DDI_THA_2005_MICS_v01_M Daniel Clarke Rhiannon James 2008-02-06 NADA Version 2.0 Slightly edited version of UNICEF's DDI ref. DDI-MICS-THA- UNICEF-2006-v1.0 Multiple Indicator Cluster Survey 2005-2006 MICS3 2005-2006 THA_2005_MICS_v01_M National Statistical Office of Thailand Ministry of Social Development & Human Security Ministry of Education Ministry of Public Health NADA United Nations Children's Fund United Nations Development Programme United Nations Educational, Scientific and Cultural Organization UNICEF Thailand Country Office Hancioglu, Attila Multiple Indicator Cluster Survey - Round 3 [hh/mics-3] The Thailand Multiple Indicator Cluster Survey (MICS) December 2005 - February 2006 was developed for the first time to collect data on the situation of all children in Thailand to be used as tools in monitoring and evaluation of child development in Thailand. Version 1.0: Edited data used for final report The Multiple Indicator Cluster Survey (MICS) is a household survey programme developed by UNICEF to assist countries in filling data gaps for monitoring human development in general and the situation of children and women in particular. MICS is capable of producing statistically sound, internationally comparable estimates of social indicators. The current round of MICS is focused on providing a monitoring tool for the Millennium Development Goals (MDGs), the World Fit for Children (WFFC), as well as for other major international commitments, such as the United Nations General Assembly Special Session (UNGASS) on HIV/AIDS and the Abuja targets for malaria. Survey Objectives The 2006 Thailand Multiple Indicator Cluster Survey has as its primary objectives: - To provide up-to-date information for assessing the situation of children and women in Thailand; - To furnish data needed for monitoring progress toward goals established by the Millennium Development Goals (MDG), the goals of A World Fit for Children (WFFC) and other internationally agreed upon goals, as a basis for future action at national and provincial level; and - To contribute to the improvement of data and monitoring systems on the situation of children and women in Thailand and strengthening technical expertise for the design, implementation, and analysis of such systems. Survey Content MICS questionnaires are designed in a modular fashion that can be easily customized to the needs of a country. They consist of a household questionnaire, a questionnaire for women aged 15-49 and a questionnaire for children under the age of five (to be administered to the mother or caretaker). Other than a set of core modules, countries can select which modules they want to include in each questionnaire. Survey Implementation The survey was implemented by the National Statistical Office of Thailand, with the support and assistance of UNICEF and other partners. Technical assistance and training for the surveys is provided through a series of regional workshops, covering questionnaire content, sampling and survey implementation; data processing; data quality and data analysis; report writing and dissemination. Thailand The survey was designed to produce estimates for indicators at the national level, by urban and rural disaggregation, for each of the 4 regions of Thailand (North, Northeast, Central, and South) and by individual province for 26 (out of 76 total) targeted provinces (note: additional data collections were performed for the targeted provinces during March-May 2006; separate results publications for each province are pending). - Households - Women aged 15-49 - Children under 5 years of age The survey covered all de jure household members (usual residents), all women aged 15-49 years resident in the household, and all children aged 0-4 years (under age 5) resident in the household. Sample survey data [ssd] The Thailand Multiple Indicator Cluster Survey included the following modules in the questionnaires: HOUSEHOLD QUESTIONNAIRE : Household characteristics, household listing, orphaned and vulnerable children, education, child labour, water and sanitation, disability and salt iodization. WOMEN'S QUESTIONNAIRE: Women's characteristics, child mortality, tetanus toxoid, maternal and newborn health, marriage, contraception, and HIV/AIDS knowledge. CHILDREN'S QUESTIONNAIRE: Children's characteristics, birth registration and early learning, child development, breastfeeding, care of illness, immunization and anthropometry. National Statistical Office of Thailand The Thailand Multiple Indicator Cluster Survey (MICS) was carried out by a sample survey method that used a stratified two stage sampling plan. The primary sample units (PSUs) consisted of blocks (in municipal areas) or villages (in non-municipal areas). The secondary sample units consisted of collective households systematically drawn from a household listing. The plan is designed to provide estimates of situation indicators for children and women at the national level, for municipal and non-municipal areas, and for four regions: Central (including Bangkok), North, Northeast and South. The household listing is obtained from The Basic Household Information Survey conducted every two years by the National Statistical Office (NSO). In the survey, members of each household located in the block/village samples are counted. Data on basic household information from the survey are to be used as the sample frame in various survey projects of the NSO. Data from the 2006 Basic Household Information Survey were used as the frame for household samples in the Thailand MICS. Thirty collective household samples per block/village sample were selected in both municipal and non-municipal areas. Field staff then created a Listing of Household Samples by adding together all the names of household heads and the addresses. After a household listing was carried out within the selected 30 households in each block/village, a systematic sample of households was drawn. For national-level results, sample data were weighted in accordance with sampling plan. A block is an operational boundary in a municipal area that is made up of approximately 100 to 200 households. Blocks are established on a map so that field staff know the exact area they are to cover in the survey. A village is an administrative unit, a community, in a non-municipal area governed by a village head (Phuyaiban) or a district head (Kamnan). The MICS national-level report included 1,449 block/village samples. Thirty collective household samples per block/village samples were selected and a total of 43,470 household samples were obtained. For MICS provincial-level reports, 1,032 block/village samples were selected and 30,960 household samples were included. More detailed information on the sample design is available in Appendix A of the Survey Final Report. Face-to-face [f2f] The questionnaires for the Thailand MICS were structured questionnaires based on the MICS3 Model Questionnaire with some modifications and additions. A household questionnaire was administered in each household, which collected various information on household members including sex, age, relationship, and orphanhood status. In addition to a household questionnaire, questionnaires were administered in each household for women age 15-49 and children under age five. For children, the questionnaire was administered to the mother or caretaker of the child. The questionnaires were translated into Thai by the NSO MICS coordinators in September 2005. In addition to the administration of questionnaires, fieldwork teams tested salt used for cooking in the households surveyed for presence of iodine, and measured the weight and height of children under 5 years of age. Pretesting: The Thai Multiple Indicator Cluster Survey (MICS) questionnaires went through two pre-tests, first in Ratchaburi province and later in Ayutthaya province. Based on the results of the two pre-tests, modifications on wording and terminology in the Thai version were made to make them more suitable for the Thai population. The first pre-test in Ratchaburi province was held during October 10-12, 2005. The interview was conducted by the National Statistical Office (NSO) MICS coordinators themselves to determine if the interviewee would understand the questions/wording used and to find out if there were any problems with particular modules. Results from the first pre-test were discussed among the NSO MICS coordinators, and the questionnaires were revised accordingly. During the pre-test survey in Ratchaburi province, the NSO MICS coordinators obtained information on maternal and child health from the staff of Health Centre IV on topics such as birth registration for children born in hospitals, child vaccination, maternal tetanus prevention, contraception and antenatal care. The knowledge and information obtained from this process were used to improve the questionnaires and prepare field work manuals. The second pre-test in Ayutthaya province was carried out by field staff using the revised questionnaires under the observation of the NSO MICS coordinators. Before commencing the test survey, field staff were provided with training on definitions and the survey's objectives. Again, results from the pre-test, especially in relation to questions that interviewees did not understand or did not want to answer, were discussed among the NSO MICS coordinators and field staff. These related to questions that were considered either sensitive or difficult to answer due to the degree of detailed information required. In the case of child vaccination, respondents were asked what kind of vaccines the child had received, and when and how many times the child had received the vaccines. The discussion contributed positively to the interview process and the accuracy of the survey results. It took about 2-2.5 hours per household to finish all three questionnaires. After the second pre-test, a final revision was made to both the questionnaires and the field work manuals to be used in the Thailand MICS. Training: In November 2005, before data collection, a three-day training programme was provided to 145 field staff from the North and Northeast regions in Khon Kaen province, and in Krabi province for 160 field staff from the South and Central (including Bangkok) regions. The NSO MICS coordinators and representatives from UNICEF Thailand participated in both training sessions as observers. Instructors from the Ministry of Public Health provided information on antenatal care, attendance at birth, child vaccination, maternal tetanus vaccination and oral rehydration treatment for children with diarrhoea. The knowledge and information acquired through the training were useful for the interview process and the accuracy of the survey results. Fieldwork: Administratively, Thailand is divided into 76 provinces, including Bangkok (Metropolis). In Bangkok, the field work was carried out under the responsibility of the Director of the Data Management Division of the Bangkok Metropolitan Administration (BMA), while Provincial Statistical Officers were responsible for the field work undertaken in the other 75 provinces. In each province, data were collected by three teams of four field staff, three interviewers and one supervisor. The fieldwork began in December 2005 and concluded in February 2006. Also, additional data collections were performed for 26 targeted provinces during March-May 2006 (separate provincial reports are pending). Each enumeration team included one supervisor. The supervisor provided advice on field work, helped in solving problems arising during the field work, and checked the completeness of data after the survey. The NSO MICS coordinators also provided overall supervision, with continuous visits to the field. Survey weights are population based weights and have not been normalized. After the fieldwork, the team supervisor checked the data collected during the interview for completeness. Then the Provincial Statistical Officer in each province and the Director of the Data Management Division of the Bangkok Metropolitan Administration randomly rechecked the data before sending all the questionnaires to the National Statistical Office (NSO) for processing. Upon receiving the questionnaires from the 76 provinces, the collected data were entered on 30 microcomputers by data entry operators and data entry supervisors at the Thai NSO, using CSPro software. In order to ensure quality control, editing and structural checks, all questionnaires were double entered for verification and internal consistency checks were performed, followed by secondary editing. The data entry and verification used CSPro programme applications that were developed under the global Multiple Indicator Cluster Survey (MICS) project by UNICEF to be used as standard processing procedures worldwide. In Thailand, the standard CSPro programme was modified appropriately to the Thai version questionnaires. The modification was done by NSO staff that had been trained on data processing by MICS experts from UNICEF. Data entry and data verification for the national level report began in February 2006 and was completed in April 2006. For the provincial reports, the process was completed in June 2006. Data were analysed using the Statistical Package for Social Sciences (SPSS) software programme, Version 14, and the model syntax and tabulation plans developed by UNICEF for this purpose. Data editing took place at a number of stages throughout the processing, including: a) Office editing and coding b) During data entry c) Structure checking and completeness d) Secondary editing e) Structural checking of SPSS data files Of the 43,440 households selected for the sample, 42,302 were found to be occupied. Of these, 40,511 were successfully interviewed, yielding a response rate of 95.8 percent. In the interviewed households, 37,187 eligible women (aged 15-49) were identified. Of these eligible women, 36,960 were successfully interviewed, yielding a response rate of 99.4 percent. In addition, 9,444 children under the age of 5 were listed as being eligible in the households. The mothers and/or caretakers of 9,409 of these children (99.6 per cent) were successfully interviewed. Differentials in response rates by areas showed 94.9 percent of the households in municipal areas and 96.9 percent in non-municipal areas. Participant differentials in response rates were observed, with the highest in the North Region (98.8 percent), followed by the Northeast Region (98.1 percent), and the South and the Central regions' same low response rate of 93 percent. The sample of respondents selected in the Thailand Multiple Indicator Cluster Survey (MICS) is only one of the samples that could have been selected from the same population, using the same design and size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. The extent of variability is not known exactly, but can be estimated statistically from the survey results. The following sampling error measures are presented in this appendix to the Survey Final Report (attached in the External Resources) for each of the selected indicators: - Standard error (se): Sampling errors are usually measured in terms of standard errors for particular indicators (means, proportions etc). Standard error is the square root of the variance. The Taylor linearization method is used for the estimation of standard errors. - Coefficient of variation (se/r) is the ratio of the standard error to the value of the indicator - Design effect (deff) is the ratio of the actual variance of an indicator, under the sampling method used in the survey, to the variance calculated under the assumption of simple random sampling. The square root of the design effect (deft) is used to show the efficiency of the sample design. A deft value of 1.0 indicates that the sample design is as efficient as a simple random sample, while a deft value above 1.0 indicates the increase in the standard error due to the use of a more complex sample design. - Confidence limits are calculated to show the interval within which the true value for the population can be reasonably assumed to fall. For any given statistic calculated from the survey, the value of that statistics will fall within a range of plus or minus two times the standard error (p + 2.se or p - 2.se) of the statistic in 95 percent of all possible samples of identical size and design. For the calculation of sampling errors from MICS data, SPSS (Statistical Package for Social Sciences) Version 14 Complex Samples module has been used. In addition to the sampling error measures described above, the tables also include weighted and un-weighted counts of denominators for each indicator. Sampling errors are calculated for indicators of primary interest, for the national total, for the regions, and for urban and rural areas. Three of the selected indicators are based on households, 8 are based on household members, 13 are based on women, and 15 are based on children under 5. All indicators presented in the Final Report are in the form of proportions. A series of data quality tables and graphs are available to review the quality of the data and include the following: Age distribution of the household population Age distribution of eligible women and interviewed women Age distribution of eligible children and children for whom the mother or caretaker was interviewed Age distribution of children under age 5 by 3 month groups Age and period ratios at boundaries of eligibility Percent of observations with missing information on selected variables Presence of mother inthe household and person interviewed for the under 5 questionnaire School attendance by single year age Sex ratio at birth among children ever born, surviving and dead by age of respondent Distribution of women by time since last birth Scatterplot of weight by height, weight by age and height by age Graph of male and female population by single years of age Population pyramid The Thailand Multiple Indicator Cluster Survey (MICS) covered a large number of samples from all 76 provinces in the country. It was expected that data deviation could possibly occur from the work of the field staff, or the interviewees. Therefore, the National Statistical Office (NSO) operated a post enumeration survey (PES) in Bangkok and 22 provinces selected from all four regions to aid data users in their consideration of data quality. The PES consisted of 150 block/village samples, in both municipal and non-municipal areas. Collective household samples – 20 households per block/village for a total of 3,000 household samples – were selected from the listing of household samples of the MICS survey. Staff were sent in to repeat the survey in these areas. Matching of questionnaires from the actual survey and the repeated survey was carried out and data were analysed for deviation. Users of the data agree to keep confidential all data contained in these datasets and to make no attempt to identify, trace or contact any individual whose data is included in these datasets. Thailand National Statistical Office. 2006. Thailand Multiple Indicator Cluster Survey December 2005- February 2006. Bangkok, Thailand: National Statistical Office. Survey datasets are distributed at no cost for legitimate research, with the condition that we receive a description of any research project that will be using the data prior to authorizing their distribution. Copies of all reports and publications based on the requested data must be sent to UNICE: thailandao@unicef.org. Requests for access to the datasets may be made through the website www.childinfo.org. The National Statistical Office of Thailand and UNICEF provide these data to external users without any warranty or responsibility implied. The National Statistical Office of Thailand and UNICEF accept no responsibility for the results and/or implications of any actions resulting from the use of these data. hh Data collected at the household level (MICS Household questionnaire: Household information panel, Water and sanitation, household characteristics, Salt iodization) 0 78 hl Data collected at the household member's level (MICS Household Questionnaire: Household listing, Child labour, Support to Orphaned and Vulnerable Children and Child Disability) 0 135 wm Data collected at the women's level (MICS Women's Questionnaire: Women's Information Panel, Child mortality, Tetanus toxoid, Maternal and newborn health, Marriage, Contraception, HIV/AIDS knowledge) 0 180 ch Data collected at the children's level (MICS Under Five Children's Questionnaire: Under Five Child Information Panel, Birth registration and early learning,Breastfeeding, Care of Illness, Immunization, Anthropometry and Child development) 0 248 Interview and HH identification Characteristics of dwelling Water and sanitation Characteristics of the head Members characteristics Education Children's living arrangements Child mortality Maternal and newborn health Nutrition Child health Source and cost of supplies Contraception Child protection Marriage/union HIV-AIDS Wealth Index Asset ownership Weighting coefficients Others Antenatal care Care seeking behaviour Child labor Salt iodization Early child development Early learning Security of tenure Durability of housing Insecticide treated nets (ITN) Child discipline Support to orphans and vulnerable children Sexual behaviour Condom use Child disability Maternal mortality Tetanus toxoid Vitamin A Assistance at delivery Polygyny Unmet need Attitudes towards domestic violence Female genital mutilation/cutting Malaria Insecticide treated nets (ITN) Newborn health Immunizations Birth registration Early marriage Polygyny Anthropometry Cooking fuels Diarrhoea Acute respiratory infection Disposal of child's stools Breastfeeding Cluster number Cluster number Cluster number Cluster number Cluster number We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. During this time I would like to speak with the household head and all mothers or others who take care of children in the household. May I start now? If permission is given, begin the interview. Cluster number: Households Unique identifier for the cluster in which the household exists Household number Household number Household number Household number Household number Household number: Households Houshold number within the cluster Region Region Region Region Region Region: Households 2 Central (include BKK.) 3 North 4 Northeast 5 South Changwat/Province Changwat/Province Changwat/Province Changwat/Province Changwat/Province Area Area Area Area Area Area: Households 1 Urban 2 Rural PSU_NO PSU_NO PSU_NO PSU_NO PSU_NO Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Households Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent to HH questionnaire: Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members: Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 No.of children under age 5: Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Households Enu. Result Enu. Result Enu. Result Enu. Result Enu. Result After all questionnaires for the household have been completed, fill in the following information: Result of HH interview: Households 1 Completed 2 Not at home 3 Refused 4 HH not found/destroyed 6 Others Total number of Women 15-49 Total number of Women 15-49 Total number of Women 15-49 Total number of Women 15-49 Total number of Women 15-49 Are there any other persons living here - even if they are not members of your family or do not have parents living in this household? Including children at work or at school? If yes, insert child's name and complete form. Then, complete the totals below. Households Total number of Children 5-14 Total number of Children 5-14 Total number of Children 5-14 Total number of Children 5-14 Total number of Children 5-14 Households Total number of children Under 5 years Total number of children Under 5 years Total number of children Under 5 years Total number of children Under 5 years Total number of children Under 5 years Households Total number of Very Sick Total number of Very Sick Total number of Very Sick Total number of Very Sick Total number of Very Sick Total number of mothers dead Total number of mothers dead Total number of mothers dead Total number of mothers dead Total number of mothers dead Total number of mothers very sick Total number of mothers very sick Total number of mothers very sick Total number of mothers very sick Total number of mothers very sick Total number of father dead Total number of father dead Total number of father dead Total number of father dead Total number of father dead Total number of fathers very sick Total number of fathers very sick Total number of fathers very sick Total number of fathers very sick Total number of fathers very sick Have any usual member of your household died in the last 12 Have any usual member of your household died in the last 12 Have any usual member of your household died in the last 12 Have any usual member of your household died in the last 12 Have any usual member of your household died in the last 12 Check HL5: any children 0-17? Yes Continue to OV2 No Next Module I would like you to think back over the past 12 months. Has any usual member of your household died in the last 12 months? Households 1 Yes 2 No 9 Missing Of those who died is there any one between the ages of 18 an Of those who died is there any one between the ages of 18 an Of those who died is there any one between the ages of 18 an Of those who died is there any one between the ages of 18 an Of those who died is there any one between the ages of 18 an (Of those who died in the past 12 months) were any of these people between the ages of 18 and 59? Households 1 Yes 2 No 9 Missing If yes ,were any seriously ill for 3 of the 12 months befor If yes ,were any seriously ill for 3 of the 12 months befor If yes ,were any seriously ill for 3 of the 12 months befor If yes ,were any seriously ill for 3 of the 12 months befor If yes ,were any seriously ill for 3 of the 12 months befor (Of those who died in the past 12 months and were between the ages of 18 and 59) were any of these people seriously ill for 3 of the 12 months before he/she died? Return to the Household Listing and check the following: 1. Check totals for HL9 and HL11. At least one mother or father dead. Go to OV8 No mother or father dead 2. Check totals for HL8A. At least one adult aged 18-59 very sick 3 of last 12 months. Go to OV8 No adult aged 18-59 very sick 3 of last 12 months 3. Check totals forHL10A and HL12A. At least one mother or father ill 3 of last 12 months. Go to OV8 No mother or father ill 3 of last 12 months. Go to Next Module Households 1 Yes 2 No 9 Missing Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water What is the main source of drinking water for members of your household? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 91 Bottled water 96 Other 99 Missing Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat What is the main source of water used by your household for other purposes such as cooking and handwashing? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 96 Other 99 Missing Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back How long does it take to go there, get water, and come back? Households 995 On premises 998 DK 999 Missing Person fetching water Person fetching water Person fetching water Person fetching water Person fetching water Who usually goes to this source to fetch the water for your household? Probe: Is this person under age 15? What sex? Circle code that best describes this person. Households 1 Adult woman 2 Adult man 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Do you treat your water in any way to make it safer to drink? Households 1 Yes 2 No 8 DK 9 Missing Boil Boil Boil Boil Boil What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing A Boil Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing B Add bleach/chlorine Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing C Strain it through a cloth Use water filter Use water filter Use water filter Use water filter Use water filter What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing D Use water filter Solar disinfection Solar disinfection Solar disinfection Solar disinfection Solar disinfection What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing E Solar disinfection Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing F Let it stand and settle Other Other Other Other Other What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing X Other DK DK DK DK DK What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing Z DK Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to? If necessary, ask permission to observe the facility. Households 11 Flush to piped sewer system 12 Flush to septic tank 13 Flush to pit (latrine) 14 Flush to somewhere else 15 Flush to unknown place/not sure/DK where 22 Pit latrine with slab 23 Pit latrine without slab/open pit 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do you share this facility with other households? Households 1 Yes 2 No 9 Missing Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility How many households in total use this toilet facility? Households 10 Ten or more households 98 DK 99 Missing Religion of head Religion of head Religion of head Religion of head Religion of head What is the religion of the head of this household? Households 1 Buddhist 2 Muslim 3 Christian 6 Other religion 7 No religion 9 Missing Language Language Language Language Language What is the mother tongue/native language of the head of this household? Households 1 Thai 2 Other Languages 3 Missing Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head To what ethnic group does the head of this household belong? Households 1 Thai 2 Cambodia 3 Loas 4 China 5 Myanmar 6 Other Ethnic 7 Hill Tribe 9 Missing Head of occupation Head of occupation Head of occupation Head of occupation Head of occupation 1 Government Officer 2 State Enterprises Officer 3 Private Officer 4 Business 5 Agriculturist 6 Labourer 7 Other 9 Missing Mean of income Mean of income Mean of income Mean of income Mean of income 1 Lower 10000 2 10000-19999 3 20000-29999 4 30000-39999 5 40000-49999 6 Upper 50000 9 Missing Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping How many rooms in this household are used for sleeping? Households 99 Missing Main material of floor Main material of floor Main material of floor Main material of floor Main material of floor Main material of the dwelling floor: Record observation. Households 11 Earth/sand 21 Wood planks 22 Palm/bamboo 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 36 Marble 37 Polished stone 96 Other 99 Missing Main material of roof Main material of roof Main material of roof Main material of roof Main material of roof Main material of the roof. Record observation. Households 11 No roof 12 Thatch/palm leaf 13 Sod 22 Palm/bamboo 23 Wood Planks 31 Metal 33 Calamine/cement fiber 34 Ceramic tiles 35 Cement 36 Roofing shingles 96 Other 99 Missing Main material of wall Main material of wall Main material of wall Main material of wall Main material of wall Main material of the walls. Record observation. Households 11 No walls 12 Cane/palm/trunks 13 Dirt 24 Plywood 25 Carton 26 Reused wood 27 Bamboo 31 Cement 32 Stone with lime/cement 33 Bricks 34 Cement blocks 36 Wood planks/shingles 37 Zinc 38 Tile 39 Shera wood 96 Other 99 Missing Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking What type of fuel does your household mainly use for cooking? Households 1 Electricity 2 Liquid propane gas (LPG) 4 Biogas 5 Kerosene 6 Coal/lignite 7 Charcoal 8 Wood 9 Straw/shrubs/grass 10 Animal dung 11 Agricultural crop residue 96 Other 97 No Cooking 99 Missing Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire In this household, is food cooked on an open fire, an open stove or a closed stove? Probe for type. Households 1 Open fire 2 Open stove 3 Closed stove 6 Other 9 Missing Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire/stove have a chimney or a hood? Households 1 Yes 2 No 9 Missing Cooking location Cooking location Cooking location Cooking location Cooking location Is the cooking usually done in the house, in a separate building, or outdoors? Households 1 In the house 2 In a separate bulding 3 Outdoors 4 Terrace 6 Other 9 Missing Electricity Electricity Electricity Electricity Electricity Does your household have: Households 1 Yes 2 No 9 Missing Radio Radio Radio Radio Radio Does your household have: Households 1 Yes 2 No 9 Missing Television Television Television Television Television Does your household have: Households 1 Yes 2 No 9 Missing Mobile phone Mobile phone Mobile phone Mobile phone Mobile phone Does your household have: Households 1 Yes 2 No 9 Missing Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Does your household have: Households 1 Yes 2 No 9 Missing Refrigerator Refrigerator Refrigerator Refrigerator Refrigerator Does your household have: Households 1 Yes 2 No 9 Missing Computer Computer Computer Computer Computer Watch Watch Watch Watch Watch Does any member of your household own: Households 1 Yes 2 No 9 Missing Bicycle Bicycle Bicycle Bicycle Bicycle Does any member of your household own: Households 1 Yes 2 No 9 Missing Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Does any member of your household own: Households 1 Yes 2 No 9 Missing Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Does any member of your household own: Households 1 Yes 2 No 9 Missing Car or truck Car or truck Car or truck Car or truck Car or truck Does any member of your household own: Households 1 Yes 2 No 9 Missing Boat with motor Boat with motor Boat with motor Boat with motor Boat with motor Does any member of your household own: Households 1 Yes 2 No 9 Missing Salt iodization test outcome Salt iodization test outcome Salt iodization test outcome Salt iodization test outcome Salt iodization test outcome We would like to check whether the salt used in your household is iodized. May I see a sample of the salt used to cook the main meal eaten by members of your household last night? Once you have examined the salt, circle number that corresponds to test outcome. Households 1 No colour 4 Colour 6 No salt in home 9 Missing Packet of salt Packet of salt Packet of salt Packet of salt Packet of salt The packet of salt when purchased? 1 Bag had iodine label 2 Bottle had iodine label 3 Bag/bottle had not iodine label 6 DK 9 Missing Type of salt Type of salt Type of salt Type of salt Type of salt 1 Coarse 2 Refined PPM from lab test PPM from lab test PPM from lab test PPM from lab test PPM from lab test Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight Recoded variable De jure household members (usual residents) REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 Recoded variable Children aged 0-4 wealth index quintiles wealth index quintiles wealth index quintiles wealth index quintiles wealth index quintiles Recoded variable Children aged 0-4 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Household Head's education Household Head's education Household Head's education Household Head's education Household Head's education Recoded variable De jure household members (usual residents) 1 None 2 Primary 3 Secondary + The variable is created from information collected on educational level in the HL file. See makehh.sps in the data processing folder under technical information. Sex of household head Sex of household head Sex of household head Sex of household head Sex of household head Recoded variable Households 1 Male 2 Female 9 Missing/DK The variable is created from information collected in the HL file. See makehh.sps in the data processing folder under technical information. Cluster number Cluster number Cluster number Cluster number Cluster number We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. During this time I would like to speak with the household head and all mothers or others who take care of children in the household. May I start now? If permission is given, begin the interview. Cluster number: Households Unique identifier for the cluster in which the household exists Household number Household number Household number Household number Household number Household number: Households Houshold number within the cluster Line number Line number Line number Line number Line number FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4). Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? (THESE MAY INCLUDE CHILDREN IN SCHOOL OR AT WORK). If yes, complete listing. Then, ask questions starting with HL5 for each person at a time. Add a continuation sheet if there are more than 15 household members. Tick here if continuation sheet used De jure household members (usual residents) Line number Line number Line number Line number Line number Child's line number: Children aged 0-4 Relationship to the head Relationship to the head Relationship to the head Relationship to the head Relationship to the head What is the relationship of (name) to the head of the household? De jure household members (usual residents) 1 Head 2 Wife or Husband 3 Son or Daugher 4 Son/Daughter in law 5 Grandchild 6 Parent 7 Parent in law 8 Brother or sister 9 Brother/sister in law 10 Uncle/Aunt 11 Niece/nephew by blood 12 Niece/nephew by marriage 13 Other relative 14 Adopted/foster/stepchild 15 Not related 97 Inconsistent 98 DK 99 Missing Sex Sex Sex Sex Sex Children aged 0-4 1 Male 2 Female Age Age Age Age Age How old is (name)? How old was (name) on his/her last birthday? Record in completed years 98=DK* * See instructions: to be used only for elderly household members (code meaning "do not know/over age 50"). De jure household members (usual residents) Less than 1 year 97 97+ 98 DK 99 Missing Nationalily Nationalily Nationalily Nationalily Nationalily 1 Thai 2 Not Thai (Hill tribe, Minority group) 3 Other (Specify) 4 No Citizenship 8 DK 9 Missing Line number of eligible women Line number of eligible women Line number of eligible women Line number of eligible women Line number of eligible women Circle Line no. if woman is age 15-49 De jure household members (usual residents) Not eligible Line number of mother/caretaker for child labor module Line number of mother/caretaker for child labor module Line number of mother/caretaker for child labor module Line number of mother/caretaker for child labor module Line number of mother/caretaker for child labor module For each child age 5-14: Who is the mother or primary caretaker of this child? Record Line no. of mother/caretaker De jure household members (usual residents) Not eligible Line number of mother/caretaker for child health module Line number of mother/caretaker for child health module Line number of mother/caretaker for child health module Line number of mother/caretaker for child health module Line number of mother/caretaker for child health module For each child under 5: Who is the mother or primary caretaker of this child? Record Line no. of mother/caretaker De jure household members (usual residents) Not eligible Member ill 3 months in last 12 months Member ill 3 months in last 12 months Member ill 3 months in last 12 months Member ill 3 months in last 12 months Member ill 3 months in last 12 months If age 18-59 years Has (name) been very sick for at least 3 months during the past 12 months? De jure household members (usual residents) 1 Yes 2 No 8 DK 9 Missing Mother alive Mother alive Mother alive Mother alive Mother alive For children age 0-17 years ask HL9-HL12 Is (name's) natural mother alive? De jure household members (usual residents) aged 0-17 (under 18) 1 Yes 2 No 8 DK 9 Missing Mother line number in HH Mother line number in HH Mother line number in HH Mother line number in HH Mother line number in HH For children age 0-17 years ask HL9-HL12 If alive: Does (name's) natural mother live in this household? Record Line no. of mother or 00 for 'No' De jure household members (usual residents) aged 0-17 (under 18) Not eligible 97 Inconsistent 99 Missing Mother ill 3 months in last 12 months Mother ill 3 months in last 12 months Mother ill 3 months in last 12 months Mother ill 3 months in last 12 months Mother ill 3 months in last 12 months For children age 0-17 years ask HL9-HL12A If mother does not live in household: Has (name's) mother been very sick for at least 3 months in the past 12 months? De jure household members (usual residents) aged 0-17 (under 18) 1 Yes 2 No 8 DK 9 Missing Father alive Father alive Father alive Father alive Father alive For children age 0-17 years ask HL9-HL12 If alive: Is (name's) natural father alive? De jure household members (usual residents) aged 0-17 (under 18) 1 Yes 2 No 8 DK 9 Missing Father line number in HH Father line number in HH Father line number in HH Father line number in HH Father line number in HH For children age 0-17 years ask HL9-HL12 Does (name's) natural father live in this household? Record Line no. of father or 00 for 'No' De jure household members (usual residents) aged 0-17 (under 18) Not eligible 97 Inconsistent 99 Missing Father ill 3 months in last 12 months Father ill 3 months in last 12 months Father ill 3 months in last 12 months Father ill 3 months in last 12 months Father ill 3 months in last 12 months For children age 0-17 years ask HL9-HL12A If father does not live in household: Has (name's) father been very sick for at least 3 months in the past 12 months? De jure household members (usual residents) aged 0-17 (under 18) 1 Yes 2 No 8 DK 9 Missing Total number of Women 15-49 Total number of Women 15-49 Total number of Women 15-49 Total number of Women 15-49 Total number of Women 15-49 Are there any other persons living here - even if they are not members of your family or do not have parents living in this household? Including children at work or at school? If yes, insert child's name and complete form. Then, complete the totals below. Households Total number of Children 5-14 Total number of Children 5-14 Total number of Children 5-14 Total number of Children 5-14 Total number of Children 5-14 Households Total number of children Under 5 years Total number of children Under 5 years Total number of children Under 5 years Total number of children Under 5 years Total number of children Under 5 years Households Total number of Very Sick Total number of Very Sick Total number of Very Sick Total number of Very Sick Total number of Very Sick Total number of mothers dead Total number of mothers dead Total number of mothers dead Total number of mothers dead Total number of mothers dead Total number of mothers very sick Total number of mothers very sick Total number of mothers very sick Total number of mothers very sick Total number of mothers very sick Total number of father dead Total number of father dead Total number of father dead Total number of father dead Total number of father dead Total number of fathers very sick Total number of fathers very sick Total number of fathers very sick Total number of fathers very sick Total number of fathers very sick Line number Line number Line number Line number Line number For household members age 5 and above De jure household members (usual residents) Ever attended school Ever attended school Ever attended school Ever attended school Ever attended school For household members age 5 and above Has (name) ever attended school or preschool? De jure household members (usual residents) 1 Yes 2 No 9 Missing Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended What is the highest level of school (name) attended? Children aged 0-4 Preschool/kindergarten 1 Primary 2 Secondary 3 Higher 6 Non-standard curriculum 8 DK 9 Missing Highest grade at level Highest grade at level Highest grade at level Highest grade at level Highest grade at level For household members age 5 and above What is the highest grade (name) completed at this level? De jure household members (usual residents) No education 97 Inconsistent 98 DK 99 Missing Currently attending school during the school year (2004-2005 Currently attending school during the school year (2004-2005 Currently attending school during the school year (2004-2005 Currently attending school during the school year (2004-2005 Currently attending school during the school year (2004-2005 For household members age 5-24 years During the (2004-2005) school year, did (name) attend school or preschool at any time? De jure household members (usual residents) aged 5-24 1 Yes 2 No 9 Missing Reason of no attended school Reason of no attended school Reason of no attended school Reason of no attended school Reason of no attended school 1 Far from home 2 No Birth Certificate 3 No Citizenship 4 No Money 5 Language Problem 6 Sick/Disability 7 Member HH have sick 8 Finish at School 9 Other 98 DK 99 Missing Days attended school in last week Days attended school in last week Days attended school in last week Days attended school in last week Days attended school in last week For household members age 5-24 years Since last (day of the week), how many days did (name) attend school? Insert number of days in space below. De jure household members (usual residents) aged 5-24 8 Interview during school holidays 9 Missing Level of education attended Level of education attended Level of education attended Level of education attended Level of education attended For household members age 5-24 years During this/that school year, which level and grade is/was (name) attending? De jure household members (usual residents) aged 5-24 Preschool/kindergarten 1 Primary 2 Secondary 3 Higher 6 Non-standard curriculum 8 DK 9 Missing Grade of education attended Grade of education attended Grade of education attended Grade of education attended Grade of education attended For household members age 5-24 years During this/that school year, which level and grade is/was (name) attending? De jure household members (usual residents) aged 5-24 No education 97 Inconsistent 98 DK 99 Missing Attended school last year (2003-2004) Attended school last year (2003-2004) Attended school last year (2003-2004) Attended school last year (2003-2004) Attended school last year (2003-2004) For household members age 5-24 years Did (name) attend school or preschool at any time during the previous school year, that is (2003-2004)? De jure household members (usual residents) aged 5-24 1 Yes 2 No 8 DK 9 Missing Level of education attended last year Level of education attended last year Level of education attended last year Level of education attended last year Level of education attended last year For household members age 5-24 years During that previous school year, which level and grade did (name) attend? De jure household members (usual residents) aged 5-24 Preschool/kindergarten 1 Primary 2 Secondary 3 Higher 6 Non-standard curriculum 8 DK 9 Missing Grade of education attended last year Grade of education attended last year Grade of education attended last year Grade of education attended last year Grade of education attended last year For household members age 5-24 years During that previous school year, which level and grade did (name) attend? De jure household members (usual residents) aged 5-24 No education 97 Inconsistent 98 DK 99 Missing Have any usual member of your household died in the last 12 Have any usual member of your household died in the last 12 Have any usual member of your household died in the last 12 Have any usual member of your household died in the last 12 Have any usual member of your household died in the last 12 Check HL5: any children 0-17? Yes Continue to OV2 No Next Module I would like you to think back over the past 12 months. Has any usual member of your household died in the last 12 months? Households 1 Yes 2 No 9 Missing Of those who died is there any one between the ages of 18 an Of those who died is there any one between the ages of 18 an Of those who died is there any one between the ages of 18 an Of those who died is there any one between the ages of 18 an Of those who died is there any one between the ages of 18 an (Of those who died in the past 12 months) were any of these people between the ages of 18 and 59? Households 1 Yes 2 No 9 Missing If yes ,were any seriously ill for 3 of the 12 months befor If yes ,were any seriously ill for 3 of the 12 months befor If yes ,were any seriously ill for 3 of the 12 months befor If yes ,were any seriously ill for 3 of the 12 months befor If yes ,were any seriously ill for 3 of the 12 months befor (Of those who died in the past 12 months and were between the ages of 18 and 59) were any of these people seriously ill for 3 of the 12 months before he/she died? Return to the Household Listing and check the following: 1. Check totals for HL9 and HL11. At least one mother or father dead. Go to OV8 No mother or father dead 2. Check totals for HL8A. At least one adult aged 18-59 very sick 3 of last 12 months. Go to OV8 No adult aged 18-59 very sick 3 of last 12 months 3. Check totals forHL10A and HL12A. At least one mother or father ill 3 of last 12 months. Go to OV8 No mother or father ill 3 of last 12 months. Go to Next Module Households 1 Yes 2 No 9 Missing Child's line number Child's line number Child's line number Child's line number Child's line number Return to the Household Listing and check the following: 1. Check totals for HL9 and HL11. At least one mother or father dead. Go to OV8 No mother or father dead 2. Check totals for HL8A. At least one adult aged 18-59 very sick 3 of last 12 months. Go to OV8 No adult aged 18-59 very sick 3 of last 12 months 3. Check totals for HL10A and HL12A. At least one mother or father ill 3 of last 12 months. Go to OV8 No mother or father ill 3 of last 12 months. Go to Next Module List all children aged 0-17 below. Record names, line numbers and ages of all children, beginning with the first child and continue in order in which listed in the household listing module. Use a continuation sheet if there are more than 4 children age 0-17 in the household. Ask all questions for one child before moving to the next child. Line number (from HL1) Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS Child's age Child's age Child's age Child's age Child's age Age (from HL5) Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS Less than 1 year 97 97+ 98 DK 99 Missing Did you receive any medical support in the 12 months Did you receive any medical support in the 12 months Did you receive any medical support in the 12 months Did you receive any medical support in the 12 months Did you receive any medical support in the 12 months I would like to ask you about any formal, organized help or support that your household may have received for (name) and for which you did not have to pay. By formal organized support I mean help provided by someone working for a program. This program could be government, private, religious, charity, or community-based. Remember this should be support for which you did not pay. Now I would like to ask you about the support your household received for (name). In the last 12 months, has your household received any medical support for (name), such as medical care, supplies or medicine? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing Did you receive any emotional or psychologigal support the 1 Did you receive any emotional or psychologigal support the 1 Did you receive any emotional or psychologigal support the 1 Did you receive any emotional or psychologigal support the 1 Did you receive any emotional or psychologigal support the 1 In the last 12 months, has your household received any emotional or psychological support for (name), such as companionship, counseling from a trained couselor, or spiritual support, which you received at home? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing Did you receive any emotional or psychologigal support in la Did you receive any emotional or psychologigal support in la Did you receive any emotional or psychologigal support in la Did you receive any emotional or psychologigal support in la Did you receive any emotional or psychologigal support in la Did your household receive any of this support in the past 3 months? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing Did you receive any material support in the last 12 months Did you receive any material support in the last 12 months Did you receive any material support in the last 12 months Did you receive any material support in the last 12 months Did you receive any material support in the last 12 months In the last 12 months, has your household received any material support for (name), such as clothing, food or financial support? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing Did you receive any material support in the last 3 months Did you receive any material support in the last 3 months Did you receive any material support in the last 3 months Did you receive any material support in the last 3 months Did you receive any material support in the last 3 months Did your household receive any of this support in the past 3 months? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing Did you receive any social support in the 12 months Did you receive any social support in the 12 months Did you receive any social support in the 12 months Did you receive any social support in the 12 months Did you receive any social support in the 12 months In the last 12 months, has your household received any social support for (name), such as help in household work, training for a caregiver, or legal services? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing Did you receive any social support in the last 3 months Did you receive any social support in the last 3 months Did you receive any social support in the last 3 months Did you receive any social support in the last 3 months Did you receive any social support in the last 3 months Did your household receive any of this support in the past 3 months? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing Did you receive for child schooling in the 12 months Did you receive for child schooling in the 12 months Did you receive for child schooling in the 12 months Did you receive for child schooling in the 12 months Did you receive for child schooling in the 12 months Check OV8 for age of child: Age 0-4. next child Age 5-17. OV18 In the last 12 months, has your household received any support for (name's) schooling, such as allowance, free admission, books or supplies? Children living in households with at least one child considered as an orphan or asa child made vulnerable by HIV/AIDS 1 Yes 2 No 8 DK 9 Missing Line number Line number Line number Line number Line number To be administered to mother/caretaker of each child in the household age 5 through 14 years. For household members below age 5 or above age 14, leave rows blank. Now I would like to ask about any work children in this household may do. Children aged 5-14 Worked in past week Worked in past week Worked in past week Worked in past week Worked in past week During the past week, did (name) do any kind of work for someone who is not a member of this household? If yes: For pay in cash or kind? Children aged 5-14 1 Yes, paid 2 Yes, unpaid 3 No 9 Missing Hours worked in past week Hours worked in past week Hours worked in past week Hours worked in past week Hours worked in past week If yes: Since last (day of the week), about how many hours did he/she do this work for someone who is not a member of this household? If more than one job, include all hours at all jobs. Children aged 5-14 98 DK 99 Missing Worked in past year Worked in past year Worked in past year Worked in past year Worked in past year At any time during the past year, did (name) do any kind of work for someone who is not a member of this household? If yes: For pay in cash or kind? Children aged 5-14 1 Yes, paid 2 Yes, unpaid 3 No 9 Missing Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week During the past week, did (name) help with household chores such as shopping, collecting firewood, cleaning, fetching water, or caring for children? Children aged 5-14 1 Yes 2 No 9 Missing Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week If yes: Since last (day of the week), about how many hours did he/she spend doing these chores? Children aged 5-14 98 DK 99 Missing Did other family work in past week Did other family work in past week Did other family work in past week Did other family work in past week Did other family work in past week During the past week, did (name) do any other family work (on the farm or in a business or selling goods in the street?) Children aged 5-14 1 Yes 2 No 9 Missing Hours worked on other family work Hours worked on other family work Hours worked on other family work Hours worked on other family work Hours worked on other family work If yes: Since last (day of the week), about how many hours did he/she do this work? Children aged 5-14 98 DK 99 Missing Line number from household listing Line number from household listing Line number from household listing Line number from household listing Line number from household listing To be administered to caretakers of all children 2 through 9 years old living in the household. For household members below age 2 or above age 9, leave rows blank I would like to ask you if any children in this household aged 2 through 9 has any of the health conditions I am going to mention to you. Line no. De jure children aged 2-14 Any serious delay sitting, standang or walking Any serious delay sitting, standang or walking Any serious delay sitting, standang or walking Any serious delay sitting, standang or walking Any serious delay sitting, standang or walking Compared with other children, does or did (name) have any serious delay in sitting, standing, or walking? De jure children aged 2-14 1 Yes 2 No 9 Missing Does he have difficulty seeing in daytime or nightime Does he have difficulty seeing in daytime or nightime Does he have difficulty seeing in daytime or nightime Does he have difficulty seeing in daytime or nightime Does he have difficulty seeing in daytime or nightime Compared with other children, does (name) have difficulty seeing, either in the daytime or at night? De jure children aged 2-14 1 Yes 2 No 9 Missing Does he apprea to have difficulty hearing Does he apprea to have difficulty hearing Does he apprea to have difficulty hearing Does he apprea to have difficulty hearing Does he apprea to have difficulty hearing Does (name) appear to have difficulty hearing? (uses hearing aid, hears with difficulty, completely deaf?) De jure children aged 2-14 1 Yes 2 No 9 Missing When you ask him to do something, does he understand what y When you ask him to do something, does he understand what y When you ask him to do something, does he understand what y When you ask him to do something, does he understand what y When you ask him to do something, does he understand what y When you tell (name) to do something, does he/she seem to understand what you are saying? De jure children aged 2-14 1 Yes 2 No 9 Missing Does he have difficulty walking or moving Does he have difficulty walking or moving Does he have difficulty walking or moving Does he have difficulty walking or moving Does he have difficulty walking or moving Does (name) have difficulty in walking or moving his/her arms or does he/she have weakness and/or stiffness in the arms or legs? De jure children aged 2-14 1 Yes 2 No 9 Missing Does he have fits, become rigid or los consciousnes Does he have fits, become rigid or los consciousnes Does he have fits, become rigid or los consciousnes Does he have fits, become rigid or los consciousnes Does he have fits, become rigid or los consciousnes Does (name) sometimes have fits, become rigid, or lose consciousness? De jure children aged 2-14 1 Yes 2 No 9 Missing Does he learn to do thing like other Does he learn to do thing like other Does he learn to do thing like other Does he learn to do thing like other Does he learn to do thing like other Does (name) learn to do things like other children his/her age? De jure children aged 2-14 1 Yes 2 No 9 Missing Can says recognizable words Can says recognizable words Can says recognizable words Can says recognizable words Can says recognizable words Does (name) speak at all (can he/she make him or herself understood in words; can say any recognizable words)? De jure children aged 2-14 1 Yes 2 No 9 Missing Speech in any way different from normal Speech in any way different from normal Speech in any way different from normal Speech in any way different from normal Speech in any way different from normal For 3-9 year olds: Is (name)'s speech in any way different from normal (not clear enough to be understood by people other than the immediate family)? De jure children aged 2-14 1 Yes 2 No 9 Missing Can he name at least one object Can he name at least one object Can he name at least one object Can he name at least one object Can he name at least one object For 2 year olds: Can (name) name at least one object (for example, an animal, a toy, a cup, a spoon)? De jure children aged 2-14 1 Yes 2 No 9 Missing Compared to other children does he appear mentally backward, Compared to other children does he appear mentally backward, Compared to other children does he appear mentally backward, Compared to other children does he appear mentally backward, Compared to other children does he appear mentally backward, Compared with other children of the same age, does (name) appear in any way mentally backward, dull or slow? De jure children aged 2-14 1 Yes 2 No 9 Missing Region Region Region Region Region Region: Households 2 Central (include BKK.) 3 North 4 Northeast 5 South Changwat/Province Changwat/Province Changwat/Province Changwat/Province Changwat/Province Area Area Area Area Area Area: Households 1 Urban 2 Rural PSU_NO PSU_NO PSU_NO PSU_NO PSU_NO Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Households Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent to HH questionnaire: Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members: Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 No.of children under age 5: Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Households Enu. Result Enu. Result Enu. Result Enu. Result Enu. Result After all questionnaires for the household have been completed, fill in the following information: Result of HH interview: Households 1 Completed 2 Refused 3 Not at home 4 HH not found/destroyed 6 Others Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water What is the main source of drinking water for members of your household? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 91 Bottled water 96 Other 99 Missing Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat What is the main source of water used by your household for other purposes such as cooking and handwashing? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 96 Other 99 Missing Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back How long does it take to go there, get water, and come back? Households 995 On premises 998 DK 999 Missing Person fetching water Person fetching water Person fetching water Person fetching water Person fetching water Who usually goes to this source to fetch the water for your household? Probe: Is this person under age 15? What sex? Circle code that best describes this person. Households 1 Adult woman 2 Adult man 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Do you treat your water in any way to make it safer to drink? Households 1 Yes 2 No 8 DK 9 Missing Boil Boil Boil Boil Boil What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing A Boil Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing B Add bleach/chlorine Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing C Strain it through a cloth Use water filter Use water filter Use water filter Use water filter Use water filter What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing D Use water filter Solar disinfection Solar disinfection Solar disinfection Solar disinfection Solar disinfection What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing E Solar disinfection Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing F Let it stand and settle Other Other Other Other Other What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing X Other DK DK DK DK DK What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing Z DK Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to? If necessary, ask permission to observe the facility. Households 11 Flush to piped sewer system 12 Flush to septic tank 13 Flush to pit (latrine) 14 Flush to somewhere else 15 Flush to unknown place/not sure/DK where 22 Pit latrine with slab 23 Pit latrine without slab/open pit 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do you share this facility with other households? Households 1 Yes 2 No 9 Missing Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility How many households in total use this toilet facility? Households 10 Ten or more households 98 DK 99 Missing Religion of head Religion of head Religion of head Religion of head Religion of head What is the religion of the head of this household? Households 1 Buddhist 2 Muslim 3 Christian 6 Other religion 7 No religion 9 Missing Language Language Language Language Language What is the mother tongue/native language of the head of this household? Households 1 Thai 2 Other Languages 3 Missing Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head To what ethnic group does the head of this household belong? Households 1 Thai 2 Cambodia 3 Loas 4 China 5 Myanmar 6 Other Ethnic 7 Hill Tribe 9 Missing Head of occupation Head of occupation Head of occupation Head of occupation Head of occupation 1 Government Officer 2 State Enterprises Officer 3 Private Officer 4 Business 5 Agriculturist 6 Labourer 7 Other 9 Missing Mean of income Mean of income Mean of income Mean of income Mean of income 1 Lower 10000 2 10000-19999 3 20000-29999 4 30000-39999 5 40000-49999 6 Upper 50000 9 Missing Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping How many rooms in this household are used for sleeping? Households 99 Missing Main material of floor Main material of floor Main material of floor Main material of floor Main material of floor Main material of the dwelling floor: Record observation. Households 11 Earth/sand 21 Wood planks 22 Palm/bamboo 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 36 Marble 37 Polished stone 96 Other 99 Missing Main material of roof Main material of roof Main material of roof Main material of roof Main material of roof Main material of the roof. Record observation. Households 11 No roof 12 Thatch/palm leaf 13 Sod 22 Palm/bamboo 23 Wood Planks 31 Metal 33 Calamine/cement fiber 34 Ceramic tiles 35 Cement 36 Roofing shingles 96 Other 99 Missing Main material of wall Main material of wall Main material of wall Main material of wall Main material of wall Main material of the walls. Record observation. Households 11 No walls 12 Cane/palm/trunks 13 Dirt 24 Plywood 25 Carton 26 Reused wood 27 Bamboo 31 Cement 32 Stone with lime/cement 33 Bricks 34 Cement blocks 36 Wood planks/shingles 37 Zinc 38 Tile 39 Shera wood 96 Other 99 Missing Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking What type of fuel does your household mainly use for cooking? Households 1 Electricity 2 Liquid propane gas (LPG) 4 Biogas 5 Kerosene 6 Coal/lignite 7 Charcoal 8 Wood 9 Straw/shrubs/grass 10 Animal dung 11 Agricultural crop residue 96 Other 97 No Cooking 99 Missing Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire In this household, is food cooked on an open fire, an open stove or a closed stove? Probe for type. Households 1 Open fire 2 Open stove 3 Closed stove 6 Other 9 Missing Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire/stove have a chimney or a hood? Households 1 Yes 2 No 9 Missing Cooking location Cooking location Cooking location Cooking location Cooking location Is the cooking usually done in the house, in a separate building, or outdoors? Households 1 In the house 2 In a separate bulding 3 Outdoors 4 Terrace 6 Other 9 Missing Electricity Electricity Electricity Electricity Electricity Does your household have: Households 1 Yes 2 No 9 Missing Radio Radio Radio Radio Radio Does your household have: Households 1 Yes 2 No 9 Missing Television Television Television Television Television Does your household have: Households 1 Yes 2 No 9 Missing Mobile phone Mobile phone Mobile phone Mobile phone Mobile phone Does your household have: Households 1 Yes 2 No 9 Missing Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Does your household have: Households 1 Yes 2 No 9 Missing Refrigerator Refrigerator Refrigerator Refrigerator Refrigerator Does your household have: Households 1 Yes 2 No 9 Missing Computer Computer Computer Computer Computer Watch Watch Watch Watch Watch Does any member of your household own: Households 1 Yes 2 No 9 Missing Bicycle Bicycle Bicycle Bicycle Bicycle Does any member of your household own: Households 1 Yes 2 No 9 Missing Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Does any member of your household own: Households 1 Yes 2 No 9 Missing Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Does any member of your household own: Households 1 Yes 2 No 9 Missing Car or truck Car or truck Car or truck Car or truck Car or truck Does any member of your household own: Households 1 Yes 2 No 9 Missing Boat with motor Boat with motor Boat with motor Boat with motor Boat with motor Does any member of your household own: Households 1 Yes 2 No 9 Missing Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight Recoded variable De jure household members (usual residents) REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 Recoded variable Children aged 0-4 wealth index quintiles wealth index quintiles wealth index quintiles wealth index quintiles wealth index quintiles Recoded variable Children aged 0-4 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Mother's line number Mother's line number Mother's line number Mother's line number Mother's line number Recoded variable De jure household members (usual residents) The variable is created from information collected in the houshold listing in the HL file. See makehl.sps in the data processing external documentation. Mother's education Mother's education Mother's education Mother's education Mother's education Recoded variable Children aged 0-4 1 None 2 Primary 3 Secondary + The variable is created from information collected on educational level in the HL file. See makewm.sps in the data processing folder under technical information. Father's line number Father's line number Father's line number Father's line number Father's line number Recoded variable De jure household members (usual residents) The variable is created from information collected in the houshold listing in the HL file. See makehl.sps in the data processing external documentation. Father's education Father's education Father's education Father's education Father's education Recoded variable De jure household members (usual residents) 1 None 2 Primary 3 Secondary + The variable is created from information collected on educational level in the HL file. See makehl.sps in the data processing folder under technical information. Household head's education Household head's education Household head's education Household head's education Household head's education Recoded variable De jure household members (usual residents) 1 None 2 Primary 3 Secondary + The variable is created from information collected on educational level in the HL file. See makehh.sps in the data processing folder under technical information. Cluster number Cluster number Cluster number Cluster number Cluster number We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. During this time I would like to speak with the household head and all mothers or others who take care of children in the household. May I start now? If permission is given, begin the interview. Cluster number: Households Unique identifier for the cluster in which the household exists Household number Household number Household number Household number Household number Household number: Households Houshold number within the cluster Line number Line number Line number Line number Line number Child's line number: Children aged 0-4 Cluster number Cluster number Cluster number Cluster number Cluster number Cluster number: Women aged 15-49 Household number Household number Household number Household number Household number Household number: Women aged 15-49 Woman's line number Woman's line number Woman's line number Woman's line number Woman's line number Woman's Line Number: Women aged 15-49 Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Women aged 15-49 Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Women aged 15-49 Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Women aged 15-49 Result of women 's interview Result of women 's interview Result of women 's interview Result of women 's interview Result of women 's interview Result of women's interview Women aged 15-49 1 Completed 2 Not at home 3 Refused 5 Incapacitated 6 Other (specify) Month of birth of woman Month of birth of woman Month of birth of woman Month of birth of woman Month of birth of woman Repeat greeting if not already read to this woman: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the woman does not agree to continue, thank her, complete WM7, and go to the next interview. Discuss this result with your supervisor for a future revisit. In what month and year were you born? Women aged 15-49 97 Inconsistent 98 DK 99 Missing Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman Repeat greeting if not already read to this woman: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the woman does not agree to continue, thank her, complete WM7, and go to the next interview. Discuss this result with your supervisor for a future revisit. In what month and year were you born? Women aged 15-49 9997 Inconsistent 9998 DK 9999 Missing Age of woman Age of woman Age of woman Age of woman Age of woman How old were you at your last birthday? Women aged 15-49 Have you ever attended school Have you ever attended school Have you ever attended school Have you ever attended school Have you ever attended school Have you ever attended school? Women aged 15-49 1 Yes 2 No 9 Missing What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended: primary, secondary, or higher? Women aged 15-49 1 Primary 2 Secondary 3 Higher 6 Non-standard curriculum 9 Missing What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade you completed at that level? Women aged 15-49 No education 97 Inconsistent 98 DK 99 Missing Can read part of the sentence Can read part of the sentence Can read part of the sentence Can read part of the sentence Can read part of the sentence Check WM11: Secondary or higher. Go to Next Module Primary or non-standard curriculum. Continue with WM14 Now I would like you to read this sentence to me. Show sentences to respondent. If respondent cannot read whole sentence, probe: Can you read part of the sentence to me? Example sentences for literacy test: 1. The child is reading a book. 2. The rains came late this year. 3. Parents must care for their children. 4. Farming is hard work Women aged 15-49 1 Cannot read at all 2 Able to read only parts of sentence 3 Able to read whole sentence 4 Required language 5 Blind/visually impaired 9 Missing Ever given birth Ever given birth Ever given birth Ever given birth Ever given birth Now i would like to ask about all the births you have had during your life. Have you ever given birth? If "No" probe by asking: I mean, to a child who ever breathed or cried or showed other signs of life - even if he or she lived only a few minutes or hours? Women aged 15-49 1 Yes 2 No Day of first birth Day of first birth Day of first birth Day of first birth Day of first birth What was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner. Skip to CM3 only if year of first birth is given. Otherwise, continue with CM2B. Women aged 15-49 97 Inconsistent 98 DK 99 Missing Month of first birth Month of first birth Month of first birth Month of first birth Month of first birth What was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner. Skip to CM3 only if year of first birth is given. Otherwise, continue with CM2B. Women aged 15-49 97 Inconsistent 98 DK 99 Missing Year of first birth Year of first birth Year of first birth Year of first birth Year of first birth What was the date of your first birth? I mean the very first time you gave birth, even if the child is no longer living, or whose father is not your current partner. Skip to CM3 only if year of first birth is given. Otherwise, continue with CM2B. Women aged 15-49 9997 Inconsistent 9998 DK 9999 Missing Years since first birth Years since first birth Years since first birth Years since first birth Years since first birth How many years ago did you have your first birth? Women aged 15-49 97 Inconsistent 99 Missing Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Do you have any sons or daughters to whom you have given birth who are now living with you? Women aged 15-49 1 Yes 2 No Sons living with you Sons living with you Sons living with you Sons living with you Sons living with you How many sons live with you? Women aged 15-49 Daughters living with you Daughters living with you Daughters living with you Daughters living with you Daughters living with you How many daughters live with you? Women aged 15-49 Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Do you have any sons or daughters to whom you have given birth who are alive but do not live with you? Women aged 15-49 1 Yes 2 No Sons living not with you Sons living not with you Sons living not with you Sons living not with you Sons living not with you How many sons are alive but do not live with you? Women aged 15-49 Daughters not living with you Daughters not living with you Daughters not living with you Daughters not living with you Daughters not living with you How many daughters are alive but do not live with you? Women aged 15-49 Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Have you ever given birth to a boy or girl who was born alive but later died? Women aged 15-49 1 Yes 2 No Boys dead Boys dead Boys dead Boys dead Boys dead How many boys have died? Women aged 15-49 Girls dead Girls dead Girls dead Girls dead Girls dead How many girls have died? Women aged 15-49 Children ever born Children ever born Children ever born Children ever born Children ever born Sum answers to CM4, CM6, and CM8. Just to make sure that I have this right, you have had in total (total number) births during your life. Is this correct? Yes. Go to CM11 No. Check responses and make corrections before proceeding to CM11 Women aged 15-49 Day of last birth Day of last birth Day of last birth Day of last birth Day of last birth Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)? If day is not known, enter '98' in space for day. Women aged 15-49 97 Inconsistent 98 DK 99 Missing Month of last birth Month of last birth Month of last birth Month of last birth Month of last birth Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)? Women aged 15-49 97 Inconsistent Year of last birth Year of last birth Year of last birth Year of last birth Year of last birth Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)? Women aged 15-49 9997 Inconsistent Live birth in last 2 years Live birth in last 2 years Live birth in last 2 years Live birth in last 2 years Live birth in last 2 years Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in 2003)? If child has died, take special care when referring to this child by name in the following modules. No live birth in last 2 years. Go to MARRIAGE/UNION module. Yes, live birth in last 2 years. Continue with CM13 Name of child_______________________ Women aged 15-49 N No Y Yes Wanted last child Wanted last child Wanted last child Wanted last child Wanted last child At the time you became pregnant with (name), did you want to become pregnant then, did you want to wait until later, or did you want no (more) children at all? Women aged 15-49 1 Then 2 later 3 No more 9 Missing Has immunization card Has immunization card Has immunization card Has immunization card Has immunization card This module is to be administered to all women with a live birth in the 2 years preceding date of interview. Do you have a card or other document with your own immunizations listed? If a card is presented, use it to assist with answers to the following questions. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes (card seen) 2 Yes (card not seen) 3 No 8 DK 9 Missing Any tetanus toxoid injection during last pregnancy Any tetanus toxoid injection during last pregnancy Any tetanus toxoid injection during last pregnancy Any tetanus toxoid injection during last pregnancy Any tetanus toxoid injection during last pregnancy When you were pregnant with your last child, did you receive any injection to prevent him or her from getting tetanus, that is convulsions after birth (an anti-tetanus shot, an injection at the top of the arm or shoulder)? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Doses of tetanus toxoid during last pregnancy Doses of tetanus toxoid during last pregnancy Doses of tetanus toxoid during last pregnancy Doses of tetanus toxoid during last pregnancy Doses of tetanus toxoid during last pregnancy If yes: How many times did you receive this anti-tetanus injection during your last pregnancy? How many TT doses during last pregnancy were reported in TT3? At least two TT injections during last pregnancy. Go to Next Module Fewer than two TT injections during last pregnancy. Continue with TT5 Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 98 DK 99 Missing Any tetanus toxoid injection before last pregnancy Any tetanus toxoid injection before last pregnancy Any tetanus toxoid injection before last pregnancy Any tetanus toxoid injection before last pregnancy Any tetanus toxoid injection before last pregnancy Did you receive any tetanus toxoid injection at any time before your last pregnancy? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Doses of tetanus toxoid before last pregnancy Doses of tetanus toxoid before last pregnancy Doses of tetanus toxoid before last pregnancy Doses of tetanus toxoid before last pregnancy Doses of tetanus toxoid before last pregnancy How many times did you receive it? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 98 DK 99 Missing Month last tetanus toxoid received Month last tetanus toxoid received Month last tetanus toxoid received Month last tetanus toxoid received Month last tetanus toxoid received In what month and year did you receive the last anti-tetanus injection before that last pregnancy? Skip to next module only if year of injection is given. Otherwise, continue with TT8. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 97 Inconsistent 98 DK 99 Missing Year last tetanus toxoid received Year last tetanus toxoid received Year last tetanus toxoid received Year last tetanus toxoid received Year last tetanus toxoid received In what month and year did you receive the last anti-tetanus injection before that last pregnancy? Skip to next module only if year of injection is given. Otherwise, continue with TT8. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 9997 Inconsistent 9998 DK 9999 Missing Years ago last tetanus toxoid received Years ago last tetanus toxoid received Years ago last tetanus toxoid received Years ago last tetanus toxoid received Years ago last tetanus toxoid received How many years ago did you receive the last anti-tetanus injection before that last pregnancy? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 99 Missing Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Antenatal care: Doctor Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing A Doctor Antenatal care: Nurse/midwife Antenatal care: Nurse/midwife Antenatal care: Nurse/midwife Antenatal care: Nurse/midwife Antenatal care: Nurse/midwife Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing B Nurse/midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing C Auxiliary/midwife Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing F Traditional birth attendance Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing G Community/health worker Antenatal care: Relative/friend Antenatal care: Relative/friend Antenatal care: Relative/friend Antenatal care: Relative/friend Antenatal care: Relative/friend Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing H Relative/friend Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing X Other Antenatal care: No one Antenatal care: No one Antenatal care: No one Antenatal care: No one Antenatal care: No one Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing Y No one Weighed Weighed Weighed Weighed Weighed As part of your antenatal care, were any of the following done at least once? Were you weighed? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Blood pressure measured Blood pressure measured Blood pressure measured Blood pressure measured Blood pressure measured As part of your antenatal care, were any of the following done at least once? Was your blood pressure measured? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Urine sample Urine sample Urine sample Urine sample Urine sample As part of your antenatal care, were any of the following done at least once? Did you give a urine sample? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Blood sample Blood sample Blood sample Blood sample Blood sample As part of your antenatal care, were any of the following done at least once? Did you give a blood sample? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus During any of the antenatal visits for the pregnancy, were you given any information or counseled about AIDS or the AIDS virus? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS I don't want to know the results, but were you tested for HIV/AIDS as part of your antenatal care? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Received result of HIV test Received result of HIV test Received result of HIV test Received result of HIV test Received result of HIV test I don't want to know the results, but did you get the results of the test? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing A Doctor Assistance at delivery: Nurse/midwife Assistance at delivery: Nurse/midwife Assistance at delivery: Nurse/midwife Assistance at delivery: Nurse/midwife Assistance at delivery: Nurse/midwife Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing B Nurse/midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing C Auxiliary/midwife Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing F Traditional birth attendance Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing G Community/health worker Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing H Relative/friend Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing X Other Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing Y No one Place of delivery Place of delivery Place of delivery Place of delivery Place of delivery Where did you give birth to (NAME)? If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 11 Resondent's home 12 Other home 21 Government hospital 22 Government clinic/health center 26 Other public 31 Private hospital 32 Private clinic 36 Other private medical 96 Other 99 Missing Size of child at birth Size of child at birth Size of child at birth Size of child at birth Size of child at birth When your last child (name) was born, was he/she very large, larger than average, average, smaller than average, or very small? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Very large 2 Larger than average 3 Average 4 Smaller than average 5 Very small 8 DK 9 Missing Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Was (name) weighed at birth? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall How much did (name) weigh? Record weight from health card, if available. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Card 2 Recall 7 Inconsistent 9 Missing Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) How much did (name) weigh? Record weight from health card, if available. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 9.998 DK 9.999 Missing Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Did you ever breastfeed (name)? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) How long after birth did you first put (name) to the breast? If less than 1 hour, record '00' hours. If less than 24 hours, record hours. Otherwise, record days. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey Immediately 1 Hours 2 Days 9 Missing Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) How long after birth did you first put (name) to the breast? If less than 1 hour, record '00' hours. If less than 24 hours, record hours. Otherwise, record days. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 98 DK 99 Missing Currently married or living with a man Currently married or living with a man Currently married or living with a man Currently married or living with a man Currently married or living with a man Are you currently married or living together with a man as if married? Women aged 15-49 1 Yes, currently married 2 Yes, living with a man 3 No, not in union 9 Missing Age of husband/partner Age of husband/partner Age of husband/partner Age of husband/partner Age of husband/partner How old was your husband/partner on his last birthday? Women aged 15-49 98 DK 99 Missing Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Ever married or lived with a man Have you ever been married or lived together with a man? Women aged 15-49 1 Yes, formerly married 2 Yes, formerly lived with a man 3 No 9 Missing Marital status Marital status Marital status Marital status Marital status What is your marital status now: are you widowed, divorced or separated? Women aged 15-49 1 Widowed 2 Divorced 3 Separated 9 Missing Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Married or lived with a man once or more than once Have you been married or lived with a man only once or more than once? Women aged 15-49 1 Only once 2 More than once 9 Missing Month of first union Month of first union Month of first union Month of first union Month of first union In what month and year did you first marry or start living with a man as if married? Women aged 15-49 97 Inconsistent 98 DK 99 Missing Year of first union Year of first union Year of first union Year of first union Year of first union In what month and year did you first marry or start living with a man as if married? Women aged 15-49 9997 Inconsistent 9998 DK 9999 Missing Age at first union Age at first union Age at first union Age at first union Age at first union Check MA6: Both month and year of marriage/union known? Go to Next Module Either month or year of marriage/union not known? Continue with MA8 How old were you when you started living with your first husband/partner? Women aged 15-49 97 Inconsistent 98 DK 99 Missing Currently pregnant Currently pregnant Currently pregnant Currently pregnant Currently pregnant I would like to talk with you about another subject - family planning - and your reproductive health. Are you pregnant now? Women aged 15-49 1 Yes, currently pregnant 2 No 8 Unsure or DK 9 Missing Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Some people use various ways or methods to delay or avoid a pregnancy. Are you currently doing something or using any method to delay or avoid getting pregnant? Women aged 15-49 1 Yes 2 No 9 Missing Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing A Female sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing B Male sterilization Current method: Pill Current method: Pill Current method: Pill Current method: Pill Current method: Pill Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing C PILL Current method: IUD Current method: IUD Current method: IUD Current method: IUD Current method: IUD Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing D IUD Current method: Injections Current method: Injections Current method: Injections Current method: Injections Current method: Injections Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing E Injections Current method: Implants Current method: Implants Current method: Implants Current method: Implants Current method: Implants Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing F Implants Current method: Condom Current method: Condom Current method: Condom Current method: Condom Current method: Condom Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing G Condom Current method: Lactational amenorrhea method Current method: Lactational amenorrhea method Current method: Lactational amenorrhea method Current method: Lactational amenorrhea method Current method: Lactational amenorrhea method Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing K Lactational amenorrhoea (LAM) Current method: Periodic abstinence Current method: Periodic abstinence Current method: Periodic abstinence Current method: Periodic abstinence Current method: Periodic abstinence Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing L Periodic abstinence Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing M Withdrawal Current method: Other Current method: Other Current method: Other Current method: Other Current method: Other Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing X Other Ever heard of HIV or AIDS Ever heard of HIV or AIDS Ever heard of HIV or AIDS Ever heard of HIV or AIDS Ever heard of HIV or AIDS Now I would like to talk with you about something else. Have you ever heard of the virus HIV or an illness called AIDS? Women aged 15-49 1 Yes 2 No 9 Missing Can avoid AIDS by having one unifected partner Can avoid AIDS by having one unifected partner Can avoid AIDS by having one unifected partner Can avoid AIDS by having one unifected partner Can avoid AIDS by having one unifected partner Can people protect themselves from getting infected with the AIDS virus by having one sex partner who is not infected and also has no other partners? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS through supernatural means Can get AIDS through supernatural means Can get AIDS through supernatural means Can get AIDS through supernatural means Can get AIDS through supernatural means Can people get infected with the AIDS virus because of witchcraft or other supernatural means? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can people reduce their chance of getting the AIDS virus by using a condom every time they have sex? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can people get the AIDS virus from mosquito bites? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can people reduce their chance of getting infected with the AIDS virus by not having sex at all? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can people get the AIDS virus by sharing food with a person who has AIDS? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can people get the AIDS virus by getting injections with a needle that was already used by someone else? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Healthy-looking person to have AIDS Healthy-looking person to have AIDS Healthy-looking person to have AIDS Healthy-looking person to have AIDS Healthy-looking person to have AIDS Is it possible for a healthy-looking person to have the AIDS virus? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy Can the AIDS virus be transmitted from a mother to a baby? During pregnancy? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery Can the AIDS virus be transmitted from a mother to a baby? During delivery? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk Can the AIDS virus be transmitted from a mother to a baby? By breastfeeding? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Should teacher with HIV/AIDS be allowed to teach in school Should teacher with HIV/AIDS be allowed to teach in school Should teacher with HIV/AIDS be allowed to teach in school Should teacher with HIV/AIDS be allowed to teach in school Should teacher with HIV/AIDS be allowed to teach in school If a female teacher has the AIDS virus but is not sick, should she be allowed to continue teaching in school? Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would you buy fresh vegetables from a shopkeeper or vendor if you knew that this person had the AIDS virus? Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member of your family became infected with the AIDS virus, would you want it to remain a secret? Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household If a member of your family became sick with the AIDS virus, would you be willing to care for him or her in your household? Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing Region Region Region Region Region Region: Households 2 Central (include BKK.) 3 North 4 Northeast 5 South Changwat/Province Changwat/Province Changwat/Province Changwat/Province Changwat/Province Area Area Area Area Area Area: Households 1 Urban 2 Rural PSU_NO PSU_NO PSU_NO PSU_NO PSU_NO Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Households Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent to HH questionnaire: Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members: Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 No.of children under age 5: Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Households Enu. Result Enu. Result Enu. Result Enu. Result Enu. Result After all questionnaires for the household have been completed, fill in the following information: Result of HH interview: Households 1 Completed 2 Refused 3 Not at home 4 HH not found/destroyed 6 Others Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water What is the main source of drinking water for members of your household? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 91 Bottled water 96 Other 99 Missing Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat What is the main source of water used by your household for other purposes such as cooking and handwashing? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 96 Other 99 Missing Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back How long does it take to go there, get water, and come back? Households 995 On premises 998 DK 999 Missing Person fetching water Person fetching water Person fetching water Person fetching water Person fetching water Who usually goes to this source to fetch the water for your household? Probe: Is this person under age 15? What sex? Circle code that best describes this person. Households 1 Adult woman 2 Adult man 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Do you treat your water in any way to make it safer to drink? Households 1 Yes 2 No 8 DK 9 Missing Boil Boil Boil Boil Boil What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing A Boil Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing B Add bleach/chlorine Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing C Strain it through a cloth Use water filter Use water filter Use water filter Use water filter Use water filter What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing D Use water filter Solar disinfection Solar disinfection Solar disinfection Solar disinfection Solar disinfection What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing E Solar disinfection Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing F Let it stand and settle Other Other Other Other Other What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing X Other DK DK DK DK DK What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing Z DK Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to? If necessary, ask permission to observe the facility. Households 11 Flush to piped sewer system 12 Flush to septic tank 13 Flush to pit (latrine) 14 Flush to somewhere else 15 Flush to unknown place/not sure/DK where 22 Pit latrine with slab 23 Pit latrine without slab/open pit 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do you share this facility with other households? Households 1 Yes 2 No 9 Missing Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility How many households in total use this toilet facility? Households 10 Ten or more households 98 DK 99 Missing Religion of head Religion of head Religion of head Religion of head Religion of head What is the religion of the head of this household? Households 1 Buddhist 2 Muslim 3 Christian 6 Other religion 7 No religion 9 Missing Language Language Language Language Language What is the mother tongue/native language of the head of this household? Households 1 Thai 2 Other Languages 3 Missing Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head To what ethnic group does the head of this household belong? Households 1 Thai 2 Cambodia 3 Loas 4 China 5 Myanmar 6 Other Ethnic 7 Hill Tribe 9 Missing Head of occupation Head of occupation Head of occupation Head of occupation Head of occupation 1 Government Officer 2 State Enterprises Officer 3 Private Officer 4 Business 5 Agriculturist 6 Labourer 7 Other 9 Missing Mean of income Mean of income Mean of income Mean of income Mean of income 1 Lower 10000 2 10000-19999 3 20000-29999 4 30000-39999 5 40000-49999 6 Upper 50000 9 Missing Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping How many rooms in this household are used for sleeping? Households 99 Missing Main material of floor Main material of floor Main material of floor Main material of floor Main material of floor Main material of the dwelling floor: Record observation. Households 11 Earth/sand 21 Wood planks 22 Palm/bamboo 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 36 Marble 37 Polished stone 96 Other 99 Missing Main material of roof Main material of roof Main material of roof Main material of roof Main material of roof Main material of the roof. Record observation. Households 11 No roof 12 Thatch/palm leaf 13 Sod 22 Palm/bamboo 23 Wood Planks 31 Metal 33 Calamine/cement fiber 34 Ceramic tiles 35 Cement 36 Roofing shingles 96 Other 99 Missing Main material of wall Main material of wall Main material of wall Main material of wall Main material of wall Main material of the walls. Record observation. Households 11 No walls 12 Cane/palm/trunks 13 Dirt 24 Plywood 25 Carton 26 Reused wood 27 Bamboo 31 Cement 32 Stone with lime/cement 33 Bricks 34 Cement blocks 36 Wood planks/shingles 37 Zinc 38 Tile 39 Shera wood 96 Other 99 Missing Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking What type of fuel does your household mainly use for cooking? Households 1 Electricity 2 Liquid propane gas (LPG) 4 Biogas 5 Kerosene 6 Coal/lignite 7 Charcoal 8 Wood 9 Straw/shrubs/grass 10 Animal dung 11 Agricultural crop residue 96 Other 97 No Cooking 99 Missing Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire In this household, is food cooked on an open fire, an open stove or a closed stove? Probe for type. Households 1 Open fire 2 Open stove 3 Closed stove 6 Other 9 Missing Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire/stove have a chimney or a hood? Households 1 Yes 2 No 9 Missing Cooking location Cooking location Cooking location Cooking location Cooking location Is the cooking usually done in the house, in a separate building, or outdoors? Households 1 In the house 2 In a separate bulding 3 Outdoors 4 Terrace 6 Other 9 Missing Electricity Electricity Electricity Electricity Electricity Does your household have: Households 1 Yes 2 No 9 Missing Radio Radio Radio Radio Radio Does your household have: Households 1 Yes 2 No 9 Missing Television Television Television Television Television Does your household have: Households 1 Yes 2 No 9 Missing Mobile phone Mobile phone Mobile phone Mobile phone Mobile phone Does your household have: Households 1 Yes 2 No 9 Missing Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Does your household have: Households 1 Yes 2 No 9 Missing Refrigerator Refrigerator Refrigerator Refrigerator Refrigerator Does your household have: Households 1 Yes 2 No 9 Missing Computer Computer Computer Computer Computer Watch Watch Watch Watch Watch Does any member of your household own: Households 1 Yes 2 No 9 Missing Bicycle Bicycle Bicycle Bicycle Bicycle Does any member of your household own: Households 1 Yes 2 No 9 Missing Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Does any member of your household own: Households 1 Yes 2 No 9 Missing Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Does any member of your household own: Households 1 Yes 2 No 9 Missing Car or truck Car or truck Car or truck Car or truck Car or truck Does any member of your household own: Households 1 Yes 2 No 9 Missing Boat with motor Boat with motor Boat with motor Boat with motor Boat with motor Does any member of your household own: Households 1 Yes 2 No 9 Missing Women's sample weight Women's sample weight Women's sample weight Women's sample weight Women's sample weight Recoded variable Women aged 15-49 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 Recoded variable Children aged 0-4 wealth index quintiles wealth index quintiles wealth index quintiles wealth index quintiles wealth index quintiles Recoded variable Children aged 0-4 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) Date of interview women (CMC) Recoded variable Women aged 15-49 Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Recoded variable Women aged 15-49 Age Age Age Age Age Recoded variable Women aged 15-49 1 15-19 2 20-24 3 25-29 4 30-34 5 35-39 6 40-44 7 45-49 Age at first marriage/union Age at first marriage/union Age at first marriage/union Age at first marriage/union Age at first marriage/union Recoded variable Women aged 15-49 Marital/Union status Marital/Union status Marital/Union status Marital/Union status Marital/Union status Recoded variable Women aged 15-49 1 Currently married/in union 2 Formerly married/in union 3 Never married/in union Mother's education Mother's education Mother's education Mother's education Mother's education Recoded variable Children aged 0-4 1 None 2 Primary 3 Secondary + The variable is created from information collected on educational level in the HL file. See makewm.sps in the data processing folder under technical information. Children ever born Children ever born Children ever born Children ever born Children ever born Recoded variable Women aged 15-49 Obtained from infomation provided in the child mortality module of the women's questionnaire. See the makewm.sps in the data processing folder under technical information. Dead children Dead children Dead children Dead children Dead children Recoded variable Women aged 15-49 Obtained from infomation provided in the child mortality module of the women's questionnaire. See the makewm.sps in the data processing folder under technical information. Cluster number Cluster number Cluster number Cluster number Cluster number We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. During this time I would like to speak with the household head and all mothers or others who take care of children in the household. May I start now? If permission is given, begin the interview. Cluster number: Households Unique identifier for the cluster in which the household exists Household number Household number Household number Household number Household number Household number: Households Houshold number within the cluster Line number Line number Line number Line number Line number Child's line number: Children aged 0-4 Cluster number Cluster number Cluster number Cluster number Cluster number Cluster number: Children aged 0-4 Household number Household number Household number Household number Household number Household number: Children aged 0-4 Child's line number Child's line number Child's line number Child's line number Child's line number Child's line number: Children aged 0-4 Caretaker's line number Caretaker's line number Caretaker's line number Caretaker's line number Caretaker's line number Mother's/Caretaker's Line Number: Children aged 0-4 Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Children aged 0-4 Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Children aged 0-4 Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Children aged 0-4 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for children under 5 Children aged 0-4 1 Completed 2 Not at home 3 Refused 5 Incapacitated 6 Other Day of birth of child Day of birth of child Day of birth of child Day of birth of child Day of birth of child Repeat greeting if not already read to this respondent: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit. Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday? If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day. Children aged 0-4 97 Inconsistent 98 DK 99 Missing Month of birth of child Month of birth of child Month of birth of child Month of birth of child Month of birth of child Repeat greeting if not already read to this respondent: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit. Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday? If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day. Children aged 0-4 97 Inconsistent 98 DK 99 Missing Year of birth of child Year of birth of child Year of birth of child Year of birth of child Year of birth of child Repeat greeting if not already read to this respondent: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit. Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday? If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day. Children aged 0-4 9997 Inconsistent 9998 DK 9999 Missing Age of child Age of child Age of child Age of child Age of child How old was (NAME) at his/her last birthday? Record age in completed years. Children aged 0-4 Child has birth certificate Child has birth certificate Child has birth certificate Child has birth certificate Child has birth certificate Does (name) have a birth certificate? May I see it? Children aged 0-4 1 Yes, seen 2 Yes, not seen 3 No 8 DK 9 Missing Child registered Child registered Child registered Child registered Child registered Has (name's) birth been registered with the civil authorities? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Reason birth not registered Reason birth not registered Reason birth not registered Reason birth not registered Reason birth not registered Why is (name's) birth not registered? Children aged 0-4 1 Costs too much 2 Must travel too far 3 Did not know it should be registered 4 Late, and did not want to pay fine 5 Does not know where to register 6 Other 8 DK 9 Missing Know how to register birth Know how to register birth Know how to register birth Know how to register birth Know how to register birth Do you know how to register your child's birth? Children aged 0-4 1 Yes 2 No 9 Missing Child attends early childhood education programme Child attends early childhood education programme Child attends early childhood education programme Child attends early childhood education programme Child attends early childhood education programme BR5. Check age of child in UF11: Child is 3 or 4 years old? Yes. Continue with BR6 No. Go to BR8 Does (name) attend any organized learning or early childhood education programme, such as a private or government facility, including kindergarten or community child care? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Hours attended education in last 7 days Hours attended education in last 7 days Hours attended education in last 7 days Hours attended education in last 7 days Hours attended education in last 7 days Within the last seven days, about how many hours did (name) attend? Children aged 0-4 98 DK 99 Missing Books-Mother Books-Mother Books-Mother Books-Mother Books-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Read books or look at picture books with (name)? Children aged 0-4 ? Missing A Mother Books-Father Books-Father Books-Father Books-Father Books-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Read books or look at picture books with (name)? Children aged 0-4 ? Missing B Father Books-Other Books-Other Books-Other Books-Other Books-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Read books or look at picture books with (name)? Children aged 0-4 ? Missing X Other Books-No one Books-No one Books-No one Books-No one Books-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Read books or look at picture books with (name)? Children aged 0-4 ? Missing Y No one Stories-Mother Stories-Mother Stories-Mother Stories-Mother Stories-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Tell stories to (name)? Children aged 0-4 ? Missing A Mother Stories-Father Stories-Father Stories-Father Stories-Father Stories-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Tell stories to (name)? Children aged 0-4 ? Missing B Father Stories-Other Stories-Other Stories-Other Stories-Other Stories-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Tell stories to (name)? Children aged 0-4 ? Missing X Other Stories-No one Stories-No one Stories-No one Stories-No one Stories-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Tell stories to (name)? Children aged 0-4 ? Missing Y No one Songs-Mother Songs-Mother Songs-Mother Songs-Mother Songs-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Sing songs with (name)? Children aged 0-4 ? Missing A Mother Songs-Father Songs-Father Songs-Father Songs-Father Songs-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Sing songs with (name)? Children aged 0-4 ? Missing B Father Songs-Other Songs-Other Songs-Other Songs-Other Songs-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Sing songs with (name)? Children aged 0-4 ? Missing X Other Songs-No one Songs-No one Songs-No one Songs-No one Songs-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Sing songs with (name)? Children aged 0-4 ? Missing Y No one Outside-Mother Outside-Mother Outside-Mother Outside-Mother Outside-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Take (name) outside the home, compound, yard or enclosure? Children aged 0-4 ? Missing A Mother Outside-Father Outside-Father Outside-Father Outside-Father Outside-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Take (name) outside the home, compound, yard or enclosure? Children aged 0-4 ? Missing B Father Outside-Other Outside-Other Outside-Other Outside-Other Outside-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Take (name) outside the home, compound, yard or enclosure? Children aged 0-4 ? Missing X Other Outside-No one Outside-No one Outside-No one Outside-No one Outside-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Take (name) outside the home, compound, yard or enclosure? Children aged 0-4 ? Missing Y No one Play-Mother Play-Mother Play-Mother Play-Mother Play-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Play with (name)? Children aged 0-4 ? Missing A Mother Play-Father Play-Father Play-Father Play-Father Play-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Play with (name)? Children aged 0-4 ? Missing B Father Play-Other Play-Other Play-Other Play-Other Play-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Play with (name)? Children aged 0-4 ? Missing X Other Play-No one Play-No one Play-No one Play-No one Play-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Play with (name)? Children aged 0-4 ? Missing Y No one Naming-Mother Naming-Mother Naming-Mother Naming-Mother Naming-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Spend time with (name) naming, counting, and/or drawing things? Children aged 0-4 ? Missing A Mother Naming-Father Naming-Father Naming-Father Naming-Father Naming-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Spend time with (name) naming, counting, and/or drawing things? Children aged 0-4 ? Missing B Father Naming-Other Naming-Other Naming-Other Naming-Other Naming-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Spend time with (name) naming, counting, and/or drawing things? Children aged 0-4 ? Missing X Other Naming-No one Naming-No one Naming-No one Naming-No one Naming-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Spend time with (name) naming, counting, and/or drawing things? Children aged 0-4 ? Missing Y No one How many books are there in the household How many books are there in the household How many books are there in the household How many books are there in the household How many books are there in the household Question CE1 is to be administered only once to each caretaker How many books are there in the household? Please include schoolbooks, but not other books meant for children, such as picture books If 'none' enter 00 Children aged 0-4 10 Ten or more books 99 Missing How many children books or picture books do you have for him How many children books or picture books do you have for him How many children books or picture books do you have for him How many children books or picture books do you have for him How many children books or picture books do you have for him How many children's books or picture books do you have for (name)? If 'none' enter 00 Children aged 0-4 10 Ten or more books 99 Missing Bowls, plate, cups ,pots Bowls, plate, cups ,pots Bowls, plate, cups ,pots Bowls, plate, cups ,pots Bowls, plate, cups ,pots I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with household objects, such as bowls, plates, cups or pots? Children aged 0-4 ? Missing A Household objects Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with objects and materials found outside the living quarters, such as sticks, rocks, animals, shells, or leaves? Children aged 0-4 ? Missing B Outside objects Homemae toys Homemae toys Homemae toys Homemae toys Homemae toys I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with homemade toys, such as dolls, cars and other toys made at home? Children aged 0-4 ? Missing C Homemade toys Toys that came from a store Toys that came from a store Toys that came from a store Toys that came from a store Toys that came from a store I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with toys that came from a store? Children aged 0-4 ? Missing D Store bought toys No playthings mentioned No playthings mentioned No playthings mentioned No playthings mentioned No playthings mentioned I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with household objects, such as bowls, plates, cups or pots? If the respondent says "YES" to any of the prompted categories, then probe to learn specifically what the child plays with to ascertain the response Code Y if child does not play with any of the items mentioned. Children aged 0-4 ? Missing Y No playthings mentioned How many time was he/her left in the care of another child How many time was he/her left in the care of another child How many time was he/her left in the care of another child How many time was he/her left in the care of another child How many time was he/her left in the care of another child Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children with others. since last (day of the week) how many times was (name) left in the care of another child (that is, someone less than 10 years old)? If 'none' enter 00 Children aged 0-4 98 DK 99 Missing How many time he was left alone How many time he was left alone How many time he was left alone How many time he was left alone How many time he was left alone In the past week, how many times was (name) left alone? If 'none' enter 00 Children aged 0-4 98 DK 99 Missing Child ever been breastfed Child ever been breastfed Child ever been breastfed Child ever been breastfed Child ever been breastfed Has (name) ever been breastfed? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child still being breastfed Child still being breastfed Child still being breastfed Child still being breastfed Child still being breastfed Is he/she still being breastfed? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received vitamin, mineral supplements or medicine Child received vitamin, mineral supplements or medicine Child received vitamin, mineral supplements or medicine Child received vitamin, mineral supplements or medicine Child received vitamin, mineral supplements or medicine Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Vitamin, mineral supplements or medicine? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received plain water Child received plain water Child received plain water Child received plain water Child received plain water Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Plain water? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received sweetened water or juice Child received sweetened water or juice Child received sweetened water or juice Child received sweetened water or juice Child received sweetened water or juice Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Sweetened, flavoured water or fruit juice or tea or infusion? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received oral rehydration solution Child received oral rehydration solution Child received oral rehydration solution Child received oral rehydration solution Child received oral rehydration solution Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Oral rehydration solution (ORS)? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received infant formula Child received infant formula Child received infant formula Child received infant formula Child received infant formula Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Infant formula? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received milk Child received milk Child received milk Child received milk Child received milk Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Tinned, powdered or fresh milk? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received other liquids Child received other liquids Child received other liquids Child received other liquids Child received other liquids Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Any other liquids? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child received solid or mushy food Child received solid or mushy food Child received solid or mushy food Child received solid or mushy food Child received solid or mushy food Since this time yesterday, did he/she receive any of the following: Read each item aloud and record response before proceeding to the next item. Solid or semi-solid (mushy) food? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Time ate solid, semisolid or soft food other than liquids Time ate solid, semisolid or soft food other than liquids Time ate solid, semisolid or soft food other than liquids Time ate solid, semisolid or soft food other than liquids Time ate solid, semisolid or soft food other than liquids Check BF3H: Child received solid or semi-solid (mushy) food? Yes. Continue with BF5 No or DK. Go to Next Module Since this time yesterday, how many times did (NAME) eat solid, semisolid, or soft foods other than liquids? If 7 or more times, record '7'. Children aged 0-4 7 7+ 8 DK 9 Missing Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Child had diarrhoea in last 2 weeks Has (name) had diarrhoea in the last two weeks, that is, since (day of the week) of the week before last? Diarrhoea is determined as perceived by mother or caretaker, or as three or more loose or watery stools per day, or blood in stool. Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) Drank fluid made from special packet (ORS) During this last episode of diarrhoea, did (name) drink any of the following: Read each item aloud and record response before proceeding to the next item. A fluid made from a special packet called (local name for ORS packet solution)? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Government-recommended homemade fluid Government-recommended homemade fluid Government-recommended homemade fluid Government-recommended homemade fluid Government-recommended homemade fluid During this last episode of diarrhoea, did (name) drink any of the following: Read each item aloud and record response before proceeding to the next item. Government-recommended homemade fluid? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea Pre-packaged ORS fluid for diarrhoea During this last episode of diarrhoea, did (name) drink any of the following: Read each item aloud and record response before proceeding to the next item. A pre-packaged ORS fluid for diarrhoea? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness During (name's) illness, did he/she drink much less, about the same, or more than usual? Children aged 0-4 1 Much less or none 2 About the same (or somewhat less) 3 More 8 DK 9 Missing Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness During (name's) illness, did he/she eat less, about the same, or more food than usual? If "less", probe: Much less or a little less? Children aged 0-4 1 None 2 Much less 3 Somewhat less 4 About the same 5 More 8 DK 9 Missing Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Has (name) had an illness with a cough at any time in the last two weeks, that is, since (day of the week) of the week before last? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough When (name) had an illness with a cough, did he/she breathe faster than usual with short, quick breaths or have difficulty breathing? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Were the symptoms due to a problem in the chest or a blocked nose? Children aged 0-4 1 Problem in chest 2 Blocked nose 3 Both 6 Other 8 DK 9 Missing Sought advice or teatment for illness Sought advice or teatment for illness Sought advice or teatment for illness Sought advice or teatment for illness Sought advice or teatment for illness Did you seek advice or treatment for the illness outside the home? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Place sought advice or treatment Place sought advice or treatment Place sought advice or treatment Place sought advice or treatment Place sought advice or treatment Advice Govt. hospital Advice Govt. hospital Advice Govt. hospital Advice Govt. hospital Advice Govt. hospital From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing A Govt. hospital Advice Govt. health centre Advice Govt. health centre Advice Govt. health centre Advice Govt. health centre Advice Govt. health centre From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing B Govt. health centre Advice Govt. health post Advice Govt. health post Advice Govt. health post Advice Govt. health post Advice Govt. health post From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing C Govt. health post Advice Village health worker Advice Village health worker Advice Village health worker Advice Village health worker Advice Village health worker From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing D Village health worker Advice Mobile/outreach clinic Advice Mobile/outreach clinic Advice Mobile/outreach clinic Advice Mobile/outreach clinic Advice Mobile/outreach clinic From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing E Mobile/outreach clinic Advice Other public sources Advice Other public sources Advice Other public sources Advice Other public sources Advice Other public sources From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing H Other public sources Advice Private hospital/clinic Advice Private hospital/clinic Advice Private hospital/clinic Advice Private hospital/clinic Advice Private hospital/clinic From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing I Private hospital/clinic Advice Private phusician Advice Private phusician Advice Private phusician Advice Private phusician Advice Private phusician From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing J Private physician Advice Private pharmacy Advice Private pharmacy Advice Private pharmacy Advice Private pharmacy Advice Private pharmacy From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing K Private pharmacy Advice Mobile clinic Advice Mobile clinic Advice Mobile clinic Advice Mobile clinic Advice Mobile clinic From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing L Mobile clinic Advice Other private medical Advice Other private medical Advice Other private medical Advice Other private medical Advice Other private medical From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing O Other private medical Advice Relative or friend Advice Relative or friend Advice Relative or friend Advice Relative or friend Advice Relative or friend From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing P Relative or friend Advice Shop Advice Shop Advice Shop Advice Shop Advice Shop From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing Q Shop Advice Traditional practitioner Advice Traditional practitioner Advice Traditional practitioner Advice Traditional practitioner Advice Traditional practitioner From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing R Traditional practitioner Advice Other Advice Other Advice Other Advice Other Advice Other From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing X Other Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Was (name) given medicine to treat this illness? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Medicine given to treat illness Medicine given to treat illness Medicine given to treat illness Medicine given to treat illness Medicine given to treat illness Medicine Antibiotic Medicine Antibiotic Medicine Antibiotic Medicine Antibiotic Medicine Antibiotic What medicine was (name) given? Circle all medicines given. Children aged 0-4 ? Missing A Antibiotic Medicine Paracetamol/Panadol/Acetaminophen Medicine Paracetamol/Panadol/Acetaminophen Medicine Paracetamol/Panadol/Acetaminophen Medicine Paracetamol/Panadol/Acetaminophen Medicine Paracetamol/Panadol/Acetaminophen What medicine was (name) given? Circle all medicines given. Children aged 0-4 ? Missing P Paracetamol/Panadol/Acetaminophenc Medicine Aspirin Medicine Aspirin Medicine Aspirin Medicine Aspirin Medicine Aspirin What medicine was (name) given? Circle all medicines given. Children aged 0-4 ? Missing Q Aspirin Medicine Ibupropfen Medicine Ibupropfen Medicine Ibupropfen Medicine Ibupropfen Medicine Ibupropfen What medicine was (name) given? Circle all medicines given. Children aged 0-4 ? Missing R Ibuprppfen Medicine Other Medicine Other Medicine Other Medicine Other Medicine Other What medicine was (name) given? Circle all medicines given. Children aged 0-4 ? Missing X Other Medicine DK Medicine DK Medicine DK Medicine DK Medicine DK What medicine was (name) given? Circle all medicines given. Children aged 0-4 ? Missing Z DK What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools What was done to dispose of the stools Check UF11: Child aged under 3? Yes. Continue with CA13 No. Go to CA14 The last time (name) passed stools, what was done to dispose of the stools? Children aged 0-4 1 Child used toilet/latrine 2 Put/rinsed into toilet or latrine 3 Put/rinsed into drain or ditch 4 Thrown into garbage (solid waste) 5 Buried 6 Left in the open 96 Other 98 DK 99 Missing What type of symptoms would cause to take him to a health fa What type of symptoms would cause to take him to a health fa What type of symptoms would cause to take him to a health fa What type of symptoms would cause to take him to a health fa What type of symptoms would cause to take him to a health fa Child not able to drink or breastfeed Child not able to drink or breastfeed Child not able to drink or breastfeed Child not able to drink or breastfeed Child not able to drink or breastfeed Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing A Child not able to drink or breastfeed Child becomes sicker Child becomes sicker Child becomes sicker Child becomes sicker Child becomes sicker Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing B Child Becomes sicker Child develops a fever Child develops a fever Child develops a fever Child develops a fever Child develops a fever Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing C Child develops a fever Child has fast breathing Child has fast breathing Child has fast breathing Child has fast breathing Child has fast breathing Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing D Child has fast breathing Child has difficult breathing Child has difficult breathing Child has difficult breathing Child has difficult breathing Child has difficult breathing Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing E Child has difficult breathing Child has blood in stool Child has blood in stool Child has blood in stool Child has blood in stool Child has blood in stool Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing F Child has blood in stool Child is drinking poorly Child is drinking poorly Child is drinking poorly Child is drinking poorly Child is drinking poorly Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing G Child is drinking poorly Child has fit, becomes rigid Child has fit, becomes rigid Child has fit, becomes rigid Child has fit, becomes rigid Child has fit, becomes rigid Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing X Child has fit, becomes rigid Child vomits Child vomits Child vomits Child vomits Child vomits Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing Y Child vomits Other Other Other Other Other Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing Z Other Vaccination card for child Vaccination card for child Vaccination card for child Vaccination card for child Vaccination card for child If an immunization card is available, copy the dates in IM2-IM8 for each type of immunization or vitamin A dose recorded on the card. IM10-IM18 are for recording vaccinations that are not recorded on the card. IM10-IM18 will only be asked when a card is not available. Is there a vaccination card for (name)? Children aged 0-4 1 Yes, seen 2 Yes, not seen 3 No 9 Missing Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization Day of BCG immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization BCG Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization Month of BCG immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization BCG Children aged 0-4 97 Inconsistency 99 Missing Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization Year of BCG immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization BCG Children aged 0-4 9997 Inconsistency 9999 Missing Day of OPV1 immunization Day of OPV1 immunization Day of OPV1 immunization Day of OPV1 immunization Day of OPV1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 1 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of OPV1 immunization Month of OPV1 immunization Month of OPV1 immunization Month of OPV1 immunization Month of OPV1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 1 Children aged 0-4 97 Inconsistency 99 Missing Year of OPV1 immunization Year of OPV1 immunization Year of OPV1 immunization Year of OPV1 immunization Year of OPV1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 1 Children aged 0-4 9997 Inconsistency 9999 Missing Day of OPV2 immunization Day of OPV2 immunization Day of OPV2 immunization Day of OPV2 immunization Day of OPV2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 2 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of OPV2 immunization Month of OPV2 immunization Month of OPV2 immunization Month of OPV2 immunization Month of OPV2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 2 Children aged 0-4 97 Inconsistency 99 Missing Year of OPV2 immunization Year of OPV2 immunization Year of OPV2 immunization Year of OPV2 immunization Year of OPV2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 2 Children aged 0-4 9997 Inconsistency 9999 Missing Day of OPV3 immunization Day of OPV3 immunization Day of OPV3 immunization Day of OPV3 immunization Day of OPV3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 3 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of OPV3 immunization Month of OPV3 immunization Month of OPV3 immunization Month of OPV3 immunization Month of OPV3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 3 Children aged 0-4 97 Inconsistency 99 Missing Year of OPV3 immunization Year of OPV3 immunization Year of OPV3 immunization Year of OPV3 immunization Year of OPV3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Polio 3 Children aged 0-4 9997 Inconsistency 9999 Missing Day of OPV4 immunization Day of OPV4 immunization Day of OPV4 immunization Day of OPV4 immunization Day of OPV4 immunization Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of OPV4 immunization Month of OPV4 immunization Month of OPV4 immunization Month of OPV4 immunization Month of OPV4 immunization 97 Inconsistency 99 Missing Year of OPV4 immunization Year of OPV4 immunization Year of OPV4 immunization Year of OPV4 immunization Year of OPV4 immunization 9997 Inconsistency 9999 Missing Day of OPV5 immunization Day of OPV5 immunization Day of OPV5 immunization Day of OPV5 immunization Day of OPV5 immunization Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of OPV5 immunization Month of OPV5 immunization Month of OPV5 immunization Month of OPV5 immunization Month of OPV5 immunization 97 Inconsistency 99 Missing Year of OPV5 immunization Year of OPV5 immunization Year of OPV5 immunization Year of OPV5 immunization Year of OPV5 immunization 9997 Inconsistency 9999 Missing Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization Day of DPT1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 1 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization Month of DPT1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 1 Children aged 0-4 97 Inconsistency 99 Missing Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization Year of DPT1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 1 Children aged 0-4 9997 Inconsistency 9999 Missing Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization Day of DPT2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 2 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization Month of DPT2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 2 Children aged 0-4 97 Inconsistency 99 Missing Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization Year of DPT2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 2 Children aged 0-4 9997 Inconsistency 9999 Missing Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization Day of DPT3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 3 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization Month of DPT3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 3 Children aged 0-4 97 Inconsistency 99 Missing Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization Year of DPT3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization DPT 3 Children aged 0-4 9997 Inconsistency 9999 Missing Day of DPT4 immunization Day of DPT4 immunization Day of DPT4 immunization Day of DPT4 immunization Day of DPT4 immunization Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of DPT4 immunization Month of DPT4 immunization Month of DPT4 immunization Month of DPT4 immunization Month of DPT4 immunization 97 Inconsistency 99 Missing Year of DPT4 immunization Year of DPT4 immunization Year of DPT4 immunization Year of DPT4 immunization Year of DPT4 immunization 9997 Inconsistency 9999 Missing Day of DPT5 immunization Day of DPT5 immunization Day of DPT5 immunization Day of DPT5 immunization Day of DPT5 immunization Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of DPT5 immunization Month of DPT5 immunization Month of DPT5 immunization Month of DPT5 immunization Month of DPT5 immunization 97 Inconsistency 99 Missing Year of DPT5 immunization Year of DPT5 immunization Year of DPT5 immunization Year of DPT5 immunization Year of DPT5 immunization 9997 Inconsistency 9999 Missing Day of HepB1 or DPTHepB1 immunization Day of HepB1 or DPTHepB1 immunization Day of HepB1 or DPTHepB1 immunization Day of HepB1 or DPTHepB1 immunization Day of HepB1 or DPTHepB1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB1 (or DPTHepB1) Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB1 (or DPTHepB1) Children aged 0-4 97 Inconsistency 99 Missing Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB1 (or DPTHepB1) Children aged 0-4 9997 Inconsistency 9999 Missing Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB2 (or DPTHepB2) Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB2 (or DPTHepB2) Children aged 0-4 97 Inconsistency 99 Missing Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB2 (or DPTHepB2) Children aged 0-4 9997 Inconsistency 9999 Missing Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB3 (or DPTHepB3) Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB3 (or DPTHepB3) Children aged 0-4 97 Inconsistency 99 Missing Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB3 (or DPTHepB3) Children aged 0-4 9997 Inconsistency 9999 Missing Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization Day measles or MMR immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Measles (or MMR) Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 97 Inconsistency 98 DK 99 Missing Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization Month Measles or MMR immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Measles (or MMR) Children aged 0-4 97 Inconsistency 99 Missing Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization Year of Measles or MMR immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization Measles (or MMR) Children aged 0-4 9997 Inconsistency 9999 Missing Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations Child received any other vaccinations In addition to the vaccinations and vitamin A capsules shown on this card, did (name) receive any other vaccinations - including vaccinations received in campaigns or immunization days? Record 'Yes' only if respondent mentions BCG, OPV 0-3, DPT 1-3, Hepatitis B 1-3, Measles, Yellow Fever vaccine(s), or Vitamin A supplements. (If yes, Probe for vaccinations and write '66' in the corresponding day column on IM2 to IM8B.) 1 Yes 2 No 8 DK 9 Missing Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a campaign or immunization day? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Has (name) ever been given a BCG vaccination against tuberculosis - that is, an injection in the arm or shoulder that caused a scar? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Has (name) ever been given any "vaccination drops in the mouth" to protect him/her from getting diseases - that is, polio? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Polio first given just after birth or later Polio first given just after birth or later Polio first given just after birth or later Polio first given just after birth or later Polio first given just after birth or later How old was he/she when the first dose was given - just after birth (within two weeks) or later? Children aged 0-4 1 Just after birth (within 2 weeks) 2 Later 9 Missing Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination Times child given Polio vaccination How many times has he/she been given these drops? Children aged 0-4 99 Missing Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Child ever given DPT vaccination Has (name) ever been given "DPT vaccination injections" - that is, an injection in the thigh or buttocks - to prevent him/her from getting tetanus, whooping cough, diphtheria? (sometimes given at the same time as polio) Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination Times child given DPT vaccination How many times? Children aged 0-4 99 Missing Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Child ever given Measles or MMR vaccination Has (name) ever been given "Measles vaccination injections" or MMR - that is, a shot in the arm at the age of 9 months or older - to prevent him/her from getting measles? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child participated in national immunization day A Child participated in national immunization day A Child participated in national immunization day A Child participated in national immunization day A Child participated in national immunization day A 1 Yes 2 No 8 DK 9 Missing Child's weight (kilograms) Child's weight (kilograms) Child's weight (kilograms) Child's weight (kilograms) Child's weight (kilograms) After questionnaires for all children are complete, the measurer weighs and measures each child. Record weight and length/height below, taking care to record the measurements on the correct questionnaire for each child. Check the child's name and line number on the household listing before recording measurements. Child's weight. Children aged 0-4 99.9 Missing Child measured lying or standing Child measured lying or standing Child measured lying or standing Child measured lying or standing Child measured lying or standing Child's length or height. Check age of child in UF11: Child under 2 years old. Measure length (lying down). Child age 2 or more years. Measure height (standing up). Children aged 0-4 1 Lying down 2 Standing up 9 Missing Child's length or height Child's length or height Child's length or height Child's length or height Child's length or height Child's length or height. Check age of child in UF11: Child under 2 years old. Measure length (lying down). Child age 2 or more years. Measure height (standing up). Children aged 0-4 999.9 Missing Result of measurement Result of measurement Result of measurement Result of measurement Result of measurement Result of measurement. Children aged 0-4 1 Measured 2 Not present 3 Refused 6 Other 7 Inconsistent 9 Missing Height for age percentile Height for age percentile Height for age percentile Height for age percentile Height for age percentile Recoded variable Is (name) male or female? Children aged 0-4 Height for age z-score Height for age z-score Height for age z-score Height for age z-score Height for age z-score Recoded variable Is (name) male or female? Children aged 0-4 Height for age percent of reference median Height for age percent of reference median Height for age percent of reference median Height for age percent of reference median Height for age percent of reference median Recoded variable Is (name) male or female? Children aged 0-4 Weight for age percentile Weight for age percentile Weight for age percentile Weight for age percentile Weight for age percentile Recoded variable Is (name) male or female? Children aged 0-4 Weight for age z-score Weight for age z-score Weight for age z-score Weight for age z-score Weight for age z-score Recoded variable Is (name) male or female? Children aged 0-4 Weight for age percent of reference median Weight for age percent of reference median Weight for age percent of reference median Weight for age percent of reference median Weight for age percent of reference median Recoded variable Is (name) male or female? Children aged 0-4 Weight for height percentile Weight for height percentile Weight for height percentile Weight for height percentile Weight for height percentile Recoded variable Is (name) male or female? Children aged 0-4 Weight for height z-score Weight for height z-score Weight for height z-score Weight for height z-score Weight for height z-score Recoded variable Is (name) male or female? Children aged 0-4 Weight for height percent of reference median Weight for height percent of reference median Weight for height percent of reference median Weight for height percent of reference median Weight for height percent of reference median Recoded variable Is (name) male or female? Children aged 0-4 Flag for anthropometric indicators Flag for anthropometric indicators Flag for anthropometric indicators Flag for anthropometric indicators Flag for anthropometric indicators Recoded variable Is (name) male or female? Children aged 0-4 No flag 1 Height for age 2 Weight for height 3 Weight for height, Height for age 4 Weight for age 5 Weight for age, Height for age 6 Weight for age, Weight for height 7 Weight for age, Weight for height, Height for age Sex Sex Sex Sex Sex Children aged 0-4 1 Male 2 Female Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended What is the highest level of school (name) attended? Children aged 0-4 Preschool/kindergarten 1 Primary 2 Secondary 3 Higher 6 Non-standard curriculum 8 DK 9 Missing Region Region Region Region Region Region: Households 2 Central (include BKK.) 3 North 4 Northeast 5 South Changwat/Province Changwat/Province Changwat/Province Changwat/Province Changwat/Province Area Area Area Area Area Area: Households 1 Urban 2 Rural PSU_NO PSU_NO PSU_NO PSU_NO PSU_NO Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Households Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent to HH questionnaire: Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members: Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 No.of children under age 5: Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Households Enu. Result Enu. Result Enu. Result Enu. Result Enu. Result After all questionnaires for the household have been completed, fill in the following information: Result of HH interview: Households 1 Completed 2 Refused 3 Not at home 4 HH not found/destroyed 6 Others Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water Main source of drinking water What is the main source of drinking water for members of your household? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 91 Bottled water 96 Other 99 Missing Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat Main source of water used for other purposes (if bottled wat What is the main source of water used by your household for other purposes such as cooking and handwashing? Households 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 81 Surface water 96 Other 99 Missing Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back Time to get water and come back How long does it take to go there, get water, and come back? Households 995 On premises 998 DK 999 Missing Person fetching water Person fetching water Person fetching water Person fetching water Person fetching water Who usually goes to this source to fetch the water for your household? Probe: Is this person under age 15? What sex? Circle code that best describes this person. Households 1 Adult woman 2 Adult man 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Missing Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Treat water to make safer for drinking Do you treat your water in any way to make it safer to drink? Households 1 Yes 2 No 8 DK 9 Missing Boil Boil Boil Boil Boil What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing A Boil Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine Add bleach/chlorine What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing B Add bleach/chlorine Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth Strain it through a cloth What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing C Strain it through a cloth Use water filter Use water filter Use water filter Use water filter Use water filter What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing D Use water filter Solar disinfection Solar disinfection Solar disinfection Solar disinfection Solar disinfection What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing E Solar disinfection Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle Let it stand and settle What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing F Let it stand and settle Other Other Other Other Other What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing X Other DK DK DK DK DK What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Households ? Missing Z DK Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to? If necessary, ask permission to observe the facility. Households 11 Flush to piped sewer system 12 Flush to septic tank 13 Flush to pit (latrine) 14 Flush to somewhere else 15 Flush to unknown place/not sure/DK where 22 Pit latrine with slab 23 Pit latrine without slab/open pit 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do you share this facility with other households? Households 1 Yes 2 No 9 Missing Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility Households using this toilet facility How many households in total use this toilet facility? Households 10 Ten or more households 98 DK 99 Missing Religion of head Religion of head Religion of head Religion of head Religion of head What is the religion of the head of this household? Households 1 Buddhist 2 Muslim 3 Christian 6 Other religion 7 No religion 9 Missing Language Language Language Language Language What is the mother tongue/native language of the head of this household? Households 1 Thai 2 Other Languages 3 Missing Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head Ethnic group of head To what ethnic group does the head of this household belong? Households 1 Thai 2 Cambodia 3 Loas 4 China 5 Myanmar 6 Other Ethnic 7 Hill Tribe 9 Missing Head of occupation Head of occupation Head of occupation Head of occupation Head of occupation 1 Government Officer 2 State Enterprises Officer 3 Private Officer 4 Business 5 Agriculturist 6 Labourer 7 Other 9 Missing Mean of income Mean of income Mean of income Mean of income Mean of income 1 Lower 10000 2 10000-19999 3 20000-29999 4 30000-39999 5 40000-49999 6 Upper 50000 9 Missing Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping Number of rooms for sleeping How many rooms in this household are used for sleeping? Households 99 Missing Main material of floor Main material of floor Main material of floor Main material of floor Main material of floor Main material of the dwelling floor: Record observation. Households 11 Earth/sand 21 Wood planks 22 Palm/bamboo 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 36 Marble 37 Polished stone 96 Other 99 Missing Main material of roof Main material of roof Main material of roof Main material of roof Main material of roof Main material of the roof. Record observation. Households 11 No roof 12 Thatch/palm leaf 13 Sod 22 Palm/bamboo 23 Wood Planks 31 Metal 33 Calamine/cement fiber 34 Ceramic tiles 35 Cement 36 Roofing shingles 96 Other 99 Missing Main material of wall Main material of wall Main material of wall Main material of wall Main material of wall Main material of the walls. Record observation. Households 11 No walls 12 Cane/palm/trunks 13 Dirt 24 Plywood 25 Carton 26 Reused wood 27 Bamboo 31 Cement 32 Stone with lime/cement 33 Bricks 34 Cement blocks 36 Wood planks/shingles 37 Zinc 38 Tile 39 Shera wood 96 Other 99 Missing Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking Type of fuel using for cooking What type of fuel does your household mainly use for cooking? Households 1 Electricity 2 Liquid propane gas (LPG) 4 Biogas 5 Kerosene 6 Coal/lignite 7 Charcoal 8 Wood 9 Straw/shrubs/grass 10 Animal dung 11 Agricultural crop residue 96 Other 97 No Cooking 99 Missing Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire Food cooked on stove or open fire In this household, is food cooked on an open fire, an open stove or a closed stove? Probe for type. Households 1 Open fire 2 Open stove 3 Closed stove 6 Other 9 Missing Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire stove have a chimney or a hood Does the fire/stove have a chimney or a hood? Households 1 Yes 2 No 9 Missing Cooking location Cooking location Cooking location Cooking location Cooking location Is the cooking usually done in the house, in a separate building, or outdoors? Households 1 In the house 2 In a separate bulding 3 Outdoors 4 Terrace 6 Other 9 Missing Electricity Electricity Electricity Electricity Electricity Does your household have: Households 1 Yes 2 No 9 Missing Radio Radio Radio Radio Radio Does your household have: Households 1 Yes 2 No 9 Missing Television Television Television Television Television Does your household have: Households 1 Yes 2 No 9 Missing Mobile phone Mobile phone Mobile phone Mobile phone Mobile phone Does your household have: Households 1 Yes 2 No 9 Missing Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Non-mobile phone Does your household have: Households 1 Yes 2 No 9 Missing Refrigerator Refrigerator Refrigerator Refrigerator Refrigerator Does your household have: Households 1 Yes 2 No 9 Missing Computer Computer Computer Computer Computer Watch Watch Watch Watch Watch Does any member of your household own: Households 1 Yes 2 No 9 Missing Bicycle Bicycle Bicycle Bicycle Bicycle Does any member of your household own: Households 1 Yes 2 No 9 Missing Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Motorcycle or scooter Does any member of your household own: Households 1 Yes 2 No 9 Missing Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Animal-drawn cart Does any member of your household own: Households 1 Yes 2 No 9 Missing Car or truck Car or truck Car or truck Car or truck Car or truck Does any member of your household own: Households 1 Yes 2 No 9 Missing Boat with motor Boat with motor Boat with motor Boat with motor Boat with motor Does any member of your household own: Households 1 Yes 2 No 9 Missing Children's sample weight Children's sample weight Children's sample weight Children's sample weight Children's sample weight Recoded variable Children aged 0-4 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 REGR factor score 1 for analysis 1 Recoded variable Children aged 0-4 wealth index quintiles wealth index quintiles wealth index quintiles wealth index quintiles wealth index quintiles Recoded variable Children aged 0-4 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Recoded variable Children aged 0-4 Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Recoded variable Children aged 0-4 Age (months) Age (months) Age (months) Age (months) Age (months) Recoded variable Children aged 0-4 Age Age Age Age Age Recoded variable Children aged 0-4 1 < 6 months 2 6-11 months 3 12-23 months 4 24-35 months 5 36-47 months 6 48-59 months Age Age Age Age Age Recoded variable Children aged 0-4 1 0-11 months 2 12-23 months 3 24-35 months 4 36-47 months 5 48-59 months Mother's education Mother's education Mother's education Mother's education Mother's education Recoded variable Children aged 0-4 1 None 2 Primary 3 Secondary + The variable is created from information collected on educational level in the HL file. See makewm.sps in the data processing folder under technical information.