of dpt vaccinations number of dpt vaccinations number of dpt vaccinations number of dpt vaccinations number of dpt vaccinations If YES: How many times? Questions to be asked to households with children under 5 years. 122 3062 1 3 2.131 0.881 injection to prevent measles injection to prevent measles injection to prevent measles injection to prevent measles injection to prevent measles An injection to prevent measles? Questions to be asked to households with children under 5 years. 214 2970 1 Yes 5 No 8 Do not know Sysmiss receive vitamin A receive vitamin A receive vitamin A receive vitamin A receive vitamin A In the last 12 months did (NAME) receive a vitamin A capsule or supplement (like this)? Questions to be asked to households with children under 5 years. 795 2389 1 Yes 5 No 8 Do not know Sysmiss How many times How many times How many times How many times How many times If YES: How many times did [NAME] received it? Questions to be asked to households with children under 5 years. 175 3009 3 1.834 0.858 when was the youngest child sick when was the youngest child sick when was the youngest child sick when was the youngest child sick when was the youngest child sick When was the last time [NAME] was sick with fever, diarrhoea, or any other illness? Questions to be asked to households with children under 5 years. 891 2293 1 Within the last 2 weeks 2 2 weeks-less than 1 month ago 3 1 month-3 months ago 4 More than 3 months ago 5 Never was sick Sysmiss Fever (hot body) Fever (hot body) Fever (hot body) Fever (hot body) Fever (hot body) During [NAME]'s last episode of illness, did [NAME] have a fever (hot body)? Questions to be asked to households with children under 5 years. 693 2491 1 Yes 5 No 8 Do not know Sysmiss cough cough cough cough cough During [NAME]'s last episode of illness, did [NAME] have a cough? Questions to be asked to households with children under 5 years. 642 2542 1 Yes 5 No 8 Do not know Sysmiss difficult or fast breathing difficult or fast breathing difficult or fast breathing difficult or fast breathing difficult or fast breathing During [NAME]'s last episode of illness, did [NAME] have difficulty or fast breathing? Questions to be asked to households with children under 5 years. 611 2573 1 Yes 5 No 8 Do not know Sysmiss diarrhea diarrhea diarrhea diarrhea diarrhea During [NAME]'s last episode of illness, did [NAME] have diarrhea? Questions to be asked to households with children under 5 years. 650 2534 1 Yes 5 No 8 Do not know Sysmiss blood in the stools blood in the stools blood in the stools blood in the stools blood in the stools During [NAME]'s last episode of illness, did [NAME] have blood in their stools? Questions to be asked to households with children under 5 years. 615 2569 1 Yes 5 No 8 Do not know Sysmiss persistent vomiting persistent vomiting persistent vomiting persistent vomiting persistent vomiting During [NAME]'s last episode of illness, did [NAME] have persistant vomiting? Questions to be asked to households with children under 5 years. 624 2560 1 Yes 5 No 8 Do not know Sysmiss unable to eat / drink unable to eat / drink unable to eat / drink unable to eat / drink unable to eat / drink During [NAME]'s last episode of illness, was [NAME] unable to eat/drink? Questions to be asked to households with children under 5 years. 625 2559 1 Yes 5 No 8 Do not know Sysmiss convulsions convulsions convulsions convulsions convulsions During [NAME]'s last episode of illness, did [NAME] have convulsions? Questions to be asked to households with children under 5 years. 601 2583 1 Yes 5 No 8 Do not know Sysmiss other other other other other During [NAME]'s last episode of illness, did [NAME] have other symptoms? Questions to be asked to households with children under 5 years. 538 2646 1 Yes 5 No Sysmiss Q6559 specify Q6559 specify Q6559 specify Q6559 specify Q6559 specify During [NAME]'s last episode of illness, did [NAME] have other symptoms? Please specify. Questions to be asked to households with children under 5 years. 27 1 2 3 5 ANEMIE ANEMIE CLINIQUE BOUTON SUR LE CORPS COURBATURE FRONTANEL GLAIRES DANS LES SELLES IL MANGE NORMALEMENT MAIS PERD DU POID MANGE PAS MAUX DE VENTRE NE DORT PAS SOUVENT PAS TROP DE SOMMEIL RHUME VARICELLE VENTRE COULE anemie il avait beaucoup plû plans rhum drink more or less drink more or less drink more or less drink more or less drink more or less During [NAME]'s last illness, was [NAME] given more than usual to drink, about the same amount, or less than usual to drink, including breastmilk? Questions to be asked to households with children under 5 years. 667 2517 1 More than usual to drink 2 About the same to drink 3 Less than usual to drink 4 Nothing to drink 8 DK Sysmiss eating pattern eating pattern eating pattern eating pattern eating pattern During [NAME]'s last illness, was [NAME] given more than usual to eat, about the same amount, less than usual, or nothing to eat? Questions to be asked to households with children under 5 years. 678 2506 1 More than usual to eat 2 About the same to eat 3 Less than usual to eat 4 Stopped food 5 Never gave food (exclusively breastfed) 8 Do not know Sysmiss care or treatment for illness care or treatment for illness care or treatment for illness care or treatment for illness care or treatment for illness During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness? If YES: Where did the child receive care? Was it government operated or private? Questions to be asked to households with children under 5 years. 692 2492 1 Yes 5 No 8 Do not know Sysmiss where received care first where received care first where received care first where received care first where received care first During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness? If YES: Where did the child receive care? Was it government operated or private? Questions to be asked to households with children under 5 years. 575 2609 1 Hospital 2 Outpatient facility 3 Pharmacy 4 Private physician 5 Traditional healer 6 Other Sysmiss Q6563 specify Q6563 specify Q6563 specify Q6563 specify Q6563 specify During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness? If YES: Where did the child receive care? Was it government operated or private? Questions to be asked to households with children under 5 years. 36 1 2 6 A DOMICILE A LA MAISON DEPOT PHARMACEUTIQUE DISPENSAIRE DOMICILE ELLE MEME A DONNE LES INDIGENA INDIGENAT INFIRMERIE INFIRMERIE DE DIDOKO MARCHAND AMBULANT SOINS A LA MAISON dispensaire d'apprompo was it private or government operated was it private or government operated was it private or government operated was it private or government operated was it private or government operated During [NAME]'s last illness, did [NAME] receive any care or treatment for the illness? If YES: Where did the child receive care? Was it government operated or private? Questions to be asked to households with children under 5 years. 493 2691 1 Government operated 2 Private 8 Do not know Sysmiss How soon first received care How soon first received care How soon first received care How soon first received care How soon first received care How soon after the illness was noticed did [NAME] first receive care? Questions to be asked to households with children under 5 years. 526 2658 1 The same day (within 24 hours) 2 More than 24 hours later 8 Do not know Sysmiss Treatment for malaria Treatment for malaria Treatment for malaria Treatment for malaria Treatment for malaria During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken? Questions only to be asked in malaria endemic areas. 493 2691 1 Yes 5 No 8 Do not know Sysmiss Antimalarial medicine Antimalarial medicine Antimalarial medicine Antimalarial medicine Antimalarial medicine During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken? Questions only to be asked in malaria endemic areas. 322 2862 1 Yes 5 No Sysmiss Home remedy Home remedy Home remedy Home remedy Home remedy During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken? Questions only to be asked in malaria endemic areas. 105 3079 1 Yes 5 No Sysmiss Remedy/Medicine from trad. healer Remedy/Medicine from trad. healer Remedy/Medicine from trad. healer Remedy/Medicine from trad. healer Remedy/Medicine from trad. healer During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken? Questions only to be asked in malaria endemic areas. 87 3097 1 Yes 5 No Sysmiss Other Other Other Other Other During [NAME]'s last episode of fever, did [NAME] receive any treatment for malaria? If yes, what was taken? Questions only to be asked in malaria endemic areas. 82 3102 1 Yes 5 No Sysmiss told by doctor for suffering malaria told by doctor for suffering malaria told by doctor for suffering malaria told by doctor for suffering malaria told by doctor for suffering malaria In the last 12 months did [NAME] have an episode of malaria? Questions only to be asked in malaria endemic areas. 515 2669 1 Yes 5 No 8 Do not know Sysmiss Received treatment for malaria Received treatment for malaria Received treatment for malaria Received treatment for malaria Received treatment for malaria During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria? If yes, what was taken? Questions only to be asked in malaria endemic areas. 281 2903 1 Yes 5 No 8 Do not know Sysmiss what was taken what was taken what was taken what was taken what was taken During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria? If yes, what was taken? Questions only to be asked in malaria endemic areas. 237 2947 1 Yes 5 No Sysmiss During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria? If yes, what was taken? Questions only to be asked in malaria endemic areas. 76 3108 1 Yes 5 No Sysmiss During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria? If yes, what was taken? Questions only to be asked in malaria endemic areas. 63 3121 1 Yes 5 No Sysmiss During (NAME's) last episode of malaria, did (NAME) receive any treatment of take any medications for malaria? If yes, what was taken? Questions only to be asked in malaria endemic areas. 56 3128 1 Yes 5 No Sysmiss Other persons present during sexual health Other persons present during sexual health Other persons present during sexual health Other persons present during sexual health Other persons present during sexual health Check if other person(s) present during section on sexual health Questions to be asked to respondents aged 18 to 49 only. 2258 926 1 Yes 5 No Sysmiss currently married or living with a man (woman) currently married or living with a man (woman) currently married or living with a man (woman) currently married or living with a man (woman) currently married or living with a man (woman) I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that this information is all completely private and anonymous and cannot be linked to you or any partner in any way. Are you currently married or living with a man (woman)? 2507 677 1 Yes 5 No Sysmiss Do you currently have Do you currently have Do you currently have Do you currently have Do you currently have I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that this information is all completely private and anonymous and cannot be linked to you or any partner in any way. Do you currently have a regular sexual partner, an occasional sexual partner, or no sexual partner? 1236 1948 1 Regular sexual partner 2 An occasional sexual partner 5 No sexual partner Sysmiss Does your spouse Does your spouse Does your spouse Does your spouse Does your spouse I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that this information is all completely private and anonymous and cannot be linked to you or any partner in any way. Does your spouse (sexual partner) currently live with you in the same house? 2073 1111 1 Yes 5 No Sysmiss Howlong you and your sexual partner living separately Howlong you and your sexual partner living separately Howlong you and your sexual partner living separately Howlong you and your sexual partner living separately Howlong you and your sexual partner living separately I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that this information is all completely private and anonymous and cannot be linked to you or any partner in any way. How long have you and your spouse (sexual partner) been living separately? 908 2276 1 Within the last month 2 1-2 months 3 3-5 months 4 6-12 months 5 More than 1 year 6 Never lived together Sysmiss Ever had sex Ever had sex Ever had sex Ever had sex Ever had sex I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that this information is all completely private and anonymous and cannot be linked to you or any partner in any way. Have you ever had sex? 615 2569 1 Yes 5 No Sysmiss Last sex Last sex Last sex Last sex Last sex I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that this information is all completely private and anonymous and cannot be linked to you or any partner in any way. When was the last time you had sexual intercourse? 2349 835 1 Within the last month 2 1-2 months ago 3 3-5 months ago 4 6-12 months ago 5 More than 1 year ago Sysmiss Relationship with person Relationship with person Relationship with person Relationship with person Relationship with person I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that this information is all completely private and anonymous and cannot be linked to you or any partner in any way. What was the relationship with the person with whom you last had sex? 2122 1062 1 Spouse/Cohabiting partner 2 Boyfriend/Girlfriend/Fiancé(e) 3 Other friend 4 Casual acquaintance 5 Relative 6 Commercial sex worker 7 Other Sysmiss used condom used condom used condom used condom used condom I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that this information is all completely private and anonymous and cannot be linked to you or any partner in any way. The last time you had sexual intercourse, was a condom used? 2111 1073 1 Yes 5 No 8 Do not remeber Sysmiss had sex with another person had sex with another person had sex with another person had sex with another person had sex with another person I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that this information is all completely private and anonymous and cannot be linked to you or any partner in any way. Have you had sex with another person in the last 12 months? 2090 1094 1 Yes 5 No Sysmiss used condom used condom used condom used condom used condom I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that this information is all completely private and anonymous and cannot be linked to you or any partner in any way. The last time you had sexual intercourse with this other person, was a condom used? 471 2713 1 Yes 5 No 8 Do not remeber Sysmiss HIV test HIV test HIV test HIV test HIV test In the last 12 months, have you been tested to see if you have HIV, the virus that causes AIDS? This question is asked to all men of reproductive age, and to women of reproductive age who have not given birth in the last two years. 1294 1890 1 Yes 5 No Sysmiss HIV test results received HIV test results received HIV test results received HIV test results received HIV test results received Have you been told the results of your test? 91 3093 1 Yes 5 No Sysmiss last time eyes examined last time eyes examined last time eyes examined last time eyes examined last time eyes examined When was the last time you had your eyes examined by a physician or other medical professional? Questions to be asked only to respondents aged 60 or over. 218 2966 1 Within the last 12 months 2 1-2 years ago 3 3-4 years ago 4 5 years ago 5 More than 5 years ago 6 Never 8 Do not know Sysmiss had cataract told by a physician had cataract told by a physician had cataract told by a physician had cataract told by a physician had cataract told by a physician In the last 5 years, were you diagnosed with a cataract in one or both of your eyes? Questions to be asked only to respondents aged 60 or over. 43 3141 1 Yes 5 No 8 Do not remeber Sysmiss eye surgery to remove cataract eye surgery to remove cataract eye surgery to remove cataract eye surgery to remove cataract eye surgery to remove cataract In the last 5 years, have you had eye surgery to remove your cataract (s)? Questions to be asked only to respondents aged 60 or over. 13 3171 1 Yes 5 No Sysmiss blurry vision blurry vision blurry vision blurry vision blurry vision In the last 12 months, have you experienced any of the following… Cloudy or blurry vision? Questions to be asked only to respondents aged 60 or over. 225 2959 1 Yes 5 No 8 Do not know Sysmiss Glare from bright lights Glare from bright lights Glare from bright lights Glare from bright lights Glare from bright lights In the last 12 months, have you experienced any of the following… Vision problems with light, such as glare from bright lights, or halos around lights? Questions to be asked only to respondents aged 60 or over. 225 2959 1 Yes 5 No 8 Do not know Sysmiss Problem with mouth/teeth Problem with mouth/teeth Problem with mouth/teeth Problem with mouth/teeth Problem with mouth/teeth Now I would like to ask you some questions about the condition of your mouth and teeth. During the last 12 months, did you have any problems with your mouth and/or teeth? 2957 227 1 Yes 5 No Sysmiss medical care or treatment for mouth or teeth medical care or treatment for mouth or teeth medical care or treatment for mouth or teeth medical care or treatment for mouth or teeth medical care or treatment for mouth or teeth Now I would like to ask you some questions about the condition of your mouth and teeth. During the last 12 months, did you receive medical care or treatment from a dentist or other oral health specialist for this problem with your mouth and/or teeth? 784 2400 1 Yes 5 No Sysmiss medication medication medication medication medication What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any medication. 212 2972 1 Yes 5 No Sysmiss Dental work Dental work Dental work Dental work Dental work What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any dental work or oral surgery. 231 2953 1 Yes 5 No Sysmiss Dentures or bridges Dentures or bridges Dentures or bridges Dentures or bridges Dentures or bridges What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any dentures or bridges. 178 3006 1 Yes 5 No Sysmiss Counseling Counseling Counseling Counseling Counseling What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any information or conseling on dental care/oral hygiene. 179 3005 1 Yes 5 No Sysmiss other other other other other What type of care or treatment did you receive for this problem with your mouth and/or teeth? In particular any others not already mentioned. 196 2988 1 Yes 5 No Sysmiss Q6756 specify Q6756 specify Q6756 specify Q6756 specify Q6756 specify What type of care or treatment did you receive for this problem with your mouth and/or teeth? 23 1 5 ARRACHER LA DENT INFECTION BUCALE MEDICAMENT TRADITIONNEL PLOMBEE PLOMBER arracher la dent plombage lost all of natural teeth lost all of natural teeth lost all of natural teeth lost all of natural teeth lost all of natural teeth Have you lost all of your natural teeth? 2923 261 1 Yes 5 No Sysmiss involved in road traffic accident involved in road traffic accident involved in road traffic accident involved in road traffic accident involved in road traffic accident In the past 12 months, have you been involved in a road traffic accident where you suffered from bodily injury? 3042 142 1 Yes 5 No Sysmiss When did the accident happen? When did the accident happen? When did the accident happen? When did the accident happen? When did the accident happen? When (in the last 12 months) did the accident happen? 99 3085 1 Within the last 30 days 2 1-2 months ago 3 3-5 months ago 4 6-12 months ago 8 Do not know Sysmiss received any medical care received any medical care received any medical care received any medical care received any medical care Did you receive medical care or treatment for your injuries? 120 3064 1 Yes 5 No Sysmiss where received care first where received care first where received care first where received care first where received care first Where did you first receive care? 77 3107 1 On-site, ambulance 2 Hospital 3 Outpatient facility 4 Private physician 5 Traditional healer 6 Other Sysmiss Was it government operated or private Was it government operated or private Was it government operated or private Was it government operated or private Was it government operated or private Was it government operated or private (if from ambulance, hospital or outpatient facility)? 66 3118 1 Government operated 2 Private( including for- profit and not- for- profit) 8 Do not know Sysmiss how soon received care how soon received care how soon received care how soon received care how soon received care How soon after the traffic accident occurred did you first receive care? 74 3110 1 In 1 hour or less 2 In over 1 hour, but within 24 hours 3 More than 24 hours later Sysmiss suffered bodily due to fall, burn, poisoning, . suffered bodily due to fall, burn, poisoning, . suffered bodily due to fall, burn, poisoning, . suffered bodily due to fall, burn, poisoning, . suffered bodily due to fall, burn, poisoning, . In the past 12 months, have you suffered bodily injury that limited your everyday activities in any way? This could have been due to a fall, burn, poisoning, submersion in water, or by a firearm or sharp weapon, or an act of violence from another person? 3009 175 1 Yes 5 No Sysmiss When bodily injury When bodily injury When bodily injury When bodily injury When bodily injury When (in the last 12 months) did the incident happen? 212 2972 1 Within the last 30 days 2 1-2 months ago 3 3-5 months ago 4 6-12 months ago 8 Do not know Sysmiss received any medical care for injuries received any medical care for injuries received any medical care for injuries received any medical care for injuries received any medical care for injuries Did you receive any medical care or treatment for your injuries? 235 2949 1 Yes 5 No Sysmiss source of care source of care source of care source of care source of care Where did you first receive care? 140 3044 1 On-site, ambulance 2 Hospital 3 Outpatient facility 4 Private physician 5 Traditional healer 6 Other Sysmiss Government operated or private Government operated or private Government operated or private Government operated or private Government operated or private Was it government operated or private (if from ambulance, hospital or outpatient facility)? 108 3076 1 Government operated 2 Private( including for profit and not for profit) 8 Do not know Sysmiss how soon received care how soon received care how soon received care how soon received care how soon received care How soon after this injury did you first receive care? 134 3050 1 In 1 hour or less 2 In over 1 hour, but within 24 hours 3 More than 24 hours later Sysmiss Time end section 6000 Time end section 6000 Time end section 6000 Time end section 6000 Time end section 6000 3037 00:15 00:46 06:47 06:53 06:59 07:00 07:12 07:13 07:20 07:24 07:25 07:26 07:27 07:30 07:32 07:35 07:37 07:38 07:39 07:40 07:41 07:42 07:45 07:46 07:48 07:50 07:51 07:52 07:53 07:55 07:56 07:58 07:59 08:00 08:02 08:03 08:04 08:06 08:07 08:08 08:10 08:11 08:12 08:13 08:15 08:16 08:17 08:18 08:20 08:21 08:22 08:23 08:24 08:25 08:26 08:27 08:28 08:29 08:30 08:31 08:32 08:33 08:34 08:35 08:36 08:37 08:38 08:39 08:40 08:41 08:42 08:44 08:45 08:46 08:47 08:48 08:49 08:50 08:51 08:52 08:53 08:54 08:55 08:56 08:57 08:58 08:59 09:00 09:01 09:02 09:03 09:04 09:05 09:06 09:08 09:09 09:10 09:11 09:12 09:13 09:14 09:15 09:16 09:17 09:18 09:19 09:20 09:21 09:22 09:23 09:24 09:25 09:26 09:27 09:28 09:29 09:30 09:31 09:32 09:33 09:34 09:35 09:36 09:37 09:38 09:39 09:40 09:41 09:42 09:43 09:44 09:45 09:46 09:47 09:48 09:49 09:50 09:51 09:52 09:53 09:54 09:55 09:56 09:57 09:58 09:59 10:00 10:01 10:02 10:03 10:04 10:05 10:07 10:08 10:09 10:10 10:11 10:12 10:13 10:14 10:15 10:16 10:17 10:18 10:19 10:20 10:21 10:22 10:23 10:24 10:25 10:26 10:27 10:28 10:29 10:30 10:31 10:32 10:33 10:34 10:35 10:36 10:37 10:38 10:39 10:40 10:41 10:42 10:43 10:44 10:45 10:46 10:47 10:48 10:49 10:50 10:51 10:52 10:53 10:54 10:55 10:56 10:57 10:58 10:59 11:00 11:01 11:02 11:03 11:04 11:05 11:07 11:08 11:09 11:10 11:11 11:12 11:13 11:14 11:15 11:16 11:17 11:18 11:19 11:20 11:21 11:22 11:23 11:24 11:25 11:26 11:27 11:28 11:29 11:30 11:31 11:32 11:33 11:34 11:35 11:36 11:37 11:38 11:39 11:40 11:41 11:42 11:43 11:44 11:45 11:46 11:47 11:48 11:49 11:50 11:51 11:52 11:53 11:54 11:55 11:56 11:57 11:58 11:59 12:00 12:02 12:03 12:05 12:06 12:07 12:08 12:10 12:11 12:12 12:13 12:15 12:16 12:17 12:18 12:19 12:20 12:21 12:22 12:23 12:24 12:25 12:26 12:27 12:28 12:29 12:30 12:31 12:32 12:33 12:34 12:35 12:36 12:37 12:38 12:39 12:40 12:41 12:42 12:43 12:44 12:45 12:46 12:47 12:48 12:49 12:50 12:51 12:52 12:53 12:54 12:55 12:56 12:57 12:58 12:59 13:00 13:01 13:02 13:03 13:04 13:05 13:06 13:07 13:08 13:09 13:10 13:11 13:12 13:13 13:14 13:15 13:16 13:17 13:18 13:19 13:20 13:22 13:23 13:24 13:25 13:26 13:27 13:28 13:29 13:30 13:31 13:32 13:33 13:35 13:36 13:38 13:39 13:40 13:41 13:42 13:43 13:44 13:45 13:46 13:47 13:48 13:49 13:50 13:51 13:53 13:54 13:55 13:56 13:57 13:58 13:59 14:00 14:01 14:02 14:03 14:04 14:05 14:06 14:07 14:08 14:09 14:10 14:11 14:12 14:13 14:14 14:15 14:16 14:17 14:18 14:19 14:20 14:21 14:22 14:23 14:24 14:25 14:26 14:28 14:29 14:30 14:31 14:32 14:33 14:35 14:36 14:37 14:38 14:39 14:40 14:41 14:42 14:43 14:44 14:45 14:46 14:48 14:49 14:50 14:51 14:52 14:53 14:54 14:55 14:56 14:58 14:59 15:00 15:01 15:02 15:03 15:04 15:05 15:06 15:07 15:08 15:09 15:10 15:11 15:12 15:13 15:14 15:15 15:16 15:17 15:18 15:19 15:20 15:22 15:23 15:24 15:25 15:26 15:27 15:28 15:29 15:30 15:31 15:32 15:33 15:34 15:35 15:36 15:37 15:38 15:39 15:40 15:41 15:42 15:43 15:44 15:45 15:46 15:47 15:48 15:50 15:51 15:52 15:53 15:55 15:56 15:58 15:59 16:00 16:01 16:02 16:03 16:05 16:06 16:07 16:08 16:09 16:10 16:11 16:12 16:13 16:14 16:15 16:16 16:17 16:18 16:20 16:21 16:22 16:23 16:24 16:25 16:26 16:27 16:29 16:30 16:31 16:32 16:33 16:34 16:35 16:36 16:37 16:38 16:39 16:40 16:41 16:42 16:43 16:44 16:45 16:46 16:47 16:48 16:49 16:50 16:51 16:52 16:53 16:54 16:55 16:56 16:57 16:58 16:59 17:00 17:01 17:02 17:03 17:04 17:05 17:06 17:07 17:08 17:09 17:10 17:11 17:12 17:13 17:14 17:15 17:16 17:17 17:18 17:19 17:20 17:21 17:22 17:23 17:24 17:25 17:26 17:27 17:28 17:30 17:31 17:32 17:33 17:34 17:35 17:36 17:37 17:38 17:39 17:40 17:41 17:42 17:43 17:44 17:45 17:46 17:47 17:48 17:49 17:50 17:51 17:52 17:53 17:54 17:55 17:56 17:57 17:58 17:59 18:00 18:01 18:02 18:03 18:04 18:05 18:06 18:09 18:10 18:11 18:12 18:13 18:14 18:15 18:16 18:17 18:18 18:19 18:20 18:21 18:22 18:23 18:24 18:25 18:26 18:27 18:28 18:29 18:30 18:31 18:32 18:33 18:34 18:35 18:36 18:37 18:40 18:42 18:43 18:44 18:45 18:46 18:47 18:48 18:49 18:50 18:51 18:52 18:55 18:56 18:57 18:58 18:59 19:00 19:01 19:02 19:03 19:04 19:05 19:06 19:08 19:10 19:11 19:12 19:13 19:14 19:15 19:16 19:17 19:18 19:19 19:20 19:21 19:22 19:23 19:24 19:25 19:26 19:27 19:28 19:29 19:30 19:33 19:34 19:35 19:36 19:37 19:38 19:39 19:40 19:41 19:42 19:43 19:44 19:45 19:46 19:47 19:48 19:49 19:50 19:51 19:52 19:53 19:54 19:55 19:56 19:57 19:58 19:59 20:00 20:01 20:02 20:03 20:04 20:05 20:06 20:08 20:09 20:10 20:12 20:15 20:16 20:17 20:18 20:19 20:20 20:21 20:22 20:23 20:24 20:25 20:26 20:27 20:28 20:29 20:30 20:31 20:32 20:33 20:35 20:36 20:37 20:38 20:39 20:40 20:41 20:42 20:43 20:44 20:45 20:46 20:47 20:48 20:50 20:52 20:53 20:54 20:55 20:56 20:57 20:58 21:00 21:05 21:07 21:08 21:10 21:14 21:15 21:16 21:17 21:19 21:20 21:21 21:22 21:23 21:25 21:30 21:31 21:32 21:35 21:37 21:38 21:39 21:40 21:42 21:45 21:46 21:47 21:48 21:50 21:51 21:52 21:53 21:55 21:56 21:59 22:00 22:02 22:03 22:04 22:05 22:06 22:10 22:11 22:15 22:17 22:18 22:19 22:20 22:22 22:23 22:24 22:27 22:30 22:31 22:32 22:35 22:36 22:40 22:42 22:44 22:45 22:48 22:49 22:50 22:59 23:00 23:04 23:08 23:11 23:21 23:23 23:25 23:30 23:37 23:40 23:58 24:38 Time begin section 7000 Time begin section 7000 Time begin section 7000 Time begin section 7000 Time begin section 7000 3058 00:15 00:47 01:05 02:27 06:03 06:47 06:53 06:59 07:00 07:12 07:13 07:20 07:24 07:26 07:27 07:32 07:33 07:35 07:36 07:37 07:38 07:39 07:40 07:41 07:43 07:45 07:46 07:48 07:50 07:51 07:52 07:53 07:55 07:56 07:58 07:59 08:00 08:02 08:04 08:06 08:07 08:08 08:10 08:11 08:12 08:13 08:15 08:16 08:17 08:18 08:19 08:20 08:22 08:23 08:24 08:25 08:26 08:27 08:28 08:29 08:30 08:31 08:32 08:33 08:34 08:36 08:37 08:38 08:39 08:40 08:41 08:42 08:43 08:44 08:45 08:46 08:47 08:48 08:49 08:50 08:51 08:52 08:53 08:54 08:55 08:56 08:57 08:58 08:59 09:00 09:01 09:02 09:03 09:04 09:05 09:06 09:08 09:09 09:10 09:11 09:12 09:13 09:14 09:15 09:16 09:17 09:18 09:19 09:20 09:21 09:22 09:23 09:24 09:25 09:26 09:27 09:28 09:29 09:30 09:31 09:32 09:33 09:34 09:35 09:36 09:37 09:38 09:39 09:40 09:41 09:42 09:43 09:44 09:45 09:46 09:48 09:50 09:51 09:52 09:53 09:54 09:55 09:56 09:57 09:58 09:59 10:00 10:01 10:02 10:03 10:04 10:05 10:06 10:07 10:08 10:09 10:10 10:11 10:12 10:13 10:14 10:15 10:16 10:17 10:18 10:19 10:20 10:21 10:22 10:23 10:25 10:26 10:27 10:28 10:29 10:30 10:31 10:32 10:33 10:34 10:35 10:36 10:37 10:38 10:39 10:40 10:41 10:42 10:43 10:44 10:45 10:46 10:47 10:48 10:49 10:50 10:51 10:52 10:53 10:54 10:55 10:56 10:57 10:58 10:59 11:00 11:01 11:02 11:03 11:04 11:05 11:06 11:07 11:08 11:09 11:10 11:11 11:12 11:13 11:14 11:15 11:16 11:17 11:18 11:19 11:20 11:21 11:22 11:23 11:24 11:25 11:26 11:27 11:28 11:29 11:30 11:31 11:32 11:33 11:34 11:35 11:36 11:37 11:38 11:39 11:40 11:41 11:42 11:43 11:44 11:45 11:46 11:47 11:48 11:49 11:50 11:51 11:52 11:53 11:54 11:55 11:56 11:57 11:58 11:59 12:00 12:02 12:03 12:04 12:05 12:06 12:07 12:08 12:10 12:11 12:12 12:13 12:14 12:15 12:16 12:17 12:18 12:19 12:20 12:21 12:22 12:23 12:24 12:25 12:26 12:27 12:28 12:29 12:30 12:31 12:32 12:33 12:34 12:35 12:36 12:37 12:38 12:39 12:40 12:41 12:42 12:43 12:44 12:45 12:46 12:47 12:48 12:49 12:50 12:51 12:52 12:53 12:54 12:55 12:56 12:57 12:58 12:59 13:00 13:01 13:02 13:03 13:04 13:05 13:06 13:07 13:08 13:09 13:10 13:11 13:12 13:14 13:15 13:16 13:17 13:18 13:20 13:21 13:22 13:23 13:24 13:25 13:26 13:27 13:28 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19:19 19:20 19:22 19:23 19:24 19:25 19:26 19:27 19:28 19:29 19:30 19:31 19:33 19:34 19:35 19:36 19:37 19:38 19:39 19:40 19:41 19:42 19:43 19:44 19:45 19:46 19:47 19:48 19:49 19:50 19:51 19:52 19:53 19:54 19:55 19:56 19:57 19:58 19:59 20:00 20:02 20:03 20:04 20:05 20:06 20:08 20:10 20:11 20:12 20:15 20:16 20:17 20:18 20:19 20:20 20:21 20:22 20:23 20:24 20:25 20:26 20:27 20:28 20:30 20:31 20:32 20:33 20:34 20:35 20:36 20:37 20:38 20:39 20:40 20:41 20:42 20:43 20:44 20:45 20:46 20:47 20:48 20:50 20:51 20:52 20:53 20:54 20:55 20:56 20:57 21:00 21:05 21:07 21:08 21:10 21:12 21:14 21:15 21:16 21:17 21:19 21:20 21:21 21:22 21:23 21:25 21:30 21:31 21:32 21:35 21:37 21:38 21:39 21:40 21:41 21:42 21:45 21:47 21:48 21:50 21:51 21:52 21:53 21:55 21:56 21:59 22:00 22:02 22:04 22:05 22:06 22:10 22:11 22:12 22:15 22:16 22:17 22:18 22:19 22:20 22:21 22:22 22:24 22:27 22:29 22:30 22:31 22:32 22:35 22:36 22:37 22:40 22:42 22:43 22:44 22:45 22:46 22:48 22:49 22:52 23:00 23:01 23:05 23:10 23:11 23:21 23:24 23:25 23:30 23:38 23:42 23:58 24:39 last time needed health care last time needed health care last time needed health care last time needed health care last time needed health care When was the last time that either you as an adult, or a child of yours aged 12 years or less, needed health care? - in the last 30 days - between 1 month and less than 1 year ago - between 1 year and less than 2 years ago - between 2 years and less than 3 years ago - between 3 years and less than 5 years ago - more than 5 years ago - Never needed – Skip to 7020 3052 132 1 In the last 30 days 2 Between 1 month and less than 1 year ago 3 Between 1 year and less than 2 years ago 4 Between 2 years and less than 3 years ago 5 Between 3 years and less than 5 years ago 6 More than 5 years ago 7 Never needed Sysmiss Need for health Care Need for health Care Need for health Care Need for health Care Need for health Care Was the last need for health care for you or for your child? - Yourself - Your child 2340 844 1 Yourself 2 Your child Sysmiss Availability of health care providers Availability of health care providers Availability of health care providers Availability of health care providers Availability of health care providers Thinking of the last time you [your child] needed to see a health care provider who could treat your condition, how many were there around who you could chose from? 2153 1031 500 2.446 16.701 1 2 3 4 5 6 7 8 9 10 11 12 15 20 30 88 400 500 Sysmiss Why was health care needed? Why was health care needed? Why was health care needed? Why was health care needed? Why was health care needed? Which reason best describes why you [your child] last needed health care? - High fever, severe diarrhoea, or cough - Immunization - Antenatal consultation - Family planning - Childbirth - Dental care - Arthritis - Asthma - Heart disease - Bodily injury - Minor surgery - Other 2326 858 1 High fever, severe diarrhea, or cough 2 Immunization 3 Antenatal consultation 4 Family planning 5 Childbirth 6 Dental care 7 Arthritis 8 Asthma 9 Heart disease 10 Bodily injury 11 Minor surgery 12 Other Sysmiss The last time you needed health care, did you get health care? The last time you needed health care, did you get health care? The last time you needed health care, did you get health care? The last time you needed health care, did you get health care? The last time you needed health care, did you get health care? The last time you [your child] needed health care, did you get health care? - Yes - SKIP TO Q7016 - No 2308 876 1 Yes 5 No Sysmiss Could not afford it Could not afford it Could not afford it Could not afford it Could not afford it Which reasons best explain why you [your child] did not get health care? Could not afford the cost of the visit. 140 3044 1 Yes 5 No Sysmiss No transport No transport No transport No transport No transport Which reasons best explain why you [your child] did not get health care? No transport. 120 3064 1 Yes 5 No Sysmiss Could not afford cost of transport Could not afford cost of transport Could not afford cost of transport Could not afford cost of transport Could not afford cost of transport Which reasons best explain why you [your child] did not get health care? Could not afford the cost of transport. 116 3068 1 Yes 5 No Sysmiss Inadequate Drugs or Equipment Inadequate Drugs or Equipment Inadequate Drugs or Equipment Inadequate Drugs or Equipment Inadequate Drugs or Equipment Which reasons best explain why you [your child] did not get health care? The health care provider's drugs or equipment are inadequate. 122 3062 1 Yes 5 No Sysmiss Inadequate skills Inadequate skills Inadequate skills Inadequate skills Inadequate skills Which reasons best explain why you [your child] did not get health care? The health care provider's skills are inadequate. 121 3063 1 Yes 5 No Sysmiss Previous bad treatment Previous bad treatment Previous bad treatment Previous bad treatment Previous bad treatment Which reasons best explain why you [your child] did not get health care?You were previously badly treated. 119 3065 1 Yes 5 No Sysmiss Had other commitments Had other commitments Had other commitments Had other commitments Had other commitments Which reasons best explain why you [your child] did not get health care? Could not take time off work or had other commitments. 116 3068 1 Yes 5 No Sysmiss Did not know where to go Did not know where to go Did not know where to go Did not know where to go Did not know where to go Which reasons best explain why you [your child] did not get health care? You did not know where to go. 115 3069 1 Yes 5 No Sysmiss Thought you were not sick enough Thought you were not sick enough Thought you were not sick enough Thought you were not sick enough Thought you were not sick enough Which reasons best explain why you [your child] did not get health care? You thought you were not sick enough. 112 3072 1 Yes 5 No Sysmiss You were denied health care You were denied health care You were denied health care You were denied health care You were denied health care Which reasons best explain why you [your child] did not get health care? You tried but were denied health care. 114 3070 1 Yes 5 No Sysmiss Other Other Other Other Other Which reasons best explain why you [your child] did not get health care? Other. 109 3075 1 Yes 5 No Sysmiss Where did you get care? Where did you get care? Where did you get care? Where did you get care? Where did you get care? When you last needed health care, where did you get care? - At a health care provider, excluding an overnight stay in hospital - At a hospital where you stayed overnight - At home 2184 1000 1 At a health care provider, 2 At a hospital where you stayed overnight 3 At home Sysmiss Prescription of medicine Prescription of medicine Prescription of medicine Prescription of medicine Prescription of medicine The last time you [your child] sought care for [refer to the CONDITIONS listed in Q7003] did the health care provider prescribe any medicine for you [your child]? 1. Yes 5. No 8. DK - If No or DK: Go to Q7020 2128 1056 1 Yes 5 No Sysmiss Able to get medicine Able to get medicine Able to get medicine Able to get medicine Able to get medicine Of the medicines that were prescribed for you [your child], how many of them were you able to get? 1. All of them – Skip to Q7020 2. Most 3. Some 4. Very few 5. None of them 1862 1322 1 All of them 2 Most 3 Some 4 Very few 5 None of them Sysmiss Why did not get medicine Why did not get medicine Why did not get medicine Why did not get medicine Why did not get medicine Which reason best explains why you [your child] did not get all the medicines you were prescribed? 1. Could not afford 2. Could not find all medicines 3. Did not believe all the medications were needed 4. Started to feel better 5. Already had some of the medicines at home 6. Other 345 2839 1 Could not afford 2 Could not find all medicines 3 Did not believe all the medications were needed 4 Started to feel better 5 Already had some of the medicines at home 6 Other Sysmiss Health care in you country Health care in you country Health care in you country Health care in you country Health care in you country How would you rate the way health care in your country involves you in deciding what services it provides and where it provides them? 3047 137 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Satisfaction rate for countrys health care Satisfaction rate for countrys health care Satisfaction rate for countrys health care Satisfaction rate for countrys health care Satisfaction rate for countrys health care In general, would you say you are very satisfied, fairly satisfied, neither satisfied nor dissatisfied, fairly dissatisfied or very dissatisfied with the way health care runs in your country. 3028 156 1 Very satisfied 2 Fairly satisfied 3 Neither satisfied or dissatisfied 4 Fairly dissatisfied 5 Very dissatisfied Sysmiss Providing help Providing help Providing help Providing help Providing help During the past year, did you provide help to a relative or friend (adult or child), because this person has a long-term physical or mental illness or disability or is getting old and weak? - Yes, for a person living in the same household - Yes, for a person living in a separate household - No 3032 152 1 Yes, for a person living in the same household 2 Yes, for a person living in a separate household 5 No Sysmiss Personal care Personal care Personal care Personal care Personal care Please tell me the kind of care you provided to this person(s)? You helped with personal care, such as going to the toilet, washing, getting dressed, or eating. 414 2770 1 Yes 5 No Sysmiss Medical care Medical care Medical care Medical care Medical care Please tell me the kind of care you provided to this person(s)? You helped with medical care, like changing bandages and giving medicines. 417 2767 1 Yes 5 No Sysmiss Household activities Household activities Household activities Household activities Household activities Please tell me the kind of care you provided to this person(s)? You helped with household activities such as meal preparation, shopping, cleaning, laundry. 412 2772 1 Yes 5 No Sysmiss Watched over them Watched over them Watched over them Watched over them Watched over them Please tell me the kind of care you provided to this person(s)? You watched over them since their behaviour can be upsetting or dangerous to themselves or others. 402 2782 1 Yes 5 No Sysmiss Helped them to get around outside the home Helped them to get around outside the home Helped them to get around outside the home Helped them to get around outside the home Helped them to get around outside the home Please tell me the kind of care you provided to this person(s)? You helped them to get around outside the home. 402 2782 1 Yes 5 No Sysmiss Payment exemptions Payment exemptions Payment exemptions Payment exemptions Payment exemptions In your dealings with private health care organizations or the government, have you ever had any difficulties: Obtaining payment exemptions or the right to special rates for health care? 1591 1593 1 Yes 5 No 9 Not applicable Sysmiss Health insurance Health insurance Health insurance Health insurance Health insurance In your dealings with private health care organizations or the government, have you ever had any difficulties: Completing or filling out applications for health insurance? 1255 1929 1 Yes 5 No 9 Not applicable Sysmiss Benefits from health insurance Benefits from health insurance Benefits from health insurance Benefits from health insurance Benefits from health insurance In your dealings with private health care organizations or the government, have you ever had any difficulties: Finding out what benefits you are entitled to from your health insurance? 1251 1933 1 Yes 5 No 9 Not applicable Sysmiss Reimbursement from health insurance Reimbursement from health insurance Reimbursement from health insurance Reimbursement from health insurance Reimbursement from health insurance In your dealings with private health care organizations or the government, have you ever had any difficulties: Getting reimbursements from health insurance organizations? 1234 1950 1 Yes 5 No 9 Not applicable Sysmiss Respectful treatment Respectful treatment Respectful treatment Respectful treatment Respectful treatment How important is "respectful treatment" to you? This means, being shown respect when greeted by and when talking to health care providers having physical examinations conducted in a way that respects your cultural norms. Would you say it is: - Extremely important - Very important - Moderately important - A little important - Not important 3081 103 1 Extremely Important 2 Very Important 3 Moderately Important 4 Slightly Important 5 Not Important Sysmiss Confidentiality of Personal Information Confidentiality of Personal Information Confidentiality of Personal Information Confidentiality of Personal Information Confidentiality of Personal Information How important is "confidentiality of personal information" to you? This means, having information about your health and other personal information kept confidential having conversations with health care providers without other people overhearing. - Extremely important - Very important - Moderately important - A little important - Not important 3081 103 1 Extremely Important 2 Very Important 3 Moderately Important 4 Slightly Important 5 Not Important Sysmiss Convenient Travel and Waiting Times Convenient Travel and Waiting Times Convenient Travel and Waiting Times Convenient Travel and Waiting Times Convenient Travel and Waiting Times How important is "choice of health care providers" to you? This means, being able to choose your health care provider (place or person) being able to consult for a second opinion or with a specialist if so desired. - Extremely important - Very important - Moderately important - A little important - Not important 3080 104 1 Extremely Important 2 Very Important 3 Moderately Important 4 Slightly Important 5 Not Important Sysmiss Choice of care provider Choice of care provider Choice of care provider Choice of care provider Choice of care provider How important is "convenient travel and short waiting times" to you? This means, having short travel times and convenient access to health care facilities having short waiting times for consultations and hospital admissions. - Extremely important - Very important - Moderately important - A little important - Not important 3073 111 1 Extremely Important 2 Very Important 3 Moderately Important 4 Slightly Important 5 Not Important Sysmiss Involvement in decisions Involvement in decisions Involvement in decisions Involvement in decisions Involvement in decisions How important is "involvement in decision making" to you? This means, being involved as much as you want in deciding about your health care freedom to discuss other treatment options or care regimes if you want. - Extremely important - Very important - Moderately important - A little important - Not important 3077 107 1 Extremely Important 2 Very Important 3 Moderately Important 4 Slightly Important 5 Not Important Sysmiss good quality surroundings good quality surroundings good quality surroundings good quality surroundings good quality surroundings How important are "good quality surroundings" to you? This means , having enough space, seating and fresh air in the waiting rooms, examination rooms and hospital wards having a clean facility (including clean toilets). - Extremely important - Very important - Moderately important - A little important - Not important 3079 105 1 Extremely Important 2 Very Important 3 Moderately Important 4 Slightly Important 5 Not Important Sysmiss contact with outside world contact with outside world contact with outside world contact with outside world contact with outside world How important is "contact with outside world " to you? This means, having family and friends visit you as much as you want when you are a patient in hospital being able to keep in contact with family, friends and to have information about what is happening outside the hospital. - Extremely important - Very important - Moderately important - A little important - Not important 3075 109 1 Extremely Important 2 Very Important 3 Moderately Important 4 Slightly Important 5 Not Important Sysmiss Clarity of Communication Clarity of Communication Clarity of Communication Clarity of Communication Clarity of Communication How important is "clarity of communication" to you? This means, having the health care providers explain things in a way you can understand having enough time to ask questions if you don't understand something. - Extremely important - Very important - Moderately important - A little important - Not important 3071 113 1 Extremely Important 2 Very Important 3 Moderately Important 4 Slightly Important 5 Not Important Sysmiss Overnight stay in hospital Overnight stay in hospital Overnight stay in hospital Overnight stay in hospital Overnight stay in hospital Over the last 5 years, was there ever a time you stayed overnight in a hospital or other type of long term care facility for your own health care? 2995 189 1 Yes - a hospital 2 Yes - long term care facility 5 No Sysmiss Child stayed overnight at hospital Child stayed overnight at hospital Child stayed overnight at hospital Child stayed overnight at hospital Child stayed overnight at hospital Over the last 5 years, was there ever a time that one of your children aged 12 years or less stayed overnight in a hospital (for his/her own health care)? 2412 772 1 Yes 5 No Sysmiss Sex of the child Sex of the child Sex of the child Sex of the child Sex of the child What is the sex of the child? 57 3127 1 Female 2 Male Sysmiss date of birth of the child date of birth of the child date of birth of the child date of birth of the child date of birth of the child What is the date of birth of the child? 40 01/1991 01/1993 01/1995 01/1997 01/2000 01/2001 01/2002 01/2003 02/2001 03/2001 04/1991 04/1997 05/1993 05/2001 05/2002 06/1991 06/1993 06/1995 06/2000 07/1992 08/1997 08/1998 09/1991 10/1993 10/1994 10/1996 10/2000 10/2001 11/1991 11/1995 11/2001 12/2001 Did you receive health care (outpatient) Did you receive health care (outpatient) Did you receive health care (outpatient) Did you receive health care (outpatient) Did you receive health care (outpatient) Over the last 12 months, did you receive any health care other than an overnight stay in a hospital? 2314 870 1 Yes 5 No Sysmiss Child receive health care (outpatient) Child receive health care (outpatient) Child receive health care (outpatient) Child receive health care (outpatient) Child receive health care (outpatient) Over the last 12 months was there ever a time you accompanied one of your children aged 12 years or less for health care (other than an overnight stay in a hospital)? 1548 1636 1 Yes 5 No Sysmiss Sex of Child Sex of Child Sex of Child Sex of Child Sex of Child What is the sex of the child? 89 3095 1 Female 2 Male Sysmiss Date of birth of child Date of birth of child Date of birth of child Date of birth of child Date of birth of child What is the date of birth of the child? 77 01/1992 01/1993 01/1995 01/1997 01/1999 01/2000 01/2001 01/2002 01/2003 02/1995 02/1997 02/2000 02/2001 02/2002 02/2003 03/1991 03/1995 03/1999 03/2001 03/2002 03/2003 04/1996 04/1999 04/2000 04/2001 04/2002 04/2003 05/1995 05/1999 05/2002 06/1992 06/1996 06/2000 06/2001 06/2002 07/1995 07/1998 07/2000 07/2001 07/2002 08/1997 08/1999 08/2002 08/2003 09/1993 09/2000 09/2001 09/2002 10/1996 10/1999 11/1999 11/2000 11/2002 12/1999 12/2000 12/2001 12/2002 Name of last health care provider visited Name of last health care provider visited Name of last health care provider visited Name of last health care provider visited Name of last health care provider visited What was the name of the last health care provider you used in the last 12 months? 854 05 1 5 8 88 A DOMICILE AGEFOSYN AGNI ELLINGAND ANNE ASAPSU AUCUN AYEHOUA BASE MARITIME BILE AKOUMEN DISPENSAIRE DE AGNI KOISSOU DAOUKRO BOLO VI BRAHIM Bolo V1 CABINET DE SOIN DE SANTE(ABOBO SAMAKE) CABINET DENTAIRE CABINET DENTAIRE BOULEVARD DES MARTYRS CABINET MEDICAL DE L'ENTREPRISE CENTRE COMMUNAUTAIRE CENTRE DE AGNIBILEKROU CENTRE DE BSANTE LOCODJRO CENTRE DE SANTE CENTRE DE SANTE DE GRAND LAHOU CENTRE DE SANTE URBAIN D'ANDOKOI CENTRE DE SANTE (SEFLA) CENTRE DE SANTE ABOBO CENTRE DE SANTE AGNIASSIKASSO CENTRE DE SANTE BOLO V1 CENTRE DE SANTE D'APPROMPRONOU CENTRE DE SANTE D'OCROUYO CENTRE DE SANTE D'OKROUYO CENTRE DE SANTE DABOU CENTRE DE SANTE DE AGNI ASSIKASSO CENTRE DE SANTE DE ASSIKASSO CENTRE DE SANTE DE GBAHIRI CENTRE DE SANTE DE GOURINIANI CENTRE DE SANTE DE KONGOTI CENTRE DE SANTE DE KONGOTY CENTRE DE SANTE DE LOUENOU CENTRE DE SANTE DE PROMPRONOU CENTRE DE SANTE DE YENOUA CENTRE DE SANTE DU VILLAGE CENTRE DE SANTE KONGOTI CENTRE DE SANTE KONGOTY CENTRE DE SANTE N'ZUEKOKORE CENTRE DE SANTE OKROUYO CENTRE DE SANTE OPOYOUNEM CENTRE DE SANTE PALM CI CENTRE DE SANTE PALM CI CENTRE DE SANTE PRIVE CENTRE DE SANTE RURAL CENTRE DE SANTE RURAL (APPROMPRONOU) CENTRE DE SANTE RURAL D'ABOUDE CENTRE DE SANTE RURALE CENTRE DE SANTE RURALE PROMPRONOU CENTRE DE SANTE RURLE ABOUDE CENTRE DE SANTE SEFLA CENTRE DE SANTE TIEBLOGUIE CENTRE DE SANTE( INFIRMIER) CENTRE DE YAMOUSSOKRO CENTRE DESANTE KONGOTI CENTRE DESANTE RURAL D'ABOUDE CENTRE HOSPITALIER CENTRE RURAL CENTRE SANITAIRE DE GBAIREI MrBERTIN CENTRE SANITAIRE DE KOSSOHEN CENTRE SANITAIRE DE KOUMASSI CENTRE SANTE RURAL DE BRIHI CENTRE SOCIAL ADJAME CENTRE SOCIALE CFS KOUMASSI CFS Koumassi CHR CHR GAGNOA CHR ABOISSO CHR BKOU CHR BONDOUKOU CHR BOUAFLE CHR Bouaflé CHR DALOA CHR DE BEOUMI CHR DE GAGNOA CHR DIVO CHR GAGNOA CHR GAGNOA (DOCTEUR ORY) CHR SAN PEDRO CHR YAMOUSSOUKRO CHRISTOPHE CHU CHU COCODY CHU DE COCODY CHU DE TRECHVILLE CHU DE TREICHVILLE CHU DE TREICHVILLE, CLINIQUE MOUHAMOUD D'ADJAME, CLI CHU DE YAMOUSSOUKRO CHU DE YOPOUGON CHU TREICHVILLE CHU Treichville CHU YAMOUSSOUKRO CHU YOPOUGON CHU de Treichville CHUT CLEMENCE CLINIQUE CLINIQUE A ABIDJAN CLINIQUE A GRAND BASSAM CLINIQUE BON SAMARITAIN CLINIQUE CONFIANCE CLINIQUE DE BEFLA CLINIQUE DE L'INDENIE CLINIQUE DU PLATEAU CLINIQUE DU VERSEAU CLINIQUE FRATERNITE CLINIQUE LA COLOMBE ANGRE CLINIQUE LA MADONE CLINIQUE NENESEFOUA CLINIQUE PRIVE (IGNORE LE NOM) CLINIQUE PRIVEE CLINIQUE PRIVEE DE GNANMANOU CLINIQUE PRIVEE SAINTE PAULINE CLINIQUE SAINT JACQUES CLINIQUE SAINTE THERESE CLINIQUE SAMARITAIN CLINIQUE ST VENIS CNPS COCODY INSTITUT PASTEUR CSR AKPESSEKRO CSR DIAMBA CSR K 44 CSU (Centre de Santé Urbain) CSU KONAHIRI CSU SANDEGUE Cabinet médical Chinois Centre Sanitaire de Koumassi Centre de Santé Abobo Centre de Santé OPOYONEM Centre de sant ABOBO Centre de sante OPOYONEM Centre de sante rural de GUEYO Centre de santé OPOYONEM Centre de santé OPOYOUNEM Centre de santé rural Centre de santé rural de GUEYO Clinique Clinique ERNEST d'ISSIA Clinique Les Grâces (Zone 4) Clinique Santé Plénitude (Koumassi) Clinique d'Abou de KOUASSIKRO Clinique dantaire à Yopougon Clinique privée Clinque DAV INHP DEPOT PHARMACEUTIQUE DISPENSAIRE DISPENSAIRE (ZEHIRI) DISPENSAIRE BRIHI DISPENSAIRE COCODY NORD DISPENSAIRE D'AGNIE ASSIKOSSO S/P DAOUKRO DISPENSAIRE D'APPROMPONOU DISPENSAIRE D'APPROMPROMOU DISPENSAIRE D'APPROMPRONOU DISPENSAIRE D'APRONPRONOU DISPENSAIRE D'AYEBO DISPENSAIRE D'AYENOUAN DISPENSAIRE DE AGNI ASSIKASSO S/P DAOUKRO DISPENSAIRE DE BELLEVILLE DALOA DISPENSAIRE DE BRIHI DISPENSAIRE DE COSROU DISPENSAIRE DE DIDOKO DIVO DISPENSAIRE DE GBAIHIRI DISPENSAIRE DE GOUIENDE DISPENSAIRE DE GUIENDE DISPENSAIRE DE KABIA DISPENSAIRE DE N'ZUEKOKORE DISPENSAIRE DE N'ZUEKOKORE S/P DE BONGOUANOU DISPENSAIRE DE TABLEDOUKOU (DIVO) DISPENSAIRE DE WILLIMASVILLE DISPENSAIRE DE YENOUA DISPENSAIRE DE YOBOUAKRO DISPENSAIRE DE ZEHIRI DISPENSAIRE DES SOEURS D'AGNIBILEKROU DISPENSAIRE DIDOKO DISPENSAIRE DIDOKO DIVO DISPENSAIRE DU PORT DISPENSAIRE DU PORT(PORT BOUET) DISPENSAIRE KOSSIHOUEN DISPENSAIRE PRIVE A ABOUDEKOUASSIKRO DISPENSAIRE RURAL DISPENSAIRE RURAL AGNI ASSIKASSO DISPENSAIRE RURAL AGNIASSIKASSO DISPENSAIRE URBAIN DISPENSAIRE WILLIAMSVILLE DISPENSAIRE YENOUA DISPENSAIRE YOBOUAKRO DISPENSAIRE ZEHIRI DISPENSIARE DIDOKO DIVO DOMICILE DR GYNECOLOGUE DR PAULE Dispensaire Dispensaire (Treichville) Dispensaire GUEYO Dispensaire KOSSIHOUEN Dispensaire Marcory Dispensaire d'ASSIE KOUMASSI Dispensaire d'Akoudékouassikro Dispensaire d'Oumé Dispensaire d'aboude kouassikro Dispensaire de DIDOKO Dispensaire de K Dispensaire de KOSSOHOUEN Dispensaire de LOKODJORO Docteur Djouka Dr ALLAN Dr GERMAIN (CENTRE ESPOIR ADJOUFFOU) Dr KOUASSI / CARITAS Dr akemian ESPACE MEDICALE SAINT PAUL FORMATION SANITAIRE FORMATION SANITAIRE DE KOUMASSI ( PRES DU GARRAGE) FRERE FSUCOM de GESCO Formation Sanitaire de Koumassi GRAND ADEMI GRAND BASSAM GRAND CENTRE GRAND HOPITAL DE SAN PEDRO GUERRISSEUR GUERRISSEUR TRADITIONNEL GUEYO (Centre de sante rural) HG DABOU HG DE PORT BOUET HMA HMA (HOPITAL MILITAIRE) HOPITAL HOPITAL DABOU HOPITAL DAOUKRO HOPITAL DE KOUMASSI HOPITAL LAHOU HOPITAL ABOBO HOPITAL ABOISSO HOPITAL ABOISSO HOUPHOUET HOPITAL ABOUDE HOPITAL ADZOPE HOPITAL AKOUPE HOPITAL ANDOKOI HOPITAL AU BOUT DU PONT DE TREICHVILLE HOPITAL BABADOUGOU HOPITAL BCEAO HOPITAL BOLO V1 HOPITAL BONOUA HOPITAL CENTRAL HOPITAL CENTRAL ABOISSO HOPITAL CENTRAL ADZOPE HOPITAL CENTRAL D'ABOISSO HOPITAL CENTRAL D'AGBOVILLE HOPITAL CENTRAL D'ISSIA HOPITAL D'ABENGOUROU HOPITAL D'ABOBO HOPITAL D'ABOBO-DOUME HOPITAL D'ABOBODOUME HOPITAL D'ABOISSO HOPITAL D'ADZOPE HOPITAL D'AKOUPE HOPITAL D'AYAME HOPITAL DAOUKRO HOPITAL DE AGNIBILIKRO HOPITAL DE BONGOUANOU HOPITAL DE BONOUA HOPITAL DE BOUAFLE HOPITAL DE GAGNOA HOPITAL DE GBAHIRI HOPITAL DE GRAND BASSAM HOPITAL DE GRAND LAHOU HOPITAL DE JACQUEVILLE HOPITAL DE KOSSOU HOPITAL DE KOUMASSI HOPITAL DE LA MARINE FACE A BLOHORN HOPITAL DE LAHOU HOPITAL DE LAKOTA HOPITAL DE MIEGOU HOPITAL DE N'ZUEKOKORE HOPITAL DE P.H.C.I HOPITAL DE PORT BOUET HOPITAL DE SOUBRE HOPITAL DE TIEBISSOU HOPITAL DE TREICHVILLE HOPITAL DE VRIDI HOPITAL DU GHANA HOPITAL DU PORT HOPITAL EHANIA HOPITAL GENERAL HOPITAL GENERAL AGNIBILEKROU HOPITAL GENERAL D'ISSIA HOPITAL GENERAL DE BASSAM HOPITAL GENERAL DE BONGOUANOU HOPITAL GENERAL DE DAOUKRO HOPITAL GENERAL DE GAGNOA HOPITAL GENERAL DE LAHOU HOPITAL GENERAL DE SAN PEDRO HOPITAL GENERAL ISSIA HOPITAL GRAND LAHOU HOPITAL HENRIETTE BEDIE HOPITAL HOUPHOUET BOIGNY HOPITAL KOSSOU HOPITAL LE MAJOR HOPITAL MILITAIRE HOPITAL MILITAIRE ABIDJAN HOPITAL MILITAIRE D'ABOBO HOPITAL PALM CI HOPITAL PROTESTANT HOPITAL PUBLIQUE DE DABOU HOPITAL SAINT LAURENT HOPITAL SAN PEDRO HOPITAL SANDEGUE HOPITAL SAPH TOUPAH HOPITAL SMCI HOPÏTAL DE KONGOTI HO¨PITAL GENERAL BIO Hopital COSROU Hopital Central d'Abobo Hopital Général d'Issia Hopital Général de Issia Hopital central d'Abobo Hopital d'ANONO Hopital d'Issia Hopital d'oumé Hopital général d'issia Hopital le dispensaire d'Attécoubé Abidjan Hopital militaire HÖPITAL D'AGNIBILEKROU Hôpital Hôpital Général d'ISSIA Hôpital MUDESA de Gesco (Yopougon) Hôpital central de yamoussoukro Hôpital d'ISSIA Hôpital d'issia Hôpital de Dabou Hôpital de LAKOTA Hôpital de SASSANDRA Hôpital de marcory (PMI) Hôpital général d'ISSIA IDRISSA IN FIRMERIE DE KONGOTI INFIMERIE DE AGNI ASIKASSO INFIRMERIE INFIRMERIE OPOYOUMEM INFIRMERIE (ZEHIRI) INFIRMERIE DE DIDOKO INFIRMERIE DE GUIENDE INFIRMERIE DE OPOUYOUMEM INFIRMERIE DE ZEHIRI INFIRMERIE DIDEKO INFIRMERIE DIDOKO INFIRMERIE DIDOKO DIVO INFIRMERIE OPOYOUMEM INFIRMERIE PRIVEE MOUSSAYO INFIRMERIE ZEHIRI INFIRMIER INFIRMIER HOPITAL DE GRAND-BASSAM INFIRMIERE INFIRMIERIE HENRIETTE BEDIE INHP INSP INSP ADJAME INSTITUT DON ORIONE BONOUA INSTITUT MARIE THERESE HB Infirmerie Saint Roger Infirmerie de DIDOKO Infirmerie privée JAMAIS KOKOUEZO KPAPEKOU KOKOUEZO MATERNITE DE COSROU MATHIEU MEDECIN MEDECIN / DISPENSAIRE URBAIN MEDECIN DE BANDAKAGNI MEDECIN DERMATOLOGUE MEDICO SCOLAIRE MEDICO SCOLAIRE AGBOVILLE MEDICO SCOLAIRE D'ISSIA MICHEL AKOCHI VISTE A DOMICILE MISSION LIBANAISE MR KOUAME PRIVE Maternité Houphouet Boigny Mr BOLA BI INFIRMIER D'ETAT NE SAIS PAS NE SAIT PLUS Ne sait plus Ne se rappel pas OURAGAHIO PAS DE VISITE A DOMICILE PHARMACIE PHARMACIE AWALE PHARMACIE DE DIDOKO PISAM PMI PMI ADJAME PMI ATTECOUBE PMI D'ANOUMANBO PMI DAOUKRO PMI DE GRAND LAHOU PMI KOUMASSI PMI Koumassi PMI MARCORY PMI Marcory PMI SICOGI PMI SIDECI PMI YOPOUGON PMI d'attecoube POLYCLINIQUE INDENIE POLYCLINIQUE POLYMED KOUMASSI Pharmacie SAGE FEMME SAINTE MARIE SAINTE MELANIE SAN PEDRO ( GRAND ANDEMI) SANOGO SEKA SEMPA SERVICE SANITAIRE DE L'ETAT MAJOR SILOUE ALI AU DISPENSAIRE DE GUIENDE SIMON SO N'EN PAS EU BESOIN Sage-femme TCHIMOU ALAIN TETCHI MOISE TRADIPRATICIEN VISITE A DOMICILE VISITE A L'USINE Vendeuse ambulante de médicaments YEO asapsu centre de sante centre de sante akouyo centre de sante de locodjro centre de sante ebra centre de sante kongoti centre de sante okrouyo centre de santé OPOYOUNEM centre de santé d'Ebra centre de santé d'apprompronou centre de santé de okouyo centre de santé raural d'aboudé centre de santé rural centre de santé rural d'aboudé centre de santé rural de promponou centre social chr bondoukou chu de cocody chu de treichville clinique clinique a vridi clinique bel air clinique d'Aboudé Kouassikro clinique d'attecoube clinique de confiance clinique dohimain clinique du belvedere clinique la madorne clinique laborde (logouale) clinique privée csu sandegue dispensaire OUME dispensaire au bout du pont de treicheville dispensaire d'Aboudé Kouassikro dispensaire d'EBRA dispensaire d'Oumé dispensaire d'abobodoume dispensaire d'aboudé Kouassikro dispensaire d'aboudé kouassikro dispensaire d'appromponou dispensaire d'apprompronou dispensaire d'issia dispensaire de locodjro dispensaire de zehiri dispensaire kossouhen dispensaire locodjo dispensaire medico de treicville dispensaire rural de yobouakro dispensaire rurale de yobouakro docteur docteur gouamele grand lahou hopital hopital de grand bassam hopital de grand-Bassam hopital de la palmerai hopital de niamey hopital de sandegue hopital general d'agnibilikro hopital general d'issia hopital general port bouet hopital militaire hopital public hôpital d'adzopé hôpital d'attecoube hôpital de duékoué hôpital de port bouet hôpital de tiassalé hôpital de treichville hôpital général agboville hôpital général d'adzopé hôpital général d'issia hôpital militaire d'akouedo infirmerie DIDOKO infirmerie de Didoko infirmerie de sikasso infirmerie de zehiri infirmerie dideko infirmerie irobo infirmerie locale infirmerie zenith infirmier insp institut national d'hygiène publique maternite bingerville maternite de locodjro maternite marie therese H B maternite theresse houphouet b maternité libanaise matrenité libanaise treichville medecin medecin cite universitaire n'GBANA JONAS pmi abobodoume pmi adjamé pratique traditionnelle sage femme visite a domicile visite à domicile Most often visited facility run by whom Most often visited facility run by whom Most often visited facility run by whom Most often visited facility run by whom Most often visited facility run by whom Was the last place you visited in the last 12 months: - operated by the government - privately operated - NGO - other 871 2313 1 Operated by the government 2 Privately operated 3 NGO 4 Other Sysmiss Health care provider visited Health care provider visited Health care provider visited Health care provider visited Health care provider visited Which was the last health care provider you visited? Medical doctor (including gynaecologist, psychiatrist, ophthalmologist, etc.) - Nurse - Midwife - Dentist - Physiotherapist or chiropractor - Traditional medicine practitioner - Other After Q7302, substitute the type of health care provider selected by the patient wherever you see [health care provider] in parentheses. 872 2312 1 Medical doctor 2 Nurse 3 Midwife 4 Dentist 5 Physiotherapist or chiropractor 6 Traditional medicine practitioner 7 Other Sysmiss Sex of health care provider Sex of health care provider Sex of health care provider Sex of health care provider Sex of health care provider What was the sex of [the health care provider]? 876 2308 1 Female 2 Male Sysmiss Health care providers skills Health care providers skills Health care providers skills Health care providers skills Health care providers skills In your opinion, was [the health care provider's] skill adequate for your treatment? 842 2342 1 Yes 5 No Sysmiss Health care providers equipment Health care providers equipment Health care providers equipment Health care providers equipment Health care providers equipment In your opinion, was [the health care provider's] equipment adequate for your treatment? 872 2312 1 Yes 5 No Sysmiss Health care providers drug supplies Health care providers drug supplies Health care providers drug supplies Health care providers drug supplies Health care providers drug supplies In your opinion, were [the health care provider's] drug supplies adequate for your treatment? 872 2312 1 Yes 5 No Sysmiss how long it took to get there how long it took to get there how long it took to get there how long it took to get there how long it took to get there Thinking about your last visit, how long did it take you to get there? 856 2328 1640 26.992 81.524 1 2 3 4 5 6 7 8 10 12 15 16 17 18 20 25 30 35 36 37 40 45 50 54 55 59 60 65 70 75 88 90 120 128 130 150 180 600 1000 1200 1640 Sysmiss How did you get to last visit How did you get to last visit How did you get to last visit How did you get to last visit How did you get to last visit Thinking about your last visit, how did you get there? [Interviewer; mark the one used for most of the travel distance.] - Private car or motorcycle - Public transport - Ambulance - Bicycle - Walked - Other 872 2312 1 Private car or motorcycle 2 Public transport 3 Ambulance 4 Bicycle 5 Walked 6 Other Sysmiss Health care providers fees Health care providers fees Health care providers fees Health care providers fees Health care providers fees Thinking about your last visit, how much did you or your household pay for: [Health care provider's] fees 855 2329 480000 1530.324 16623.182 1 2 4 5 8 9 30 88 100 150 200 300 350 400 500 550 600 620 700 750 800 1000 1200 1300 1350 1400 1500 1850 2000 2500 3000 3100 3400 3500 3700 4000 4500 5000 6000 6500 7000 8000 10000 10350 10500 12000 15000 17000 20000 23000 30000 40000 480000 Sysmiss Medicines Medicines Medicines Medicines Medicines Thinking about your last visit, how much did you or your household pay for: Medicines 867 2317 300000 6796.863 15981.812 1 4 5 8 Do not know 9 Not applicable, not have 80 100 200 225 400 500 650 800 1000 1200 1250 1300 1400 1500 1560 1600 1700 1750 1800 1850 2000 2085 2100 2400 2500 2650 2700 2780 2800 3000 3100 3200 3300 3320 3350 3400 3415 3450 3500 3600 3695 3750 3800 3810 3875 3900 4000 4400 4440 4480 4500 4800 5000 5230 5250 5300 5400 5500 5700 5750 5815 5830 6000 6040 6050 6350 6500 6530 6700 6750 6800 7000 7200 7435 7500 7600 7700 7800 7850 8000 8175 8500 8800 8900 9000 9500 9800 10000 10500 11000 11280 11500 11700 12000 12415 12500 12600 12960 13000 13800 14000 14500 14800 15000 16000 16005 16500 16810 17000 17500 17800 18000 19000 19500 20000 20040 21000 21600 22000 23000 23340 23500 25000 27400 29000 30000 32000 34700 35000 36000 37000 40000 41000 45000 47000 49000 50000 58000 60000 100000 250000 300000 Sysmiss Tests Tests Tests Tests Tests Thinking about your last visit, how much did you or your household pay for: Tests 853 2331 120000 1057.817 6217.417 1 5 8 Do not know 9 Not applicable, not have 100 200 300 400 500 1000 1500 1800 2000 2500 2800 3000 3500 4000 4500 5000 6000 6850 7000 7500 8000 9000 10000 11000 11500 12000 13500 14000 15000 17000 19000 20000 30000 37000 40000 45000 60000 120000 Sysmiss Transport Transport Transport Transport Transport Thinking about your last visit, how much did you or your household pay for: Transport 858 2326 50000 583.831 2260.422 1 5 8 Do not know 9 Not applicable, not have 12 88 100 150 200 250 300 350 400 450 500 600 620 650 700 750 800 850 900 1000 1100 1200 1250 1300 1400 1500 1600 1800 2000 2100 2400 2500 2700 3000 3300 3500 4000 4500 5000 6000 6500 8000 10000 12000 15000 17000 20000 50000 Sysmiss Other Other Other Other Other Thinking about your last visit, how much did you or your household pay for: Other 732 2452 25000 148.997 1311.763 1 2 4 5 8 Do not know 9 Not applicable, not have 100 150 200 250 300 400 500 700 800 1000 1500 2000 2500 3000 3500 5000 5250 9500 20000 25000 Sysmiss Government discount or exemption Government discount or exemption Government discount or exemption Government discount or exemption Government discount or exemption Did you or your household pay less than the normal health care fees because of a government discount or exemption? 770 2414 1 Yes 5 No 9 Not applicable, free Sysmiss Rate the amount of traveling time Rate the amount of traveling time Rate the amount of traveling time Rate the amount of traveling time Rate the amount of traveling time For your [child’s] last visit, how would you rate the travelling time to the health care provider? 860 2324 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 9 Not applicable, home care Sysmiss Waiting time before being attended to Waiting time before being attended to Waiting time before being attended to Waiting time before being attended to Waiting time before being attended to For your [child’s] last visit, how would you rate the amount of time you waited before being attended to? 877 2307 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Rate the experience of being greeted respectfully Rate the experience of being greeted respectfully Rate the experience of being greeted respectfully Rate the experience of being greeted respectfully Rate the experience of being greeted respectfully For your [child’s] last visit, how would you rate your experience of being greeted and talked to respectfully? 876 2308 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Respect of privacy Respect of privacy Respect of privacy Respect of privacy Respect of privacy For your [child’s] last visit, how would you rate the way your privacy was respected during physical examinations and treatments? 850 2334 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 9 Not applicable, no exam/treatment Sysmiss Rate the experience of how clearly health care providers communicated Rate the experience of how clearly health care providers communicated Rate the experience of how clearly health care providers communicated Rate the experience of how clearly health care providers communicated Rate the experience of how clearly health care providers communicated For you [child’s] last visit, how would you rate the experience of how clearly health care providers explained things to you? 874 2310 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Time to ask questions about health problem Time to ask questions about health problem Time to ask questions about health problem Time to ask questions about health problem Time to ask questions about health problem For your [child’s] last visit, how would you rate your experience of getting enough time to ask questions about your health problem or treatment? 877 2307 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Getting information about other types of treatments or tests Getting information about other types of treatments or tests Getting information about other types of treatments or tests Getting information about other types of treatments or tests Getting information about other types of treatments or tests For your [child’s] last visit, how would you rate your experience of getting information about other types of treatments or tests? 874 2310 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Getting involved as much as you wanted to be Getting involved as much as you wanted to be Getting involved as much as you wanted to be Getting involved as much as you wanted to be Getting involved as much as you wanted to be For your [child’s] last visit, how would you rate your experience of being involved in making decisions about your health care or treatment? 865 2319 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Being able to talk privately to health care providers Being able to talk privately to health care providers Being able to talk privately to health care providers Being able to talk privately to health care providers Being able to talk privately to health care providers For your [child’s] last visit, how would you rate the way the health services ensured you could talk privately to health care providers? 868 2316 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Kept your personal information confidential Kept your personal information confidential Kept your personal information confidential Kept your personal information confidential Kept your personal information confidential For your [child’s] last visit, how would you rate the way your personal information was kept confidential? 818 2366 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 8 Do not know Sysmiss Freedom to choose health care provider Freedom to choose health care provider Freedom to choose health care provider Freedom to choose health care provider Freedom to choose health care provider For your [child’s] last visit, how would you rate the freedom you had to choose your health care provider? 870 2314 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Rate the experience with the conditions and cleanliness Rate the experience with the conditions and cleanliness Rate the experience with the conditions and cleanliness Rate the experience with the conditions and cleanliness Rate the experience with the conditions and cleanliness For your [child’s] last visit, how would you rate the cleanliness of the rooms inside the facility, including toilets? 868 2316 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 9 Not applicable, home care Sysmiss Amount of space in examination and waiting rooms Amount of space in examination and waiting rooms Amount of space in examination and waiting rooms Amount of space in examination and waiting rooms Amount of space in examination and waiting rooms For your [child’s] last visit, how would you rate the amount of space in the waiting and examination rooms? 862 2322 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad 9 Not applicable, home care Sysmiss Sex Sex Sex Sex Sex In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Sex 861 2323 1 Yes 5 No Sysmiss Age Age Age Age Age In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Age 860 2324 1 Yes 5 No Sysmiss Lack of funds Lack of funds Lack of funds Lack of funds Lack of funds In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Lack of money 863 2321 1 Yes 5 No Sysmiss Social class Social class Social class Social class Social class In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Social class 860 2324 1 Yes 5 No Sysmiss Skin colour Skin colour Skin colour Skin colour Skin colour In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Ethnic group or colour 857 2327 1 Yes 5 No Sysmiss Illness Illness Illness Illness Illness In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Type of illness 857 2327 1 Yes 5 No Sysmiss Nationality Nationality Nationality Nationality Nationality In the last 12 months did you feel that you were treated worse by health care providers for any of the following reasons. Because of your: Nationality 855 2329 1 Yes 5 No Sysmiss Name of last hospital stayed Name of last hospital stayed Name of last hospital stayed Name of last hospital stayed Name of last hospital stayed What was the name of the last hospital or long term care facility you [child] stayed in, in the last 5 years ? 580 08 2 5 88 A OUBLIE LE NON DE LA CLINIQUE AGEFOSYN AGNIBILEKROU AU DISPENSAIRE DE GUIENDE AUCUN AUCUN SEJOUR BANDIAHI INFIRMERIE BEONBETHEL (CLINIQUE) BETHESDA BOLO V1 BOLOVI CABINET DE SOINS CABINET MEDICAL CAT ADJAME CENTER HOSPITALIER D'ADZOPE CENTRAL CENTRE COMMUNAUTAIRE CENTRE DE COMMUNAUTAIRE DE MARCORY CENTRE DE DANTE BPOLO VI CENTRE DE RURAL CENTRE DE SANTE CENTRE DE SANTE ABOBO CENTRE DE SANTE ABOUDE CENTRE DE SANTE D'APPROMPRONOU CENTRE DE SANTE D'ASSIEKOUMASSI CENTRE DE SANTE D'OKROUYO CENTRE DE SANTE DE BLIDOUBA CENTRE DE SANTE DE KOSSOU CENTRE DE SANTE DE KOUMASSI CENTRE DE SANTE DE LOCODJRO CENTRE DE SANTE DE MARCORY CENTRE DE SANTE KOSSOU CENTRE DE SANTE OPOYOUNEM CENTRE DE SANTE RURAL CENTRE DE SANTE RURAL D'ABOUDE CENTRE DE SANTE RURALE CENTRE DE SANTE RURALE D'APPROMPRONOU CENTRE HOSPITALIER ANDOKOI CENTRE RURAL D'APPROMPRONOU CENTRE SANITAIRE DE KOSSIHEN CENTRE SANITAIRE DE KOSSOU CENTRE SANTE WILLIAMSVILLE CHR CHR ABENGOUROU CHR ABOISSO CHR ADIAKE CHR BKOU CHR BONDOUKOU CHR BONOUA CHR BOUAFLE CHR Bouaflé CHR D'ABENGOUROU CHR DE BOUAKE CHR DE GAGNOA CHR DE LAKOTA CHR DE SAN PEDRO CHR DE TOUBA CHR DE TREICHVILLE CHR DIVO CHR GAGNOA CHR GRAND LAHOU CHR KORHOGO CHR OUME CHR SAN PEDRO CHR TANDA CHR YAMOUSSOUKRO CHU CHU COCODY CHU DE BOUAKE CHU DE COCODY CHU DE TREICHVILLE CHU DE YAMOUSSOUKRO CHU DE YOPOUGON CHU TREICHVILLE CHU YAMOUSSOUKRO CHU YOPOOUGON CHU YOPOUGON CHU de YOPOUGON CHU treichville CHUT CLINIQUE CLINIQUE / CITE VERTE CLINIQUE ABOUDE KOUASSIKRO CLINIQUE BELVEDERE CLINIQUE BETHESDA CLINIQUE BOSSIMAN (BONOUA) CLINIQUE CENTRALE D'ABOBO CLINIQUE DE KOUMASSI CLINIQUE DU Dr BENIE CLINIQUE IBISCUS CLINIQUE INDENIE CLINIQUE IROKO CLINIQUE KOFFI CLINIQUE L'AMADONE KOUMASSI CLINIQUE LA MADONE CLINIQUE LA PRUDENCE CLINIQUE LES LILAS DES 220 LGTS CLINIQUE NANAN YAMOUSSOU CLINIQUE PRIVE CLINIQUE PRIVEE DE KPOTE CLINIQUE SAINT JACQUES CLINIQUE SAINTE ANNE MARIE CLINIQUE SAINTE THERESE DE MARCORY CLINIQUE SILUE DE MARCORY CLINUQUE HAMADIYAH CSR DIAMBA CSU DE SANDEGUE Centre de santé (Koumassi) Clinique KONAN Clinique KONATE Clinique Oka Clinique YOPOUGNON Clinique bonne Santé Clinique d'Oumé Clinique dentaire à Yopougon Clinique dioulakro DIPENSAIRE URBAIN DISPENSAIRE DISPENSAIRE ASSIE KOUMASSI DISPENSAIRE COSROU DISPENSAIRE D'APPROMPRONOU DISPENSAIRE D'APPROUPOUNON DISPENSAIRE D'APPROUPRONOU DISPENSAIRE DE COSROU DISPENSAIRE DE GUIENDE DISPENSAIRE DE KOFFIKRO DISPENSAIRE DE N'GUINOU DISPENSAIRE DE YENOUA DISPENSAIRE DU VILLAGE DISPENSAIRE DU VILLAGE HOPITAL D'AGNIBILEKROU DISPENSAIRE LIBANAISE DISPENSAIRE RURAL DISPENSAIRE URBAIN DISPENSAIRE URBAIN DE BONDOUKOU Dispendaire ASROM Dispensaire Koumassi (Hopital) Dispensaire d'Aboudé KOUASSIKRO Dispensaire d'Aboudé Kouassikro Dispensaire de Zéhiri District Sanitaire de LAKOTA Don Orione (Bonoua) ECOLE DE POLICE ETABLISSEMENT RPIVE ETAT FORMATION SANITAIRE DE KOUMASSI GRAND HOPITAL DE SAN PEDRO HG DABOU HMA (HOPITAL MILITAIRE) HMA BOUAKE HMA HOPITAL MILITAIRE HOLLY FAMILY HOSPITAL (GHANA) HOPITAL HOPITAL DAOUKRO HOPITAL ABENGOUROU HOPITAL ABOISSO HOPITAL AGNIBILEKROU HOPITAL AKOUPE HOPITAL AYAME HOPITAL BOLO V1 HOPITAL BONOUA HOPITAL CENTRAL ABOISSO HOPITAL CENTRAL D'ABENGOUROU HOPITAL CENTRAL D'ABOISSO HOPITAL CENTRAL D'ADZOPE HOPITAL CENTRAL DE BOUAKE HOPITAL CENTRAL MEAGUI HOPITAL CENTRE DE YAMOUSSOKRO HOPITAL D'ABENGOUROU HOPITAL D'ABOISSO HOPITAL D'ADZOPE HOPITAL D'AGNIBILEKRO HOPITAL D'AKOUPE HOPITAL D'ISSIA HOPITAL DAOUKRO HOPITAL DE BASSAM HOPITAL DE BOLO VI HOPITAL DE BONDOUKOU HOPITAL DE BONOUA HOPITAL DE BOUAFLE HOPITAL DE COSSOU HOPITAL DE DABOU HOPITAL DE DALOA HOPITAL DE GONZAQUE HOPITAL DE GRAND BASSAM HOPITAL DE GRAND-BASSAM HOPITAL DE KOSSOU HOPITAL DE KOUMASSI HOPITAL DE LAKOTA HOPITAL DE N'ZERE HOPITAL DE N'ZUEKOKORE HOPITAL DE PORT BOUET HOPITAL DE SAN PEDRO HOPITAL DE TANDA HOPITAL DE TOUPAH HOPITAL DE YAMOUSSOUKRO HOPITAL DES ARMEES DE SAN PEDRO HOPITAL DES FONCTIONNAIRES HOPITAL DU GHANA HOPITAL GENERAL DAOUKRO HOPITAL GENERAL D'ABENGOUROU HOPITAL GENERAL D'AGNIBILEKROU HOPITAL GENERAL D'ISSIA HOPITAL GENERAL DE BONGOUANOU HOPITAL GENERAL DE BOUAFLE HOPITAL GENERAL DE DABOU HOPITAL GENERAL DE DAOUKRO HOPITAL GENERAL DE GAGNOA HOPITAL GENERAL DE KOSSOU HOPITAL GENERAL DE SAN PEDRO HOPITAL GENERAL DE TIASSALE HOPITAL GENERALE DE SAN PEDRO HOPITAL GERE PAR LES SOEUR CHRETIENNE ALEPE HOPITAL GRAND LAHOU HOPITAL HOUPHOUET BOIGNY HOPITAL ISSIA HOPITAL KOSSOU HOPITAL MILITAIRE ABOBO HOPITAL MILITAIRE D'ABIDJAN HOPITAL MOOSSOU HOPITAL PROTESTANT HOPITAL PSYCHIATRIQUE DE BINGERVILLE HOPITAL PUBLIC HOPITAL PUBLIC DABOU HOPITAL PUBLIC DE DABOU HOPITAL TANDA HOPITAL TOULEPLEU HOPITAL YENOUA HOPITALE GENERAL TINGRELA HOPTAL SAINT LAURENT HOPÏTAL CENTRALE CHR HOPÏTAL DE TANDA Hopital Hopital Bouaflé Hopital COSROU Hopital Central de Bouaflé Hopital central de Bouaflé Hopital de Dabou Hopital de GUEYO HÖPITAL D'ABENGOUAN HÖPITAL GENERAL D'AGNIBILEKROU Hôpital Hôpital Central de Yamoussoukro Hôpital d'ISSIA Hôpital de COSROU Hôpital de GUEYO Hôpital de LAKOTA Hôpital général d'ISSIA Hôpital général de BONGOUANOU Hôpital général de LAKOTA INFIRMERIE INFIRMERIE DE LA PH-CI INFIRMERIE PH-CI INFIRMERIE ZEHIRI INFIRMIERIE INSP Infirmerie AKPESSEKRO JAMAIS JAMAIS HOSPITALISE JOEL MATERNITE MATERNITE HOUPHOUET BOIGNY 'ABOBO) MATERNITE MARIE THERESE MEDECIN MEDICO SCOLAIRE MISSION PROTESTANTE DE DABOU MONASTERE MONTAGNER Maternité Houphouet Boigni Maternité Houphouet Boigny N'A JAMAIS ETE HOSPITALISE N'A JAMAIS ETTE HOSPITALISE N'EST PAS ALLE A L'HOPITAL NE SAIT PAS NEANT NON NOVEMBRE 2002 HOPITAL DE KOSSOU OUBLIE OUI PAS AVOIR SJOURNE A L' HOPITAL PAS D'HOSPITALISATION PAS D'HOSPITALISE PAS DE SEJOUR PAS DE SEJOUR DANS MON ETABLISSEMENT DE SOINS AU COURS DES PAS EU DE SEJOUR PAS HOSPITALISE PISAM PMI PMI ADJAME PMI ATTECOUBE PMI KOUMASSI PMI SICOGI POLYCLINIQUE POLYCLINIQUE A VIE SAINE POLYCLINIQUE DES II PLATEAUX POLYCLINIQUE LES GRACE PPH Centre Anti-Tuberculeux Treichville RAS ROSAIRE Rien à signaler SAINTE FAMILLE SAINTE MARIE SAIS PAS SAMPA SANS OBJET SIKASSO (MAL)I Sans objet TERNITE D'ABOUDEKOUASSIKRO UN HOPITAL EN GUINEE centre de sante centre de sante ebra centre de santé rural d'aboudé centre de santé rural déaboudé kouassikro chr bondoukou chr d'abengourou chu treichville chu yopougon clinique clinique REINE POKOU clinique franco-ivoirienne clinique fraternite clinique la famille (santé 1) clinique privé de la selmer (yopougon) clinique sainte Melanie clinique à treichville dispensaire dispensaire d'ASSIE KOUMASSI dispensaire d'aboude kouassikro dispensaire d'aboudé kouassikro dispensaire rural de yobouakro hopital hopital bonoua hopital central d'Aboisso hopital de port bouet hopital des militaires hopital general d'issia 1 hopital protestant dabou houphouet boigny hôpita central d'abengourou hôpital de saioua hôpital central de San pedro hôpital d'adzopé hôpital d'agboville hôpital general adzope hôpital général d'adzopé hôpital général d'agboville hôpital libanais jamais hospitalisé lTALIE le dispensaire du village maternite d'atecoube medecin médicaux scolaire yopougon Who run the hospital Who run the hospital Who run the hospital Who run the hospital Who run the hospital Was the hospital or long term care facility: - operated by the government - privately operated - NGO - other 566 2618 1 Operated by the government 2 Privately operated 3 NGO 4 Other Sysmiss when was your last stay when was your last stay when was your last stay when was your last stay when was your last stay When was your [child's] last overnight stay? - In the last 4 weeks - In the last year - In the last 2 years - In the last 3 years - In the last 5 years 522 2662 1 In the last 4 weeks 2 In the last year 3 In the last 2 years 4 In the last 3 years 5 In the last 5 years Sysmiss Reason for last overnight stay Reason for last overnight stay Reason for last overnight stay Reason for last overnight stay Reason for last overnight stay Which of the following best describes the reason for your [child's] last overnight stay? - High fever, severe diarrhoea, or cough - Childbirth - Arthritis - Asthma - Heart disease - Bodily injury - Minor surgery - Other 552 2632 1 High fever, sever diarrhea, or cough 2 Childbirth 3 Arthritis 4 Asthma 5 Heart disease 6 Bodily injury 7 Minor surgery 8 Other Sysmiss How long was your stay on this occasion How long was your stay on this occasion How long was your stay on this occasion How long was your stay on this occasion How long was your stay on this occasion How long was your [child's] stay on this occasion? - 1-2 days - 3-5 days - 6-14 days - 15 days and more 532 2652 1 4 1 1-2 days 2 3-5 days 3 6-14 days 4 15 days and more Skill of health care provider Skill of health care provider Skill of health care provider Skill of health care provider Skill of health care provider In your opinion, was the skill of the health care providers adequate for your [child’s] treatment? 552 2632 1 Yes 5 No Sysmiss Hospitals equipment Hospitals equipment Hospitals equipment Hospitals equipment Hospitals equipment In your opinion, was the hospital's equipment adequate for your [child’s] treatment? 552 2632 1 Yes 5 No Sysmiss Drug supplies Drug supplies Drug supplies Drug supplies Drug supplies In your opinion, were the hospital's drug supplies adequate for your [child’s] treatment? 529 2655 1 Yes 5 No Sysmiss How long to get there How long to get there How long to get there How long to get there How long to get there Thinking about your last hospital stay, how long did it take you [child’s] to get there? 512 2672 1800 29.932 85.479 1 2 3 4 5 6 7 8 10 12 13 15 20 21 24 25 30 35 40 45 46 50 55 60 75 80 88 90 105 120 150 180 300 360 1800 Sysmiss How you got there How you got there How you got there How you got there How you got there Thinking about your [child’s] last hospital stay, how did you get there? - Private car or motorcycle - Public transport - Ambulance - Bicycle - Walked - Other 560 2624 1 Private car or motorcycle 2 Public transport 3 Ambulance 4 Bicycle 5 Walked 6 Other Sysmiss How long before being admitted to hospital How long before being admitted to hospital How long before being admitted to hospital How long before being admitted to hospital How long before being admitted to hospital For your [child’s] last hospital stay, how long from the time you needed hospital care did you wait to be admitted to hospital? - same day - less than 1 week - less than 1 month - less than 3 months - 3 months and more 549 2635 1 5 1 Same day 2 Less than a week 3 Less than 1 month 4 Less than 3 months 5 3 months and more Doctors fees Doctors fees Doctors fees Doctors fees Doctors fees Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Doctor's fees 514 2670 480000 5757.617 32012.862 1 2 8 Do not know 9 Not applicable, not have 40 88 100 200 300 400 500 600 700 800 1000 1200 1500 1700 2000 2200 2500 3000 3300 4000 5000 6000 7000 7500 8000 10000 11000 12000 13000 14800 15000 17500 21000 25000 26000 30000 35000 37000 40000 50000 60000 68000 70000 80000 100000 120000 200000 220000 240000 300000 480000 Sysmiss Drugs Drugs Drugs Drugs Drugs Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Medicines 531 2653 600000 18484.936 49714.831 1 8 Do not know 9 Not applicable, not have 30 88 200 500 700 1175 1200 1300 1500 1550 2000 2500 2550 2800 3000 3200 3500 3550 3800 4000 4500 5000 5230 5810 6000 7000 7500 7600 7980 8000 8900 9000 9500 10000 10500 10600 11000 11500 12000 12010 12500 12750 13000 13550 14000 14500 15000 16000 17000 17010 17075 17500 18000 19000 20000 20875 21000 22000 22500 24000 25000 26000 28000 29000 30000 33000 35000 36000 37670 38000 40000 45000 47000 48000 50000 55000 58000 60000 75000 80000 88000 90000 100000 110000 115000 120000 140000 150000 200000 299000 324000 400000 450000 600000 Sysmiss Tests Tests Tests Tests Tests Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Tests 490 2694 136500 4441.239 15140.778 1 8 Do not know 9 Not applicable, not have 20 88 100 200 500 600 1000 1500 2000 2500 3000 3100 3500 4500 5000 5500 6000 6500 7000 8000 10000 12000 13000 13750 15000 19500 20000 25000 28000 30000 35000 36225 36750 45000 50000 55000 58000 60000 70000 75000 80000 100000 100500 136500 Sysmiss Transport Transport Transport Transport Transport Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Transport 512 2672 300000 1665.42 13746.714 1 5 8 Do not know 9 Not applicable, not have 88 100 150 200 300 350 400 500 550 600 650 800 900 1000 1200 1500 1600 1800 2000 2100 2400 2500 3000 3300 3500 4000 4400 4500 5000 6000 7000 7500 9000 10000 15000 20000 25000 30000 60000 300000 Sysmiss Other Other Other Other Other Thinking about your [child’s] last hospital stay, how much did you or your household pay for: Other 439 2745 375000 2618.574 20934.129 1 2 5 8 Do not know 9 Not applicable, not have 88 200 300 400 500 800 900 1000 1500 2000 2500 3000 3500 4000 5000 6000 7600 8750 10000 14000 15000 20000 40000 50000 60000 132000 150000 375000 Sysmiss Pay less because of government discount Pay less because of government discount Pay less because of government discount Pay less because of government discount Pay less because of government discount Did you or your household pay less than the normal health care fees because of a government discount or exemption? 470 2714 1 Yes 5 No 9 Not applicable, free Sysmiss How many people slept in same room How many people slept in same room How many people slept in same room How many people slept in same room How many people slept in same room Thinking about your [child’s] last hospital stay, how many people slept in the same room as you? 431 2753 20 2.631 2.464 Rating of traveling time to the hospital Rating of traveling time to the hospital Rating of traveling time to the hospital Rating of traveling time to the hospital Rating of traveling time to the hospital For your [child’s] last hospital stay, how would you rate the travelling time to the hospital? 559 2625 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Amount of waiting time before being attended to Amount of waiting time before being attended to Amount of waiting time before being attended to Amount of waiting time before being attended to Amount of waiting time before being attended to For your [child’s] last hospital stay, how would you rate the amount of time you waited before being attended to? 562 2622 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Where you greeted and talked to respectfully during last hospital stay? Where you greeted and talked to respectfully during last hospital stay? Where you greeted and talked to respectfully during last hospital stay? Where you greeted and talked to respectfully during last hospital stay? Where you greeted and talked to respectfully during last hospital stay? For your [child’s] last hospital stay, how would you rate your experience of being greeted and talked to respectfully? 561 2623 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Privacy during physical examinations and treatments Privacy during physical examinations and treatments Privacy during physical examinations and treatments Privacy during physical examinations and treatments Privacy during physical examinations and treatments For your [child’s] last hospital stay, how would you rate the way your privacy was respected during physical examinations and treatments? 560 2624 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss rate your experience with clear explanations rate your experience with clear explanations rate your experience with clear explanations rate your experience with clear explanations rate your experience with clear explanations For you [child’s] last hospital stay, how would you rate the experience of how clearly health care providers explained things to you? 566 2618 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Was there enough time to ask questions during last hospital stay Was there enough time to ask questions during last hospital stay Was there enough time to ask questions during last hospital stay Was there enough time to ask questions during last hospital stay Was there enough time to ask questions during last hospital stay For your [child’s] last hospital stay, how would you rate your experience of getting enough time to ask questions about your health problem or treatment? 560 2624 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Getting information and other types of treatments or tests Getting information and other types of treatments or tests Getting information and other types of treatments or tests Getting information and other types of treatments or tests Getting information and other types of treatments or tests For your [child’s] last hospital stay, how would you rate your experience of getting information about other types of treatments or tests? 559 2625 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Rating of participation in making decisions about health care or treatment Rating of participation in making decisions about health care or treatment Rating of participation in making decisions about health care or treatment Rating of participation in making decisions about health care or treatment Rating of participation in making decisions about health care or treatment For your [child’s] last hospital stay, how would you rate your experience of being involved in making decisions about your health care or treatment? 559 2625 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Ability to talk privately to health care providers Ability to talk privately to health care providers Ability to talk privately to health care providers Ability to talk privately to health care providers Ability to talk privately to health care providers For your [child’s] last hospital stay, how would you rate the way the health services ensured you could talk privately to health care providers? 557 2627 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Confidentiality of personal information Confidentiality of personal information Confidentiality of personal information Confidentiality of personal information Confidentiality of personal information For your [child’s] last hospital stay, how would you rate the way your personal information was kept confidential? 536 2648 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Ability to choose hospital Ability to choose hospital Ability to choose hospital Ability to choose hospital Ability to choose hospital For your [child’s] last hospital stay, how would you rate the freedom you had to choose the health care providers that attend to you [your child]? 559 2625 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Rating cleanliness of rooms Rating cleanliness of rooms Rating cleanliness of rooms Rating cleanliness of rooms Rating cleanliness of rooms For your [child’s] last hospital stay, how would you rate the cleanliness of the rooms inside the facility, including toilets? 561 2623 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Amount of space Amount of space Amount of space Amount of space Amount of space For your [child’s] last hospital stay, how would you rate the amount of space you had? 555 2629 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Ease with which family and friends could visit during hospital stay Ease with which family and friends could visit during hospital stay Ease with which family and friends could visit during hospital stay Ease with which family and friends could visit during hospital stay Ease with which family and friends could visit during hospital stay For your [child’s] last hospital stay, how would you rate the ease of having family and friends visit you? 559 2625 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Staying in contact with outside world during stay in hospital Staying in contact with outside world during stay in hospital Staying in contact with outside world during stay in hospital Staying in contact with outside world during stay in hospital Staying in contact with outside world during stay in hospital For your [child’s] last hospital stay, how would you rate your experience of staying in contact with the outside world when you were in hospital? 558 2626 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Sex Sex Sex Sex Sex In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Sex 580 2604 1 Yes 5 No Sysmiss Age Age Age Age Age In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Age 579 2605 1 Yes 5 No Sysmiss Lack of money Lack of money Lack of money Lack of money Lack of money In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Lack of money 581 2603 1 Yes 5 No Sysmiss Social class Social class Social class Social class Social class In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Social class 580 2604 1 Yes 5 No Sysmiss Race Race Race Race Race In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Ethnic group or colour 581 2603 1 Yes 5 No Sysmiss Type of illness Type of illness Type of illness Type of illness Type of illness In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Type of illness 580 2604 1 Yes 5 No Sysmiss Nationality Nationality Nationality Nationality Nationality In the last 5 years did you feel that you were treated worse by the health care providers at the hospital for any of the following reasons. Because of your: Nationality 581 2603 1 Yes 5 No Sysmiss Record Set Record Set Record Set Record Set Record Set I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). 1956 A B C D R-Vignette - Set A Q-1 R-Vignette - Set A Q-1 R-Vignette - Set A Q-1 R-Vignette - Set A Q-1 R-Vignette - Set A Q-1 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Niels] woke up with a sore back so he decided to go to the clinic. It took 30 minutes to travel to the clinic and he was seen within 5 minutes . How would you rate his travelling time? 464 2720 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-2 R-Vignette - Set A Q-2 R-Vignette - Set A Q-2 R-Vignette - Set A Q-2 R-Vignette - Set A Q-2 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Niels] woke up with a sore back so he decided to go to the clinic. It took 30 minutes to travel to the clinic and he was seen within 5 minutes . How would you rate the amount of time he waited before being attended to? 464 2720 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-3 R-Vignette - Set A Q-3 R-Vignette - Set A Q-3 R-Vignette - Set A Q-3 R-Vignette - Set A Q-3 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Anya] took her baby for a vaccination. The nurse said hello and but did not ask for [Anya’s] or the baby’s name. The nurse also examined [Anya] and made her remove her shirt in the waiting room. How would you rate her experience of being greeted and talked to respectfully? 462 2722 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-4 R-Vignette - Set A Q-4 R-Vignette - Set A Q-4 R-Vignette - Set A Q-4 R-Vignette - Set A Q-4 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Anya] took her baby for a vaccination. The nurse said hello and but did not ask for [Anya’s] or the baby’s name. The nurse also examined [Anya] and made her remove her shirt in the waiting room. How would you rate the way her privacy was respected during physical examinations and treatments? 461 2723 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-5 R-Vignette - Set A Q-5 R-Vignette - Set A Q-5 R-Vignette - Set A Q-5 R-Vignette - Set A Q-5 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Stan] broke his leg. It took an hour to be driven to the nearest hospital. He was in pain but had to wait an hour for the surgeon and was only operated on the next day. How would you rate his travelling time? 459 2725 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-6 R-Vignette - Set A Q-6 R-Vignette - Set A Q-6 R-Vignette - Set A Q-6 R-Vignette - Set A Q-6 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Stan] broke his leg. It took an hour to be driven to the nearest hospital. He was in pain but had to wait an hour for the surgeon and was only operated on the next day. How would you rate the amount of time he waited before being attended to? 461 2723 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-7 R-Vignette - Set A Q-7 R-Vignette - Set A Q-7 R-Vignette - Set A Q-7 R-Vignette - Set A Q-7 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Conrad] had bad flu. He went to the clinic. The nurse expressed concern about [Conrad]’s cough and called the doctor, who gave [Conrad] a full chest examination behind a large screen that hid him from the view of other patients. How would you rate his experience of being greeted and talked to respectfully? 461 2723 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-8 R-Vignette - Set A Q-8 R-Vignette - Set A Q-8 R-Vignette - Set A Q-8 R-Vignette - Set A Q-8 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Conrad] had bad flu. He went to the clinic. The nurse expressed concern about [Conrad]’s cough and called the doctor, who gave [Conrad] a full chest examination behind a large screen that hid him from the view of other patients. How would you rate the way his privacy was respected during physical examinations and treatments? 461 2723 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-9 R-Vignette - Set A Q-9 R-Vignette - Set A Q-9 R-Vignette - Set A Q-9 R-Vignette - Set A Q-9 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Aitor] broke his hand. He walked to the clinic because there was no transport and the journey took him several hours. He had to sleep near the clinic for two days before seeing the doctor. How would you rate his travelling time? 462 2722 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-10 R-Vignette - Set A Q-10 R-Vignette - Set A Q-10 R-Vignette - Set A Q-10 R-Vignette - Set A Q-10 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Aitor] broke his hand. He walked to the clinic because there was no transport and the journey took him several hours. He had to sleep near the clinic for two days before seeing the doctor. How would you rate the amount of time he waited before being attended to? 462 2722 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-11 R-Vignette - Set A Q-11 R-Vignette - Set A Q-11 R-Vignette - Set A Q-11 R-Vignette - Set A Q-11 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Julia] was pregnant and went to the hospital coughing blood. A nurse welcomed her gently and helped her to a private room. A female doctor came to examine her and gave her a clean gown to replace her blood-stained clothes. How would you rate her experience of being greeted and talked to respectfully? 462 2722 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-12 R-Vignette - Set A Q-12 R-Vignette - Set A Q-12 R-Vignette - Set A Q-12 R-Vignette - Set A Q-12 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Julia] was pregnant and went to the hospital coughing blood. A nurse welcomed her gently and helped her to a private room. A female doctor came to examine her and gave her a clean gown to replace her blood-stained clothes. How would you rate the way her privacy was respected during physical examinations and treatments? 461 2723 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-13 R-Vignette - Set A Q-13 R-Vignette - Set A Q-13 R-Vignette - Set A Q-13 R-Vignette - Set A Q-13 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Carla]’s child became seriously sick. [Carla] called an ambulance that arrived after 10 minutes and within 5 minutes they were at the hospital and the doctors were treating the child. How would you rate her travelling time? 459 2725 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-14 R-Vignette - Set A Q-14 R-Vignette - Set A Q-14 R-Vignette - Set A Q-14 R-Vignette - Set A Q-14 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Carla]’s child became seriously sick. [Carla] called an ambulance that arrived after 10 minutes and within 5 minutes they were at the hospital and the doctors were treating the child. How would you rate the amount of time she waited before being attended to? 459 2725 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-15 R-Vignette - Set A Q-15 R-Vignette - Set A Q-15 R-Vignette - Set A Q-15 R-Vignette - Set A Q-15 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Patricia] went to a crowded clinic. At first, no-one greeted her but after waiting for 5 minutes a nurse called her to the examination area where she was examined behind a small screen that mostly hid her from the other patients. How would you rate her experience of being greeted and talked to respectfully? 457 2727 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-16 R-Vignette - Set A Q-16 R-Vignette - Set A Q-16 R-Vignette - Set A Q-16 R-Vignette - Set A Q-16 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Patricia] went to a crowded clinic. At first, no-one greeted her but after waiting for 5 minutes a nurse called her to the examination area where she was examined behind a small screen that mostly hid her from the other patients. How would you rate the way her privacy was respected during physical examinations and treatments? 456 2728 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-17 R-Vignette - Set A Q-17 R-Vignette - Set A Q-17 R-Vignette - Set A Q-17 R-Vignette - Set A Q-17 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Karen] needed a blood test. It took her 45 minutes by bus to get to the clinic and she waited for 30 minutes to see the nurse. How would you rate her travelling time? 457 2727 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-18 R-Vignette - Set A Q-18 R-Vignette - Set A Q-18 R-Vignette - Set A Q-18 R-Vignette - Set A Q-18 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Karen] needed a blood test. It took her 45 minutes by bus to get to the clinic and she waited for 30 minutes to see the nurse. How would you rate the amount of time she waited before being attended to? 456 2728 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-19 R-Vignette - Set A Q-19 R-Vignette - Set A Q-19 R-Vignette - Set A Q-19 R-Vignette - Set A Q-19 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Said] has AIDS. When he goes to his health centre the nurses do not talk to him and deliberately ignore him. During examinations, his clothes are removed and he is made to wait, half-naked in the waiting room. How would you rate his experience of being greeted and talked to respectfully? 457 2727 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set A Q-20 R-Vignette - Set A Q-20 R-Vignette - Set A Q-20 R-Vignette - Set A Q-20 R-Vignette - Set A Q-20 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Said] has AIDS. When he goes to his health centre the nurses do not talk to him and deliberately ignore him. During examinations, his clothes are removed and he is made to wait, half-naked in the waiting room. How would you rate the way his privacy was respected during physical examinations and treatments? 455 2729 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-1 R-Vignette - Set B Q-1 R-Vignette - Set B Q-1 R-Vignette - Set B Q-1 R-Vignette - Set B Q-1 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Thomas] couldn’t see well so he went to the doctor and explained the problem. [Thomas] had time to ask the doctor some questions, which the doctor answered until [Thomas] understood almost everything. How would you rate his experience of how clearly health care providers explained things to him? 517 2667 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-2 R-Vignette - Set B Q-2 R-Vignette - Set B Q-2 R-Vignette - Set B Q-2 R-Vignette - Set B Q-2 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Thomas] couldn’t see well so he went to the doctor and explained the problem. [Thomas] had time to ask the doctor some questions, which the doctor answered until [Thomas] understood almost everything. How would you rate his experience of how clearly health care providers explained things to him? 517 2667 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-3 R-Vignette - Set B Q-3 R-Vignette - Set B Q-3 R-Vignette - Set B Q-3 R-Vignette - Set B Q-3 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Wing] had his own room in the hospital and shared a bathroom with two others. The room and bathroom were cleaned frequently and had fresh air. How would you rate the cleanliness of the rooms inside the facility, including toilets? 517 2667 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-4 R-Vignette - Set B Q-4 R-Vignette - Set B Q-4 R-Vignette - Set B Q-4 R-Vignette - Set B Q-4 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Wing] had his own room in the hospital and shared a bathroom with two others. The room and bathroom were cleaned frequently and had fresh air. How would you rate the amount of space [Wing] had? 517 2667 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-5 R-Vignette - Set B Q-5 R-Vignette - Set B Q-5 R-Vignette - Set B Q-5 R-Vignette - Set B Q-5 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Pia] went to the emergency clinic with a stomach pain. The doctor explained to [Pia] her condition and the treatment. [Pia] asked him some questions and the doctor explained things using examples that were familiar to her until she understood everything. How would you rate her experience of how clearly health care providers explained things to her? 515 2669 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-6 R-Vignette - Set B Q-6 R-Vignette - Set B Q-6 R-Vignette - Set B Q-6 R-Vignette - Set B Q-6 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Pia] went to the emergency clinic with a stomach pain. The doctor explained to [Pia] her condition and the treatment. [Pia] asked him some questions and the doctor explained things using examples that were familiar to her until she understood everything. How would you rate her experience of getting enough time to ask questions about her health problem or treatment? 516 2668 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-7 R-Vignette - Set B Q-7 R-Vignette - Set B Q-7 R-Vignette - Set B Q-7 R-Vignette - Set B Q-7 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Shedra] was hospitalized last year for a hip operation. Her private room had its own bathroom and was comfortable and spacious. It was cleaned by the hospital staff daily. The bed was comfortable and the sheets were changed daily. How would you rate the cleanliness of the rooms inside the facility, including toilets? 517 2667 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-8 R-Vignette - Set B Q-8 R-Vignette - Set B Q-8 R-Vignette - Set B Q-8 R-Vignette - Set B Q-8 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Shedra] was hospitalized last year for a hip operation. Her private room had its own bathroom and was comfortable and spacious. It was cleaned by the hospital staff daily. The bed was comfortable and the sheets were changed daily. How would you rate the amount of space [Shedra] had? 516 2668 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-9 R-Vignette - Set B Q-9 R-Vignette - Set B Q-9 R-Vignette - Set B Q-9 R-Vignette - Set B Q-9 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Akiko] is in hospital after a car accident. She has lots of scratches, bruises and some broken bones. When the doctor visited her he asked to see her medical records. He asked the nurse some questions and then he said that [Akiko] was making good progress. [Akiko] supposes that she will still stay there for another week but is unsure. How would you rate her experience of how clearly health care providers explained things to her? 516 2668 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-10 R-Vignette - Set B Q-10 R-Vignette - Set B Q-10 R-Vignette - Set B Q-10 R-Vignette - Set B Q-10 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Akiko] is in hospital after a car accident. She has lots of scratches, bruises and some broken bones. When the doctor visited her he asked to see her medical records. He asked the nurse some questions and then he said that [Akiko] was making good progress. [Akiko] supposes that she will still stay there for another week but is unsure. How would you rate her experience of getting enough time to ask questions about her health problem or treatment? 515 2669 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-11 R-Vignette - Set B Q-11 R-Vignette - Set B Q-11 R-Vignette - Set B Q-11 R-Vignette - Set B Q-11 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Kamal] has a nervous breakdown and had to spend 3 months in the past year in the local hospital. He had to sleep on an uncomfortable mattress with no sheets. There were 30 other patients in the same dormitory style ward and the toilets would smell, because they were not cleaned. He came back with a skin infection, because he couldn’t wash regularly and there were insects in the bed. How would you rate the cleanliness of the rooms inside the facility, including toilets? 509 2675 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-12 R-Vignette - Set B Q-12 R-Vignette - Set B Q-12 R-Vignette - Set B Q-12 R-Vignette - Set B Q-12 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Kamal] has a nervous breakdown and had to spend 3 months in the past year in the local hospital. He had to sleep on an uncomfortable mattress with no sheets. There were 30 other patients in the same dormitory style ward and the toilets would smell, because they were not cleaned. He came back with a skin infection, because he couldn’t wash regularly and there were insects in the bed. How would you rate the amount of space [Kamal] had? 512 2672 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-13 R-Vignette - Set B Q-13 R-Vignette - Set B Q-13 R-Vignette - Set B Q-13 R-Vignette - Set B Q-13 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Rose] cannot write or read. She went to the doctor because she was feeling dizzy. The doctor didn’t have time to answer her questions or to explain anything. He sent her away with a piece of paper without telling her what it said. How would you rate her experience of how clearly health care providers explained things to her? 513 2671 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-14 R-Vignette - Set B Q-14 R-Vignette - Set B Q-14 R-Vignette - Set B Q-14 R-Vignette - Set B Q-14 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Rose] cannot write or read. She went to the doctor because she was feeling dizzy. The doctor didn’t have time to answer her questions or to explain anything. He sent her away with a piece of paper without telling her what it said. How would you rate her experience of getting enough time to ask questions about her health problem or treatment? 512 2672 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-15 R-Vignette - Set B Q-15 R-Vignette - Set B Q-15 R-Vignette - Set B Q-15 R-Vignette - Set B Q-15 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Hans] shared his small hospital room with five other patients with no partitions between beds. The five patients shared a toilet, which was cleaned every second day and sometimes smelt. How would you rate the cleanliness of the rooms inside the facility, including toilets? 513 2671 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-16 R-Vignette - Set B Q-16 R-Vignette - Set B Q-16 R-Vignette - Set B Q-16 R-Vignette - Set B Q-16 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Hans] shared his small hospital room with five other patients with no partitions between beds. The five patients shared a toilet, which was cleaned every second day and sometimes smelt. How would you rate the amount of space [Hans] had? 513 2671 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-17 R-Vignette - Set B Q-17 R-Vignette - Set B Q-17 R-Vignette - Set B Q-17 R-Vignette - Set B Q-17 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Mario] has been told that he has epilepsy and that he needs to take medication. The doctor has very briefly explained what the condition is. He is very busy and there is a queue of patients waiting to see him. Mario would like to know more about what he has, but feels that there is no time to ask questions. The doctor says goodbye to Mario, and Mario leaves the office. How would you rate his experience of how clearly health care providers explained things to him? 512 2672 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-18 R-Vignette - Set B Q-18 R-Vignette - Set B Q-18 R-Vignette - Set B Q-18 R-Vignette - Set B Q-18 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Mario] has been told that he has epilepsy and that he needs to take medication. The doctor has very briefly explained what the condition is. He is very busy and there is a queue of patients waiting to see him. Mario would like to know more about what he has, but feels that there is no time to ask questions. The doctor says goodbye to Mario, and Mario leaves the office. How would you rate his experience of getting enough time to ask questions about his health problem or treatment? 513 2671 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-19 R-Vignette - Set B Q-19 R-Vignette - Set B Q-19 R-Vignette - Set B Q-19 R-Vignette - Set B Q-19 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [José] shared a hospital room with four other persons. There was a toilet for his ward located along the outside corridor. The room was only occasionally dusty and hot, but without any fan. How would you rate the cleanliness of the rooms inside the facility, including toilets? 513 2671 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set B Q-20 R-Vignette - Set B Q-20 R-Vignette - Set B Q-20 R-Vignette - Set B Q-20 R-Vignette - Set B Q-20 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [José] shared a hospital room with four other persons. There was a toilet for his ward located along the outside corridor. The room was only occasionally dusty and hot, but without any fan. How would you rate the amount of space [José] had? 510 2674 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-1 R-Vignette - Set C Q-1 R-Vignette - Set C Q-1 R-Vignette - Set C Q-1 R-Vignette - Set C Q-1 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Simon] was speaking to his doctor about an embarrassing problem. There was a friend and a neighbour of his in the crowded waiting room and because of the noise the doctor had to shout when telling [Simon] the treatment he needed. How would you rate the way the health services ensured [Simon] could talk privately to health care providers? 457 2727 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-2 R-Vignette - Set C Q-2 R-Vignette - Set C Q-2 R-Vignette - Set C Q-2 R-Vignette - Set C Q-2 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Simon] was speaking to his doctor about an embarrassing problem. There was a friend and a neighbour of his in the crowded waiting room and because of the noise the doctor had to shout when telling [Simon] the treatment he needed. How would you rate the way [Simon’s] personal information was kept confidential? 458 2726 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-3 R-Vignette - Set C Q-3 R-Vignette - Set C Q-3 R-Vignette - Set C Q-3 R-Vignette - Set C Q-3 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). When the clinic is not busy, [Mamadou] can choose which doctor he sees. But most often it is busy and then he gets sent to whoever is free. How would you rate [Mamadou’s] freedom to choose her health care provider? 456 2728 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-4 R-Vignette - Set C Q-4 R-Vignette - Set C Q-4 R-Vignette - Set C Q-4 R-Vignette - Set C Q-4 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). The government wanted to expand the town’s clinic service. They held one meeting to discuss the expansion plans. [Chad] attended the meeting and freely expressed his views. [Chad] then heard nothing more about what decision the government had made. How would you rate the way health care involves [Chad] in deciding what services it provides and where it provides them? 454 2730 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-5 R-Vignette - Set C Q-5 R-Vignette - Set C Q-5 R-Vignette - Set C Q-5 R-Vignette - Set C Q-5 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Rebecca] usually spoke to her doctor about her illness in complete privacy. Once [Rebecca] heard that the doctor spoke to [Rebecca’s] friend about her illness. She asked her doctor not to do it again. He did not do it again. How would you rate the way the health services ensured [Rebecca] could talk privately to health care providers? 456 2728 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-6 R-Vignette - Set C Q-6 R-Vignette - Set C Q-6 R-Vignette - Set C Q-6 R-Vignette - Set C Q-6 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Rebecca] usually spoke to her doctor about her illness in complete privacy. Once [Rebecca] heard that the doctor spoke to [Rebecca’s] friend about her illness. She asked her doctor not to do it again. He did not do it again. How would you rate the way [Rebecca’s] personal information was kept confidential? 451 2733 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-7 R-Vignette - Set C Q-7 R-Vignette - Set C Q-7 R-Vignette - Set C Q-7 R-Vignette - Set C Q-7 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). In [William] ’s town there is a large day clinic where there are several doctors and nurses. When [William] has a sensitive health problem he can see a male rather than a female doctor or nurse. How would you rate [William’s] freedom to choose his health care provider? 456 2728 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-8 R-Vignette - Set C Q-8 R-Vignette - Set C Q-8 R-Vignette - Set C Q-8 R-Vignette - Set C Q-8 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Sarah] lives in [Kamf] where the local government has regular public meetings to discuss the community’s health care needs. [Sarah] participates in identifying the community’s most important health needs. Recently, they planned to build a clinic and asked people to help decide on the services and the best location. How would you rate the way health care involves [Sarah] in deciding what services it provides and where it provides them? 455 2729 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-9 R-Vignette - Set C Q-9 R-Vignette - Set C Q-9 R-Vignette - Set C Q-9 R-Vignette - Set C Q-9 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Elma] was asked to describe a serious health problem to the doctor in the middle of the waiting room. The doctor repeated everything to the nurse and all the other patients, many of whom knew her family, could overhear everything. How would you rate the way the health services ensured [Elma] could talk privately to health care providers? 457 2727 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-10 R-Vignette - Set C Q-10 R-Vignette - Set C Q-10 R-Vignette - Set C Q-10 R-Vignette - Set C Q-10 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Elma] was asked to describe a serious health problem to the doctor in the middle of the waiting room. The doctor repeated everything to the nurse and all the other patients, many of whom knew her family, could overhear everything. How would you rate the way [Elma’s] personal information was kept confidential? 457 2727 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-11 R-Vignette - Set C Q-11 R-Vignette - Set C Q-11 R-Vignette - Set C Q-11 R-Vignette - Set C Q-11 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). When [Penelope] had fertility problems, she had to travel from her small village to the closest town where they only had one male doctor. [Penelope] wanted to see a female doctor but she had no choice. How would you rate [Penelope’s] freedom to choose her health care provider? 454 2730 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-12 R-Vignette - Set C Q-12 R-Vignette - Set C Q-12 R-Vignette - Set C Q-12 R-Vignette - Set C Q-12 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Zana] attended her town’s annual meeting on community health needs. They agreed to focus on improving health services at schools for the next year. After the meeting, [Zana] received a letter saying which schools would benefit, but the letter did not fully explain how the schools were selected. How would you rate the way health care involves [Zana] in deciding what services it provides and where it provides them? 455 2729 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-13 R-Vignette - Set C Q-13 R-Vignette - Set C Q-13 R-Vignette - Set C Q-13 R-Vignette - Set C Q-13 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Alouine] had his consultation in a small private room. During the consultation, a nurse occasionally walked in and listened to the conversation. Sometimes she forgot to close the door so people in the waiting room could overhear parts of their conversation. How would you rate the way the health services ensured [Alouine] could talk privately to health care providers? 454 2730 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-14 R-Vignette - Set C Q-14 R-Vignette - Set C Q-14 R-Vignette - Set C Q-14 R-Vignette - Set C Q-14 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Alouine] had his consultation in a small private room. During the consultation, a nurse occasionally walked in and listened to the conversation. Sometimes she forgot to close the door so people in the waiting room could overhear parts of their conversation. How would you rate the way [Alouine’s] personal information was kept confidential? 453 2731 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-15 R-Vignette - Set C Q-15 R-Vignette - Set C Q-15 R-Vignette - Set C Q-15 R-Vignette - Set C Q-15 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). The national health service assigns all the people in [Ibrahim’s] community to the local clinic. At the clinic they have a choice of 3 doctors. If they want to change clinics, they need to get permission. How would you rate [Ibrahim’s] freedom to choose his health care provider? 454 2730 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-16 R-Vignette - Set C Q-16 R-Vignette - Set C Q-16 R-Vignette - Set C Q-16 R-Vignette - Set C Q-16 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Tarek] lives near a town where the government recently built a new hospital. Before building, they didn’t consult anyone in the town or surrounding villages about their health needs nor where to locate the hospital. How would you rate the way health care involves [Tarek] in deciding what services it provides and where it provides them? 455 2729 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-17 R-Vignette - Set C Q-17 R-Vignette - Set C Q-17 R-Vignette - Set C Q-17 R-Vignette - Set C Q-17 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Ken] visited the doctor regularly. His doctor always took [Ken] to a private room before discussing his illness. The doctor was aware that [Ken] was very sensitive about his health condition and would never talk about it to anyone or in front of anyone without Ken’s permission. How would you rate the way the health services ensured [Ken] could talk privately to health care providers? 456 2728 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-18 R-Vignette - Set C Q-18 R-Vignette - Set C Q-18 R-Vignette - Set C Q-18 R-Vignette - Set C Q-18 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Ken] visited the doctor regularly. His doctor always took [Ken] to a private room before discussing his illness. The doctor was aware that [Ken] was very sensitive about his health condition and would never talk about it to anyone or in front of anyone without Ken’s permission. How would you rate the way [Ken’s] personal information was kept confidential? 452 2732 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set C Q-19 R-Vignette - Set C Q-19 R-Vignette - Set C Q-19 R-Vignette - Set C Q-19 R-Vignette - Set C Q-19 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Nathan] lives in a town where there are lots of doctors and clinics. He tried one doctor but he didn’t like him so he changed doctors. This was easy to do because he could go where he wanted. How would you rate [Nathan’s] freedom to choose his health care provider? 453 2731 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-1 R-Vignette - Set D Q-1 R-Vignette - Set D Q-1 R-Vignette - Set D Q-1 R-Vignette - Set D Q-1 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Sally]’s husband could only visit her in hospital in the evenings because of the visiting hours and because he had to look after their children. Once he brought the children with him and the nurse, who was reading a newspaper, said she could not watch them for him. This meant [Sally] had fewer visits from her husband. For[Sally’s] last hospital stay, how would you rate the ease of having family and friends visit her? 439 2745 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-2 R-Vignette - Set D Q-2 R-Vignette - Set D Q-2 R-Vignette - Set D Q-2 R-Vignette - Set D Q-2 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Sally]’s husband could only visit her in hospital in the evenings because of the visiting hours and because he had to look after their children. Once he brought the children with him and the nurse, who was reading a newspaper, said she could not watch them for him. This meant [Sally] had fewer visits from her husband. For [Sally’s] last hospital stay, how would you rate her experience of staying in contact with the outside world when she was in hospital? 437 2747 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-3 R-Vignette - Set D Q-3 R-Vignette - Set D Q-3 R-Vignette - Set D Q-3 R-Vignette - Set D Q-3 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). When [Jasmina’s] had treatment for infertility, the doctor gave her some pills and asked her to return in two weeks. He didn’t ask her whether she wanted to know anything about her health condition nor suggest different alternatives that might have suited her better. How would you rate [Jasmina’s] experience of getting information about other types of treatments or tests? 438 2746 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-4 R-Vignette - Set D Q-4 R-Vignette - Set D Q-4 R-Vignette - Set D Q-4 R-Vignette - Set D Q-4 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). When [Jasmina’s] had treatment for infertility, the doctor gave her some pills and asked her to return in two weeks. He didn’t ask her whether she wanted to know anything about her health condition nor suggest different alternatives that might have suited her better. How would you rate [Jasmina’s] experience of being involved in making decisions about her health care or treatment? 439 2745 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-5 R-Vignette - Set D Q-5 R-Vignette - Set D Q-5 R-Vignette - Set D Q-5 R-Vignette - Set D Q-5 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). When [Joseph] was in hospital he could have no visitors nor could he receive any presents from friends or relatives. The hospital had no telephones and he could not get any news from outside. For [Joseph’s] last hospital stay, how would you rate the ease of having family and friends visit him? 437 2747 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-6 R-Vignette - Set D Q-6 R-Vignette - Set D Q-6 R-Vignette - Set D Q-6 R-Vignette - Set D Q-6 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). When [Joseph] was in hospital he could have no visitors nor could he receive any presents from friends or relatives. The hospital had no telephones and he could not get any news from outside. For [Joseph’s] last hospital stay, how would you rate his experience of staying in contact with the outside world when he was in hospital? 436 2748 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-7 R-Vignette - Set D Q-7 R-Vignette - Set D Q-7 R-Vignette - Set D Q-7 R-Vignette - Set D Q-7 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Mark] had a serious health problem. The doctor prescribed the best treatment for Mark but without telling him the implications on his quality of life or the cost. [Mark] felt powerless and was not given any information to help him to feel more in control. How would you rate [Mark’s] experience of getting information about other types of treatments or tests? 438 2746 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-8 R-Vignette - Set D Q-8 R-Vignette - Set D Q-8 R-Vignette - Set D Q-8 R-Vignette - Set D Q-8 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Mark] had a serious health problem. The doctor prescribed the best treatment for Mark but without telling him the implications on his quality of life or the cost. [Mark] felt powerless and was not given any information to help him to feel more in control. How would you rate [Mark’s] experience of being involved in making decisions about his health care or treatment? 438 2746 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-9 R-Vignette - Set D Q-9 R-Vignette - Set D Q-9 R-Vignette - Set D Q-9 R-Vignette - Set D Q-9 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). When [Tamara] was in hospital for two weeks, her family visited her every few days during the evening visiting hours, but she was alone the rest of the day. There was little to read or do in the hospital . Every few days, the nurses brought her a portable radio to listen to for a few hours. For[Tamara’s] last hospital stay, how would you rate the ease of having family and friends visit her? 438 2746 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-10 R-Vignette - Set D Q-10 R-Vignette - Set D Q-10 R-Vignette - Set D Q-10 R-Vignette - Set D Q-10 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). When [Tamara] was in hospital for two weeks, her family visited her every few days during the evening visiting hours, but she was alone the rest of the day. There was little to read or do in the hospital . Every few days, the nurses brought her a portable radio to listen to for a few hours. For [Tamara’s] last hospital stay, how would you rate her experience of staying in contact with the outside world when she was in hospital? 437 2747 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-11 R-Vignette - Set D Q-11 R-Vignette - Set D Q-11 R-Vignette - Set D Q-11 R-Vignette - Set D Q-11 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Bob] had a broken arm. The doctor explained different ways of fixing it and then ordered some blood tests. [Bob] didn’t know why he needed blood tests and was worried until the doctor explained what they were for. How would you rate [Bob’s] experience of getting information about other types of treatments or tests? 432 2752 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-12 R-Vignette - Set D Q-12 R-Vignette - Set D Q-12 R-Vignette - Set D Q-12 R-Vignette - Set D Q-12 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Bob] had a broken arm. The doctor explained different ways of fixing it and then ordered some blood tests. [Bob] didn’t know why he needed blood tests and was worried until the doctor explained what they were for. How would you rate [Bob’s] experience of being involved in making decisions about his health care or treatment? 437 2747 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-13 R-Vignette - Set D Q-13 R-Vignette - Set D Q-13 R-Vignette - Set D Q-13 R-Vignette - Set D Q-13 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). When [Carol] was in hospital, she was allowed visitors at any time of the day. Whenever she needed to contact her family, work or friends, she could easily get a message delivered to them. For [Carol’s] last hospital stay, how would you rate the ease of having family and friends visit her? 438 2746 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-14 R-Vignette - Set D Q-14 R-Vignette - Set D Q-14 R-Vignette - Set D Q-14 R-Vignette - Set D Q-14 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). When [Carol] was in hospital, she was allowed visitors at any time of the day. Whenever she needed to contact her family, work or friends, she could easily get a message delivered to them. For [Carol’s] last hospital stay, how would you rate her experience of staying in contact with the outside world when she was in hospital? 434 2750 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-15 R-Vignette - Set D Q-15 R-Vignette - Set D Q-15 R-Vignette - Set D Q-15 R-Vignette - Set D Q-15 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). When [Sarah] wanted treatment for her swollen limbs, the nurses at her clinic discussed many possible treatments with her. They discussed all the pro’s and con’s of each treatment with her and then recommended one to her. How would you rate [Sarah’s] experience of getting information about other types of treatments or tests? 437 2747 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-16 R-Vignette - Set D Q-16 R-Vignette - Set D Q-16 R-Vignette - Set D Q-16 R-Vignette - Set D Q-16 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). When [Sarah] wanted treatment for her swollen limbs, the nurses at her clinic discussed many possible treatments with her. They discussed all the pro’s and con’s of each treatment with her and then recommended one to her. How would you rate [Sarah’s] experience of being involved in making decisions about her health care or treatment? 436 2748 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-17 R-Vignette - Set D Q-17 R-Vignette - Set D Q-17 R-Vignette - Set D Q-17 R-Vignette - Set D Q-17 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Jane] gave birth in hospital. Her husband was permitted to visit her every morning and evening. [Jane] was able to contact her family and friends once a day. For [Jane’s] last hospital stay, how would you rate the ease of having family and friends visit her? 436 2748 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-18 R-Vignette - Set D Q-18 R-Vignette - Set D Q-18 R-Vignette - Set D Q-18 R-Vignette - Set D Q-18 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Jane] gave birth in hospital. Her husband was permitted to visit her every morning and evening. [Jane] was able to contact her family and friends once a day. For [Jane’s] last hospital stay, how would you rate her experience of staying in contact with the outside world when she was in hospital? 435 2749 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-19 R-Vignette - Set D Q-19 R-Vignette - Set D Q-19 R-Vignette - Set D Q-19 R-Vignette - Set D Q-19 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Tara] is unhappy and has no energy. She gave birth to a baby girl two months ago and the doctor has told her that she may be suffering from depression. The doctor discussed her condition with her and then suggested that she could either try some medication or, if she prefers, talk to a counsellor. How would you rate [Tara’s] experience of getting information about other types of treatments or tests? 437 2747 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss R-Vignette - Set D Q-20 R-Vignette - Set D Q-20 R-Vignette - Set D Q-20 R-Vignette - Set D Q-20 R-Vignette - Set D Q-20 I am now going to read you stories about people's experiences with health care services. I wanted you to think about these people's experiences as if they were your own. Once I have finished reading each story, I will ask you to rate what happened in th estory as very good, good, moderate, bad or very bad. Use in vignettes country specific female/male first names to match sex of the respondent (with exceptions specified in the "Guide to Administration and Question by Question Specifications"). [Tara] is unhappy and has no energy. She gave birth to a baby girl two months ago and the doctor has told her that she may be suffering from depression. The doctor discussed her condition with her and then suggested that she could either try some medication or, if she prefers, talk to a counsellor. How would you rate [Tara’s] experience of being involved in making decisions about her health care or treatment? 436 2748 1 Very good 2 Good 3 Moderate 4 Bad 5 Very bad Sysmiss Time end section 7000 Time end section 7000 Time end section 7000 Time end section 7000 Time end section 7000 2845 00:30 01:30 07:02 07:08 07:10 07:20 07:26 07:34 07:40 07:42 07:45 07:46 07:47 07:48 07:49 07:53 07:55 07:56 07:58 08:00 08:01 08:02 08:03 08:05 08:08 08:09 08:13 08:14 08:15 08:18 08:19 08:20 08:22 08:23 08:24 08:25 08:26 08:27 08:28 08:29 08:30 08:31 08:32 08:33 08:35 08:36 08:37 08:38 08:39 08:40 08:41 08:43 08:44 08:45 08:46 08:47 08:49 08:50 08:52 08:53 08:54 08:55 08:56 08:57 08:58 08:59 09:00 09:01 09:02 09:03 09:04 09:05 09:07 09:10 09:11 09:13 09:14 09:15 09:16 09:17 09:19 09:20 09:21 09:22 09:23 09:24 09:25 09:26 09:27 09:28 09:29 09:30 09:31 09:32 09:33 09:34 09:35 09:36 09:37 09:38 09:39 09:40 09:41 09:42 09:43 09:44 09:45 09:46 09:47 09:48 09:49 09:50 09:52 09:53 09:54 09:55 09:56 09:57 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15:34 15:35 15:36 15:37 15:38 15:39 15:40 15:41 15:42 15:43 15:44 15:45 15:46 15:47 15:48 15:49 15:50 15:51 15:52 15:54 15:55 15:56 15:57 15:58 16:00 16:01 16:02 16:03 16:04 16:05 16:06 16:08 16:09 16:10 16:11 16:12 16:13 16:14 16:15 16:16 16:17 16:19 16:20 16:21 16:22 16:24 16:25 16:26 16:27 16:28 16:29 16:30 16:31 16:32 16:33 16:34 16:35 16:36 16:37 16:38 16:39 16:40 16:41 16:42 16:43 16:44 16:45 16:46 16:47 16:48 16:49 16:50 16:51 16:52 16:54 16:55 16:56 16:57 16:58 16:59 17:00 17:01 17:02 17:03 17:04 17:05 17:06 17:07 17:08 17:09 17:10 17:11 17:12 17:13 17:14 17:15 17:16 17:17 17:18 17:19 17:20 17:21 17:22 17:23 17:24 17:25 17:26 17:27 17:28 17:30 17:31 17:32 17:33 17:34 17:35 17:36 17:37 17:38 17:39 17:40 17:41 17:42 17:43 17:44 17:45 17:46 17:47 17:48 17:49 17:50 17:51 17:52 17:53 17:55 17:56 17:57 17:58 17:59 18:00 18:01 18:02 18:03 18:04 18:05 18:06 18:07 18:08 18:09 18:10 18:11 18:12 18:13 18:14 18:15 18:16 18:17 18:18 18:19 18:20 18:21 18:22 18:23 18:24 18:25 18:26 18:27 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21:35 21:38 21:40 21:42 21:45 21:47 21:49 21:50 21:51 21:52 21:55 21:56 21:58 22:00 22:01 22:02 22:03 22:05 22:06 22:07 22:08 22:09 22:10 22:11 22:12 22:13 22:15 22:16 22:17 22:18 22:20 22:23 22:25 22:26 22:27 22:30 22:31 22:32 22:36 22:37 22:39 22:40 22:43 22:45 22:46 22:53 22:54 22:56 22:57 22:58 23:00 23:02 23:05 23:06 23:10 23:11 23:12 23:17 23:21 23:30 23:31 23:38 23:40 23:44 23:45 23:51 23:57 24:12 24:15 24:49 control the important things control the important things control the important things control the important things control the important things In the last month: How often have you felt that you were unable to control the important things in your life? 3078 106 1 Never 2 Almost never 3 Sometimes 4 Fairly often 5 Very often Sysmiss could not cope with all the things could not cope with all the things could not cope with all the things could not cope with all the things could not cope with all the things In the last month: How often have you found that you could not cope with all the things that you had to do? 3078 106 1 Never 2 Almost never 3 Sometimes 4 Fairly often 5 Very often Sysmiss Satisfied with health Satisfied with health Satisfied with health Satisfied with health Satisfied with health How satisfied are you with your health? 3066 118 1 Very dissatisfied 2 Dissatisfied 3 Neither satisfied nor dissatisfied 4 Satisfied 5 Very satisfied Sysmiss Rank 1 (most important goal) Rank 1 (most important goal) Rank 1 (most important goal) Rank 1 (most important goal) Rank 1 (most important goal) READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been identified: 1. Improving the health of the population (population lives longer and with less illness) 2. Minimizing inequalities in health between people (all people should have equal chances of being healthy) 3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to choose to see the doctor one wants). 4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or religious or other beliefs) 5. Fairness in financial contribution (every household should pay a fair share towards the health system) .. Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to you in order of importance. INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT. Health Systems Goals 3031 FFC HIN HTH REI RES Rank 2 Rank 2 Rank 2 Rank 2 Rank 2 READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been identified: 1. Improving the health of the population (population lives longer and with less illness) 2. Minimizing inequalities in health between people (all people should have equal chances of being healthy) 3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to choose to see the doctor one wants). 4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or religious or other beliefs) 5. Fairness in financial contribution (every household should pay a fair share towards the health system) .. Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to you in order of importance. INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT. Health Systems Goals 3030 FFC HIN HTH REI RES Rank 3 Rank 3 Rank 3 Rank 3 Rank 3 READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been identified: 1. Improving the health of the population (population lives longer and with less illness) 2. Minimizing inequalities in health between people (all people should have equal chances of being healthy) 3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to choose to see the doctor one wants). 4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or religious or other beliefs) 5. Fairness in financial contribution (every household should pay a fair share towards the health system) .. Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to you in order of importance. INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT. Health Systems Goals 3029 FFC HIN HTH REI RES Rank 4 Rank 4 Rank 4 Rank 4 Rank 4 READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been identified: 1. Improving the health of the population (population lives longer and with less illness) 2. Minimizing inequalities in health between people (all people should have equal chances of being healthy) 3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to choose to see the doctor one wants). 4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or religious or other beliefs) 5. Fairness in financial contribution (every household should pay a fair share towards the health system) .. Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to you in order of importance. INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT. Health Systems Goals 3022 FFC HIN HTH REI RES Rank 5 (least important goal) Rank 5 (least important goal) Rank 5 (least important goal) Rank 5 (least important goal) Rank 5 (least important goal) READ TO RESPONDENT: To answer the following question you need to understand what is meant by "Health System Goals". Five main goals have been identified: 1. Improving the health of the population (population lives longer and with less illness) 2. Minimizing inequalities in health between people (all people should have equal chances of being healthy) 3. Improving responsiveness of the health system (this involves things like how quickly people are attended to; how respectfully people are spoken to by medical staff; how clearly things are explained; how convenient it is to reach different health services; how clean they are; and how much freedom there is to choose to see the doctor one wants). 4. Minimizing inequalities/disparities in responsiveness (the health system is equally responsive to all people, no matter their wealth, social status, sex, age or religious or other beliefs) 5. Fairness in financial contribution (every household should pay a fair share towards the health system) .. Now, I would like you to score these 5 goals in order of importance from the most important (1) to the least important (5) – Please, put the cards I will give to you in order of importance. INTERVIEWER: GIVE RESPONDENTS CUE CARDS, WRITE THE CODE FROM EACH CARD NEXT TO THE RANK, STARTING WITH RANK 1 AS THE MOST IMPORTANT, TO RANK 5 AS THE LEAST IMPORTANT. Health Systems Goals 3019 FFC HIN HTH REI RES Did you vote Did you vote Did you vote Did you vote Did you vote Lots of people find it difficult to get out and vote. Did you vote in the last state/national/presidential election? 2899 285 1 Yes 5 No 7 Refusal 8 Do not know Sysmiss trust national government trust national government trust national government trust national government trust national government How much of the time do you think you can trust the NATIONAL government to do what is right ? 2989 195 1 Always 2 Most of the time 3 Some of the time 4 Hardly ever 5 Never Sysmiss trust the local government trust the local government trust the local government trust the local government trust the local government How about your LOCAL government? How much of the time do you think you can trust the LOCAL government to do what is right? 3026 158 1 Always 2 Most of the time 3 Some of the time 4 Hardly ever 5 Never Sysmiss how safe do you feel when you are alone at home how safe do you feel when you are alone at home how safe do you feel when you are alone at home how safe do you feel when you are alone at home how safe do you feel when you are alone at home In general, how safe from crime and violence do you feel when you are alone at home? 3036 148 1 Completely safe 2 Very safe 3 Moderately safe 4 Slightly safe 5 Not safe at all Sysmiss how safe do you feel when walking down your street alone how safe do you feel when walking down your street alone how safe do you feel when walking down your street alone how safe do you feel when walking down your street alone how safe do you feel when walking down your street alone How safe do you feel when walking down your street alone after dark? 3020 164 1 Completely safe 2 Very safe 3 Moderately safe 4 Slightly safe 5 Not safe at all Sysmiss anyone in your household been the victim of a violent crime anyone in your household been the victim of a violent crime anyone in your household been the victim of a violent crime anyone in your household been the victim of a violent crime anyone in your household been the victim of a violent crime In the past year, have you or anyone in your household been the victim of a violent crime, such as assault or mugging? 2931 253 1 Yes 5 No Sysmiss how much do you have in getting the government to address issues how much do you have in getting the government to address issues how much do you have in getting the government to address issues how much do you have in getting the government to address issues how much do you have in getting the government to address issues How much say do you have in getting the government to address issues that interest you? 3017 167 1 Unlimited say 2 A lot of say 3 Some say 4 Little say 5 No say at all Sysmiss How free do you think you are to express yourself without fear of government rep How free do you think you are to express yourself without fear of government rep How free do you think you are to express yourself without fear of government rep How free do you think you are to express yourself without fear of government rep How free do you think you are to express yourself without fear of government rep How free do you think you are to express yourself without fear of government reprisal? 3027 157 1 Completely free 2 Very free 3 Moderately free 4 Slightly free 5 Not free at all Sysmiss Record Set Record Set Record Set Record Set Record Set 3089 A B 8000 vignette 1 (set A) 8000 vignette 1 (set A) 8000 vignette 1 (set A) 8000 vignette 1 (set A) 8000 vignette 1 (set A) I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these people have in getting their government to address issues of importance to each person. For each vignette ask: How much say [does] [name of person] have in getting the government to address issues that interest [him/her]? Please circle one option per vignette. [Jane] lacks clean drinking water because the government is pursuing an industrial development plan. In the campaign for an upcoming election, an opposition party has promised to address the issue, but she feels it would be futile to vote for the opposition since the government is certain to win. 1556 1628 1 Unlimited say 2 A lot of say 3 Some say 4 Little say 5 No say at all Sysmiss 8000 vignette 2 (set A) 8000 vignette 2 (set A) 8000 vignette 2 (set A) 8000 vignette 2 (set A) 8000 vignette 2 (set A) I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these people have in getting their government to address issues of importance to each person. For each vignette ask: How much say [does] [name of person] have in getting the government to address issues that interest [him/her]? Please circle one option per vignette. [Alison] lacks clean drinking water. She and her neighbours are supporting an opposition candidate in the forthcoming elections that has promised to address the issue. It appears that so many people in her area feel the same way that the opposition candidate will defeat the incumbent representative. 1551 1633 1 Unlimited say 2 A lot of say 3 Some say 4 Little say 5 No say at all Sysmiss 8000 vignette 3 (set A) 8000 vignette 3 (set A) 8000 vignette 3 (set A) 8000 vignette 3 (set A) 8000 vignette 3 (set A) I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these people have in getting their government to address issues of importance to each person. For each vignette ask: How much say [does] [name of person] have in getting the government to address issues that interest [him/her]? Please circle one option per vignette. [Moses] lacks clean drinking water. He would like to change this, but he can’t vote, and feels that no one in the government cares about this issue. So he suffers in silence, hoping something will be done in the future. 1543 1641 1 Unlimited say 2 A lot of say 3 Some say 4 Little say 5 No say at all Sysmiss 8000 vignette 4 (set A) 8000 vignette 4 (set A) 8000 vignette 4 (set A) 8000 vignette 4 (set A) 8000 vignette 4 (set A) I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these people have in getting their government to address issues of importance to each person. For each vignette ask: How much say [does] [name of person] have in getting the government to address issues that interest [him/her]? Please circle one option per vignette. [Imelda] lacks clean drinking water. She and her neighbours are drawing attention to the issue by collecting signatures on a petition. They plan to present the petition to each of the political parties before the upcoming election. 1548 1636 1 Unlimited say 2 A lot of say 3 Some say 4 Little say 5 No say at all Sysmiss 8000 vignette 5 (set A) 8000 vignette 5 (set A) 8000 vignette 5 (set A) 8000 vignette 5 (set A) 8000 vignette 5 (set A) I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how much say these people have in getting their government to address issues of importance to each person. For each vignette ask: How much say [does] [name of person] have in getting the government to address issues that interest [him/her]? Please circle one option per vignette. [Toshiro] lacks clean drinking water. There is a group of local leaders who could do something about the problem, but they have said that industrial development is the most important policy right now instead of clean water. 1547 1637 1 Unlimited say 2 A lot of say 3 Some say 4 Little say 5 No say at all Sysmiss 8000 vignette 1 (setB) 8000 vignette 1 (setB) 8000 vignette 1 (setB) 8000 vignette 1 (setB) 8000 vignette 1 (setB) I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people are to express themselves without fear of reprisal from their government. For each vignette ask: How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette. [Bob] has political views at odds with the government. He has heard of people occasionally being arrested for speaking out against the government, and government leaders sometimes make political speeches condemning those who criticize. He sometimes writes letters to newspapers about politics, but he is careful not to use his real name. 1505 1679 1 Completely free 2 Very free 3 Moderately free 4 Slightly free 5 Not free at all Sysmiss 8000 vignette 2 (set B) 8000 vignette 2 (set B) 8000 vignette 2 (set B) 8000 vignette 2 (set B) 8000 vignette 2 (set B) I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people are to express themselves without fear of reprisal from their government. For each vignette ask: How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette. [Kay] does not like many of the government’s policies. She frequently publishes her opinion in newspapers, criticizing decisions by officials and calling for change. She sees little reason these actions could lead to government reprisal. 1480 1704 1 Completely free 2 Very free 3 Moderately free 4 Slightly free 5 Not free at all Sysmiss 8000 vignette 3 (set B) 8000 vignette 3 (set B) 8000 vignette 3 (set B) 8000 vignette 3 (set B) 8000 vignette 3 (set B) I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people are to express themselves without fear of reprisal from their government. For each vignette ask: How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette. [Connie] does not like the government’s stance on many issues. She has a friend who was arrested for being too openly critical of governmental leaders, and so she avoids voicing her opinions in public places. 1476 1708 1 Completely free 2 Very free 3 Moderately free 4 Slightly free 5 Not free at all Sysmiss 8000 vignette 4 (set B) 8000 vignette 4 (set B) 8000 vignette 4 (set B) 8000 vignette 4 (set B) 8000 vignette 4 (set B) I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people are to express themselves without fear of reprisal from their government. For each vignette ask: How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette. [Sonny] lives in fear of being harassed for his political views. Everyone he knows who has spoken out against the government has been arrested or taken away. He never says a word about anything the government does, not even when he is at home alone with his family. 1471 1713 1 Completely free 2 Very free 3 Moderately free 4 Slightly free 5 Not free at all Sysmiss 8000 vignette 5 (set B) 8000 vignette 5 (set B) 8000 vignette 5 (set B) 8000 vignette 5 (set B) 8000 vignette 5 (set B) I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people are to express themselves without fear of reprisal from their government. For each vignette ask: How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette. [Michael] disagrees with many of the government’s policies. Though he knows criticism is frowned upon, he doesn’t believe the government would punish someone for expressing critical views. He makes his opinion known on most issues without regard to who is listening. 1471 1713 1 Completely free 2 Very free 3 Moderately free 4 Slightly free 5 Not free at all Sysmiss 8000 vignette 6 (set B) 8000 vignette 6 (set B) 8000 vignette 6 (set B) 8000 vignette 6 (set B) 8000 vignette 6 (set B) I am going to read you some brief descriptions of people and their situations. I would like you to listen to the descriptions and tell me how free these people are to express themselves without fear of reprisal from their government. For each vignette ask: How free do you think [name] [is] to express [him-her]self without fear of government reprisal? Please circle one option per vignette. [Vito] disagrees with many of the government’s policies, and is very careful about whom he says this to, reserving his real opinions for family and close friends only. He knows several men who have been taken away by government officials for saying negative things in public. 1485 1699 1 Completely free 2 Very free 3 Moderately free 4 Slightly free 5 Not free at all Sysmiss Time end section 8000 Time end section 8000 Time end section 8000 Time end section 8000 Time end section 8000 2106 00:05 00:19 07:02 07:10 07:32 07:40 07:44 07:48 07:50 07:55 08:00 08:05 08:06 08:09 08:10 08:12 08:15 08:17 08:20 08:23 08:25 08:30 08:31 08:32 08:34 08:35 08:36 08:37 08:38 08:40 08:42 08:43 08:45 08:46 08:47 08:48 08:49 08:50 08:52 08:53 08:55 08:56 08:57 08:58 09:00 09:01 09:02 09:03 09:05 09:06 09:07 09:10 09:11 09:12 09:14 09:15 09:16 09:17 09:18 09:19 09:20 09:21 09:22 09:23 09:25 09:26 09:27 09:28 09:29 09:30 09:31 09:32 09:33 09:34 09:35 09:36 09:37 09:38 09:39 09:40 09:42 09:43 09:44 09:45 09:46 09:48 09:49 09:50 09:51 09:52 09:53 09:55 09:58 09:59 10:00 10:01 10:02 10:03 10:04 10:05 10:06 10:08 10:09 10:10 10:12 10:13 10:14 10:15 10:17 10:18 10:19 10:20 10:21 10:22 10:23 10:25 10:26 10:27 10:28 10:29 10:30 10:32 10:33 10:35 10:36 10:37 10:38 10:39 10:40 10:42 10:43 10:44 10:45 10:46 10:48 10:50 10:51 10:52 10:53 10:54 10:55 10:56 10:57 10:58 10:59 11:00 11:01 11:02 11:05 11:06 11:08 11:09 11:10 11:11 11:12 11:14 11:15 11:16 11:17 11:19 11:20 11:21 11:22 11:23 11:24 11:25 11:26 11:27 11:28 11:29 11:30 11:31 11:32 11:33 11:34 11:35 11:36 11:37 11:38 11:39 11:40 11:41 11:42 11:43 11:44 11:45 11:46 11:47 11:48 11:49 11:50 11:51 11:52 11:53 11:54 11:55 11:56 11:57 11:58 11:59 12:00 12:01 12:02 12:03 12:05 12:06 12:08 12:09 12:10 12:13 12:14 12:15 12:16 12:17 12:18 12:19 12:20 12:21 12:22 12:25 12:27 12:28 12:29 12:30 12:31 12:32 12:33 12:34 12:35 12:37 12:38 12:39 12:40 12:41 12:42 12:43 12:44 12:45 12:46 12:47 12:48 12:49 12:50 12:51 12:52 12:55 12:56 12:57 12:58 12:59 13:00 13:01 13:02 13:03 13:04 13:05 13:06 13:07 13:08 13:09 13:10 13:11 13:12 13:13 13:14 13:15 13:16 13:17 13:20 13:22 13:23 13:25 13:26 13:27 13:28 13:30 13:32 13:33 13:34 13:35 13:36 13:37 13:38 13:39 13:40 13:41 13:42 13:43 13:45 13:47 13:48 13:49 13:50 13:51 13:52 13:53 13:55 13:56 13:57 14:00 14:02 14:03 14:05 14:06 14:08 14:10 14:11 14:12 14:13 14:14 14:15 14:17 14:18 14:19 14:20 14:21 14:22 14:23 14:24 14:25 14:27 14:29 14:30 14:31 14:34 14:35 14:36 14:37 14:38 14:39 14:40 14:41 14:42 14:43 14:45 14:46 14:47 14:48 14:49 14:50 14:51 14:52 14:53 14:54 14:55 14:56 14:57 14:58 14:59 15:00 15:02 15:03 15:04 15:05 15:06 15:08 15:09 15:10 15:11 15:12 15:13 15:14 15:15 15:16 15:17 15:18 15:19 15:20 15:21 15:22 15:23 15:25 15:26 15:27 15:28 15:29 15:30 15:31 15:32 15:33 15:34 15:35 15:36 15:37 15:38 15:39 15:40 15:42 15:43 15:44 15:45 15:47 15:48 15:49 15:50 15:53 15:55 15:56 15:57 15:58 15:59 16:00 16:02 16:03 16:04 16:05 16:07 16:08 16:10 16:11 16:12 16:13 16:14 16:15 16:17 16:20 16:22 16:23 16:24 16:25 16:26 16:27 16:28 16:30 16:31 16:32 16:33 16:35 16:36 16:37 16:38 16:40 16:41 16:42 16:43 16:45 16:46 16:47 16:48 16:49 16:50 16:51 16:52 16:53 16:54 16:55 16:57 16:58 16:59 17:00 17:01 17:05 17:06 17:07 17:08 17:09 17:10 17:11 17:12 17:13 17:15 17:16 17:17 17:19 17:20 17:21 17:23 17:24 17:25 17:26 17:27 17:28 17:29 17:30 17:31 17:32 17:33 17:34 17:35 17:37 17:38 17:39 17:40 17:45 17:46 17:47 17:48 17:49 17:50 17:51 17:52 17:53 17:54 17:55 17:56 17:57 17:58 18:00 18:04 18:05 18:06 18:07 18:08 18:09 18:10 18:11 18:12 18:13 18:14 18:15 18:16 18:17 18:18 18:19 18:20 18:21 18:22 18:23 18:24 18:25 18:27 18:28 18:29 18:30 18:31 18:32 18:33 18:34 18:35 18:36 18:37 18:38 18:39 18:40 18:42 18:43 18:44 18:45 18:46 18:47 18:48 18:49 18:50 18:51 18:52 18:53 18:55 18:57 18:58 19:00 19:02 19:03 19:04 19:05 19:06 19:07 19:08 19:09 19:10 19:13 19:14 19:15 19:16 19:17 19:19 19:20 19:22 19:23 19:25 19:26 19:27 19:28 19:30 19:31 19:32 19:33 19:34 19:35 19:36 19:37 19:38 19:39 19:40 19:41 19:42 19:44 19:45 19:46 19:47 19:48 19:49 19:50 19:51 19:52 19:53 19:55 19:57 19:58 19:59 20:00 20:01 20:02 20:03 20:04 20:05 20:06 20:07 20:08 20:09 20:10 20:11 20:12 20:13 20:14 20:15 20:17 20:19 20:20 20:21 20:22 20:25 20:27 20:28 20:30 20:31 20:32 20:33 20:34 20:35 20:36 20:37 20:38 20:39 20:40 20:41 20:43 20:45 20:46 20:50 20:51 20:52 20:53 20:54 20:55 20:56 20:57 20:58 21:00 21:01 21:02 21:03 21:05 21:06 21:08 21:09 21:10 21:11 21:12 21:13 21:14 21:15 21:17 21:18 21:20 21:21 21:23 21:25 21:27 21:29 21:30 21:32 21:35 21:37 21:40 21:41 21:42 21:45 21:47 21:50 21:58 22:00 22:03 22:05 22:06 22:07 22:08 22:09 22:10 22:11 22:12 22:13 22:15 22:17 22:20 22:21 22:22 22:23 22:26 22:27 22:30 22:34 22:35 22:36 22:38 22:39 22:40 22:43 22:45 22:46 22:52 22:54 22:55 23:00 23:07 23:10 23:11 23:12 23:13 23:15 23:16 23:19 23:20 23:22 23:25 23:30 23:40 23:42 23:52 24:07 24:18 24:58 Time begin section 9000 Time begin section 9000 Time begin section 9000 Time begin section 9000 Time begin section 9000 332 00:05 07:10 07:50 07:55 08:12 08:23 08:30 08:34 08:35 08:36 08:37 08:57 09:03 09:05 09:14 09:15 09:17 09:19 09:25 09:28 09:30 09:34 09:35 09:36 09:38 09:40 09:42 09:45 09:48 09:51 09:52 09:55 10:00 10:01 10:02 10:04 10:05 10:09 10:10 10:12 10:15 10:19 10:20 10:25 10:26 10:27 10:28 10:29 10:30 10:35 10:40 10:46 10:50 10:52 10:55 11:01 11:10 11:14 11:20 11:24 11:25 11:26 11:30 11:33 11:36 11:40 11:43 11:45 11:49 11:50 11:51 11:53 11:55 11:56 11:57 11:58 12:00 12:01 12:03 12:05 12:10 12:13 12:15 12:18 12:20 12:25 12:26 12:28 12:30 12:31 12:32 12:34 12:35 12:37 12:44 12:49 12:50 12:52 12:55 13:00 13:02 13:09 13:10 13:13 13:14 13:15 13:20 13:25 13:27 13:32 13:35 13:36 13:37 13:45 13:47 13:55 14:05 14:10 14:15 14:17 14:18 14:20 14:24 14:25 14:29 14:30 14:35 14:43 14:48 14:50 14:53 14:56 14:57 14:58 15:05 15:10 15:11 15:13 15:14 15:19 15:20 15:21 15:26 15:28 15:30 15:33 15:40 15:44 15:46 16:00 16:03 16:05 16:10 16:12 16:15 16:19 16:20 16:28 16:30 16:32 16:36 16:37 16:46 16:47 16:52 16:54 16:55 16:58 17:00 17:05 17:08 17:10 17:13 17:15 17:20 17:21 17:23 17:30 17:32 17:33 17:34 17:39 17:40 17:45 17:46 17:49 17:50 17:51 17:53 17:54 17:57 17:58 18:00 18:10 18:15 18:17 18:18 18:20 18:22 18:23 18:29 18:30 18:32 18:35 18:36 18:40 18:43 18:45 18:50 19:00 19:03 19:10 19:15 19:20 19:23 19:25 19:27 19:29 19:30 19:32 19:38 19:45 19:55 19:58 20:00 20:04 20:08 20:10 20:16 20:28 20:30 20:33 20:34 20:35 20:36 21:02 21:03 21:10 21:15 21:29 21:30 21:40 21:41 21:50 22:06 22:15 22:20 22:30 22:40 22:46 23:19 hearing problem hearing problem hearing problem hearing problem hearing problem Did the respondent have a hearing problem? 3122 62 1 Yes 5 No Sysmiss vision problem vision problem vision problem vision problem vision problem Did the respondent have a vision problem? 3124 60 1 Yes 5 No Sysmiss wheelchair wheelchair wheelchair wheelchair wheelchair Did the respondent use a wheelchair? 3126 58 1 Yes 5 No Sysmiss cane/crutches/walker cane/crutches/walker cane/crutches/walker cane/crutches/walker cane/crutches/walker Did the respondent use cane / crutches / walker? 3125 59 1 Yes 5 No Sysmiss difficulties walking difficulties walking difficulties walking difficulties walking difficulties walking Did the respondent have any difficulties walking? 3122 62 1 Yes 5 No Sysmiss paralysis in the arms hands or legs paralysis in the arms hands or legs paralysis in the arms hands or legs paralysis in the arms hands or legs paralysis in the arms hands or legs Did the respondent have paralysis in the arms, hands or legs? 3122 62 1 Yes 5 No Sysmiss cough continually cough continually cough continually cough continually cough continually Did the respondent cough continually? 3119 65 1 Yes 5 No Sysmiss shortness of breath shortness of breath shortness of breath shortness of breath shortness of breath Did the respondent have shortness of breath? 3123 61 1 Yes 5 No Sysmiss mental problem mental problem mental problem mental problem mental problem Did the respondent have a mental problem? 3112 72 1 Yes 5 No Sysmiss other health problem other health problem other health problem other health problem other health problem Did the respondent other health problem? 3120 64 1 Yes 5 No Sysmiss have an amputation of a limb have an amputation of a limb have an amputation of a limb have an amputation of a limb have an amputation of a limb Did the respondent have an amputation of a limb or part of a limb? 3076 108 1 Yes 5 No Sysmiss The respondent cooperation was The respondent cooperation was The respondent cooperation was The respondent cooperation was The respondent cooperation was The respondent cooperation was: 3017 167 1 Excellent 2 Very good 3 Good 4 Fair 5 Poor Sysmiss Accuracy and completeness of respondent Accuracy and completeness of respondent Accuracy and completeness of respondent Accuracy and completeness of respondent Accuracy and completeness of respondent Accuracy and completeness of respondent’s answers: 2848 336 1 Very high 2 High 3 Average 4 Low 5 Very Low Sysmiss unusual circumstances unusual circumstances unusual circumstances unusual circumstances unusual circumstances Any unusual circumstances or happenings during the interview: 2728 15mn de pause pour toilette 2 3 4 A RECU DE LA VISITE ET VOULAIT L'ACCOMPAGNER A DU S'ABSENTER PENDANT UN MOMENT (RECEPTION DE PERSONNE) A FAIT DES REMARQUES PERTINENTES A1BSENCE DEMOTIVATION POUR L'ENQUETE ACCEPTABLE ACCUEIL CHALEUREUX ET FRATERNEL (AISANCE INOÜIE) ACCUEIL FRATERNEL PAS D'EVENEMENT EXCEPTIONEL AIDE PAR UN VISITEUR POUR REPONDRE AMBIANCE BONNE ANCUN ARRET DE 15 MN POUR REGLER UN PROBLEME ARRET DE L'ENTREVUE PARCE QUE LA REPONDANTE EST FATIGUE ARRET DE TRAVAIL POUR CAUSE INDEPENDANT DE NOTRE VOLONTE ARRET MOMENTANE POUR REGLER UN PROBLEME AVEC SA TUTRICE ARRET POUR EXPLICATION AUX VOISINES ARRETER SA CUISINE ARRIVE SUR LE LIEU DES FOURNISSEURS EN EAU DE LA COUR ARRIVE SUR PLACE D'UN IMAM ARRIVEE DE CERTAINS PARENTS DE DIVO ARRIVEE DE VISITEUR OU MEME DES PERSONNES LUI DEMANDANT DES SERVICES ARRIVEE DU MARI ASPECT CORDIAL ASSEZ BONNE ENTREVUE MAIS INTEROMPUE POUR DES RAISONS DE TEMPS ASSEZ DE VISITES ASSIS UN TABOURET IL SOMNOLAIT SOUVENT ATMOSPHERE CALME ATMOSPHERE TROUBLEE ATTENTE DE 10 H 10 A 17 H ATTENTIONNE ATTIRE PAR LA TELEVISION AU Q 5100 ELLE A EXPLOSE EN LARMES PARCE QU'AYANT PERDU SES PARENTS AUCUN AUCUN EVENEMENT AUCUN EVENEMENT EXCEPTIONNEL AUCUN EVENEMENT EXPTIONNEL AUCUN EVENEMENT PARTICULIER AUCUN EVENEMENT SPECIAL AUCUN IMPREVU AUCUN INTERRUPTION AUCUN MAIS REPONDANT BEGUAIT AUCUN RAS AUCUNE AUCUNE CIRCONSTANCE AUCUNE CIRCONSTANCE EXCEPTIONNELLE AUCUNE INTERRUPTION AUCUNS AUCUNS EVENEMENTS AUCUNS PROBLEME PARTICULIER AVEC DU MONDE A COTE AVEC INTERPRETE AVENEMENT D'UNE TORNADE ACCOMPAGNEE DE VENT Attentionné Aucun évènement n'est survenu Aucune BARRIERE LINGUSTIQUE D'OU APPEL A UN INTERPRETE POUR TRADUCTION BEAUCOUP D"ENFANTS AUX ALENTOURS BRUITS BEAUCOUP D'INTERRUPTION BEAUCOUP D'INTERRUPTIONS A CAUSE DE SES CLIENTS BEAUCOUP D'INTERRUPTIONS LIEES AUX VISITEURS BEAUCOUP D'INTERRUPTIONS PARCE QU'IL TRAVAILLE BEAUCOUP DE BRUIT DANS LA CONCESSION BEAUCOUP DE BRUITS BEAUCOUP DE DEPLACEMENT DU REPONDANT BEAUCOUP DE MUSIQUE BEAUCOUP DE RETISSANCE BEAUCOUP SOLLICITE PAR SA MERE BEAUCOUPS DE PLAINTES BIEN COURTOIS BIEN DISPOSE BIEN MOUVEMENTE BIEN PASSER BIEN RAS BIEN RECU SEULEMENT A LA FIN SA FILLE PLEURAIT CONSTAMMENT BON BON ACCUEIL BON ACCUEIL DU REPONDANT BON CLIMAT BON ENTRETIEN BON ESPRIT DE PARTAGE BONNE AMBIANCE BONNE COLLABORATION BONNE COLLABORATION, RECEPTIF ET ATTENTIONNE BONNE COLLABORATOIN LE REPONDANT ETAIT ATTENTATIF BONNE CONDITION BONNE COOPERATION BONNE COOPERATION ET BEAUCOUP COURTOIS BONNE COOPERATION MALGRE LA FAIM QUI TRAVAILLAIT LE REPONDANT BONNE COURTOISIE BONNE ENTREVUE BONNE RECEPTION BOUGE BEAUCOUP BOUTIQUIER SE DEPLACAIT BEAUCOUP BRUIT AU DEHORS BRUITS Bien Bonne ambiance Bonne compréhension du questionnaire C'EST SOUVENT LEVE POUR CHERCHER LES PIECES DES MEMBRE DU MENAGE MMMM C'est un vendeur de koutoukou donc ses clients venaient entrecouper l'entrevue CADRE ACCUEILLANT, INTERLOCUTEUR DISPONIBLE CAUSAIT AVEC UNE AMIE CAUSERIE INTERMITANTE CHUTTE DE PRES DE 2 M D'1 ENFANT DE LA COUR COLERE DE LA REPONDANTE A CAUSE DE SES ENFANTS DECEDES A L'HOPITAL COMPREHENSION FACILE COMPREHENSION SUIVIE D'EXPLICATION CONTACT DIFFICIL PAR CE QUE ABSENT COOPERATION SINCERE AVEC LE REPONDANT ET L'INFORMATEUR COURTOIS ET OUVERT Compréhension très dur Compréhension un peu dur DANS L'AMBIANCE DANS UN ATHMOSPHERE SEREIN ET BIEN DE BONNES CONDITIONS. DE FREQUENTES INTERUPTIONS DUES A SON ACTIVITE COMMERCIALE DECES DANS LE VILLAGE. DEPART POUR LE CHAMPS DEPUIS DEUX JOURS LA FEMME ETAIT ENDEUIL . IL ETAIT DIFFICILE POUR ELLE DE CROIR DEROULEMENT SOUR LA LAMPE TEMPETE DES CONTRADITIONS DES CURIEUX QUI NOUS PERTUBAIENT DE TEMPS A AUTRE DES CURIEUX QUI VENAIENT SOUVENT DES MOMENTS D'INTERRUPTION DES PARENTS ETAIENT PRESENTS DIFFICILE DIFFICILE COMMUNICATON DIFFICULTE DE COMMUNICATION DIFFICULTE POUR COMPRENDRE SOUVENT DISPONIBILITE DE L'UNIVERSITE DISPONIBILITE EXCEPTIONNELLE DISTRAIT DISTRAIT PAR LA CAUSERIE A COTE DISTRAIT PAR LA FATIGUE DISTRAIT PAR SA FEMME DOCUMENT TRES MAL DISPOSE DURANT L'ENTREVUE, TOUTE LA FAMILLE ETAIT TELLEMENT INTERESSEE QU'ELLE PARTICIPA Debut difficile Des clients qui venaient pour boire Des interruptions Disponibilité de l'enquêté Distrait Distraite Durant l'entrevue aucuns, événement exeptionnels EAS EFFORT ACCRU POUR FOURNIR LES INFORMATIONS. ELLE A ETE BEAUCOUP ATTENTIVE AUX QUESTIONS ELLE A RECU DES VISITEURS ELLE A TROUVE L'ENTREVUE LONGUE ET LASSANTE. IL RACONTAIT TOUJOURS UNE HISTOIRE ELLE EST ALLEE AU MARCHE ET J'AI DU INTEROMPRE POUR REVENIR PLUS TARD ELLE EST PARTIE CHERCHER SON CARNET ELLE ETAIT GENEE PAR LE PREMIER FILS ELLE FAISAIT DE LA VAISELLE ELLE FAISAIT LA CUISINE ELLE FAISAIT LA LESSIVE DONC ELLE REPONDAIT EN TRAVAILLANT ELLE IMPOSAIT LE SILENCE A SES ENFANTS ELLE N'AVAIT PAS TOTALEMENT CONFIANCE ELLE PILAIT DU FOUTOU ELLE PILAIT PENDANT L'AUDITION ELLE PORTE UNE GROSSESSE DE 3 MOIS QUI LUI CAUSE BEAUCOUP ?? DE SANTE ELLE S'EST LEVEE POUR ALLER SE LAVER ENSUITE ELLE EST ALLEE AU MARCHE ELLE SE DEPLACAIT BEAUCOUP ELLE SE LAMENTAIT TROP SUR SON SORT ET CELUI DE SA MER QUI ESTAVEUGLE EN ETAT D'EBRIETE ENFANT QUI PLEURAIT ENQUETE NON DISPONIBLE ENQUETE SUR LE LIEU DE TRAVAIL CAD LA BOUTIQUE ENQUETE TRES ATTENTIF AUX QUESTIONS ENQUETE TRES DISTRAIT ENQUETE TRES SOUFFRANT IL A DE LA PEINE A REPONDRE AUX QUESTIONS ENQUETEE OCCUPEE PAR DES TRAVAUX MENAGERS ENTRE 12h05 à 18h30 ENTRETIEN ACHEE LE LENDEMAIN ENTRETIEN COORDIAL ENTRETIEN ENTRECOUPE PARCEQU'ELLE FAISAIT LA CUISINE ENTRETIEN FATIGANT ENTRETIEN TRES CORDIAL ENTREVUE BIEN FAITE ENTREVUE BIEN MEN2E MAIS TIMIDE ENTREVUE BIEN MENEE ENTREVUE CORDIAL ENTREVUE DEVANT DES POTS DE BANGUI ENTREVUE EMPECHEE PAR LA PLUIE ENTREVUE FAITE SUR 12 JOURS ENTREVUE INTEROMPUE A LA QUESTION Q011 LE REPONDANT REFUSE SA LANGUE MATERNELLE ENTREVUE INTERROMPUE PAR LES SALUTATIONS DES PASSANTS ENTREVUE MENEE A SON TERME ENTREVUE NON INTEROMPU ENTREVUE NORMALE ENTREVUE PASSIONNANTE ENTREVUE PASSONNANTE ENTREVUE PRECIPITEE ENTREVUE REPORTEE ENTREVUE SANS INCIDENT ENTREVUE SANS INTERRUPTION ENTREVUE SANS NTERRUPTION ENTREVUE SUR 2 JOURS A CAUSE DES TRAVAUX CHAMPETRES ETANT COMMERCANT IL S'OCCUPAIT DE SES CLIENTS. ETANT ILLETRE ET NE CONNAISSANT PAS LA DATE DE NAISSANCE DE SES PARENTS IL A F ETANT NOURICE, ELLE INTERROMPAIT L'INTERVIEW POUR S'OCCUPER DE SON ENFANT. ETAT D'AME DU REPONDANT ETAIT FIABLE EVENEMENT/ PRIERE DONC D2ème RENCONTRE LE LENDEMAIN EXPLICATION TRANSMIT PAR L'INTERPRETE Elle est restauratrice et quelques clients voulaient qu'elle même les serve la n Elle jouait la comédie Enquèté disponible Enquête faite par un traducteur Enquêté disponible, non distrait Enquêté occupé à faire quelques tâches Entretien s'est déroulé en sa première partie avec l'assistence Entrevue inachevé Entrevue entrecoupée par des causeries à côté Entrevue faite en parfaite collaboration Entrevue faite quand l'enquêté vendait Entrevue interrompu Entrevue interrompue par le mari à son arrivée,sous prétexte que Entrevue interrompue par sa tante Entrevus sans problème particuliers FAIRE LA CUISINE FAISAIT LA CUISINE FAISAIT LA LESSIVE FAISAIT LA LESSIVE . IL FALLAIT INTERROMPRE POUR SECHER LE LINGE FAMILLE BEAUCOUP ATTENTIONNEE PAR L'ENQUETE FATIGUE FIN DU PREMIER CONTACT REPONDANT AYANT COURS A 10H00 . RDV A 19H00 FORTE PLUIE REPONDANT SYMPATHIQUE MAIS FUMEUR FREQUENTES PERTURBATIONS GENE DE L'ENFANT GRANDE PLUIE PERTURBE L'ENTREVU GRANDE PLUIE QUI A PERTUBE L'ENTREVUE GUIDE PAR UN INTERPRETE Grande pluie - difficulté d'audition HAUTEUR D'ESPRIT ET TRES JOVIAL HESITANTE AUX REPONSES IL A PEUR DE LA POLITIQUE IL A RECU DE LA VISITE. IL AVAIT DU MAL A REPONDRE AUX QUESTIONS SUR L'INTIMITE DE LA FEMME IL ETAIT FATIGUE IL ETAIT SUR LE POINT DE SORTIR IL FAISAIT UN PEU TARD MAIS IL ETAIT DISPOSE IL INTERROMPAIT L'ENTREVUE POUR ALLER PRIER. IL ME DIT QU'IL NE VOIT PAS TRES LOIN IL N'A PAS BEAUCOUP ROULE , FAUX RENDEZ-VOUS IL N'Y A AVAIT SPECIALEMENT PAS D'EVENEMENT IL N'Y A PAS EU D'EVENEMENT EXCEPTIONNELS SURVENUS. IL S'EST LEVE IL S'OCCUPAIT D'UN MALADE MAIS IL M'A RECU IL SE PLAIGNAIT QU'ON LUI REMDEMANDAIT LES MEMES CHOSES IL SE SENTAIT FATIGUE ET VOULAIT MEME ARRETER, MAIS A CONTINUE IL SOMNOLAIT SOUVENT MAIS TENAIT A FINIR L'ENTREVUE IL Y A EN UN TEMPS DE PAUSE ENTRE 14 H30 ET 16H IL Y A EU UN TEMPS D'INTERRUPTION IL Y A TROP DE BRUIT DANS LA MAISON IL Y AVAIT DES PROBLEMES D'AUDITION IL Y AVAIT TROP DE MOUSTIQUES ET TRES PEU DE LUMIERE IL Y AVAIT VRAIMENT DE LA JOIE IL Y AVAIT VRAIMENT DU BAVARDAGE A COTE SES FRERES ET SOEURS SE DISPUTAIENT IMPATIENT INDIFFERENCE TOTAL: REFUS DE CONTINUER SE LEVE ET ME LAISSE TOUT SEUL INSTITUTEUR DE SON ETAT IL N'AVAIT PAS LE TEMPS SI QU'il a du traité seul une pa INTERET PARTICULIER INTERPRETE A LA HAUTEUR INTERPRETE BIEN DOUE INTERPRETE PARLANT BIEN LE FRANCAIS INTERPRETE TRES APPRECIEE INTERPRETE TRES DYNAMIQUE INTERROMPU PAR Mr GUEHI INTERRUPTIOIN POUR RECEVOIR VISITEUR INTERRUPTION INTERRUPTION A DEUX REPRISES INTERRUPTION DE L'ENTREVU POUR LE MARI (REFUSE LA POLITIQUE) INTERRUPTION DUE A DES VISITES INTERRUPTION INTEMPESTIVE INTERRUPTION PAR MOMENT INTERRUPTION POUR FAIRE LA CUISINE INTERRUPTION POUR MENAGE INTERRUPTION SOUVENT POUR CUISINER INTERRUPTION; FATIGUE INTERRUPTIONS RECURENTES INTERUPTION DE L'ENTREVUE POUR ECOUTER LES NOUVELLES DE SON FILS QUI EST PDG DE INTERVENTION D'UN PETIT FILS INTERVENTION DE L'ENTOURAGE INTERVENTION ET SOUTIEN DU FILS DU CHEF DE VILLEGE DE DIDOKO INTERVIEW ACCELEREE INTERVIEW PASSIONNANTE Interrogé par moment par son entourage Interruption pour incident J'AI EU DES PROBLEMES AVEC LA DISPOSITION DU QUESTIONNAIRE J'AI EU L'IMPRESSION QU'IL N'ETAIT PAS A SON AISE J'ETAIS EN FACE D'UN ENSEIGNANT RETRAITE DONC LE NIVEAU DE L'ENTRETIEN ETAIT ELE J'ETAIS MAL A L'AISE JE SUIS ENVAHI PAR TOUT LE MONDE CAR CHACUN VOULAIT TRADUIRE LES DIRES L'ENTHOUSIASME DE LA FAMILLE L'ENTRETIEN A EU LIEU DANS LA MAISON OU JE LOGEAIS L'ENTRETIEN S'EST PASSE DANS DE TRES BONNE CONDITION L'ENTREVUE A ETE ARRETEE A Q 7408 POUR NE REPRENDRE QUE LENDEMAIN 13/06/2003 L'ENTREVUE S'EST BIEN DEROULE L'ENTREVUE S'EST BIEN DEROULEE L'ENTREVUE S'EST BIEN PASSEE DANS UN CLIMAT DETENDU ET BIEN L'ENTREVUE S'EST DEROULEE DANS DES CONDITIONS DIFFICILES CAR LES ENFANTS CRIAIEN L'ENTREVUE S'EST TRES BIEN PASSEE L'ENTRTIEN S'EST BIEN DEROULE L'INFORMATION AVAIT DU MAL TOUTES MES EXPLICATIONS L'INFORMATRICE SE PLAINT DE LA CHERTE ET DE L'INEFFICACITE DU SYSTEME DE LA SANT L'INTERLOCUTEUR AVAIT FAIM L'INTERVIEW S'EST TRES BIEN DEROULE L'enquête s'est déroulée sur le lieu de travail(station MOBIL) L'enquêteur desinterressé L'entente était très bonne et amicale L'entrevue s'est passée sans interruption L'indifférence du répondant LA PERSONNE A PERMIS QU'ON TERMINE LE TRAVAIL LA PERSONNE ETAIT OCCUPEE PAR D'AUTRES VISITEURS LA PLUIE LA PLUIE NOUS A FAIT CHANGER DE LIEU LA PREPARATION DE LA NOURRITURE DU SOIR A GENE L'ENTREVU8E LA REPONDANTE ETAIT OCCUPEE A FAIRE LA CUISINE LA REPONDANTE A DU MAL A COMPRENDRE LES QUESTION LA REPONDANTE A REFUSE CATEGORIQUEMENT DE REPONDRE A CAUSE DES DIFFERENDS QU'ELL LA REPONDANTE ETAIT DISPOSE A PARTICIPER A L'INTERVIEW LA REPONDANTE ETAIT PREOCCUPE PAR AUTRE CHOSE LA REPONDANTE PREPARAIT, ELLE SE LEVAIT DONC SOUVENT LA REPONDANTE S'OCCUPAIT SOUVENT DE SON ENFANT LA REPONDANTE SE PLAIGNAIT DE LA DUREE DE L'INTERVIEW LE BEBE QUI ENTRECOUPAIT LE CHEF DU MENAGE A DONNE DES PRECISIONS SUR LES DEPENSES CONCERNANT SES SOINS L LE PREMIER JOUR LE CONTACT ETAIT BON MAIS LE LENDEMAIN LE REPONDANT N'EST PLUS I LE REPONDANT A REMPLI LA GRANDE PARTIE DES QUESTIONNAIRES.. IL A LE REPONDANT A USE D'ASSEZ DE SAGESSE (RECOURS AUX PROBLEMES) LE REPONDANT AVAIT HONTE LE REPONDANT AVAIT LA CONJONCTIVITE LE REPONDANT C'EST PLEIN DE CE QUE LUI MEME N'A PAS DONNE SON NOM LORS DE NOTRE LE REPONDANT CAUSAIT TROP AVEC SA FAMILLE LE REPONDANT DISCUTAIT PAR MOMENT AVEC SES FRERES LE REPONDANT DIT QU'IL Y A 5 ANS QU'IL N'A PAS MIS LES PIEDS A ABIDJAN. LE REPONDANT EST RENFERME LE REPONDANT EST TROP AGE LE REPONDANT EST UN BOUTIQUIER DONC SES CLIENTS INTERROMPAIENT QUELQUES FOIS L'I LE REPONDANT EST UNE ANCIENNE CONNAISANCE D'OU ENTREVUE AISEE LE REPONDANT ETAIT DISPONIBLE ET ATTENTIF LE REPONDANT ETAIT ILLETRE DONC CA PRENAIT BEAUCOUP DE TEMPS LE REPONDANT ETAIT INTERESSE PAR L'ENQUETTE LE REPONDANT M'A REJOINT AU DOMICILE POUR L'ENTREVUE LE REPONDANT MALADE, DIFFICULTE POUR SE TENIR DEBOUT LE REPONDANT N'AVAIT AUCUNE INFORMATION SUR L'ÂGE DE SES FRERES ET SOEURS ISSUS LE REPONDANT SE LEVAIT PARFOIS LE REPONDANT SE LEVAIT SOUVENT IL TROUVAIT L'ENTRETIEN LE REPONDANT TOUVAIT LE TEMPS LONG LE REPONDANT TRES ATTENTIF ET INTERRESSE A L'INTERVIEW LENT TIMIDE LES DEPLACEMENTS LES GENS ONT AIDE LA REPONDANT LES PETITS ENFANTS DU REPONDANT FAISAIENT TROP DE BRUIT LES PLEURES DE L'ENFANT LES PLEURS DE SON PETIT GARCON A GENE L'ENTREVUE LR REPONDANT REGARDAIT LA TELE CE QUI ME FAISAIT REPRENDRE LA QUESTION PLUSIEUR La compréhension est très nette La repondante ne se portait pas bien Le Répondant n'était plus concentré au fur et à mesure que l'entretien dur Le bébé du répondant l'empêchait souvent de répondre aux questionnaires parce qu Le repondant a passé une radio ne révélant aucune anomalie Le repondant a reçu de la visite Le répondant m'a demandé s'il aura une remise de médicaments après le questionna Le répondant répondait rapidement aux questions sans reflexion. Le b Le répondant un peu en colère contre le Gouvernement en place puisque me la sign Le répondant était très emotif, il pleurait Les enfants du ménage étaient attentionnés par l'enquête MA MONTRE S'EST ARRETER RAISON POUR LAQUELLE JE N'AI PAS MARQUE L'HEURE MANQUE D'ELECTRICITE HEURE TARDIVE MENACE D'AGRESSION SUR L'ENQUETEUR ET SUR LE GUIDE MENUISIER, DONC VA A TOUT MOMENT A L'TALIER MORT D'UNE CONNAISSANCE Mobilité pour les tâches domestiques Méfiance des parents N'A PAS VOULU SE LEVER N'EST PAS ALLER A L'ECOLE DONC COMPREHENSION DIFFICILE N'ETANT PAS ENCORE ARRIVE A CE MENAGE LE CHEF DU MENAGE EST VENU LUI MEME ME CHE NE VEUT PLUS CONTINUER ET NE SERA PLUS CONTACTER. VA AU CAMPEMENT NERVEUX; AGITE; INTERRUPTION BRUSQUE NIVEAU D'ENTREVUE MOYEN NIVEAU DE COMMUNICATION BAS NIVEAU TRES MOYEN NIVEAU TRES MOYENS VUE LE PROBLEME DE LANGUE ET L'ABSENCE DE SON MARI NOURRICE SE LEVAIT REGULIEREMENT NOUS ETIONS DANS LA BOUTIQUE ET SES CLIENTS NE NOUS DERANGEAINT PAS MAIS SEMBLAI OCCOPE PAR LA CUISINE OCCUPATION DES TACHES OCCUPE OCCUPE PAR LA CUISINE ON A INTERROMPU ET ON A REPRIS LE LENDEMAIN A CAUSE DE LA FATIGUE Occupée à la cuisine PAR MOMENT ELLE RECEVAIT DES CLIENTS PARFOIS INTERROMPUE PAS D'ELECTRICITE PAS D'EVENEMENT PAS D'EVENEMENT EXCEPTIONNEL PAS D'EVENEMENT SPECIAL PAS D'EVENEMENTS EXCEPTIONNELS PAS D'INCIDENT PAS D'INTERRUPTION PAS DE CIRCONSTANCES PAS DE CIRCONSTANCES ET D'EVENEMENTS EXCEPTIONNELS PAS DE CIRCONSTANCES MAJEURES PAS DE CONSTANCE MAJEURE PAS DE DIFFICULTE PAS DE DIFFICULTES PAS DE HONTE CHEZ LA REPONDANTE PAS DE PROBLEME PAS DE PROBLEME . REPONDANT TRES DISPPONIBLE PAS DE PROBLEME AVEC L'ENTOURAGE PAS DE PROBLEME DE COMMUNICATION PAS DE PROBLEME DE COMPREHENSION PAS DE PROBLEME PARTICULIER PAS DE PROBLEMES A PART UNE PETITE BLESSURE PAS DE PROBLEMES DE COMMUNICATION PAS DE PROBLEMES PARTICULIER PAS DE VARIABLES 800 PAS EVENEMENTS EXCEPTIONNELS PAS TROP DE PROBLEME PAUSE DUE A DES RECEPTIONS D'APPELS PENDANT L'INTERVIEW LE REPONDANT ETAIT DISTRAIT PAR SON PORTABLE QUI N'ARRETAIT PERSONNE ATTENTIVE PERSONNE RECEPTIVE PERTUBATIONS DUES AUX SALUTATIONS PAR CI PAR LA PERTUBEE PAR 2 VISITES PETITE PLUIE PEU DISPOSE PEU DISTRAIT PEUR DE LA POLITIQUE PEUR DE REPONDRE PLUIE INCESSANTE POSE ( 2 REPRISE) PREPARAIT DE L'ATTIEKE POUR LA VENTE PRESENCE DE LA FEMME PRESENCE DE SES BELLES SOEURS PRESENCE DE SON MARI PRESENCE DES MEMBRE DE LA FAMILLE PRESENCE DU CHEF DU VILLAGE PRESENCE DU MARI QUI INFLUENCA L'ENTREVUE PRESENCE DU PERE PRESSE D'ALLER AU TRAVAIL PRIERE PRIS PAR LA CUISINE PRISE DE CONTACT DIFFICILE AU DEBUT MAIS LA SYMPATHIE PARRAIT PRISE DE REPAS ENSEMBLE DANS UNE ATMOSPHERE DE GAIETE ET DE CONVIVIALITE PROBLEME DE COMMUNICATION MAIS ON A FINI PAR SE COMPRENDRE PROBLEME DE TRADUCTION Pas d'incident majeur Pas d'évènement exceptionnel Pas d'évènements exeptionnels Pas de problème de contact Pas de problèmes particuliers Présence de sifflement respiratoire chez le repondant QUELQUES INTERPELATION QUELQUES MOMENTS DE DISPUTE AVEC SON MARI PARCE QUE POUR ELLE LE QUESTIONNAIRE P QUESTIONNAIRE MAL AGRAFE D'OU L'ABSENCE DE Q8000 R AS RAS RAS PAS TRES INTERESSE RAS REPONDANT ETAIT SOUVENT ENERVE POUR LA REPETITION RAs RECEPTION BIEN MENEE RECU LA VISITE REFUS AU DEPART REFUS AU PREMIER CONTACT REFUS DE COLLABORER REFUS DE DONNER LE NOM DE SES ENFANTS ET SA FEMME REFUS DE REPONDRE POUR CAUSE DE VOYAGE DANS L'IMMEDIAT. REFUS DU QUESTIONNAIRE 8003 A 8015 PARCE QUE ETRANGER REFUS LES QUESTIONS QUI SONT AU CHOIX, PERTINANTES REFUSE DE REPONDRE AUX QUESTIONS Q6605 A Q6610 REPONDANT A REÇU DE LA VISITE REPONDANT ANALPHABETE REPONDANT AVAIT FROID REPONDANT BEAUCOUP RECEPTIF REPONDANT CHIQUANT DU TABAC ET SE LEVAIT PAR MOMENT REPONDANT COOPERANT MALGRE QUELQUES TRAVAUX QU'ELLE AVAIT A FAIRE REPONDANT DISTRAIT REPONDANT DORT A MEME LE SOL SUR UNE NATTE REPONDANT EN VOYAGE REPONDANT FATIGUE REPONDANT HESITANT REPONDANT MALADE REPONDANT MALADE COUCHE DIFFICULTE POUR PARLER REPONDANT MALADE SERIEUSEMENT INCAPABLE DE REPONDRE AUX QUESTIONS REPONDANT MOBILE REPONDANT SE DEPLACANT SOUVENT DIFFICULTE D'EXPRESSION EN FRANCAIS REPONDANT SE PLAIGNANT DE DOULEUR AUX ARTICULATIONS A CAUSE DE LA DUREE DE L'ENT REPONDANT SYMPATIQUES REPONDANT TOUJOURS ABSENT IMPOSSIBLE DE LE TROUVER REPONDANT TOUJOURS OCCUPE DONC ENQUETE NON TERMINEE REPONDANT TRES ALERTE ET EPANOUI REPONDANT TRES RETICANTE IMPOSSIBLE DE LA RAISSONNER REPONDANT TRES SYMPATHIQUE REPONDANT TRES SYMPATIQUE REPONDANT TRES TIMIDE. REPONDANT TROP MALADE POUR REPONDRE REPONDANT UN PEU DISTRAIT REPONDANT UN PEU NERVEUX A CAUSE DU TEMPS REPONDANT VOULAIT ARRETER L'INTERROGATOIRE PARCEQU'IL NE SE SENTAIT PAS BIEN REPONDANTE AIDEE PAR SA MAMAN REPONDANTE ATTENTIONNEE REPONDANTE PRETE A ALLER AU CHAMP REPONDANTE SOUCIEUSE DU FEEDBACK DE L'ENQUETE REPONDANTE TRES ENVIE DE FAIRE LA SIESTE REPONDANTE TRES OCCUPEE REPONSES INFLUENCEES PAR UNE VISITEUSE REPORDANT PORTANT ENCORE SON VEUVAGE REPOS REPÖNDANT ACCUEILLANT RETICENTE AU DEPART RIEN RIEN A DIRE RIEN A SGNALER RIEN A SIGNALER RIEN DE PARTICULIER Ras Repondante étant au marché, je me suis rendu au marché et l'entrien s'est passé Repos et reprise après Rien de particulier à part la pause Rien à signaler Rien àsignaler Répondant qui a affiché une aigreur sans égale Répondant un peu énervé par la durée de l'entretien mais il s'est ressaisi parce S'EST ENERVE CAR IL SE PLAIGNAIT POUR SA SANTE S'EST LEVE POUR PRIER ET IL M'A OFFERT DU THE S'EST LEVE QUELQUE PEU S'EST LEVE QUELQUES FOIS POUR CHERCHER SON CARNET S'EST LEVE UN PEU ENTRE 11 H ET 12 H SANS EVENEMENT EXCEPTIONNEL SE LEVE TROP SE DEPLACAIT A TOUT MOMENT SE DEPLACAIT BEAUCOUP SE DEPLACAIT CONTAMMENT SE LAMENTAIT POUR SA FILLE QUI EUT UN ACCIDENT LA VEILLE SE LEVAIT REGULIEREMENT POUR FAIRE LA CUISINE SE LEVAIT SOUVENT SE LEVE A TOUT MOMENT OU CONVERSE AILLEURS SE LEVE UN PEU SE PLAIGNAIT D4AVOIR MAL A LA TETE PARCE QUELLE AVAIT PLEURE SE PLAIGNAIT DE LA DENSITE DU QUESTIONNAIRE SE PLAIGNANT SOUVENT DE SA SANTE SE SENTAIT FATIGUE SEMBLAIT INFLUENCE PAR LA PRESENTE DE SA TANTE SEUL A L'AISE SIMPLE SOMNOLENCE SON BEBE LA DERANGEAIT QUELQUEFOIS SON ENFANT GENAIT L'ENTREVUE SON ENFANT L'EMPECHAIT A REPONDRE SOUVENT SON ENFANT LA GENAIT QUELQUE FOIS SON EPOUSE HOSPITALISEE DEPUIS 1 MOIS EST ARRIVEE SON FILS A GENE LE COURS DU TRAVAIL SON FILS INTEROMPAIT LA POURSUITE DE L'ENTREVUE SON FRERE EST VENU S'ASSOIR A COTE DE LUI SUR LA TERRASSE A LA LUMIERE TEMPS PERDU TIMIDE TOUS LES MEMBRES DU MENAGE ETAIENT PRESENTS ET LE CHEF DE MENAGE SATISFAIT DE L' TOUTE SA FAMILLE SUIVAIT RELIGIEUSEMENT L'ENTREVUE TRAVAILLAIT PENDANT QUE JE POSAIS LES QUESTIONS TRE S TRES AFFLIGE CAR PERSONNE DEPLACEE TRES ACCUEILLANTE TRES ATTENTIONNER PAR LES CONTENUS DES QUESTIONS TRES COOL DISPOSE A ECOUTER TRES DISPOSE TRES DISTRAITE PENDANT L'ENTRETIEN TRES MEFIANTE TRES OCCUPE TRES OCCUPE A LA CUISINE TRES PEU DISPONIBLE TRES PREOCCUPEE DANS LA CUISINE TRES SYMPA TROP BAVARD TROP D'ARRET, MANIPULER PAR SA SOEUR AINEE TROP DE BRUIT TROP DE BRUITS TROP DE DEPLACEMENTS TROP DE VISITES TROP DE VISITES DE SES NOTABLES TROP OCCUPE PAR SES VISITEURS TROP TIMIDE DEVANT SON MARIE Trop d'hommes autour du repondant Trop de bruit Trop de plaintes Très attentionné UN DE SES AMIS EST VENU POUR CAUSER AVEC LUI UN FRERE VENU RENDRE VISITE S'INTERESSAIT AUX QUESTIONS ADMINISTRE.ES UN PEU DISTRAIT UN PEU FATIGUE MAIS ACCEPTABLE UN PEU RETARDE A CAUSE DU DEPART AU CHAMP UN REFUS IMPLICITE AU DEPART PARCEQU' ABSENCE DE MAITRISE DE LANGUE. UNE BAGARRE EST SURVENUE PENDANT L'ENTREVUE ENTRE LES MEMBRES DE LA FAMILLEBRES VA CHERCHER DU BOIS POUR LA CUISINE A LA SCIERIE ET POUR LA VENTE VISITE D'UN PARENT VISITE D'UNE AUTRE PERSONNE VISITE D'UNE PARENTE, INTERROMPTION INVOLONTAIRE, REPONDANTE MALADE VISITE DE PARENT VISITE DES VOISINS VISITE FREQUENTE D'AMIS ET PARENTS VISITE FREQUENTE D'ENFANTS FOUILLE DE DOCUMENTS VISITEURS Visite intempestive au repondant, interruption pour aller au champ a observé un silence de 03 mn à la 8015 accueil fraternel arrivée defrères et soeurs attitude de frimeur jeune salarié épanoui aucun aucune beaucoup de commentaires inutile beaucoup receptif pas interessé aux questions bon accueil bonne ambiance, repondant sympathique bonne réception dans le ménage celle avec laquelle il devrait aller au champ nous pressait de vite finir; mais changement de lieu climat de cordialité de chez sa camarade on est allé chez elle où elle a reçu son pasteur des parents s'immixaient disponibilité de l'enquetée mais très fatiguée disposée et terriblement accueillante dispute entre membres de familles à cause du choix du répondant durant l'entretien le répondant se plaignait des questions posées durant l'entrevue la repondante semblait être genée de son manque d'intérêt aux déplacement excessif elle etait constamment en colère te proferait des invectives elle faisait la cuisine elle m'emmene au lieu de travail de son époux pour les questions délicates elle se lévait souvent pour se relaxer elle se deplaçqait beaucoup car elle faisait la lessive elle était fatiguée de repondre aux questions elle était sur le point d'aller à la prière enceinte, fatiguée mais disponible enquete occupée par les travaux ménagers enquêté disponible entièrement libre d'expression entretien dans la courtoisie entretrue normale et detendue entrevue entrecouppé à cause de visiteur etait très épuisé exactitude et promptitude de l'enquêté fumant pendant l'entretien fumé tout le temps de l'entrevue heure de la reprise à sonnée, répondant pressé il embrassait souvent sa femme pour me taquiner il me suppliait d'arrêter car il avait faim il ne se gene de fumer en présence de tout le monde il nous pressait pour vite finir il travaillait pendant l'entrevue il y avait trop de bavadage des femmes il ya plus d'une heure d'attente interruption souvent pour vente d'articles j'ai été envahi par tous ses enfants l'enquêteur était assis sur un tabouret ce qui rendait plus difficile son travai l'entrevue s'est déroulée correctement l'entrevue s'est tenue dans la gaieté totale l'interessé pressé pour reprendre son boulot la fin de l'enquete fut penible pour le répondant fatigué et somnolent la repondante etait enceinte de 9 mois le mari servait d'interprète le repondant a demandé une pause pour aller faire une course urgente le repondant avait besoin d'un interprète le repondant avait l'air pressé le repondant en convalescence le repondant etait difficile à trouver le repondant etait tres souffrant le repondant hesitait beaucoup sur les reponses le repondant m'a fait perdre beaucoup de temps avant d'accepter de me recevoir le repondant reclamait des médicaments le repondant s'est lévée pour battre un enfant au cours de l'entrevue le repondant voulait que ses femmes soient là le repondant était très relaxe le repondantinterrompait l'entretient pour cause de fatigue le répondant a des douleurs au niveau de son menton pour cause d'aacident le répondant a pris un temps sur son emploi du temps il est beaucoup occupé le répondant a refusé de continuer le répondant est beaucoup attentif mais occupé par son travail le répondant m'a proposé de la boisson et la femme de la nourriture. Beaucoup de le répondant était entrain de travailler le répondant était très impatient les enfants autour bavardaient assez. UN de ses freres est arrivé et ont engagé les reponses ne sont pas toujours les mêmes pour les enquêteurs malade, mais très eveillé ne restait pas trop en place pour des raisons de cuisine et des enfants on a eu une pause de treize minute pour causerie avec une amie on était sur son lieu de travail, gerant de cabine téléphonique donc beaucoup de pas d'événements exceptionnels pas de circonstances majeures pas de problème pas eu d'evenement particulier pas trop de problèmes personne ne nous genait il s'est seulement fait aider par son grand frère sur le pertube par la pluie peu contente plusieurs fois interrompu à cause des visiteurs posé une question sur ce que un medecin à donné un examen en prise du repas pendant l'enquête ras ras ras recevait souvent les clients de sa cabine téléphonique refus de continuer fatigue repondant inquiet au debut repondant n'avait auncune information sur les siens décedés repondant trop bavard repondant très mobile repos de l'enquêté quelques minutes puis reprise rien d'exceptionnel sauf repondant occupé à faire de l'attiéké rien à ajouter répondant très decontracté se levait par moment trop de bruit trop fanatique du RDR très belle très disposé un peu distraite avec de ses connaissances un peu rétissant vendeuse d'alcool donc interruption arrivée des clients venue de plusieurs personnes qui n'attendaient que le passage des agents de sant visite d'un ami voulait se reposer (dormir) çA S'EST TRES BIEN PASSE Other comments Other comments Other comments Other comments Other comments Any other comments: 1951 2 A ETE TOUJOURS PRES APOUR REPNDRE A TOUTES QUESTIONS A EU RECOURS A UN INTERPRETE A LA FIN DE L'ENTREVUE IL ETAIT EXTENUE AB ABSENCE D'ELECTRICITE ACCEPTABLE ACCUEIL CHALEUREUX ACCUEIL FRATERNEL ACCUEIL INTERESSANT ALLONGEAIT LES ECHANGES AMNESIQUE AMPOULE GRILLEE PENDANT L'ENQUETE AUCUN AUCUNE Arrêt de l'entretien car le repondant était fatigué. RDV pour le lendemain mais Assez d'explications BEAUCOUP D'ATTENTION BEAUCOUP PAUSES BIEN BIEN COURTOIS ET A FACILITE LES CHOSES BIEN DANS L'ENSEMBLE BIEN DEROULE BIEN DEROULE DANS L'ENSEMBLE BIEN DEROULEE BIEN PASSE BIEN PASSE DANS L'ENSEMBLE BIEN PASSEE BIEN SOUVENT QUELQUES PERSONNES ECOUTAIENT CE QU'ON DISDAIT BON ACCUEIL BON ACCUEIL FAMILIAL BON ENTRETIEN BON ENTRETIEN TERMINE. BONNE BONNE AMBIANCE BONNE COLLABORATION BONNE CONVERSATION BONNE COOPERATION ENTREVUE BIEN MENEE BONNE ENTREVUE BONNE ENTREVUE DANS L'ENSEMBLE BONNE INTERVIEW BRUITS AU DEHORS Beaucoup d'explication et d'eclaircissement Beaucoup d'explications et d'éclaircissements Beaucoup d'explications et de précisions aux questions Beaucoup lassé Bien Déroulée Bien déroulé Bon acceuil Bonne entrevue C'EST SA FILLE QUI SERVAIT D'INTERPRETE CABINE CABINE TELEPHONIQUE CE DERNIER N'A PAS VOULU ABORDER LES PROBLEMES RELATIFS A L'ETAT CECITE COMPLETE CHERHAIT LE CARNET DE SON FILS COLLABORATION INTERRESSANTE COMPREHENSIBLE, CORRECT COMPREHENSION TRES BASSE CRAINTE DES REPRESAILESDONC N'A PAS REPONDU AUX QUESTIONS SUR LA POLITIQUE CURIOSITE DU REPONDANT Communique bien avec nous DEBUT D'ENTREVUE DIFFICIL A CAUSE DE LA LANGUE ET L'AGE DEBUT DE CONTACT DIFFICILE, MAIS PAR LA SUITE SYMPATHIQUE DEPUIS L'ACCIDENT ELLE A DES PROBLEMES A L'OEIL GAUCHE DIFFICILE A CONTACTER SAUF LE SOIR DIFFICULTE DE COMPREHENSION DES VIGNETTES DIFICULTE DANS LA COMPREHENSION SUTOUT DANS LES VIGNETTES ELLE A SOUVENT BESOIN D'INTERPRETE POUR COMPRENDRE LES QUESTIONS EN FRANCAIS ELLE ETAIT ENRHUMEE ET AVAIT PERDU LA VOIX AVEC DES BOUTONS SUR LE VISAGE ELLE ETAIT TRES SYMPATIQUE ELLE ETAIT VRAIMENT FRANCHE ELLE ME REPONDAIT AVEC SOURIRE ELLE N'ETAIT PAS TROP INTERESSEE AU DEPART ELLE PERSISTE SUR SA POSITION ET SORT MEME DE LA MAISON. ELLE PORTAIT UNE GROSSESSE D'AU MOINS SEPT MOIS ELLE S'EST EXCUSE POUR CE DESAGREMENT INDEPENDANT DE SA VOLONTE. ENQUETE MENEE A TERME ENQUETE SOUHAITE UNE AIDE SOCIALE ENQUETE TRES BIEN MENEE ENTRETIEN BIEN TERMINE ENTRETIEN DIFICILE POUR DES RAISONS DE LANGUE ENTRETIEN PAS DU TOUT FACILE ENTREVUE BIEN DEROULEE ENTREVUE BIEN DEROULEE DANS L'ENSEMBLE. ENTREVUE DIFFICILE. ELLE SE SENTAIT FATIGUER, ET A PRIS FROID ENTREVUE EFFECTUE AVEC INTERPRETE ENTREVUE PAR UN INTERPRETE DE 12 ANS ENTREVUE PEU INTERRESSANTE ENTREVUE REPORTE AU LENDEMAIN PARCEQU'IL FAISAIT TARD ENTREVUE SATISFESANTE ENTREVUE SOUVENT INTERROMPUE ENTREVUE TOTALEMENT ELABORE ET COUCHEE DANS LA MAISON. ETAIT ENCEINTE ET NE CONNAIT PAS LES MOIS DE NAISSANCE DE SES FRERES . Entrevue bien faite FACILITE D'ENTRER EN CONTACT FAMILLE EN DEUIL MOINS DE 3 MOIS FATIGUE GENERALE A CAUSE DE L'HEURE TARDIVE FEMME TRISTE FREQUENTES VISITES GENTILLLESSE ET DISPONIBILITE REMARQUABLE DE LA REPONDANTE GRANDE FRANCHISE Hésitation au départ mais parfaite attention finale IL AVAIT LA MAITRISE DES SUJETS DEBATTUS IL BEAUCOUP MOBILE IL ETAIT TRES RESERVE, TIMIDE. DES DIFFICULTES POUR LES QUESTIONS DE CHOIX. IL N'YAVIT DE PROBLEME IL PREND SON TEMPS POUR REPONDRE IL REGARDE LA TELE IL S'EXPRIMAIT AVEC PEUR; BEAUCOUP RENFERME IL SE LEVE SOUVENT IL Y A UN DECES A COTE IL Y AVAIT TROP DE BRUIT DANS LA MAISON INCAPACITE A DONNER CERTAINES REPONSES. INQUIET POUR LE CADRE DE L'INTERVIEW INTERESSE INTERPRETE INTERPRETE PAR MOMENT INTERVENTION D'INTERPRETE Ils demande à l'état de vraiment leur denir en aide J'ETAIT SUR SON LIEU DE SERVICE Je me suis rendu là où il jouait son pocker pour l'interroger. L'ENQUETEE EST ENCEINTE ET A LA CATARACTE L'ENTREVUE N'EST PAS MENEE A TERME L'INFORMATEUR A RELEVE LA LONGUEUR DU QUESTIONNAIRE L'enquété se levait de temps en temps LA COLLABORATION EST TRES BONNE LA DISPONIBLE ETAIT LA REPONDANTE LA FAMILLE EN QUESTION AYANT PERDU SON CHEF, C'EST CE MONSIEUR, FRERE DU DEFUNT LA NUIT ETAIT TOMBEE NOUS NOUS SOMMES DEPLACES LA REPONDANTE APRES AVOIR INTEROMPUE A DONNE UN RENDEZ VOUS POUR LA POURSUITE D LA REPONDANTE N'A FINISSAIT PAS DE SE LEVER LA VIELLE POSAIT DES QUESTIONS QUI RETARDAIT LE MALADE LE RECLAMAIT SOUVENT MAIS IL TENAIT A REPONDRE A MES QUESTIONS LE REPONDANT A ETE TRES ACCUEILLANT ET AIMABLE LE REPONDANT AURAIT VOULU ETRE PREVENU LE REPONDANT EST PRIS EN CHARGE MEDICALEMENT PAR SON EMPLOYEUR LE REPONDANT N'A PAS DONNE DE REPONSE A Q8009 ET Q8010 LE REPONDANT N'A PAS VOULU FAIRE DE CHOIX POUR CE QUI EST DES DIFFERENTS ETATS D LE REPONDANT NE SE RAPPELLE PAS SES REPONSES DONNEES A LA PREMIERE ENQUETE LE REPONDANT S'EST PLUTOT PENCHE SUR SON TRAVAIL DU CHAMP ET LA CONDITION DE VIE LE REPONDANT SE SENTAIT GENER LE TEMPS QUE JE LUI PRENAIS NE LUI CONVENAIS PAS LES QUESTIONS ETAIENT SOUVENT DEVIEES, NI REPONDUES. . La répondante est mannequin, elle est en tournée, retour incertain Le chef de ménage refuse que sa femme continue de repondre MAIS NE SAIT PAS EXACTEMENT L'AGE DE SES FRERES MEFIANCE MEFIANCE DU REPONDANT MEFIANT MERCI NE CONNAIT PAS L'AGE DE SES FRERES NE CONNAIT PAS LES MOIS DE NAISSANCE NE SAIS LA DATE EXACTE DE NAISSANCE DE SES FRERES ET SOEURS NE SAIT EXACTEMENT L'AGE DE SES FRERES NE SAIT PAS L'AGE DE SES FRERES NE SAIT PAS LE MOIS DE NAISSANCE DE SES FRERES. NE SEMBLE PAS ETRE INTERESSEE NIVEAU MOYEN AU NIVEAU DE L'ENTREVUE NON PARFAITE COLLABORATION PAS DE COMMENTAIRE PAS DE COMMENTAIRE A FAIRE PAS DE COMMENTAIRE. PAS DE COMMENTAIRES PAS DE DIFFICULTE DANS L'INTERVIEW PASSABLE PATIENCE ASSEZ REMARQUABLE PERSONNE INCROYABLEMENT INDIGESTE PERSONNE TRES AGEE; SOUFFRANTE. PEU AMERT A L'ENTRETIEN PEU FATIGUE ET PRET A RENTRER EN BROUSSSE PRENAIT SOUVENT SON TEMPS POUR REPONDRE PRESENCE D'UN TRADUCTEUR PRESENCE D'UN TRADUCTEUR ET IMPATIENCE DU REPONDANT PROBLEME D'EXPRESSION REPONDANT PROBLEME DE LANGUE PROBLEME DE LANGUE IL FALLAIT DONC UN TRADUCTEUR Prenait un peu de temps pour répondre Q8008 -8015 refuse de répondre parde qu'elle ne veut pas s'initier dans la poli QUESTIONNAIRE MAL DISPOSE (VIGNETTE 7500) QUESTIONNAIRE PAS REMPLI CAR REPONDANT TOUJOURS ABSENT Quelques oppositions de la part de la mère RAS RAS DANS L'ENSEMBLE RAS DEVANT SORTIR RAs RDV NON RESPECTE PAR LE REPONDANT D'OU FIN SPONTANEE RECOURS A UN INTERPRETE REFUS DE REPONDRE A Q 8008 REFUS AU DEPART ET ELLE A COMMENCE A COLABORE REFUS DE CONTINUER REFUS DE REPONDRE A Q5000 REFUS DE REPONDRE AU Q 5100 REFUS DE REPONDRE AUX QUESTIONNAIRES 8009 - 8015 REFUS PUIS DISPONIBLE APRES L'INTERVENTION DU CHEF REFUS Q 8008 REPONDANT AIMABLE REPONDANT BAVARD REPONDANT BEAUCOUP PATIENT REPONDANT COMPREHENSIBLE ET TRES PATIENT REPONDANT COMPRENANT AISEMENT LES QUESTIONS (GUIDE) REPONDANT DE REMPLACEMENT REPONDANT DEVOUE ET SYMPATHIQUE REPONDANT DOUTANT DE CERTAINES QUESTIONS SERIES 7000 ET 8009 REPONDANT EST ARRIVE REPONDANT EST MALADE REPONDANT EXEMPLAIRE REPONDANT ILLETRE D'OU PROBLEME DE COMMUNICATION REPONDANT JOVIAL REPONDANT MALADE EST FATIGUE REPONDANT NE DISPOSANT PAS TOUTES LES INFORMATIONS REPONDANT PEU FIABLE REPONDANT PEU FIABLE COMPRENANT DIFFICILEMENT REPONDANT PRESSE ET IMPATIENT REPONDANT SUR ET PROMPTE DANS SES REPONSE REPONDANT TRES SIMPATHIQUE REPONDANT TROUVE LES VIGNETTES LASSANTESIL FAUT PLUSIEURS EXPLICATIONS AVANT D'O REPONDANT UN PEU LASSE A CAUSE DU VOLUME DU QUESTIONNAIRE REPONDANT UN PEU SCEPTIQUE PAR RAPPORT A SES REPONSES REPONDANT UN PEU TOUCHE MENTALEMENT REPONDANTE COMIQUE ET GAIE REPONDANTE QUELQUES FOIS SOLLICITEES REPONSES AVEC PRECISION REPONSES PRECISES RETICENCE RIEN RIEN A SIGNALER RIEN DU TOUT Ras Refus de repondre après menace de sa tante Repondant sympathique Reserve sur les questions d'ordre politique Rien Rien du tout Rien à signaler S REPONDRE A CERTAINES QUESTIONS S'EST CONFIE APRES LE DEPART DE SON PERE SA FEMME NE CESSAIT DE REGARDER SA MONTRE SAUF REFUS SUR QUESTION 8009-8010 SE SOIGNE A LA MAISON SEULEMENT IL PARLAIT UN PEU TROP SORTI POUR UN INSTANT SUAIT CONSTAMMENT Souvent preoccupé par ses tresses TOUT EN ME MENACANT D4USER DE VOIE DE FAIT SI JE N'ARRETAIT PAS L'ENTREVUE TRADUCTION NE COMPREND PAS BIEN LE FRANCAIS TRADUITE PAR UNE TIERCE PERSONNE TRES ANIME TRES ATTENTIF TRES AVANCE EN AGE TRES BONNE TRES BONNE COLLABORATION TRES BONNE ENTREVUE TRES COMPREHENSIF TRES DISPONIBLE TRES GENTILE TRES GENTILLE TRES OUVERT TRES POLI ET COURTOIS TRES SYMPATHIQUE ET COURTOIS TROUVE QUE LES QUESTIONNAIRES SONT ASSEZ LONGUES Très bien UN PEU TIMIDE, MAIS CERTAIN VENDEUR EN BOUTIQUES VIEILLESSE ACRUE MAIS COMPREHENSIBLE VIEUX TRES SYMPATIQUE accueil agréable accueillant assez d'explication aucun beaucoup occupe bonne ambiance courtois et extrême politesse difficulté à comprendre les questions n'est jamais allé à l'hôpital dificile entrevue parceque le repondant est anglophone disponible disposé à repondre aux questions don de 1000f ecoute très attentive elle croit que son mal ne peut guerrir son mal elle semblait epuisée entretien très long à cause de la barrière linguistique entrevue bien faite entrevue cordiale en présence d'autres villageois entrevue interrompu car le répondant est souffrant et fatigué gère une cabine me reproche de perdre son temps il choisit de finir l'enquête avant d'aller au travail interprete cooperant interressement des autres membres du ménages interruption fréquente l'interview s'est bien derouleé jusqu'à la session 7000 ou le repondant d'un aut ma montre ne marche plus même temps que l'ordonnance ne comprend pas le français, nous nous exprimons en anglais ne connait pas l'AGE DDE SES FRERES ne restait pas en place ne voulait pas se soumettre au questionnaire non on ne sent pas chez le vieux son âge avancé pas de commentaire pas du tout politiques prenait souvent du temps pour les réponses préoccupé souvant par la cuisine préoccupée de temps à autre par sa cuisine ras refus de reponder à la vignette serie A car compliquée repondant analphabète repondant est une prostituée anglophone repondant fatigue, en pour le travail repondant fatigué questionnaire trop long rien à ajouter répondant sympathique sa femme vient d'etre opéré(il etait très fâché). se levaient constamment se levait frequemment se levait quelques rares fois timide mais polie traducteur s'endormait frequemment trop de questions de la part du répondant très bref dans ses reponses usage d'interprête vignette fatigante pour le repondant Time end section 9000 Time end section 9000 Time end section 9000 Time end section 9000 Time end section 9000 141 08:15 08:45 09:00 09:15 09:25 09:33 09:45 09:50 10:10 10:22 10:30 10:35 10:45 10:50 11:00 11:07 11:22 11:25 11:30 11:32 11:35 11:40 11:45 11:48 11:50 11:54 11:55 12:02 12:05 12:28 12:30 12:38 12:45 12:50 12:55 12:56 13:04 13:15 13:20 13:27 13:29 13:30 13:35 13:39 13:45 13:47 13:56 14:00 14:05 14:10 14:11 14:15 14:18 14:21 14:35 14:36 14:37 14:40 14:42 14:45 14:50 15:00 15:03 15:10 15:12 15:30 15:34 15:42 15:44 15:45 15:46 15:50 15:59 16:03 16:10 16:21 16:25 16:33 16:45 16:48 16:57 16:59 17:00 17:02 17:07 17:11 17:12 17:19 17:26 17:28 17:30 17:31 17:46 18:00 18:07 18:10 18:12 18:18 18:32 18:37 18:39 18:42 18:50 19:00 19:20 19:44 19:45 19:49 19:53 20:00 20:04 20:05 20:15 20:19 20:32 20:34 21:09 21:10 21:20 21:34 22:02 22:50 23:00 23:10 24:10 Identification Identification Identification Identification Identification Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field? 2096 19200003 19203495 19201857.215 1002.258 Child No Child No Child No Child No Child No 2096 1 2 3 4 5 6 7 8 9 10 11 12 13 14 name name name name name What is the name of your child? This question is to be asked to women respondens of reproductive (18-49) yrs age. 2086 month / year of birth month / year of birth month / year of birth month / year of birth month / year of birth What is the month and year of birth? This question is to be asked to women respondens of reproductive (18-49) yrs age. 1815 01/1967 01/1968 01/1969 01/1970 01/1971 01/1973 01/1974 01/1975 01/1976 01/1977 01/1978 01/1979 01/1980 01/1981 01/1982 01/1983 01/1984 01/1985 01/1986 01/1987 01/1988 01/1989 01/1990 01/1991 01/1992 01/1993 01/1994 01/1995 01/1996 01/1997 01/1998 01/1999 01/2000 01/2001 01/2002 01/2003 02/1971 02/1975 02/1978 02/1979 02/1980 02/1981 02/1982 02/1983 02/1984 02/1985 02/1986 02/1987 02/1988 02/1989 02/1990 02/1991 02/1992 02/1993 02/1994 02/1995 02/1996 02/1997 02/1998 02/1999 02/2000 02/2001 02/2002 02/2003 03/1970 03/1975 03/1978 03/1979 03/1980 03/1981 03/1983 03/1984 03/1985 03/1986 03/1987 03/1988 03/1989 03/1990 03/1991 03/1992 03/1993 03/1994 03/1995 03/1996 03/1997 03/1998 03/1999 03/2000 03/2001 03/2002 03/2003 04/1976 04/1977 04/1978 04/1979 04/1980 04/1981 04/1982 04/1983 04/1984 04/1985 04/1986 04/1987 04/1988 04/1989 04/1990 04/1991 04/1992 04/1993 04/1994 04/1995 04/1996 04/1997 04/1998 04/1999 04/2000 04/2001 04/2002 04/2003 05/1981 05/1982 05/1983 05/1984 05/1986 05/1987 05/1988 05/1989 05/1990 05/1991 05/1992 05/1993 05/1994 05/1995 05/1996 05/1997 05/1998 05/1999 05/2000 05/2001 05/2002 05/2003 06/1977 06/1979 06/1981 06/1982 06/1983 06/1984 06/1985 06/1986 06/1987 06/1988 06/1989 06/1990 06/1991 06/1992 06/1993 06/1994 06/1995 06/1996 06/1997 06/1998 06/1999 06/2000 06/2001 06/2002 06/2003 07/1968 07/1973 07/1980 07/1981 07/1982 07/1983 07/1985 07/1986 07/1987 07/1988 07/1989 07/1990 07/1991 07/1992 07/1993 07/1994 07/1995 07/1996 07/1997 07/1998 07/2000 07/2001 07/2002 07/2003 08/1972 08/1975 08/1976 08/1979 08/1980 08/1982 08/1983 08/1984 08/1985 08/1987 08/1988 08/1989 08/1990 08/1991 08/1992 08/1993 08/1994 08/1995 08/1996 08/1997 08/1998 08/1999 08/2000 08/2001 08/2002 09/1973 09/1974 09/1976 09/1977 09/1979 09/1981 09/1982 09/1983 09/1984 09/1985 09/1986 09/1987 09/1988 09/1989 09/1990 09/1991 09/1992 09/1993 09/1994 09/1995 09/1996 09/1997 09/1998 09/1999 09/2000 09/2001 09/2002 10/1944 10/1974 10/1975 10/1976 10/1977 10/1981 10/1982 10/1984 10/1986 10/1987 10/1988 10/1989 10/1990 10/1991 10/1992 10/1993 10/1994 10/1995 10/1996 10/1997 10/1998 10/1999 10/2000 10/2001 10/2002 10/2003 11/1976 11/1977 11/1979 11/1981 11/1982 11/1984 11/1985 11/1986 11/1987 11/1988 11/1989 11/1990 11/1991 11/1992 11/1993 11/1994 11/1995 11/1996 11/1997 11/1998 11/1999 11/2000 11/2001 11/2002 12/1974 12/1977 12/1978 12/1979 12/1981 12/1983 12/1984 12/1985 12/1986 12/1987 12/1988 12/1989 12/1990 12/1991 12/1992 12/1993 12/1994 12/1995 12/1996 12/1997 12/1998 12/1999 12/2000 12/2001 12/2002 12/2003 sex sex sex sex sex What is the sex? This question is to be asked to women respondens of reproductive (18-49) yrs age. 2037 59 1 2 Sysmiss alive alive alive alive alive Is the child still alive? This question is to be asked to women respondens of reproductive (18-49) yrs age. 1964 132 1 Yes 5 No Sysmiss Age of child (Years) Age of child (Years) Age of child (Years) Age of child (Years) Age of child (Years) What is the child's current age in years? This question is to be asked to women respondens of reproductive (18-49) yrs age. 1332 764 5 39 12.992 6.239 Age (months) Age (months) Age (months) Age (months) Age (months) What is the child's current age in months? This question is to be asked to women respondens of reproductive (18-49) yrs age. 411 1685 2 59 23.618 15.877 Age (days) Age (days) Age (days) Age (days) Age (days) What is the child's current age in days? This question is to be asked to women respondens of reproductive (18-49) yrs age. 40 2056 59 17.975 19.547 living with you living with you living with you living with you living with you Is the child currently living with you? This question is to be asked to women respondens of reproductive (18-49) yrs age. 1696 400 1 Yes 5 No Sysmiss month / year of death month / year of death month / year of death month / year of death month / year of death Month / Year of death This question is to be asked to women respondens of reproductive (18-49) yrs age. 24 01/1975 01/1979 01/1984 01/1987 01/1993 01/1996 01/1999 01/2000 01/2001 01/2003 02/2003 03/2003 04/1999 05/1987 05/2002 06/2001 07/1995 09/1992 10/2002 11/1981 12/1992 age of death in days age of death in days age of death in days age of death in days age of death in days Age at death in: Days This question is to be asked to women respondens of reproductive (18-49) yrs age. 17 2079 58 9.412 15.363 Age at death in months Age at death in months Age at death in months Age at death in months Age at death in months Age at death in: Months This question is to be asked to women respondens of reproductive (18-49) yrs age. 24 2072 2 30 11.083 7.192 Age at death in years of child Age at death in years of child Age at death in years of child Age at death in years of child Age at death in years of child Age at death in: Years This question is to be asked to women respondens of reproductive (18-49) yrs age. 6 2090 5 20 10.833 5.913 fever fever fever fever fever Did s/he have fever? This question is to be asked to women respondens of reproductive (18-49) yrs age. 74 2022 1 Yes 5 No Sysmiss continuous fever continuous fever continuous fever continuous fever continuous fever Was the fever continuous (1) or on and off (5)? This question is to be asked to women respondens of reproductive (18-49) yrs age. 62 2034 1 Yes 5 No Sysmiss fever associated with chills/shivering fever associated with chills/shivering fever associated with chills/shivering fever associated with chills/shivering fever associated with chills/shivering Was the fever associated with chills/shivering? This question is to be asked to women respondens of reproductive (18-49) yrs age. 70 2026 1 Yes 5 No Sysmiss convulsions convulsions convulsions convulsions convulsions Did s/he have convulsions or fits? This question is to be asked to women respondens of reproductive (18-49) yrs age. 69 2027 1 Yes 5 No Sysmiss child unconscious child unconscious child unconscious child unconscious child unconscious Was the child unconscious for more than a day during the illness that led to death? This question is to be asked to women respondens of reproductive (18-49) yrs age. 72 2024 1 Yes 5 No Sysmiss stiff neck stiff neck stiff neck stiff neck stiff neck Did s/he have a stiff neck? This question is to be asked to women respondens of reproductive (18-49) yrs age. 67 2029 1 Yes 5 No Sysmiss cough cough cough cough cough Did s/he have a cough? This question is to be asked to women respondens of reproductive (18-49) yrs age. 66 2030 1 Yes 5 No Sysmiss type of cough type of cough type of cough type of cough type of cough If yes, was it (1) dry, (2) productive, (3) with blood, (4) or unknown ? This question is to be asked to women respondens of reproductive (18-49) yrs age. 27 2069 1 2 4 Sysmiss fast breathing fast breathing fast breathing fast breathing fast breathing Did s/he have fast breathing? This question is to be asked to women respondens of reproductive (18-49) yrs age. 58 2038 1 Yes 5 No Sysmiss indrawing of the chest indrawing of the chest indrawing of the chest indrawing of the chest indrawing of the chest Did s/he have in drawing of the chest while breathing? This question is to be asked to women respondens of reproductive (18-49) yrs age. 56 2040 1 Yes 5 No Sysmiss diarrhea diarrhea diarrhea diarrhea diarrhea Did s/he have diarrhea? This question is to be asked to women respondens of reproductive (18-49) yrs age. 55 2041 1 Yes 5 No Sysmiss Visible blood Visible blood Visible blood Visible blood Visible blood Was there visible blood in the stools? This question is to be asked to women respondens of reproductive (18-49) yrs age. 56 2040 1 Yes 5 No Sysmiss Identification Identification Identification Identification Identification Would you please tell me if there are any members of the household who have ever worked or been trained in a Health-Related field? 12285 19200001 19203500 1 Accident 2 Suicide 3 Murder 4 War 5 Natural disaster 12285 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Name of sibling Name of sibling Name of sibling Name of sibling Name of sibling If 2 or more births, continue here, starting with eldest child. Name 12107 .V 04 1 2 3 4 40 5 6 7 77 8 88 A A. AB AC AD AE AF AG AH AI AJ AK AL AM AN AO AP AR AS AT AU AV AW AX AY AZ Ab Ad Af Ag Ah Ai Ak Al Am An Ar As At Au Aw Ay AÏ B B. BA BE BI BL BO BR BV BY Ba Be Bi Bl Bo Br Bé C. CA CE CH CI CL CO CR CY Ca Ce Ch Cl Co Cé D D. DA DC DE DI DJ DO DR DU Da De Di Dj Do Dé E E. EB ED EF EG EH EJ EK EL EM EN EO EP ER ES ET EU EV EY EZ Ed El Em Er Es Eu Ev FA FE FI FL FO FR FU Fa Fe Fi Fl Fo Fr Fu Fé G G. GA GB GD GE GH GI GL GN GO GR GU Gb Ge Gi Gl Gn Go Gr Gu Gy HA HE HI HO HU HY Ha He Hi Ho IB ID IG IL IN IO IP IR IS IV IZ Ib Ig In Is J J- J. JA JB JC JE JO JU Ja Je Jo Ju K K. KA KE KH KI KL KO KP KR KY Ka Kh Ko L. LA LE LI LL LO LU LY La Le Li Lo Lu Ly Lé M M' M. MA MB ME MI MM MO MU MY Ma Me Mi Mm Mo Mr My N N' N( N. NA NC ND NE NG NI NJ NO NS NZ Na Ng Ni No O. OB OC OD OF OG OH OK OL OM OO OR OS OU OW OZ Od Og Ol Os Ou P. PA PE PH PI PK PL PO PR PU Pa Ph Pi Po QK R R. RA RE RI RO RU Ra Re Ri Ro Ru S. SA SE SH SI SO SQ SR ST SU SY Sa Se Si So Su Sy Sé T T. TA TC TE TH TI TO TR TU Ta Th Ti Tr Té UL UR V. VA VE VI VO VR Ve Vi WA WE WI WO Wi Y Y. YA YE YO YS YV Ya Yo Yv Z. ZA ZE ZI ZO ZR Za Zo Zé ab ac ad af ag ah ai ak al am an ap ar as at au aw ay aï ba be bi bl bo br bé cH ca ce ch cl co dI da de dh di dj do dr eb ed eh ek el em ep er es et eu ev ex fa fe fi fl fo fr ga gb ge gi gn go gr gu ha he ho ib ic in ir is iv ja je jo ju k kK ka ke ko kr kw la le lo lu ly lé ma me mi mo mu n' na nc nd ng ni no ob od ok ol on or ou pa pe pi pr ra re ri ro ru sa se sh si so st su sy ta tc te th ti to tr tu va ve vi wi wo ya ye yo yv yê za ze zi zo ¨T sex sex sex sex sex Sex 12019 266 1 Sex Sibling 1 2 Sex Sibling 2 3 Sex Sibling 3 4 Sex Sibling 4 5 Sex Sibling 5 6 Sex Sibling 6 7 Sex Sibling 7 8 Sex Sibling 8 Sysmiss month / year of birth month / year of birth month / year of birth month / year of birth month / year of birth Month/ Year of birth, e.g. Feb-02 8588 01/1900 01/1910 01/1913 01/1914 01/1915 01/1916 01/1918 01/1919 01/1920 01/1921 01/1922 01/1923 01/1924 01/1925 01/1926 01/1927 01/1928 01/1929 01/1930 01/1931 01/1932 01/1933 01/1934 01/1935 01/1936 01/1937 01/1938 01/1939 01/1940 01/1941 01/1942 01/1943 01/1944 01/1945 01/1946 01/1947 01/1948 01/1949 01/1950 01/1951 01/1952 01/1953 01/1954 01/1955 01/1956 01/1957 01/1958 01/1959 01/1960 01/1961 01/1962 01/1963 01/1964 01/1965 01/1966 01/1967 01/1968 01/1969 01/1970 01/1971 01/1972 01/1973 01/1974 01/1975 01/1976 01/1977 01/1978 01/1979 01/1980 01/1981 01/1982 01/1983 01/1984 01/1985 01/1986 01/1987 01/1988 01/1989 01/1990 01/1991 01/1992 01/1993 01/1994 01/1995 01/1996 01/1997 01/1998 01/1999 01/2000 01/2001 01/2002 01/2003 02/1925 02/1931 02/1932 02/1935 02/1936 02/1937 02/1939 02/1940 02/1941 02/1943 02/1944 02/1945 02/1946 02/1947 02/1948 02/1949 02/1950 02/1951 02/1952 02/1953 02/1954 02/1955 02/1956 02/1957 02/1958 02/1959 02/1960 02/1961 02/1962 02/1963 02/1964 02/1965 02/1966 02/1967 02/1968 02/1969 02/1970 02/1971 02/1972 02/1973 02/1974 02/1975 02/1976 02/1977 02/1978 02/1979 02/1980 02/1981 02/1982 02/1983 02/1984 02/1985 02/1986 02/1987 02/1988 02/1989 02/1990 02/1991 02/1992 02/1993 02/1994 02/1995 02/1996 02/1997 02/1998 02/2000 03/1935 03/1940 03/1941 03/1942 03/1943 03/1946 03/1948 03/1950 03/1951 03/1952 03/1953 03/1954 03/1955 03/1956 03/1957 03/1958 03/1959 03/1960 03/1961 03/1962 03/1963 03/1964 03/1965 03/1966 03/1967 03/1968 03/1969 03/1970 03/1971 03/1972 03/1973 03/1974 03/1975 03/1976 03/1977 03/1978 03/1979 03/1980 03/1981 03/1982 03/1983 03/1984 03/1985 03/1986 03/1987 03/1988 03/1989 03/1990 03/1991 03/1992 03/1993 03/1994 03/1995 03/1996 03/1997 03/1998 03/2000 03/2003 04/1935 04/1937 04/1940 04/1942 04/1943 04/1944 04/1945 04/1946 04/1948 04/1949 04/1950 04/1951 04/1952 04/1953 04/1955 04/1956 04/1957 04/1958 04/1959 04/1960 04/1961 04/1962 04/1963 04/1964 04/1965 04/1966 04/1967 04/1968 04/1969 04/1970 04/1971 04/1972 04/1973 04/1974 04/1975 04/1976 04/1977 04/1978 04/1979 04/1980 04/1981 04/1982 04/1983 04/1984 04/1985 04/1986 04/1987 04/1988 04/1989 04/1990 04/1991 04/1992 04/1993 04/1994 04/1995 04/1996 04/1997 04/2000 04/2001 04/2002 05/1929 05/1931 05/1932 05/1933 05/1934 05/1936 05/1940 05/1943 05/1945 05/1946 05/1949 05/1950 05/1953 05/1954 05/1955 05/1956 05/1957 05/1959 05/1960 05/1962 05/1963 05/1964 05/1965 05/1966 05/1967 05/1968 05/1969 05/1970 05/1971 05/1972 05/1973 05/1974 05/1975 05/1976 05/1977 05/1978 05/1979 05/1980 05/1981 05/1982 05/1983 05/1984 05/1985 05/1986 05/1987 05/1988 05/1989 05/1990 05/1991 05/1992 05/1993 05/1995 05/1999 05/2000 06/1934 06/1935 06/1938 06/1944 06/1945 06/1946 06/1949 06/1950 06/1951 06/1952 06/1953 06/1955 06/1956 06/1957 06/1958 06/1960 06/1961 06/1962 06/1963 06/1964 06/1965 06/1966 06/1967 06/1968 06/1969 06/1970 06/1971 06/1972 06/1973 06/1974 06/1975 06/1976 06/1977 06/1978 06/1979 06/1980 06/1981 06/1982 06/1983 06/1984 06/1985 06/1986 06/1987 06/1988 06/1989 06/1990 06/1991 06/1992 06/1993 06/1994 06/1995 06/1996 06/1997 06/1998 06/1999 06/2003 07/1935 07/1940 07/1943 07/1946 07/1954 07/1955 07/1957 07/1958 07/1959 07/1960 07/1962 07/1963 07/1964 07/1965 07/1966 07/1967 07/1968 07/1969 07/1970 07/1971 07/1972 07/1973 07/1974 07/1975 07/1976 07/1977 07/1978 07/1979 07/1980 07/1981 07/1982 07/1983 07/1984 07/1985 07/1986 07/1987 07/1988 07/1989 07/1990 07/1991 07/1992 07/1993 07/1994 07/1995 07/1996 07/1997 07/1999 07/2000 07/2001 08/1911 08/1921 08/1932 08/1935 08/1936 08/1938 08/1944 08/1945 08/1947 08/1951 08/1952 08/1953 08/1955 08/1956 08/1957 08/1958 08/1959 08/1960 08/1961 08/1962 08/1963 08/1964 08/1965 08/1966 08/1967 08/1968 08/1969 08/1970 08/1971 08/1972 08/1973 08/1974 08/1975 08/1976 08/1977 08/1978 08/1979 08/1980 08/1981 08/1982 08/1983 08/1984 08/1985 08/1986 08/1987 08/1988 08/1990 08/1991 08/1992 08/1993 08/1994 08/1995 08/1996 08/1997 08/1998 09/1925 09/1933 09/1938 09/1940 09/1941 09/1944 09/1945 09/1948 09/1949 09/1950 09/1951 09/1952 09/1956 09/1957 09/1958 09/1959 09/1960 09/1961 09/1962 09/1963 09/1964 09/1965 09/1966 09/1967 09/1968 09/1969 09/1970 09/1971 09/1972 09/1973 09/1974 09/1975 09/1976 09/1977 09/1978 09/1979 09/1980 09/1981 09/1982 09/1983 09/1984 09/1985 09/1986 09/1987 09/1988 09/1989 09/1990 09/1991 09/1992 09/1994 09/1995 09/1996 09/1997 09/1998 09/1999 1 Date of birth Sibling 1 10/1935 10/1939 10/1942 10/1947 10/1948 10/1949 10/1953 10/1954 10/1955 10/1956 10/1958 10/1959 10/1960 10/1962 10/1963 10/1964 10/1965 10/1966 10/1967 10/1968 10/1969 10/1970 10/1971 10/1972 10/1973 10/1974 10/1975 10/1976 10/1977 10/1978 10/1979 10/1980 10/1981 10/1982 10/1983 10/1984 10/1985 10/1986 10/1987 10/1988 10/1989 10/1990 10/1991 10/1992 10/1993 10/1994 10/1995 10/1996 10/1997 10/1999 10/2000 10/2003 11/1926 11/1927 11/1942 11/1943 11/1944 11/1946 11/1948 11/1949 11/1950 11/1954 11/1955 11/1956 11/1957 11/1958 11/1959 11/1960 11/1961 11/1962 11/1963 11/1964 11/1965 11/1966 11/1967 11/1968 11/1969 11/1970 11/1971 11/1972 11/1973 11/1974 11/1975 11/1976 11/1977 11/1978 11/1979 11/1980 11/1981 11/1982 11/1983 11/1984 11/1985 11/1986 11/1987 11/1988 11/1989 11/1990 11/1991 11/1992 11/1993 11/1994 11/1995 11/1996 11/1998 11/2001 12/1933 12/1935 12/1938 12/1943 12/1944 12/1946 12/1947 12/1950 12/1951 12/1952 12/1953 12/1955 12/1956 12/1957 12/1958 12/1959 12/1960 12/1961 12/1962 12/1963 12/1964 12/1965 12/1966 12/1967 12/1968 12/1969 12/1970 12/1971 12/1972 12/1973 12/1974 12/1975 12/1976 12/1977 12/1978 12/1979 12/1980 12/1981 12/1982 12/1983 12/1984 12/1985 12/1986 12/1987 12/1988 12/1989 12/1990 12/1991 12/1992 12/1993 12/1995 12/1996 12/1997 12/2000 2 Date of birth Sibling 2 3 Date of birth Sibling 3 4 Date of birth Sibling 4 5 Date of birth Sibling 5 6 Date of birth Sibling 6 7 Date of birth Sibling 7 8 Date of birth Sibling 8 age between respondent and sibling age between respondent and sibling age between respondent and sibling age between respondent and sibling age between respondent and sibling What is the age difference (in years) between you and [NAME]? 8546 3739 -30 30 5.319 6.428 1 Difference in age between respondent and sibling 1 2 Difference in age between respondent and sibling 2 3 Difference in age between respondent and sibling 3 4 Difference in age between respondent and sibling 4 5 Difference in age between respondent and sibling 5 6 Difference in age between respondent and sibling 6 7 Difference in age between respondent and sibling 7 8 Difference in age between respondent and sibling 8 alive alive alive alive alive Is [NAME] still alive? 11461 824 1 Yes 5 No Sysmiss contact with person contact with person contact with person contact with person contact with person How often are you in contact with [NAME] in person, by phone, mail or other means of communication? 8844 3441 1 Weekly 2 Monthly 3 Yearly 4 Every 2-3 years 5 Every 3 years or more Sysmiss age age age age age If YES to 5108, how old is [NAME]? 8392 3893 95 30.78 14.087 age at death age at death age at death age at death age at death If NO to 5108, how old was [NAME] when died? 710 11575 96 23.52 20.034 how many years ago died how many years ago died how many years ago died how many years ago died how many years ago died How many years ago did [NAME] die? 677 11608 80 15.157 14.528 where living / lived where living / lived where living / lived where living / lived where living / lived Is [NAME] currently living / did [NAME] before s/he died live in? 4874 7411 1 Private dwelling / house 2 Military establishment 3 Hospital 4 Nursing home 5 Other institution 6 DK Sysmiss Pregnant when died Sibling Pregnant when died Sibling Pregnant when died Sibling Pregnant when died Sibling Pregnant when died Sibling If deceased, a woman aged 15-49, was she pregnant when she died? 312 11973 1 Yes 5 No Sysmiss Died during childbirth Sibling Died during childbirth Sibling Died during childbirth Sibling Died during childbirth Sibling Died during childbirth Sibling If deceased, a woman aged 15-49 did she die during childbirth? 300 11985 1 Yes 5 No Sysmiss Died within two months after end of pregnancy or childbirth -Sibling Died within two months after end of pregnancy or childbirth -Sibling Died within two months after end of pregnancy or childbirth -Sibling Died within two months after end of pregnancy or childbirth -Sibling Died within two months after end of pregnancy or childbirth -Sibling If deceased, a woman aged 15-49 did she die within 2 months after the end of pregnancy or childbirth? 294 11991 1 Yes 5 No Sysmiss Death associated with injury- Sibling Death associated with injury- Sibling Death associated with injury- Sibling Death associated with injury- Sibling Death associated with injury- Sibling Was the death associated with injury? 556 11729 1 Yes 5 No Sysmiss Cause of death- Sibling Cause of death- Sibling Cause of death- Sibling Cause of death- Sibling Cause of death- Sibling Was it due to 61 12224 1 Accident 2 Suicide 3 Murder 4 War 5 Natural disaster Sysmiss Details concerning events that led to injury- Sibling Details concerning events that led to injury- Sibling Details concerning events that led to injury- Sibling Details concerning events that led to injury- Sibling Details concerning events that led to injury- Sibling Provide details of events that led to the injury. What was the mechanism or cause of injury? 37 12248 1 Motor vehicle 2 Pedestrian-vehicle crash 3 Motorcycle 4 Pedal cycle 5 Fall 6 Gunshot, firearm related 7 Landmine / bomblast 8 Stab / cut / pierce 9 Fire / burn 10 Poisoning 11 Near drowning / drowning / submersion 12 Other mechanism / cause of injury Sysmiss Where injury occurred- Sibling Where injury occurred- Sibling Where injury occurred- Sibling Where injury occurred- Sibling Where injury occurred- Sibling Where did the injury occur? 29 12256 1 Home 2 School 3 Street/highway 4 Parking lot 5 Trade and service areas (shop, bank, etc.) 6 Farm 7 River/lake/stream/ocean 8 Industrial/construction area 9 Other public building 10 Other Sysmiss Where injury occurred- Sibling Specify others Where injury occurred- Sibling Specify others Where injury occurred- Sibling Specify others Where injury occurred- Sibling Specify others Where injury occurred- Sibling Specify others 6 1 5 EN FORET Chest pain- Sibling Chest pain- Sibling Chest pain- Sibling Chest pain- Sibling Chest pain- Sibling Did the deceased report / experience chest pain lasting less than 24 hrs in the month preceding the death? 620 11665 1 Yes 5 No Sysmiss Paralysis of a body part- Sibling Paralysis of a body part- Sibling Paralysis of a body part- Sibling Paralysis of a body part- Sibling Paralysis of a body part- Sibling Did the deceased experience paralysis of any part of the body in the month preceding death? 615 11670 1 Yes 5 No Sysmiss paralysis accompanied by loss of consciousness- Sibling paralysis accompanied by loss of consciousness- Sibling paralysis accompanied by loss of consciousness- Sibling paralysis accompanied by loss of consciousness- Sibling paralysis accompanied by loss of consciousness- Sibling If yes, was the paralysis accompanied or followed by sudden loss of consciousness? 565 11720 1 Yes 5 No Sysmiss Cough- Sibling Cough- Sibling Cough- Sibling Cough- Sibling Cough- Sibling Did the deceased have a cough that lasted more than 3 weeks? 624 11661 1 Yes 5 No Sysmiss Blood in the sputum- Sibling Blood in the sputum- Sibling Blood in the sputum- Sibling Blood in the sputum- Sibling Blood in the sputum- Sibling If yes, was there blood in the sputum ? 599 11686 1 Yes 5 No Sysmiss Medical treatment for Tuberculosis - Sibling Medical treatment for Tuberculosis - Sibling Medical treatment for Tuberculosis - Sibling Medical treatment for Tuberculosis - Sibling Medical treatment for Tuberculosis - Sibling Did (s)he receive any medical treatment for tuberculosis ? 597 11688 1 Yes 5 No Sysmiss Diarrhoea that lasted more than a month - Sibling Diarrhoea that lasted more than a month - Sibling Diarrhoea that lasted more than a month - Sibling Diarrhoea that lasted more than a month - Sibling Diarrhoea that lasted more than a month - Sibling Did the deceased have diarrhoea that lasted more than a month ? 620 11665 1 Yes 5 No Sysmiss Rapid loss of weight - Sibling Rapid loss of weight - Sibling Rapid loss of weight - Sibling Rapid loss of weight - Sibling Rapid loss of weight - Sibling Was there any rapid loss of weight ? 614 11671 1 Yes 5 No Sysmiss White patches in mouth - Sibling White patches in mouth - Sibling White patches in mouth - Sibling White patches in mouth - Sibling White patches in mouth - Sibling Were there any white patches in the mouth ? 611 11674 1 Yes 5 No Sysmiss