DDI_BGD_2006_MICS_v01_M Croft, Trevor James, Rhiannon 2008-02-07 NADA Bangladesh MICS 2006 v0.1 Slightly edited version of UNICEF's DDI ref. DDI-BGD-UNICEF-MICS2005/1.0-v0.6 Multiple Indicator Cluster Survey 2006 Road to Progress MICS3 2006 BGD_2006_MICS_v01_M Bangladesh Bureau of Statistics UNICEF, Bangladesh Country Office Strategic Information Section, Division of Policy and Planning, UNICEF NYHQ NADA Mr. Md. Shamsul Alam Deqa Ibrahim Musa Hancioglu, Attila Multiple Indicator Cluster Survey - Round 3 [hh/mics-3] The Multiple Indicator Cluster Survey, Round 3 (MICS3) is the third round of MICS surveys, previously conducted around 1995 (MICS1) and 2000 (MICS2). Many questions and indicators are consistent and compatible with the prior round of MICS (MICS2) but less so with MICS1, although there have been a number of changes in definition of indicators between rounds. Details can be found by reviewing the indicator definitions. Version 1.0: Edited data used for final report Household members Education Water and sanitation Household characteristics Child labour Salt iodization Women's background Tetanus toxoid Maternal and newborn health Marriage and union HIV/AIDS Children's background Birth registration Early learning Vitamin A Breastfeeding Care of illness Immunization Support to children orphaned and made vulnerable by HIV/AIDS Child discipline Source and cost of supplies Attitudes towards domestic violence Child development Disability The Multiple Indicator Cluster Survey (MICS) is a household survey programme developed by UNICEF to assist countries in filling data gaps for monitoring human development in general and the situation of children and women in particular. MICS is capable of producing statistically sound, internationally comparable estimates of social indicators. The current round of MICS is focused on providing a monitoring tool for the Millennium Development Goals (MDGs), the World Fit for Children (WFFC), as well as for other major international commitments, such as the United Nations General Assembly Special Session (UNGASS) on HIV/AIDS and the Abuja targets for malaria. Survey Objectives The 2006 Bangladesh Multiple Indicator Cluster Survey has the following objectives: - To provide up-to-date information for assessing the situation of children and women in Bangladesh; - To furnish data needed for monitoring progress toward goals established by the Millennium Development Goals, the goals of A World Fit For Children (WFFC), and other internationally agreed upon goals, as a basis for future action; - To contribute to the improvement of data and monitoring systems in Bangladesh and to strengthen technical expertise in the design, implementation, and analysis of such systems. Survey Content MICS questionnaires are designed in a modular fashion that can be easily customized to the needs of a country. They consist of a household questionnaire, a questionnaire for women aged 15-49 and a questionnaire for children under the age of five (to be administered to the mother or caretaker). Other than a set of core modules, countries can select which modules they want to include in each questionnaire. Survey Implementation The survey was implemented by the Bangladesh Bureau of Statistics , 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. Bangladesh The survey is nationally representative and covers the whole of Bangladesh. Households (defined as a group of persons who usually live and eat together) De jure household members (defined as memers of the household who usually live in the household, which may include people who did not sleep in the household the previous night, but does not include visitors who slept in the household the previous night but do not usually live in the household) Women aged 15-49 Children aged 0-4 The survey covered all de jure household members (usual residents), all women aged 15-49 years resident in the household, and all children aged 0-4 years (under age 5) resident in the household. Sample survey data [ssd] The Bangladesh 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, child discipline, child disability and salt iodization. WOMEN'S QUESTIONNAIRE: Women's characteristics, tetanus toxoid, maternal and newborn health, marriage, and HIV/AIDS knowledge and domestic violence. CHILDREN'S QUESTIONNAIRE: Children's characteristics, birth registration and early learning, child development, vitamin A, breastfeeding, care of illness, source and cost fo supplies for oral rehydation therapy and immunization. Bangladesh Bureau of Statistics The primary objective of the sample design for the Bangladesh Multiple Indicator Cluster Survey was to produce statistically reliable estimates of most indicators, at the national level, for urban and rural areas, and for the six divisions of the country, municipal areas, city corporation's slum areas of two big cities and tribal areas. Rural areas, municipal areas, city corporation areas, slum areas and tribal areas were defined as the sampling domain. A multi-stage, stratified cluster sampling approach was used for the selection of the survey sample. Sample Size and Sample Allocation The target sample size for the Bangladesh MICS was calculated as 68247 households. For the calculation of the sample size, the key indicator used was the DPT immunization (3+doses) prevalence among children aged 12-23 months. The following formula was used to estimate the required sample size for these indicators: n = [ 4 (r) (1-r) (f) (1.1) ] [ (0.12r)2 (p) (nh) ] where n is the required sample size, expressed as number of households 4 is a factor to achieve the 95 per cent level of confidence r is the predicted or anticipated prevalence (coverage rate) of the indicator 1.1 is the factor necessary to raise the sample size by 10 per cent for non-response f is the shortened symbol for deff (design effect) 0.12r is the margin of error to be tolerated at the 95 per cent level of confidence, defined as 12 per cent of r (relative sampling error of r) p is the proportion of the total population upon which the indicator, r, is based nh is the average household size. For the calculation, r (DPT immunization 3+doses prevalence) was assumed to be 39.7 percent in the Rangamati districts. The value of deff (design effect) was taken as 1.5 based on estimates from previous surveys, p (percentage of children aged 12-23 months in the total population) was taken as 2.3 percent, and nh (average household size) was taken as 4.9 households. For the sub national level, the margin of error should be high which was also acknowledged in the MICS manual. Therefore, for sub national estimates the margin of error need to be relaxed considerably. If a rate of 30% of r is used this would give a margin of error ± 0.06 for prevalence rates of 0.20, ± 0.12 for prevalence rates of 0.40, and so on. Considering this phenomenon, in case of Rangamati 30% of r has been used. The resulting number of households from this exercise was about 900 households which is the sample size needed in each district - thus yielding about 68250 in total. The average cluster size in the Bangladesh MICS was determined as 35 households, based on a number of considerations, including the budget available, and the time that would be needed per team to complete one cluster. Dividing the total number of households by the number of households per cluster, it was calculated that the selection of a total number of 26 clusters would be needed in each district. Equal allocation of the total sample size to the 75 domains was targeted. Therefore, 26 clusters were allocated to each district with the final sample size calculated at 68250 households (1950 cluster X 35 households per cluster). In each stratum, the clusters (primary sampling units) were distributed to rural, municipal, city corporations, slum and tribal areas on PPS method. Sampling Frame and Selection of Clusters The 2001 census frame was used for the selection of clusters. Census enumeration areas were defined as primary sampling units (PSUs), and were selected from each of the sampling domains by using systematic pps (probability proportional to size) sampling procedures, based on the estimated sizes of the enumeration areas from the 2001 Population Census. The first stage of sampling was thus completed by selecting the required number of enumeration areas from each of the 5 strata namely rural, municipal, city corporations, slum and tribal areas. Listing Activities Since the sample frame of the 2001 Population Census was not up to date, household lists in all selected enumeration areas were updated prior to the selection of households. For this purpose, listing teams were formed, who visited each enumeration area, and listed the occupied households. The BBS officials working in the upazila were responsible for the listing of all households in the respective PSUs. Selection of Households Lists of households were prepared by the Upazila officials of BBS. The households were sequentially numbered from 1 to 100 (or more) households in each enumeration area at the where selection of 35 households in each enumeration area was carried out using systematic selection procedures. (Information extracted from the final report: BBS and UNICEF. 2007. Bangladesh Multiple Indicator Cluster Survey 2006, Final Report. Dhaka, Bangladesh: BBS and UNICEF) No major deviations from the original sample design were made. All sample enumeration areas were accessed and successfully interviewed with good response rates. Face-to-face [f2f] The questionnaires of MICS 2006 are based on the global format of MICS3 model questionnaire. From the MICS3 model English version, the questionnaires were translated into Bangla and were pre-tested in four sample areas of which two were in rural areas, one in City Corporation and one in the slum area during May 2006. Based on the results of the pre-test, modifications were made to the wording and translation of the questionnaires. The questionnaire for under-five children was administered to mothers or caretakers of under-five children living in the households. Normally, the questionnaire was administered to mothers of under-five children; in cases when the mother was not listed in the household roster, a primary caretaker for the child was identified and interviewed. The data were collected by 32 teams; each comprised of four interviewers and a supervisor. There was one quality control officer for every two teams of enumerators: two female & two male. Sample weights were calculated for each of the datafiles. Sample weights for the household data were computed as the inverse of the probability of selection of the household, computed at the sampling domain level (urban/rural within each region). The household weights were adjusted for non-response at the domain level, and were then normalized by a constant factor so that the total weighted number of households equals the total unweighted number of households. The household weight variable is called HHWEIGHT and is used with the HH data and the HL data. Sample weights for the women's data used the un-normalized household weights, adjusted for non-response for the women's questionnaire, and were then normalized by a constant factor so that the total weighted number of women's cases equals the total unweighted number of women's cases. Sample weights for the children's data followed the same approach as the women's and used the un-normalized household weights, adjusted for non-response for the children's questionnaire, and were then normalized by a constant factor so that the total weighted number of children's cases equals the total unweighted number of children's cases. Data editing took place at a number of stages throughout the processing (see Other processing), including: a) Office editing and coding b) During data entry c) Structure checking and completeness d) Secondary editing e) Structural checking of SPSS data files Detailed documentation of the editing of data can be found in the data processing guidelines Of the 68,247 of households selected for the sample, 67,540 were found to be occupied. Of these, 62,463 households were successfully interviewed for a household response rate of 92.5 percent. In the interviewed households, 78,260 of eligible women (age 15-49) were identified. Of these, 69,860 of women were successfully interviewed, yielding a response rate of 89.3 percent. In addition, 34,710 of children under 5 were listed in HH questionnaire. Of these, questionnaires were completed for 31,566 under-five children which correspond to a response rate of 90.9 percent. Overall response rates of 82.6 were for women's questionnaire and 84.1 for under-5 questionnaire. Estimates from a sample survey are affected by two types of errors: 1) non-sampling errors and 2) sampling errors. Non-sampling errors are the results of mistakes made in the implementation of data collection and data processing. Numerous efforts were made during implementation of the 2005-2006 MICS to minimize this type of error, however, non-sampling errors are impossible to avoid and difficult to evaluate statistically. Sampling errors can be evaluated statistically. The sample of respondents to the 2005-2006 MICS is only one of many possible samples that could have been selected from the same population, using the same design and expected size. Each of these samples would yield results that differe somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability in the results of the survey between all possible samples, and, although, the degree of variability is not known exactly, it can be estimated from the survey results. The sampling erros are measured in terms of the standard error for a particular statistic (mean or percentage), which is the square root of the variance. Confidence intervals are calculated for each statistic within which the true value for the population can be assumed to fall. Plus or minus two standard errors of the statistic is used for key statistics presented in MICS, equivalent to a 95 percent confidence interval. If the sample of respondents had been a simple random sample, it would have been possible to use straightforward formulae for calculating sampling errors. However, the 2005-2006 MICS sample is the result of a multi-stage stratified design, and consequently needs to use more complex formulae. The SPSS complex samples module has been used to calculate sampling errors for the 2005-2006 MICS. This module uses the Taylor linearization method of variance estimation for survey estimates that are means or proportions. This method is documented in the SPSS file CSDescriptives.pdf found under the Help, Algorithms options in SPSS. Sampling errors have been calculated for a select set of statistics (all of which are proportions due to the limitations of the Taylor linearization method) for the national sample, urban and rural areas, and for each of the five regions. For each statistic, the estimate, its standard error, the coefficient of variation (or relative error -- the ratio between the standard error and the estimate), the design effect, and the square root design effect (DEFT -- the ratio between the standard error using the given sample design and the standard error that would result if a simple random sample had been used), as well as the 95 percent confidence intervals (+/-2 standard errors). Details of the sampling errors are presented in the sampling errors appendix to the report and in the sampling errors table presented in the external resources. A series of data quality tables and graphs are available to review the quality of the data and include the following: Age distribution of the household population Age distribution of eligible women and interviewed women Age distribution of eligible children and children for whom the mother or caretaker was interviewed Age distribution of children under age 5 by 3 month groups Age and period ratios at boundaries of eligibility Percent of observations with missing information on selected variables Presence of mother inthe household and person interviewed for the under 5 questionnaire School attendance by single year age Sex ratio at birth among children ever born, surviving and dead by age of respondent Distribution of women by time since last birth Scatterplot of weight by height, weight by age and height by age Graph of male and female population by single years of age Population pyramid The results of each of these data quality tables is shown in the appendix of the final report and is also given in the external resources section. The general rule for presentation of missing data in the final report tabulations is that a column is presented for missing data if the percentage of cases with missing data is 1% or more. Cases with missing data on the background characteristics (e.g. education) are included in the tables, but the missing data rows are suppressed and noted at the bottom of the tables in the report (not in the SPSS output, however). Users of the data agree to keep confidential all data contained in these datasets and to make no attempt to identify, trace or contact any individual whose data is included in these datasets. Bangladesh Bureau of Statistics, Bangladesh. Multiple Indicator Cluster Survey: Household , household listing, women and children's files, 2006 [Computer file]. Dhaka, Bangladesh: Bangladesh Bureau of Statistics [producer], 2006. Dhaka, Bangaldesh: Bangladesh Bureau of Statistics and New York: Strategic Information Section, Dvision of Policy and Planning, UNICEF [distributors], 2006. 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 the Bangladesh Bureau of Statistics and UNICEF. Bangladesh Bureau of Statistics: Mr. Md. Shamsul Alam Project Director Monitoring the Situation of Children and Women Bangladesh Bureau of Statistics Planning Division Ministry of Planning Parishankhyan Bhaban E-27/A, Agargoan Sher-e-Bangla Nagar Dhaka, 1207 Bangladesh Email: salamstat@yahoo.com UNICEF Bangladesh: dhaka@unicef.org Requests for access to the datasets may be made through the website www.childinfo.org. The Bangladesh Bureau of Statistics and UNICEF provide these data to external users without any warranty or responsibility implied. The Bangladesh Bureau of Statistics 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: modules Household information panel, Water and sanitation, Household characteristics, , Child discipline, Salt iodization) 0 150 hl Data collected at the household member's level (MICS Household questionnaire: modules Household listing, Child labour, Support to Orphaned and Vulnerable Children, Child Disability) 0 197 wm Data collected at the women's level (MICS Women's questionnaire: modules Women's Information Panel, Tetanus toxoid, Maternal and newborn health, Marriage/union, HIV/AIDS, Attitudes towards domestic violence) 0 227 ch Data collected at the children's level (MICS Under Five Children's questionnaire: modules Under Five Child Information Panel, Birth registration and early learning, Vitamin A, Breastfeeding, Care of Illness, Immunization, Child development) 0 336 Interview and HH identification Water and sanitation Characteristics of the head Members characteristics Education Children's living arrangements Maternal and newborn health Child health Source and cost of supplies Child protection Marriage/union HIV-AIDS Wealth Index Asset ownership Weighting coefficients Others Antenatal care Care seeking behaviour Child labor Early child development Early learning Child discipline Support to orphans and vulnerable children Child disability Maternal mortality Tetanus toxoid Vitamin A Assistance at delivery Attitudes towards domestic violence Malaria Insecticide treated nets (ITN) Newborn health Immunizations Birth registration Early marriage Diarrhoea Acute respiratory infection Disposal of child's stools 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 Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Households 1 Mr. Aminul Islam Bir 2 Mr. Husain Shahid 3 Mr. Jamal Uddin 4 Mr. Hamidul Islam 5 Mr. Abdur Rahman 6 Mr. Mohd. Almas Uddin 7 Mr. Mahadi Hassan 8 Mr. Sontosh Kr. Mandal (Sumon 9 Mr. Amar Ch. Majumder 10 Ms. Sahana Parvin 11 Mr. Mominul Haque (Firoj) 12 Ms. Shirajum Munira 13 Mr. Moniruzzaman 14 Mr. Nasir Ahmed 15 Mr. Mahamud Ali Mamun 16 Ms. Ziaonnessa Begum 17 Ms. Farida Yesmin (Old) 18 Mr. Alakesh Bepary 19 Mr. Mokbul Hossain Sharif 20 Mr. Nasir Uddin (Mostafa) 21 Ms. Tahera Khatun 22 Mr. Abdur Rahim 23 Ms. Salma Sultana 24 Mr. Prodip Biswas 25 Mr. Ajoy Krishna Das 26 Mr. Rabindranath Chowdhury 27 Mr. Rafiqul Alam 28 Mr. Monjurul Haque (Monju) 29 Ms. Selina Akter 30 Mr Helal Uddin 31 Mr. Sanjoy Kumar Biswas 32 Mr. Monir Ahamed 33 Mr. Dibyendu Kumar Dutta 34 Ms. Nasima Khatun 35 Ms. Kanan Bala Mozumder 36 Ms. Zakia Sultana 37 Mr. Rezaul Islam 38 Mr. Firoz Khan 39 Ms. Suriya Parvin (Trishna) 40 Ms. Fatima Begum 42 Mr. Shahinul Islam 43 Ms. Asma Akther 44 Ms. Fatema Hasnin 45 Mr. Abdur Rahim Sikder 46 Mr. Liton Acharja 47 Ms. Afroza Jannat 48 Ms. Marzia Begum 49 Mr. Nazrul Islam 51 Ms. Salma Akter 52 Ms. Nasima Khatun (Shaila) 53 Mr. Dudha Mia 54 Ms. Nusrat Sharmin Nipa 55 Ms. Mina Khanam 56 Ms. Farzana Yasmin 57 Mr. Nurul Islam 58 Mr. Abdul Malek 59 Ms. Rina Aktar 60 Ms. Lovely Begum 61 Mr. Sanjoy Bepary 62 Ms. Shalina Khanam 63 Ms. Anima Biswas 64 Ms. Shirin Akter (K) 65 Mr. Abdul Motalab 66 Mr. Saidduz-zaman 67 Ms. Susama Halder 68 Ms. Nazmun Nahar (Popy) 69 Mr. Sabyasachi Dash 70 Mr. Shaheen Uddin 71 Ms. Shakila Sultana Moni 72 Ms. Shila Chakrabarty 74 Ms. Nazma Khanam 75 Mr. Sohel Mozumder 76 Ms. Amena Akter 77 Mr. Shafi Mohd. Ali Siddiki 78 Mr. Reaj Uddin 79 Ms. Taibatun Nehar 80 Ms. Rupali Biswas 81 Mr. Zulfikar Ali 82 Mr. ASM Kamrul Hasan 83 Ms. Aysha Begum 84 Ms. Rajia Sultana 85 Mr. Monotos Halder 86 Ms. Nasima Akter Mozumder 87 Ms. Uranus Ahamad(Lubna) 88 Ms. Jesmin Akter Banu 89 Mr. Jasim Uddin 90 Ms. Momeja Khatun 91 Ms. Sheikh Nargis Akter 92 Ms. Rebaka Sultana 93 Mr. Billal Hossain 94 Mr. Mobinur Rahman 95 Ms. Mahamuda Akter 96 Ms. Nazmun Naher (Jharna) 97 Mr. Meher Ali 98 Mr. Sayed Abdul Gaffar 99 Ms. Labonee 100 Ms. Nadira Khatun 101 Mr. Anowarul Islam Khan 102 Ms. Mahmumada Parvin 103 Ms. Ayesa Akter (Anna) 104 Ms. Anupa Biswas 105 Mr. Masudul Haque Bhuiyan 106 Ms. Majeda Begum 107 Ms. Shaheen Akhter 108 Ms. Mousumi Akter 109 Mr. Sheikh Moniruzzaman 110 Ms. Sharmin Sultana 111 Ms. Lutfunnesa 112 Ms. Salina Jahan 113 Mr. Ahmad Al-Munzir (Rana) 114 Mr. Saidur Rahman 115 Ms. Anima Rani Mistry 116 Ms. Gita Rani Biswas 117 Mr. Ahmad Al-Amin 118 Ms. Rozina Khatun 119 Ms. Nargis Sultana 120 Ms. Margia Khatun 121 Mr. Bahadur Mia 122 Mr. Swapan Kumar Halder 123 Ms. Nilufar Yeasmin 124 Ms. Motahara Begum (Rozy) 125 Mr. Habibur Rahman 126 Ms. Hosne Ara Konica 127 Ms. Sharmin Sayela 129 Mr. ATM Anowarul Hakim 130 Ms. Nazrin Akter Bithi 131 Ms. Shahanaz Pervin 132 Ms. Najiba Fairuj 133 Mr. Rukun Uddin 134 Ms. Pala Halder 135 Ms. Shayla Sharmin 136 Ms. Nurjahan Akter 137 Mr. Khairul Motin 138 Ms. Kohinoor Akter 139 Ms. Beauty Akter 140 Ms. Tahasna Azima Azam 141 Mr. Abu Sayem (Mamun) 142 Ms. Shahanaj Nasrin 143 Ms. Sabina Yasmin (Sapna) 144 Ms. Marufa Akter 145 Mr. Anamul Haque 146 Mr. KM Rezaul Karim 147 Ms. Shelina Khatun (Lipy) 148 Ms. Mahafuja Akter (Ratna) 149 Mr. Shahajahan Ali 150 Ms. Liza Sultana 151 Ms. Roushon Ara 152 Ms. Badrun Nessa 153 Mr. Mirza Md. Robiul Islam 154 Ms. Sabina Akter 155 Ms. Shilpi Adhekary 157 Mr. Ranjit Ku. Barman 158 Ms. Rabeya Jesmin Chowdhury 159 Ms. Farida Parvin 160 Ms. Lucky Akter 161 Ms. Lal Rin-Pui 162 Mr. Shahidul Islam Milon 163 Mr. Sharif Miah Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor name and number: Households 1 Mr. Aminul Islam Bir 2 Mr. Husain Shahid 3 Mr. Jamal Uddin 4 Mr. Hamidul Islam 5 Mr. Abdur Rahman 6 Mr. Mohd. Almas Uddin 7 Mr. Mahadi Hassan 8 Mr. Sontosh Kr. Mandal (Sumon 9 Mr. Amar Ch. Majumder 10 Ms. Sahana Parvin 11 Mr. Mominul Haque (Firoj) 12 Ms. Shirajum Munira 13 Mr. Moniruzzaman 14 Mr. Nasir Ahmed 15 Mr. Mahamud Ali Mamun 16 Ms. Ziaonnessa Begum 17 Ms. Farida Yesmin (Old) 18 Mr. Alakesh Bepary 19 Mr. Mokbul Hossain Sharif 20 Mr. Nasir Uddin (Mostafa) 21 Ms. Tahera Khatun 22 Mr. Abdur Rahim 23 Ms. Salma Sultana 24 Mr. Prodip Biswas 25 Mr. Ajoy Krishna Das 26 Mr. Rabindranath Chowdhury 27 Mr. Rafiqul Alam 28 Mr. Monjurul Haque (Monju) 29 Ms. Selina Akter 30 Mr Helal Uddin 31 Mr. Sanjoy Kumar Biswas 32 Mr. Monir Ahamed 33 Mr. Dibyendu Kumar Dutta 34 Ms. Nasima Khatun 35 Ms. Kanan Bala Mozumder 36 Ms. Zakia Sultana 37 Mr. Rezaul Islam 38 Mr. Firoz Khan 39 Ms. Suriya Parvin (Trishna) 40 Ms. Fatima Begum 42 Mr. Shahinul Islam 43 Ms. Asma Akther 44 Ms. Fatema Hasnin 45 Mr. Abdur Rahim Sikder 46 Mr. Liton Acharja 47 Ms. Afroza Jannat 48 Ms. Marzia Begum 49 Mr. Nazrul Islam 51 Ms. Salma Akter 52 Ms. Nasima Khatun (Shaila) 53 Mr. Dudha Mia 54 Ms. Nusrat Sharmin Nipa 55 Ms. Mina Khanam 56 Ms. Farzana Yasmin 57 Mr. Nurul Islam 58 Mr. Abdul Malek 59 Ms. Rina Aktar 60 Ms. Lovely Begum 61 Mr. Sanjoy Bepary 62 Ms. Shalina Khanam 63 Ms. Anima Biswas 64 Ms. Shirin Akter (K) 65 Mr. Abdul Motalab 66 Mr. Saidduz-zaman 67 Ms. Susama Halder 68 Ms. Nazmun Nahar (Popy) 69 Mr. Sabyasachi Dash 70 Mr. Shaheen Uddin 71 Ms. Shakila Sultana Moni 72 Ms. Shila Chakrabarty 74 Ms. Nazma Khanam 75 Mr. Sohel Mozumder 76 Ms. Amena Akter 77 Mr. Shafi Mohd. Ali Siddiki 78 Mr. Reaj Uddin 79 Ms. Taibatun Nehar 80 Ms. Rupali Biswas 81 Mr. Zulfikar Ali 82 Mr. ASM Kamrul Hasan 83 Ms. Aysha Begum 84 Ms. Rajia Sultana 85 Mr. Monotos Halder 86 Ms. Nasima Akter Mozumder 87 Ms. Uranus Ahamad(Lubna) 88 Ms. Jesmin Akter Banu 89 Mr. Jasim Uddin 90 Ms. Momeja Khatun 91 Ms. Sheikh Nargis Akter 92 Ms. Rebaka Sultana 93 Mr. Billal Hossain 94 Mr. Mobinur Rahman 95 Ms. Mahamuda Akter 96 Ms. Nazmun Naher (Jharna) 97 Mr. Meher Ali 98 Mr. Sayed Abdul Gaffar 99 Ms. Labonee 100 Ms. Nadira Khatun 101 Mr. Anowarul Islam Khan 102 Ms. Mahmumada Parvin 103 Ms. Ayesa Akter (Anna) 104 Ms. Anupa Biswas 105 Mr. Masudul Haque Bhuiyan 106 Ms. Majeda Begum 107 Ms. Shaheen Akhter 108 Ms. Mousumi Akter 109 Mr. Sheikh Moniruzzaman 110 Ms. Sharmin Sultana 111 Ms. Lutfunnesa 112 Ms. Salina Jahan 113 Mr. Ahmad Al-Munzir (Rana) 114 Mr. Saidur Rahman 115 Ms. Anima Rani Mistry 116 Ms. Gita Rani Biswas 117 Mr. Ahmad Al-Amin 118 Ms. Rozina Khatun 119 Ms. Nargis Sultana 120 Ms. Margia Khatun 121 Mr. Bahadur Mia 122 Mr. Swapan Kumar Halder 123 Ms. Nilufar Yeasmin 124 Ms. Motahara Begum (Rozy) 125 Mr. Habibur Rahman 126 Ms. Hosne Ara Konica 127 Ms. Sharmin Sayela 129 Mr. ATM Anowarul Hakim 130 Ms. Nazrin Akter Bithi 131 Ms. Shahanaz Pervin 132 Ms. Najiba Fairuj 133 Mr. Rukun Uddin 134 Ms. Pala Halder 135 Ms. Shayla Sharmin 136 Ms. Nurjahan Akter 137 Mr. Khairul Motin 138 Ms. Kohinoor Akter 139 Ms. Beauty Akter 140 Ms. Tahasna Azima Azam 141 Mr. Abu Sayem (Mamun) 142 Ms. Shahanaj Nasrin 143 Ms. Sabina Yasmin (Sapna) 144 Ms. Marufa Akter 145 Mr. Anamul Haque 146 Mr. KM Rezaul Karim 147 Ms. Shelina Khatun (Lipy) 148 Ms. Mahafuja Akter (Ratna) 149 Mr. Shahajahan Ali 150 Ms. Liza Sultana 151 Ms. Roushon Ara 152 Ms. Badrun Nessa 153 Mr. Mirza Md. Robiul Islam 154 Ms. Sabina Akter 155 Ms. Shilpi Adhekary 157 Mr. Ranjit Ku. Barman 158 Ms. Rabeya Jesmin Chowdhury 159 Ms. Farida Parvin 160 Ms. Lucky Akter 161 Ms. Lal Rin-Pui 162 Mr. Shahidul Islam Milon 163 Mr. Sharif Miah 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 6 June 7 July 8 August 9 September 10 October Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Households Area Area Area Area Area Area: Households 1 Rural 2 Urban (Municipality) 3 Urban non-slum (Metro city) 4 Urban slum 5 Tribal Region Region Region Region Region Region: Households 1 Barisal 2 Chittagong 3 Dhaka 4 Khulna 5 Rajshahi 6 Sylhet District District District District District 1 Bagerhat 3 Bandarban 4 Barguna 6 Barisal 9 Bhola 10 Bogra 12 Brahmanbaria 13 Chandpur 15 Chittagong 18 Chuadanga 19 Comilla 22 Cox's Bazar 26 Dhaka 27 Dinajpur 29 Faridpur 30 Feni 32 Gaibandha 33 Gazipur 35 Gopalganj 36 Habiganj 38 Joypurhat 39 Jamalpur 41 Jessore 42 Jhalokati 44 Jhenaidah 46 Khagrachhari 47 Khulna 48 Kishorganj 49 Kurigram 50 Kushtia 51 Lakshmipur 52 Lalmonirhat 54 Madaripur 55 Magura 56 Manikganj 57 Meherpur 58 Maulvibazar 59 Munshiganj 61 Mymensingh 64 Naogaon 65 Narail 67 Narayanganj 68 Narsingdi 69 Natore 70 Nawabganj 72 Netrakona 73 Nilphamari 75 Noakhali 76 Pabna 77 Panchagarh 78 Patuakhali 79 Pirojpur 81 Rajshahi 82 Rajbari 84 Rangamati 85 Rangpur 86 Shariatpur 87 Satkhira 88 Sirajganj 89 Sherpur 90 Sunamganj 91 Sylhet 93 Tangail 94 Thakurgaon Sub-district Sub-district Sub-district Sub-district Sub-district Result of HH interview Result of HH interview Result of HH interview Result of HH interview Result of HH interview After all questionnaires for the household have been completed, fill in the following information: Result of HH interview: Households 1 Completed 2 Not at home 3 Refused 4 HH not found/destroyed 6 Other Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent to HH questionnaire: Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members: Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 No.of children under age 5: Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Households Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk: Households 1 Rokan Mia 3 Jharna Datta 4 Rina 5 Ripon 6 Foysal 7 Shakil 8 Anwar 9 Ratan 10 Shahinul Islam 11 Moniruzzaman 12 Nazimuddin 13 Hafiz 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 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 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 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 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 Alum Alum Alum Alum Alum ? Missing G Alum 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 Heard of arsenic in water Heard of arsenic in water Heard of arsenic in water Heard of arsenic in water Heard of arsenic in water 1 Yes 2 No 9 Missing Black, white or red spot in body Black, white or red spot in body Black, white or red spot in body Black, white or red spot in body Black, white or red spot in body ? Missing A Black, white or red spot in body Hand and feet become rough Hand and feet become rough Hand and feet become rough Hand and feet become rough Hand and feet become rough ? Missing B Hand and feet become rough Legs swells up Legs swells up Legs swells up Legs swells up Legs swells up ? Missing C Legs swells up Losing the feelings of hand and legs Losing the feelings of hand and legs Losing the feelings of hand and legs Losing the feelings of hand and legs Losing the feelings of hand and legs ? Missing D Losing the feelings of hand and legs Sore over hand and leg Sore over hand and leg Sore over hand and leg Sore over hand and leg Sore over hand and leg ? Missing E Sore over hand and leg Others Others Others Others Others ? Missing X Others Nothing/DK Nothing/DK Nothing/DK Nothing/DK Nothing/DK ? Missing Z Nothing/DK Using water from arsenic free TW Using water from arsenic free TW Using water from arsenic free TW Using water from arsenic free TW Using water from arsenic free TW ? Missing A Using water from arsenic free TW Using boiled pond/river/canal water Using boiled pond/river/canal water Using boiled pond/river/canal water Using boiled pond/river/canal water Using boiled pond/river/canal water ? Missing B Using boiled pond/river/canal water Using rain water Using rain water Using rain water Using rain water Using rain water ? Missing C Using rain water Using pond/sand filter water Using pond/sand filter water Using pond/sand filter water Using pond/sand filter water Using pond/sand filter water ? Missing D Using pond/sand filter water Using SIDKO filter Using SIDKO filter Using SIDKO filter Using SIDKO filter Using SIDKO filter ? Missing E Using SIDKO filter Others Others Others Others Others ? Missing X Others Nothing/DK Nothing/DK Nothing/DK Nothing/DK Nothing/DK ? Missing Z Nothing/DK TW tested for arsenic TW tested for arsenic TW tested for arsenic TW tested for arsenic TW tested for arsenic 1 Not tested 2 Tested/marked red 3 Tested/marked green 9 Missing 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 41 Bucket 51 Hanging toilet/hanging latrine 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 Hand washing after defication Hand washing after defication Hand washing after defication Hand washing after defication Hand washing after defication 1 Only water 2 Water and soil 3 Water and ash 4 Water and soap 6 Others 9 Missing Religion Religion Religion Religion Religion What is the religion of the head of this household? Households 1 Islam 2 Hindu 3 Christian 4 Buddist 6 Others 7 No religion 9 Missing Ethnicity Ethnicity Ethnicity Ethnicity Ethnicity To what ethnic group does the head of this household belong? Households 1 Bangali 2 Chakma 3 Saontal 4 Marma 5 Tripura 6 Others 7 Garo 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 Polished wood 33 Ceramic tiles/Mojaic 34 Cement 35 Carpet 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 12 Thatch/palm leaf 21 Rustic mat/Plastic sheet/Polythine 22 Palm/bamboo 31 Metal 32 Wood 34 Ceramic tiles 35 Cement 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 12 Cane/palm/trunks/Leaf/Jute stick/Sod 13 Dirt/Mud 21 Bambo with mud 22 Stone with mud 25 Carton/Tin sheet 31 Cement 33 Bricks 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) 3 Natural gas 4 Biogas 5 Kerosene 8 Wood 9 Straw/shrubs/grass 10 Animal dung 11 Agricultural crop residue 96 Other 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 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 Electric fan Electric fan Electric fan Electric fan Electric fan 1 Yes 2 No 9 Missing Computer Computer Computer Computer Computer 1 Yes 2 No 9 Missing AC AC AC AC AC 1 Yes 2 No 9 Missing Washing machine Washing machine Washing machine Washing machine Washing machine 1 Yes 2 No 9 Missing 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 a motor Boat with a motor Boat with a motor Boat with a motor Boat with a motor Does any member of your household own: Households 1 Yes 2 No 9 Missing Sofa Sofa Sofa Sofa Sofa 1 Yes 2 No 9 Missing Rickshaw Van Rickshaw Van Rickshaw Van Rickshaw Van Rickshaw Van 1 Yes 2 No 9 Missing Did any under 18 children get injured Did any under 18 children get injured Did any under 18 children get injured Did any under 18 children get injured Did any under 18 children get injured 1 Yes 2 No 9 Missing Fall_Boy Fall_Boy Fall_Boy Fall_Boy Fall_Boy 9 Missing Fall_Girl Fall_Girl Fall_Girl Fall_Girl Fall_Girl 9 Missing Burn_Boy Burn_Boy Burn_Boy Burn_Boy Burn_Boy 9 Missing Burn_Girl Burn_Girl Burn_Girl Burn_Girl Burn_Girl 9 Missing Accidental poisoning_Boy Accidental poisoning_Boy Accidental poisoning_Boy Accidental poisoning_Boy Accidental poisoning_Boy 9 Missing Accidental poisoning_Girl Accidental poisoning_Girl Accidental poisoning_Girl Accidental poisoning_Girl Accidental poisoning_Girl 9 Missing Animal/snake/insect_Boy Animal/snake/insect_Boy Animal/snake/insect_Boy Animal/snake/insect_Boy Animal/snake/insect_Boy 9 Missing Animal/snake/insect_Girl Animal/snake/insect_Girl Animal/snake/insect_Girl Animal/snake/insect_Girl Animal/snake/insect_Girl 9 Missing Rd. Accident_Boy Rd. Accident_Boy Rd. Accident_Boy Rd. Accident_Boy Rd. Accident_Boy 9 Missing Rd. Accident_Girl Rd. Accident_Girl Rd. Accident_Girl Rd. Accident_Girl Rd. Accident_Girl 9 Missing Drowned_Boy Drowned_Boy Drowned_Boy Drowned_Boy Drowned_Boy 9 Missing Drowned_Girl Drowned_Girl Drowned_Girl Drowned_Girl Drowned_Girl 9 Missing Acid victim_Boy Acid victim_Boy Acid victim_Boy Acid victim_Boy Acid victim_Boy 9 Missing Acid victim_Girl Acid victim_Girl Acid victim_Girl Acid victim_Girl Acid victim_Girl 9 Missing Other_Boy Other_Boy Other_Boy Other_Boy Other_Boy 9 Missing Other_Girl Other_Girl Other_Girl Other_Girl Other_Girl 9 Missing Recovered_Boy Recovered_Boy Recovered_Boy Recovered_Boy Recovered_Boy 9 Missing Recovered_Girl Recovered_Girl Recovered_Girl Recovered_Girl Recovered_Girl 9 Missing Still suffering_Boy Still suffering_Boy Still suffering_Boy Still suffering_Boy Still suffering_Boy 9 Missing Still suffering_Girl Still suffering_Girl Still suffering_Girl Still suffering_Girl Still suffering_Girl 9 Missing Died_Boy Died_Boy Died_Boy Died_Boy Died_Boy 9 Missing Died_Girl Died_Girl Died_Girl Died_Girl Died_Girl 9 Missing Was there any marriage in the household Was there any marriage in the household Was there any marriage in the household Was there any marriage in the household Was there any marriage in the household 1 No Marriage 2 Registered 3 Not registered 8 DK Duration of living in the slum area in year Duration of living in the slum area in year Duration of living in the slum area in year Duration of living in the slum area in year Duration of living in the slum area in year 99 Missing Own or rent Own or rent Own or rent Own or rent Own or rent 1 Own 2 Rent 3 Rentfree/squatter/other 9 Missing Have title deed Have title deed Have title deed Have title deed Have title deed 1 Yes 2 No 9 Missing Certificate of occupation Certificate of occupation Certificate of occupation Certificate of occupation Certificate of occupation ? Missing A Certificate of occupation (or adjudication certificate) Property tax certification Property tax certification Property tax certification Property tax certification Property tax certification ? Missing B Property tax certification Utility bills Utility bills Utility bills Utility bills Utility bills ? Missing C Utility bills Other Other Other Other Other ? Missing X Other None/no document None/no document None/no document None/no document None/no document ? Missing Y None/No document Written rental contract Written rental contract Written rental contract Written rental contract Written rental contract 1 Yes 2 No 9 Missing Informal agreement (written) Informal agreement (written) Informal agreement (written) Informal agreement (written) Informal agreement (written) ? Missing A Informal agreement (written) Verbal agreement (no document) Verbal agreement (no document) Verbal agreement (no document) Verbal agreement (no document) Verbal agreement (no document) ? Missing B Verbal agreement (no document) Occupied rent free with knowledge of owner Occupied rent free with knowledge of owner Occupied rent free with knowledge of owner Occupied rent free with knowledge of owner Occupied rent free with knowledge of owner ? Missing C Occupied rent free with knowledge of the owner Occupied rent free without knowledge of owner Occupied rent free without knowledge of owner Occupied rent free without knowledge of owner Occupied rent free without knowledge of owner Occupied rent free without knowledge of owner ? Missing D Occupied rent free without knowledge of the owner Other Other Other Other Other ? Missing X Other None/no document None/no document None/no document None/no document None/no document ? Missing Y None/No document Feel secure from eviction Feel secure from eviction Feel secure from eviction Feel secure from eviction Feel secure from eviction 1 Yes 2 No 8 DK 9 Missing Evicted during past 5 years Evicted during past 5 years Evicted during past 5 years Evicted during past 5 years Evicted during past 5 years 1 Yes 2 No 9 Missing Landslide area Landslide area Landslide area Landslide area Landslide area ? Missing A Landslide area Flood-prone area Flood-prone area Flood-prone area Flood-prone area Flood-prone area ? Missing B Flood-prone area River bank River bank River bank River bank River bank ? Missing C River bank Steep hill Steep hill Steep hill Steep hill Steep hill ? Missing D Steep hill Garbage mountain/pile Garbage mountain/pile Garbage mountain/pile Garbage mountain/pile Garbage mountain/pile ? Missing E Garbage mountain/pile Industrial pollution area Industrial pollution area Industrial pollution area Industrial pollution area Industrial pollution area ? Missing F Industrial pollution area Railroad Railroad Railroad Railroad Railroad ? Missing G Railroad None of the above None of the above None of the above None of the above None of the above ? Missing Y None of the above Cracks/openings in the wall Cracks/openings in the wall Cracks/openings in the wall Cracks/openings in the wall Cracks/openings in the wall ? Missing A Cracks/openings in walls No windows No windows No windows No windows No windows ? Missing B No windows Windows with broken glass/no glass Windows with broken glass/no glass Windows with broken glass/no glass Windows with broken glass/no glass Windows with broken glass/no glass ? Missing C Windows with broken glass/no glass Visible holes in the roof Visible holes in the roof Visible holes in the roof Visible holes in the roof Visible holes in the roof ? Missing D Visible holes in the roof Incomplete roof Incomplete roof Incomplete roof Incomplete roof Incomplete roof ? Missing E Incomplete roof Insecure door Insecure door Insecure door Insecure door Insecure door ? Missing F Insecure door Squartter (Jhupri) Squartter (Jhupri) Squartter (Jhupri) Squartter (Jhupri) Squartter (Jhupri) ? Missing G Squartter (Jhupri) None of the above None of the above None of the above None of the above None of the above ? Missing Y None of the above Narrow passages Narrow passages Narrow passages Narrow passages Narrow passages ? Missing A Very narrow passage between house intead of road Too many power cables Too many power cables Too many power cables Too many power cables Too many power cables ? Missing B Too many power cables connecting to neighborhood's None of the above None of the above None of the above None of the above None of the above ? Missing Y None of the above 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 Not iodized 0 PPM (no colour) 4 Iodized salt 6 No salt in home 7 Salt not tested 9 Missing In the Bangladesh MICS 2006 the standard salt test kit was not used. An iodine testing solution was used to test household salt for iodine and potassium iodate content using an iodine testing solution. The iodine testing solution is a quantitative test and cannot detect whether the salt is adequately iodized or not. Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight Recoded variable De jure household members (usual residents) Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 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 Education of household head Education of household head Education of household head Education of household head Education of household head Recoded variable De jure household members (usual residents) 1 None 2 Primary incomplete 3 Primary completed 4 Secondary incomplete 5 Secondary completed or higher 6 Non-standard curriculum 9 Missing/DK The variable is created from information collected on educational level in the HL file. See makehh.sps in the data processing folder under technical information. Education of household head Education of household head Education of household head Education of household head Education of household head 1 None 2 Primary 3 Secondary + 4 Non-standard curriculum 9 Missing/DK 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 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 9 Missing Age Age Age Age Age How old is (name)? How old was (name) on his/her last birthday? Record in completed years 98=DK* * See instructions: to be used only for elderly household members (code meaning "do not know/over age 50"). De jure household members (usual residents) 97 97+ 98 DK 99 Missing Line number of eligible women Line number of eligible women Line number of eligible women Line number of eligible women Line number of eligible women Circle Line no. if woman is age 15-49 De jure household members (usual residents) Not eligible Line number of mother/caretaker for child labor module Line number of mother/caretaker for child labor module Line number of mother/caretaker for child labor module Line number of mother/caretaker for child labor module Line number of mother/caretaker for child labor module For each child age 5-14: Who is the mother or primary caretaker of this child? Record Line no. of mother/caretaker De jure household members (usual residents) Not eligible Line number of mother/caretaker for child health module Line number of mother/caretaker for child health module Line number of mother/caretaker for child health module Line number of mother/caretaker for child health module Line number of mother/caretaker for child health module For each child under 5: Who is the mother or primary caretaker of this child? Record Line no. of mother/caretaker De jure household members (usual residents) Not eligible Mother alive Mother alive Mother alive Mother alive Mother alive For children age 0-17 years ask HL9-HL12 Is (name's) natural mother alive? De jure household members (usual residents) aged 0-17 (under 18) 1 Yes 2 No 8 DK 9 Missing Mother line number in HH Mother line number in HH Mother line number in HH Mother line number in HH Mother line number in HH For children age 0-17 years ask HL9-HL12 If alive: Does (name's) natural mother live in this household? Record Line no. of mother or 00 for 'No' De jure household members (usual residents) aged 0-17 (under 18) 97 Inconsistent 99 Missing Father alive Father alive Father alive Father alive Father alive For children age 0-17 years ask HL9-HL12 If alive: Is (name's) natural father alive? De jure household members (usual residents) aged 0-17 (under 18) 1 Yes 2 No 8 DK 9 Missing Father line number in HH Father line number in HH Father line number in HH Father line number in HH Father line number in HH For children age 0-17 years ask HL9-HL12 Does (name's) natural father live in this household? Record Line no. of father or 00 for 'No' De jure household members (usual residents) aged 0-17 (under 18) 97 Inconsistent 99 Missing swim swim swim swim swim 1 Yes 2 No 9 Missing Line number Line number Line number Line number Line number For household members age 5 and above De jure household members (usual residents) Ever attended school Ever attended school Ever attended school Ever attended school Ever attended school For household members age 5 and above Has (name) ever attended school or preschool? De jure household members (usual residents) 1 Yes 2 No 9 Missing Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended What is the highest level of school (name) attended? Children aged 0-4 Preschool/kindergarten 1 Primary 2 Secondary 3 Higher 6 NGO/Mosque based/Adult literacy programme 8 DK 9 Missing Highest grade at level Highest grade at level Highest grade at level Highest grade at level Highest grade at level What is the highest grade (name) completed at this level? Children aged 0-4 97 Inconsistent 98 DK 99 Missing Currently attending school during the school year (2004-2005 Currently attending school during the school year (2004-2005 Currently attending school during the school year (2004-2005 Currently attending school during the school year (2004-2005 Currently attending school during the school year (2004-2005 For household members age 5-24 years During the (2004-2005) school year, did (name) attend school or preschool at any time? De jure household members (usual residents) aged 5-24 1 Yes 2 No 9 Missing Days attended school in last week Days attended school in last week Days attended school in last week Days attended school in last week Days attended school in last week For household members age 5-24 years Since last (day of the week), how many days did (name) attend school? Insert number of days in space below. De jure household members (usual residents) aged 5-24 8 Interview during school holidays 9 Missing Level of education attended Level of education attended Level of education attended Level of education attended Level of education attended For household members age 5-24 years During this/that school year, which level and grade is/was (name) attending? De jure household members (usual residents) aged 5-24 Preschool/kindergarten 1 Primary 2 Secondary 3 Higher 6 NGO/Mosque based/Adult literacy programme 8 DK 9 Missing Grade of education attended Grade of education attended Grade of education attended Grade of education attended Grade of education attended For household members age 5-24 years During this/that school year, which level and grade is/was (name) attending? De jure household members (usual residents) aged 5-24 97 Inconsistent 98 DK 99 Missing Type of School Type of School Type of School Type of School Type of School 1 Formal School 2 Non-formal School 3 Formal Madrasah 4 Non-Formal Madrasah 9 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 NGO/Mosque based/Adult literacy programme 8 DK 9 Missing Grade of education attended last year Grade of education attended last year Grade of education attended last year Grade of education attended last year Grade of education attended last year For household members age 5-24 years During that previous school year, which level and grade did (name) attend? De jure household members (usual residents) aged 5-24 97 Inconsistent 98 DK 99 Missing Line number Line number Line number Line number Line number To be administered to mother/caretaker of each child in the household age 5 through 14 years. For household members below age 5 or above age 14, leave rows blank. Now I would like to ask about any work children in this household may do. Children aged 5-14 Worked in past week Worked in past week Worked in past week Worked in past week Worked in past week During the past week, did (name) do any kind of work for someone who is not a member of this household? If yes: For pay in cash or kind? Children aged 5-14 1 Yes, paid 2 Yes, unpaid 3 No 9 Missing Hours worked in past week Hours worked in past week Hours worked in past week Hours worked in past week Hours worked in past week If yes: Since last (day of the week), about how many hours did he/she do this work for someone who is not a member of this household? If more than one job, include all hours at all jobs. Children aged 5-14 98 DK 99 Missing Worked in past year Worked in past year Worked in past year Worked in past year Worked in past year At any time during the past year, did (name) do any kind of work for someone who is not a member of this household? If yes: For pay in cash or kind? Children aged 5-14 1 Yes, paid 2 Yes, unpaid 3 No 9 Missing Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week Helped with household chores in past week During the past week, did (name) help with household chores such as shopping, collecting firewood, cleaning, fetching water, or caring for children? Children aged 5-14 1 Yes 2 No 9 Missing Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week Hours spent on chores in past week If yes: Since last (day of the week), about how many hours did he/she spend doing these chores? Children aged 5-14 98 DK 99 Missing Did other family work in past week Did other family work in past week Did other family work in past week Did other family work in past week Did other family work in past week During the past week, did (name) do any other family work (on the farm or in a business or selling goods in the street?) Children aged 5-14 1 Yes 2 No 9 Missing Hours worked on other family work Hours worked on other family work Hours worked on other family work Hours worked on other family work Hours worked on other family work If yes: Since last (day of the week), about how many hours did he/she do this work? Children aged 5-14 98 DK 99 Missing Line number Line number Line number Line number Line number To be administered to caretakers of all children 2 through 9 years old living in the household. For household members below age 2 or above age 9, leave rows blank I would like to ask you if any children in this household aged 2 through 9 has any of the health conditions I am going to mention to you. Line no. De jure children aged 2-14 Delay in sitting, standing or walking Delay in sitting, standing or walking Delay in sitting, standing or walking Delay in sitting, standing or walking Delay in sitting, standing or walking Compared with other children, does or did (name) have any serious delay in sitting, standing, or walking? De jure children aged 2-14 1 Yes 2 No 9 Missing Difficulty seeing Difficulty seeing Difficulty seeing Difficulty seeing Difficulty seeing Compared with other children, does (name) have difficulty seeing, either in the daytime or at night? De jure children aged 2-14 1 Yes 2 No 9 Missing Difficulty hearing Difficulty hearing Difficulty hearing Difficulty hearing Difficulty hearing Does (name) appear to have difficulty hearing? (uses hearing aid, hears with difficulty, completely deaf?) De jure children aged 2-14 1 Yes 2 No 9 Missing Understands Understands Understands Understands Understands When you tell (name) to do something, does he/she seem to understand what you are saying? De jure children aged 2-14 1 Yes 2 No 9 Missing Difficulty walking Difficulty walking Difficulty walking Difficulty walking Difficulty walking Does (name) have difficulty in walking or moving his/her arms or does he/she have weakness and/or stiffness in the arms or legs? De jure children aged 2-14 1 Yes 2 No 9 Missing Fits, rigid or lose conciousness Fits, rigid or lose conciousness Fits, rigid or lose conciousness Fits, rigid or lose conciousness Fits, rigid or lose conciousness Does (name) sometimes have fits, become rigid, or lose consciousness? De jure children aged 2-14 1 Yes 2 No 9 Missing Learns like other children Learns like other children Learns like other children Learns like other children Learns like other children Does (name) learn to do things like other children his/her age? De jure children aged 2-14 1 Yes 2 No 9 Missing Speaks Speaks Speaks Speaks Speaks Does (name) speak at all (can he/she make him or herself understood in words; can say any recognizable words)? De jure children aged 2-14 1 Yes 2 No 9 Missing Speech different Speech different Speech different Speech different Speech different For 3-9 year olds: Is (name)'s speech in any way different from normal (not clear enough to be understood by people other than the immediate family)? De jure children aged 2-14 1 Yes 2 No 9 Missing Names objects Names objects Names objects Names objects Names objects For 2 year olds: Can (name) name at least one object (for example, an animal, a toy, a cup, a spoon)? De jure children aged 2-14 1 Yes 2 No 9 Missing Mentally backward Mentally backward Mentally backward Mentally backward Mentally backward Compared with other children of the same age, does (name) appear in any way mentally backward, dull or slow? De jure children aged 2-14 1 Yes 2 No 9 Missing Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Households 1 Mr. Aminul Islam Bir 2 Mr. Husain Shahid 3 Mr. Jamal Uddin 4 Mr. Hamidul Islam 5 Mr. Abdur Rahman 6 Mr. Mohd. Almas Uddin 7 Mr. Mahadi Hassan 8 Mr. Sontosh Kr. Mandal (Sumon 9 Mr. Amar Ch. Majumder 10 Ms. Sahana Parvin 11 Mr. Mominul Haque (Firoj) 12 Ms. Shirajum Munira 13 Mr. Moniruzzaman 14 Mr. Nasir Ahmed 15 Mr. Mahamud Ali Mamun 16 Ms. Ziaonnessa Begum 17 Ms. Farida Yesmin (Old) 18 Mr. Alakesh Bepary 19 Mr. Mokbul Hossain Sharif 20 Mr. Nasir Uddin (Mostafa) 21 Ms. Tahera Khatun 22 Mr. Abdur Rahim 23 Ms. Salma Sultana 24 Mr. Prodip Biswas 25 Mr. Ajoy Krishna Das 26 Mr. Rabindranath Chowdhury 27 Mr. Rafiqul Alam 28 Mr. Monjurul Haque (Monju) 29 Ms. Selina Akter 30 Mr Helal Uddin 31 Mr. Sanjoy Kumar Biswas 32 Mr. Monir Ahamed 33 Mr. Dibyendu Kumar Dutta 34 Ms. Nasima Khatun 35 Ms. Kanan Bala Mozumder 36 Ms. Zakia Sultana 37 Mr. Rezaul Islam 38 Mr. Firoz Khan 39 Ms. Suriya Parvin (Trishna) 40 Ms. Fatima Begum 42 Mr. Shahinul Islam 43 Ms. Asma Akther 44 Ms. Fatema Hasnin 45 Mr. Abdur Rahim Sikder 46 Mr. Liton Acharja 47 Ms. Afroza Jannat 48 Ms. Marzia Begum 49 Mr. Nazrul Islam 51 Ms. Salma Akter 52 Ms. Nasima Khatun (Shaila) 53 Mr. Dudha Mia 54 Ms. Nusrat Sharmin Nipa 55 Ms. Mina Khanam 56 Ms. Farzana Yasmin 57 Mr. Nurul Islam 58 Mr. Abdul Malek 59 Ms. Rina Aktar 60 Ms. Lovely Begum 61 Mr. Sanjoy Bepary 62 Ms. Shalina Khanam 63 Ms. Anima Biswas 64 Ms. Shirin Akter (K) 65 Mr. Abdul Motalab 66 Mr. Saidduz-zaman 67 Ms. Susama Halder 68 Ms. Nazmun Nahar (Popy) 69 Mr. Sabyasachi Dash 70 Mr. Shaheen Uddin 71 Ms. Shakila Sultana Moni 72 Ms. Shila Chakrabarty 74 Ms. Nazma Khanam 75 Mr. Sohel Mozumder 76 Ms. Amena Akter 77 Mr. Shafi Mohd. Ali Siddiki 78 Mr. Reaj Uddin 79 Ms. Taibatun Nehar 80 Ms. Rupali Biswas 81 Mr. Zulfikar Ali 82 Mr. ASM Kamrul Hasan 83 Ms. Aysha Begum 84 Ms. Rajia Sultana 85 Mr. Monotos Halder 86 Ms. Nasima Akter Mozumder 87 Ms. Uranus Ahamad(Lubna) 88 Ms. Jesmin Akter Banu 89 Mr. Jasim Uddin 90 Ms. Momeja Khatun 91 Ms. Sheikh Nargis Akter 92 Ms. Rebaka Sultana 93 Mr. Billal Hossain 94 Mr. Mobinur Rahman 95 Ms. Mahamuda Akter 96 Ms. Nazmun Naher (Jharna) 97 Mr. Meher Ali 98 Mr. Sayed Abdul Gaffar 99 Ms. Labonee 100 Ms. Nadira Khatun 101 Mr. Anowarul Islam Khan 102 Ms. Mahmumada Parvin 103 Ms. Ayesa Akter (Anna) 104 Ms. Anupa Biswas 105 Mr. Masudul Haque Bhuiyan 106 Ms. Majeda Begum 107 Ms. Shaheen Akhter 108 Ms. Mousumi Akter 109 Mr. Sheikh Moniruzzaman 110 Ms. Sharmin Sultana 111 Ms. Lutfunnesa 112 Ms. Salina Jahan 113 Mr. Ahmad Al-Munzir (Rana) 114 Mr. Saidur Rahman 115 Ms. Anima Rani Mistry 116 Ms. Gita Rani Biswas 117 Mr. Ahmad Al-Amin 118 Ms. Rozina Khatun 119 Ms. Nargis Sultana 120 Ms. Margia Khatun 121 Mr. Bahadur Mia 122 Mr. Swapan Kumar Halder 123 Ms. Nilufar Yeasmin 124 Ms. Motahara Begum (Rozy) 125 Mr. Habibur Rahman 126 Ms. Hosne Ara Konica 127 Ms. Sharmin Sayela 129 Mr. ATM Anowarul Hakim 130 Ms. Nazrin Akter Bithi 131 Ms. Shahanaz Pervin 132 Ms. Najiba Fairuj 133 Mr. Rukun Uddin 134 Ms. Pala Halder 135 Ms. Shayla Sharmin 136 Ms. Nurjahan Akter 137 Mr. Khairul Motin 138 Ms. Kohinoor Akter 139 Ms. Beauty Akter 140 Ms. Tahasna Azima Azam 141 Mr. Abu Sayem (Mamun) 142 Ms. Shahanaj Nasrin 143 Ms. Sabina Yasmin (Sapna) 144 Ms. Marufa Akter 145 Mr. Anamul Haque 146 Mr. KM Rezaul Karim 147 Ms. Shelina Khatun (Lipy) 148 Ms. Mahafuja Akter (Ratna) 149 Mr. Shahajahan Ali 150 Ms. Liza Sultana 151 Ms. Roushon Ara 152 Ms. Badrun Nessa 153 Mr. Mirza Md. Robiul Islam 154 Ms. Sabina Akter 155 Ms. Shilpi Adhekary 157 Mr. Ranjit Ku. Barman 158 Ms. Rabeya Jesmin Chowdhury 159 Ms. Farida Parvin 160 Ms. Lucky Akter 161 Ms. Lal Rin-Pui 162 Mr. Shahidul Islam Milon 163 Mr. Sharif Miah Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor name and number: Households 1 Mr. Aminul Islam Bir 2 Mr. Husain Shahid 3 Mr. Jamal Uddin 4 Mr. Hamidul Islam 5 Mr. Abdur Rahman 6 Mr. Mohd. Almas Uddin 7 Mr. Mahadi Hassan 8 Mr. Sontosh Kr. Mandal (Sumon 9 Mr. Amar Ch. Majumder 10 Ms. Sahana Parvin 11 Mr. Mominul Haque (Firoj) 12 Ms. Shirajum Munira 13 Mr. Moniruzzaman 14 Mr. Nasir Ahmed 15 Mr. Mahamud Ali Mamun 16 Ms. Ziaonnessa Begum 17 Ms. Farida Yesmin (Old) 18 Mr. Alakesh Bepary 19 Mr. Mokbul Hossain Sharif 20 Mr. Nasir Uddin (Mostafa) 21 Ms. Tahera Khatun 22 Mr. Abdur Rahim 23 Ms. Salma Sultana 24 Mr. Prodip Biswas 25 Mr. Ajoy Krishna Das 26 Mr. Rabindranath Chowdhury 27 Mr. Rafiqul Alam 28 Mr. Monjurul Haque (Monju) 29 Ms. Selina Akter 30 Mr Helal Uddin 31 Mr. Sanjoy Kumar Biswas 32 Mr. Monir Ahamed 33 Mr. Dibyendu Kumar Dutta 34 Ms. Nasima Khatun 35 Ms. Kanan Bala Mozumder 36 Ms. Zakia Sultana 37 Mr. Rezaul Islam 38 Mr. Firoz Khan 39 Ms. Suriya Parvin (Trishna) 40 Ms. Fatima Begum 42 Mr. Shahinul Islam 43 Ms. Asma Akther 44 Ms. Fatema Hasnin 45 Mr. Abdur Rahim Sikder 46 Mr. Liton Acharja 47 Ms. Afroza Jannat 48 Ms. Marzia Begum 49 Mr. Nazrul Islam 51 Ms. Salma Akter 52 Ms. Nasima Khatun (Shaila) 53 Mr. Dudha Mia 54 Ms. Nusrat Sharmin Nipa 55 Ms. Mina Khanam 56 Ms. Farzana Yasmin 57 Mr. Nurul Islam 58 Mr. Abdul Malek 59 Ms. Rina Aktar 60 Ms. Lovely Begum 61 Mr. Sanjoy Bepary 62 Ms. Shalina Khanam 63 Ms. Anima Biswas 64 Ms. Shirin Akter (K) 65 Mr. Abdul Motalab 66 Mr. Saidduz-zaman 67 Ms. Susama Halder 68 Ms. Nazmun Nahar (Popy) 69 Mr. Sabyasachi Dash 70 Mr. Shaheen Uddin 71 Ms. Shakila Sultana Moni 72 Ms. Shila Chakrabarty 74 Ms. Nazma Khanam 75 Mr. Sohel Mozumder 76 Ms. Amena Akter 77 Mr. Shafi Mohd. Ali Siddiki 78 Mr. Reaj Uddin 79 Ms. Taibatun Nehar 80 Ms. Rupali Biswas 81 Mr. Zulfikar Ali 82 Mr. ASM Kamrul Hasan 83 Ms. Aysha Begum 84 Ms. Rajia Sultana 85 Mr. Monotos Halder 86 Ms. Nasima Akter Mozumder 87 Ms. Uranus Ahamad(Lubna) 88 Ms. Jesmin Akter Banu 89 Mr. Jasim Uddin 90 Ms. Momeja Khatun 91 Ms. Sheikh Nargis Akter 92 Ms. Rebaka Sultana 93 Mr. Billal Hossain 94 Mr. Mobinur Rahman 95 Ms. Mahamuda Akter 96 Ms. Nazmun Naher (Jharna) 97 Mr. Meher Ali 98 Mr. Sayed Abdul Gaffar 99 Ms. Labonee 100 Ms. Nadira Khatun 101 Mr. Anowarul Islam Khan 102 Ms. Mahmumada Parvin 103 Ms. Ayesa Akter (Anna) 104 Ms. Anupa Biswas 105 Mr. Masudul Haque Bhuiyan 106 Ms. Majeda Begum 107 Ms. Shaheen Akhter 108 Ms. Mousumi Akter 109 Mr. Sheikh Moniruzzaman 110 Ms. Sharmin Sultana 111 Ms. Lutfunnesa 112 Ms. Salina Jahan 113 Mr. Ahmad Al-Munzir (Rana) 114 Mr. Saidur Rahman 115 Ms. Anima Rani Mistry 116 Ms. Gita Rani Biswas 117 Mr. Ahmad Al-Amin 118 Ms. Rozina Khatun 119 Ms. Nargis Sultana 120 Ms. Margia Khatun 121 Mr. Bahadur Mia 122 Mr. Swapan Kumar Halder 123 Ms. Nilufar Yeasmin 124 Ms. Motahara Begum (Rozy) 125 Mr. Habibur Rahman 126 Ms. Hosne Ara Konica 127 Ms. Sharmin Sayela 129 Mr. ATM Anowarul Hakim 130 Ms. Nazrin Akter Bithi 131 Ms. Shahanaz Pervin 132 Ms. Najiba Fairuj 133 Mr. Rukun Uddin 134 Ms. Pala Halder 135 Ms. Shayla Sharmin 136 Ms. Nurjahan Akter 137 Mr. Khairul Motin 138 Ms. Kohinoor Akter 139 Ms. Beauty Akter 140 Ms. Tahasna Azima Azam 141 Mr. Abu Sayem (Mamun) 142 Ms. Shahanaj Nasrin 143 Ms. Sabina Yasmin (Sapna) 144 Ms. Marufa Akter 145 Mr. Anamul Haque 146 Mr. KM Rezaul Karim 147 Ms. Shelina Khatun (Lipy) 148 Ms. Mahafuja Akter (Ratna) 149 Mr. Shahajahan Ali 150 Ms. Liza Sultana 151 Ms. Roushon Ara 152 Ms. Badrun Nessa 153 Mr. Mirza Md. Robiul Islam 154 Ms. Sabina Akter 155 Ms. Shilpi Adhekary 157 Mr. Ranjit Ku. Barman 158 Ms. Rabeya Jesmin Chowdhury 159 Ms. Farida Parvin 160 Ms. Lucky Akter 161 Ms. Lal Rin-Pui 162 Mr. Shahidul Islam Milon 163 Mr. Sharif Miah Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Households Area Area Area Area Area Area: Households 1 Rural 2 Urban (Municipality) 3 Urban non-slum (Metro city) 4 Urban slum 5 Tribal Region Region Region Region Region Region: Households 1 Barisal 2 Chittagong 3 Dhaka 4 Khulna 5 Rajshahi 6 Sylhet District District District District District 1 Bagerhat 3 Bandarban 4 Barguna 6 Barisal 9 Bhola 10 Bogra 12 Brahmanbaria 13 Chandpur 15 Chittagong 18 Chuadanga 19 Comilla 22 Cox's Bazar 26 Dhaka 27 Dinajpur 29 Faridpur 30 Feni 32 Gaibandha 33 Gazipur 35 Gopalganj 36 Habiganj 38 Joypurhat 39 Jamalpur 41 Jessore 42 Jhalokati 44 Jhenaidah 46 Khagrachhari 47 Khulna 48 Kishorganj 49 Kurigram 50 Kushtia 51 Lakshmipur 52 Lalmonirhat 54 Madaripur 55 Magura 56 Manikganj 57 Meherpur 58 Maulvibazar 59 Munshiganj 61 Mymensingh 64 Naogaon 65 Narail 67 Narayanganj 68 Narsingdi 69 Natore 70 Nawabganj 72 Netrakona 73 Nilphamari 75 Noakhali 76 Pabna 77 Panchagarh 78 Patuakhali 79 Pirojpur 81 Rajshahi 82 Rajbari 84 Rangamati 85 Rangpur 86 Shariatpur 87 Satkhira 88 Sirajganj 89 Sherpur 90 Sunamganj 91 Sylhet 93 Tangail 94 Thakurgaon Sub-district Sub-district Sub-district Sub-district Sub-district Result of HH interview Result of HH interview Result of HH interview Result of HH interview Result of HH interview After all questionnaires for the household have been completed, fill in the following information: Result of HH interview: Households 1 Completed 2 Not at home 3 Refused 4 HH not found/destroyed 6 Other Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent to HH questionnaire: Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members: Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 No.of children under age 5: Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Households Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk: Households 1 Rokan Mia 3 Jharna Datta 4 Rina 5 Ripon 6 Foysal 7 Shakil 8 Anwar 9 Ratan 10 Shahinul Islam 11 Moniruzzaman 12 Nazimuddin 13 Hafiz 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 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 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 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 Alum Alum Alum Alum Alum ? Missing G Alum 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 Heard of arsenic in water Heard of arsenic in water Heard of arsenic in water Heard of arsenic in water Heard of arsenic in water 1 Yes 2 No 9 Missing Black, white or red spot in body Black, white or red spot in body Black, white or red spot in body Black, white or red spot in body Black, white or red spot in body ? Missing A Black, white or red spot in body Hand and feet become rough Hand and feet become rough Hand and feet become rough Hand and feet become rough Hand and feet become rough ? Missing B Hand and feet become rough Legs swells up Legs swells up Legs swells up Legs swells up Legs swells up ? Missing C Legs swells up Losing the feelings of hand and legs Losing the feelings of hand and legs Losing the feelings of hand and legs Losing the feelings of hand and legs Losing the feelings of hand and legs ? Missing D Losing the feelings of hand and legs Sore over hand and leg Sore over hand and leg Sore over hand and leg Sore over hand and leg Sore over hand and leg ? Missing E Sore over hand and leg Others Others Others Others Others ? Missing X Others Nothing/DK Nothing/DK Nothing/DK Nothing/DK Nothing/DK ? Missing Z Nothing/DK Using water from arsenic free TW Using water from arsenic free TW Using water from arsenic free TW Using water from arsenic free TW Using water from arsenic free TW ? Missing A Using water from arsenic free TW Using boiled pond/river/canal water Using boiled pond/river/canal water Using boiled pond/river/canal water Using boiled pond/river/canal water Using boiled pond/river/canal water ? Missing B Using boiled pond/river/canal water Using rain water Using rain water Using rain water Using rain water Using rain water ? Missing C Using rain water Using pond/sand filter water Using pond/sand filter water Using pond/sand filter water Using pond/sand filter water Using pond/sand filter water ? Missing D Using pond/sand filter water Using SIDKO filter Using SIDKO filter Using SIDKO filter Using SIDKO filter Using SIDKO filter ? Missing E Using SIDKO filter Others Others Others Others Others ? Missing X Others Nothing/DK Nothing/DK Nothing/DK Nothing/DK Nothing/DK ? Missing Z Nothing/DK TW tested for arsenic TW tested for arsenic TW tested for arsenic TW tested for arsenic TW tested for arsenic 1 Not tested 2 Tested/marked red 3 Tested/marked green 9 Missing 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 41 Bucket 51 Hanging toilet/hanging latrine 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 Hand washing after defication Hand washing after defication Hand washing after defication Hand washing after defication Hand washing after defication 1 Only water 2 Water and soil 3 Water and ash 4 Water and soap 6 Others 9 Missing Religion Religion Religion Religion Religion What is the religion of the head of this household? Households 1 Islam 2 Hindu 3 Christian 4 Buddist 6 Others 7 No religion 9 Missing Ethnicity Ethnicity Ethnicity Ethnicity Ethnicity To what ethnic group does the head of this household belong? Households 1 Bangali 2 Chakma 3 Saontal 4 Marma 5 Tripura 6 Others 7 Garo 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 Polished wood 33 Ceramic tiles/Mojaic 34 Cement 35 Carpet 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 12 Thatch/palm leaf 21 Rustic mat/Plastic sheet/Polythine 22 Palm/bamboo 31 Metal 32 Wood 34 Ceramic tiles 35 Cement 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 12 Cane/palm/trunks/Leaf/Jute stick/Sod 13 Dirt/Mud 21 Bambo with mud 22 Stone with mud 25 Carton/Tin sheet 31 Cement 33 Bricks 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) 3 Natural gas 4 Biogas 5 Kerosene 8 Wood 9 Straw/shrubs/grass 10 Animal dung 11 Agricultural crop residue 96 Other 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 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 Electric fan Electric fan Electric fan Electric fan Electric fan 1 Yes 2 No 9 Missing Computer Computer Computer Computer Computer 1 Yes 2 No 9 Missing AC AC AC AC AC 1 Yes 2 No 9 Missing Washing machine Washing machine Washing machine Washing machine Washing machine 1 Yes 2 No 9 Missing 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 a motor Boat with a motor Boat with a motor Boat with a motor Boat with a motor Does any member of your household own: Households 1 Yes 2 No 9 Missing Sofa Sofa Sofa Sofa Sofa 1 Yes 2 No 9 Missing Rickshaw Van Rickshaw Van Rickshaw Van Rickshaw Van Rickshaw Van 1 Yes 2 No 9 Missing Did any under 18 children get injured Did any under 18 children get injured Did any under 18 children get injured Did any under 18 children get injured Did any under 18 children get injured 1 Yes 2 No 9 Missing Fall_Boy Fall_Boy Fall_Boy Fall_Boy Fall_Boy 9 Missing Fall_Girl Fall_Girl Fall_Girl Fall_Girl Fall_Girl 9 Missing Burn_Boy Burn_Boy Burn_Boy Burn_Boy Burn_Boy 9 Missing Burn_Girl Burn_Girl Burn_Girl Burn_Girl Burn_Girl 9 Missing Accidental poisoning_Boy Accidental poisoning_Boy Accidental poisoning_Boy Accidental poisoning_Boy Accidental poisoning_Boy 9 Missing Accidental poisoning_Girl Accidental poisoning_Girl Accidental poisoning_Girl Accidental poisoning_Girl Accidental poisoning_Girl 9 Missing Animal/snake/insect_Boy Animal/snake/insect_Boy Animal/snake/insect_Boy Animal/snake/insect_Boy Animal/snake/insect_Boy 9 Missing Animal/snake/insect_Girl Animal/snake/insect_Girl Animal/snake/insect_Girl Animal/snake/insect_Girl Animal/snake/insect_Girl 9 Missing Rd. Accident_Boy Rd. Accident_Boy Rd. Accident_Boy Rd. Accident_Boy Rd. Accident_Boy 9 Missing Rd. Accident_Girl Rd. Accident_Girl Rd. Accident_Girl Rd. Accident_Girl Rd. Accident_Girl 9 Missing Drowned_Boy Drowned_Boy Drowned_Boy Drowned_Boy Drowned_Boy 9 Missing Drowned_Girl Drowned_Girl Drowned_Girl Drowned_Girl Drowned_Girl 9 Missing Acid victim_Boy Acid victim_Boy Acid victim_Boy Acid victim_Boy Acid victim_Boy 9 Missing Acid victim_Girl Acid victim_Girl Acid victim_Girl Acid victim_Girl Acid victim_Girl 9 Missing Other_Boy Other_Boy Other_Boy Other_Boy Other_Boy 9 Missing Other_Girl Other_Girl Other_Girl Other_Girl Other_Girl 9 Missing Recovered_Boy Recovered_Boy Recovered_Boy Recovered_Boy Recovered_Boy 9 Missing Recovered_Girl Recovered_Girl Recovered_Girl Recovered_Girl Recovered_Girl 9 Missing Still suffering_Boy Still suffering_Boy Still suffering_Boy Still suffering_Boy Still suffering_Boy 9 Missing Still suffering_Girl Still suffering_Girl Still suffering_Girl Still suffering_Girl Still suffering_Girl 9 Missing Died_Boy Died_Boy Died_Boy Died_Boy Died_Boy 9 Missing Died_Girl Died_Girl Died_Girl Died_Girl Died_Girl 9 Missing Was there any marriage in the household Was there any marriage in the household Was there any marriage in the household Was there any marriage in the household Was there any marriage in the household 1 No Marriage 2 Registered 3 Not registered 8 DK Duration of living in the slum area in year Duration of living in the slum area in year Duration of living in the slum area in year Duration of living in the slum area in year Duration of living in the slum area in year 99 Missing Own or rent Own or rent Own or rent Own or rent Own or rent 1 Own 2 Rent 3 Rentfree/squatter/other 9 Missing Have title deed Have title deed Have title deed Have title deed Have title deed 1 Yes 2 No 9 Missing Certificate of occupation Certificate of occupation Certificate of occupation Certificate of occupation Certificate of occupation ? Missing A Certificate of occupation (or adjudication certificate) Property tax certification Property tax certification Property tax certification Property tax certification Property tax certification ? Missing B Property tax certification Utility bills Utility bills Utility bills Utility bills Utility bills ? Missing C Utility bills Other Other Other Other Other ? Missing X Other None/no document None/no document None/no document None/no document None/no document ? Missing Y None/No document Written rental contract Written rental contract Written rental contract Written rental contract Written rental contract 1 Yes 2 No 9 Missing Informal agreement (written) Informal agreement (written) Informal agreement (written) Informal agreement (written) Informal agreement (written) ? Missing A Informal agreement (written) Verbal agreement (no document) Verbal agreement (no document) Verbal agreement (no document) Verbal agreement (no document) Verbal agreement (no document) ? Missing B Verbal agreement (no document) Occupied rent free with knowledge of owner Occupied rent free with knowledge of owner Occupied rent free with knowledge of owner Occupied rent free with knowledge of owner Occupied rent free with knowledge of owner ? Missing C Occupied rent free with knowledge of the owner Occupied rent free without knowledge of owner Occupied rent free without knowledge of owner Occupied rent free without knowledge of owner Occupied rent free without knowledge of owner Occupied rent free without knowledge of owner ? Missing D Occupied rent free without knowledge of the owner Other Other Other Other Other ? Missing X Other None/no document None/no document None/no document None/no document None/no document ? Missing Y None/No document Feel secure from eviction Feel secure from eviction Feel secure from eviction Feel secure from eviction Feel secure from eviction 1 Yes 2 No 8 DK 9 Missing Evicted during past 5 years Evicted during past 5 years Evicted during past 5 years Evicted during past 5 years Evicted during past 5 years 1 Yes 2 No 9 Missing Landslide area Landslide area Landslide area Landslide area Landslide area ? Missing A Landslide area Flood-prone area Flood-prone area Flood-prone area Flood-prone area Flood-prone area ? Missing B Flood-prone area River bank River bank River bank River bank River bank ? Missing C River bank Steep hill Steep hill Steep hill Steep hill Steep hill ? Missing D Steep hill Garbage mountain/pile Garbage mountain/pile Garbage mountain/pile Garbage mountain/pile Garbage mountain/pile ? Missing E Garbage mountain/pile Industrial pollution area Industrial pollution area Industrial pollution area Industrial pollution area Industrial pollution area ? Missing F Industrial pollution area Railroad Railroad Railroad Railroad Railroad ? Missing G Railroad None of the above None of the above None of the above None of the above None of the above ? Missing Y None of the above Cracks/openings in the wall Cracks/openings in the wall Cracks/openings in the wall Cracks/openings in the wall Cracks/openings in the wall ? Missing A Cracks/openings in walls No windows No windows No windows No windows No windows ? Missing B No windows Windows with broken glass/no glass Windows with broken glass/no glass Windows with broken glass/no glass Windows with broken glass/no glass Windows with broken glass/no glass ? Missing C Windows with broken glass/no glass Visible holes in the roof Visible holes in the roof Visible holes in the roof Visible holes in the roof Visible holes in the roof ? Missing D Visible holes in the roof Incomplete roof Incomplete roof Incomplete roof Incomplete roof Incomplete roof ? Missing E Incomplete roof Insecure door Insecure door Insecure door Insecure door Insecure door ? Missing F Insecure door Squartter (Jhupri) Squartter (Jhupri) Squartter (Jhupri) Squartter (Jhupri) Squartter (Jhupri) ? Missing G Squartter (Jhupri) None of the above None of the above None of the above None of the above None of the above ? Missing Y None of the above Narrow passages Narrow passages Narrow passages Narrow passages Narrow passages ? Missing A Very narrow passage between house intead of road Too many power cables Too many power cables Too many power cables Too many power cables Too many power cables ? Missing B Too many power cables connecting to neighborhood's None of the above None of the above None of the above None of the above None of the above ? Missing Y None of the above Stratum Stratum Stratum Stratum Stratum 1 Barisal city corporation 2 Chittagong city corporation 3 Dhaka city corporation 4 Khulna city corporation 5 Rajshahi city corporation 6 Sylhet city corporation 7 Chittagong slum 8 Dhaka slum 9 Chittagong tribal 10 Dhaka tribal 11 Rajshahi tribal 12 Barguna 13 Barisal 14 Bhola 15 Jhalokati 16 Patuakhali 17 Pirojpur 18 Bandarban 19 Brahmanbaria 20 Chandpur 21 Chittagong 22 Comilla 23 Coxs Bazar 24 Feni 25 Khagrachhari 26 Lakshmipur 27 Noakhali 28 Rangamati 29 Dhaka 30 Faridpur 31 Gazipur 32 Gopalganj 33 Jamalpur 34 Kishorganj 35 Madaripur 36 Manikganj 37 Munshiganj 38 Mymensingh 39 Narayanganj 40 Narsingdi 41 Netrakona 42 Rajbari 43 Shariatpur 44 Sherpur 45 Tangail 46 Bagerhat 47 Chuadanga 48 Jessore 49 Jhenaidah 50 Khulna 51 Kushtia 52 Magura 53 Meherpur 54 Narail 55 Satkhira 56 Bogra 57 Dinajpur 58 Gaibandha 59 Joypurhat 60 Kurigram 61 Lalmonirhat 62 Naogaon 63 Natore 64 Nawabganj 65 Nilphamari 66 Pabna 67 Panchagarh 68 Rajshahi 69 Rangpur 70 Sirajganj 71 Thakurgaon 72 Habiganj 73 Maulvibazar 74 Sunamganj 75 Sylhet Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight Recoded variable De jure household members (usual residents) Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 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 incomplete 3 Primary completed 4 Secondary incomplete 5 Secondary completed or higher 6 Non-standard curriculum 7 Mother not in household 9 Missing/DK The variable is created from information collected on educational level in the HL file. See makewm.sps in the data processing folder under technical information. Mother's education Mother's education Mother's education Mother's education Mother's education 1 None 2 Primary 3 Secondary + 4 Non-standard curriculum 5 Mother not in household 9 Missing/DK 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 incomplete 3 Primary completed 4 Secondary incomplete 5 Secondary completed or higher 6 Non-standard curriculum 7 Father not in household 9 Missing/DK The variable is created from information collected on educational level in the HL file. See makehl.sps in the data processing folder under technical information. Father's education Father's education Father's education Father's education Father's education 1 None 2 Primary 3 Secondary + 4 Non-standard curriculum 5 Father not in household 9 Missing/DK Education of household head Education of household head Education of household head Education of household head Education of household head Recoded variable De jure household members (usual residents) 1 None 2 Primary incomplete 3 Primary completed 4 Secondary incomplete 5 Secondary completed or higher 6 Non-standard curriculum 9 Missing/DK The variable is created from information collected on educational level in the HL file. See makehh.sps in the data processing folder under technical information. Education of household head Education of household head Education of household head Education of household head Education of household head 1 None 2 Primary 3 Secondary + 4 Non-standard curriculum 9 Missing/DK 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 Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Women aged 15-49 1 Mr. Aminul Islam Bir 2 Mr. Husain Shahid 3 Mr. Jamal Uddin 4 Mr. Hamidul Islam 5 Mr. Abdur Rahman 6 Mr. Mohd. Almas Uddin 7 Mr. Mahadi Hassan 8 Mr. Sontosh Kr. Mandal (Sumon 9 Mr. Amar Ch. Majumder 10 Ms. Sahana Parvin 11 Mr. Mominul Haque (Firoj) 12 Ms. Shirajum Munira 13 Mr. Moniruzzaman 14 Mr. Nasir Ahmed 15 Mr. Mahamud Ali Mamun 16 Ms. Ziaonnessa Begum 17 Ms. Farida Yesmin (Old) 18 Mr. Alakesh Bepary 19 Mr. Mokbul Hossain Sharif 20 Mr. Nasir Uddin (Mostafa) 21 Ms. Tahera Khatun 22 Mr. Abdur Rahim 23 Ms. Salma Sultana 24 Mr. Prodip Biswas 25 Mr. Ajoy Krishna Das 26 Mr. Rabindranath Chowdhury 27 Mr. Rafiqul Alam 28 Mr. Monjurul Haque (Monju) 29 Ms. Selina Akter 30 Mr Helal Uddin 31 Mr. Sanjoy Kumar Biswas 32 Mr. Monir Ahamed 33 Mr. Dibyendu Kumar Dutta 34 Ms. Nasima Khatun 35 Ms. Kanan Bala Mozumder 36 Ms. Zakia Sultana 37 Mr. Rezaul Islam 38 Mr. Firoz Khan 39 Ms. Suriya Parvin (Trishna) 40 Ms. Fatima Begum 42 Mr. Shahinul Islam 43 Ms. Asma Akther 44 Ms. Fatema Hasnin 45 Mr. Abdur Rahim Sikder 46 Mr. Liton Acharja 47 Ms. Afroza Jannat 48 Ms. Marzia Begum 49 Mr. Nazrul Islam 51 Ms. Salma Akter 52 Ms. Nasima Khatun (Shaila) 53 Mr. Dudha Mia 54 Ms. Nusrat Sharmin Nipa 55 Ms. Mina Khanam 56 Ms. Farzana Yasmin 57 Mr. Nurul Islam 58 Mr. Abdul Malek 59 Ms. Rina Aktar 60 Ms. Lovely Begum 61 Mr. Sanjoy Bepary 62 Ms. Shalina Khanam 63 Ms. Anima Biswas 64 Ms. Shirin Akter (K) 65 Mr. Abdul Motalab 66 Mr. Saidduz-zaman 67 Ms. Susama Halder 68 Ms. Nazmun Nahar (Popy) 69 Mr. Sabyasachi Dash 70 Mr. Shaheen Uddin 71 Ms. Shakila Sultana Moni 72 Ms. Shila Chakrabarty 74 Ms. Nazma Khanam 75 Mr. Sohel Mozumder 76 Ms. Amena Akter 77 Mr. Shafi Mohd. Ali Siddiki 78 Mr. Reaj Uddin 79 Ms. Taibatun Nehar 80 Ms. Rupali Biswas 81 Mr. Zulfikar Ali 82 Mr. ASM Kamrul Hasan 83 Ms. Aysha Begum 84 Ms. Rajia Sultana 85 Mr. Monotos Halder 86 Ms. Nasima Akter Mozumder 87 Ms. Uranus Ahamad(Lubna) 88 Ms. Jesmin Akter Banu 89 Mr. Jasim Uddin 90 Ms. Momeja Khatun 91 Ms. Sheikh Nargis Akter 92 Ms. Rebaka Sultana 93 Mr. Billal Hossain 94 Mr. Mobinur Rahman 95 Ms. Mahamuda Akter 96 Ms. Nazmun Naher (Jharna) 97 Mr. Meher Ali 98 Mr. Sayed Abdul Gaffar 99 Ms. Labonee 100 Ms. Nadira Khatun 101 Mr. Anowarul Islam Khan 102 Ms. Mahmumada Parvin 103 Ms. Ayesa Akter (Anna) 104 Ms. Anupa Biswas 105 Mr. Masudul Haque Bhuiyan 106 Ms. Majeda Begum 107 Ms. Shaheen Akhter 108 Ms. Mousumi Akter 109 Mr. Sheikh Moniruzzaman 110 Ms. Sharmin Sultana 111 Ms. Lutfunnesa 112 Ms. Salina Jahan 113 Mr. Ahmad Al-Munzir (Rana) 114 Mr. Saidur Rahman 115 Ms. Anima Rani Mistry 116 Ms. Gita Rani Biswas 117 Mr. Ahmad Al-Amin 118 Ms. Rozina Khatun 119 Ms. Nargis Sultana 120 Ms. Margia Khatun 121 Mr. Bahadur Mia 122 Mr. Swapan Kumar Halder 123 Ms. Nilufar Yeasmin 124 Ms. Motahara Begum (Rozy) 125 Mr. Habibur Rahman 126 Ms. Hosne Ara Konica 127 Ms. Sharmin Sayela 129 Mr. ATM Anowarul Hakim 130 Ms. Nazrin Akter Bithi 131 Ms. Shahanaz Pervin 132 Ms. Najiba Fairuj 133 Mr. Rukun Uddin 134 Ms. Pala Halder 135 Ms. Shayla Sharmin 136 Ms. Nurjahan Akter 137 Mr. Khairul Motin 138 Ms. Kohinoor Akter 139 Ms. Beauty Akter 140 Ms. Tahasna Azima Azam 141 Mr. Abu Sayem (Mamun) 142 Ms. Shahanaj Nasrin 143 Ms. Sabina Yasmin (Sapna) 144 Ms. Marufa Akter 145 Mr. Anamul Haque 146 Mr. KM Rezaul Karim 147 Ms. Shelina Khatun (Lipy) 148 Ms. Mahafuja Akter (Ratna) 149 Mr. Shahajahan Ali 150 Ms. Liza Sultana 151 Ms. Roushon Ara 152 Ms. Badrun Nessa 153 Mr. Mirza Md. Robiul Islam 154 Ms. Sabina Akter 155 Ms. Shilpi Adhekary 157 Mr. Ranjit Ku. Barman 158 Ms. Rabeya Jesmin Chowdhury 159 Ms. Farida Parvin 160 Ms. Lucky Akter 161 Ms. Lal Rin-Pui 162 Mr. Shahidul Islam Milon 163 Mr. Sharif Miah Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Women aged 15-49 Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Women aged 15-49 Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Women aged 15-49 Result of women 's interview Result of women 's interview Result of women 's interview Result of women 's interview Result of women 's interview Result of women's interview Women aged 15-49 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 6 Other Month of birth of woman Month of birth of woman Month of birth of woman Month of birth of woman Month of birth of woman Repeat greeting if not already read to this woman: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the woman does not agree to continue, thank her, complete WM7, and go to the next interview. Discuss this result with your supervisor for a future revisit. In what month and year were you born? Women aged 15-49 97 Inconsistent 98 DK 99 Missing Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman Year of birth of woman Repeat greeting if not already read to this woman: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the woman does not agree to continue, thank her, complete WM7, and go to the next interview. Discuss this result with your supervisor for a future revisit. In what month and year were you born? Women aged 15-49 9998 DK 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 Marital status of women Marital status of women Marital status of women Marital status of women Marital status of women 1 Unmarried 2 Married 3 Divorced 4 Seperated 5 Widow Have you ever attended school Have you ever attended school Have you ever attended school Have you ever attended school Have you ever attended school Have you ever attended school? Women aged 15-49 1 Yes 2 No 9 Missing What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended What is the highest level of school you attended: primary, secondary, or higher? Women aged 15-49 Pre-school 1 Primary 2 Secondary (High school) 3 Higher Secondary(College/uneversity) 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 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 No sentence in 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 last birth Day of last birth Day of last birth Day of last birth Day of last birth Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)? If day is not known, enter '98' in space for day. Women aged 15-49 97 Inconsistent 98 DK 99 Missing Month of last birth Month of last birth Month of last birth Month of last birth Month of last birth Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)? Women aged 15-49 97 Inconsistent 98 DK 99 Missing Year of last birth Year of last birth Year of last birth Year of last birth Year of last birth Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)? Women aged 15-49 9997 Inconsistent 9998 DK 9999 Missing Live birth in last 2 years Live birth in last 2 years Live birth in last 2 years Live birth in last 2 years Live birth in last 2 years Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in 2003)? If child has died, take special care when referring to this child by name in the following modules. No live birth in last 2 years. Go to MARRIAGE/UNION module. Yes, live birth in last 2 years. Continue with CM13 Name of child_______________________ Women aged 15-49 N No Y Yes Tetanus toxoid card Tetanus toxoid card Tetanus toxoid card Tetanus toxoid card Tetanus toxoid card This module is to be administered to all women with a live birth in the 2 years preceding date of interview. Do you have a card or other document with your own immunizations listed? If a card is presented, use it to assist with answers to the following questions. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes (card seen) 2 Yes (card not seen) 3 No 8 DK 9 Missing Tetanus toxoid given in pregnancy Tetanus toxoid given in pregnancy Tetanus toxoid given in pregnancy Tetanus toxoid given in pregnancy Tetanus toxoid given in pregnancy When you were pregnant with your last child, did you receive any injection to prevent him or her from getting tetanus, that is convulsions after birth (an anti-tetanus shot, an injection at the top of the arm or shoulder)? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Times given tetanus toxoid in pregnancy Times given tetanus toxoid in pregnancy Times given tetanus toxoid in pregnancy Times given tetanus toxoid in pregnancy Times given tetanus toxoid in pregnancy If yes: How many times did you receive this anti-tetanus injection during your last pregnancy? How many TT doses during last pregnancy were reported in TT3? At least two TT injections during last pregnancy. Go to Next Module Fewer than two TT injections during last pregnancy. Continue with TT5 Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 8 DK 9 Missing Given tetanus toxoid before pregnancy Given tetanus toxoid before pregnancy Given tetanus toxoid before pregnancy Given tetanus toxoid before pregnancy Given tetanus toxoid before pregnancy Did you receive any tetanus toxoid injection at any time before your last pregnancy? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Times given tetanus toxoid before pregnancy Times given tetanus toxoid before pregnancy Times given tetanus toxoid before pregnancy Times given tetanus toxoid before pregnancy Times given tetanus toxoid before pregnancy How many times did you receive it? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 98 DK 99 Missing Month last given tetanus toxoid before pregnancy Month last given tetanus toxoid before pregnancy Month last given tetanus toxoid before pregnancy Month last given tetanus toxoid before pregnancy Month last given tetanus toxoid before pregnancy In what month and year did you receive the last anti-tetanus injection before that last pregnancy? Skip to next module only if year of injection is given. Otherwise, continue with TT8. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 97 Inconsistent 98 DK 99 Missing Year last given tetanus toxoid before pregnancy Year last given tetanus toxoid before pregnancy Year last given tetanus toxoid before pregnancy Year last given tetanus toxoid before pregnancy Year last given tetanus toxoid before pregnancy In what month and year did you receive the last anti-tetanus injection before that last pregnancy? Skip to next module only if year of injection is given. Otherwise, continue with TT8. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 9997 Inconsistent 9998 DK 9999 Missing Years ago last received tetanus toxoid before pregnancy Years ago last received tetanus toxoid before pregnancy Years ago last received tetanus toxoid before pregnancy Years ago last received tetanus toxoid before pregnancy Years ago last received tetanus toxoid before pregnancy How many years ago did you receive the last anti-tetanus injection before that last pregnancy? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 99 Missing Vitamin A dose after last birth Vitamin A dose after last birth Vitamin A dose after last birth Vitamin A dose after last birth Vitamin A dose after last birth This module is to be administered to all women with a live birth in the 2 years preceding date of interview. Check child mortality module CM12 and record name of last-born child here _____________________. Use this child's name in the following questions, where indicated. In the first two months after your last birth [the birth of name], did you receive a Vitamin A dose like this? Show 200,000 IU capsule or dispenser. 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 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: 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 attendant 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 (FWA /HA /MA /SACMO 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 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: 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 Assistance at delivery: Traditional birth attendant 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 Assistance at delivery: Community health worker (FWA/HA/MA) Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing H Relative/friend Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing X Other Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing Y No one Place of delivery Place of delivery Place of delivery Place of delivery Place of delivery Where did you give birth to (NAME)? If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 11 Respondent's home 12 Other home 21 Government hospital/clinic/health center 22 Govt. clinic/health center 26 Other public 31 Private hospital/clinic 32 Private clinic 33 Private maternity home 36 Other private medical 96 Other 99 Missing Size of child at birth Size of child at birth Size of child at birth Size of child at birth Size of child at birth When your last child (name) was born, was he/she very large, larger than average, average, smaller than average, or very small? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Very large 2 Larger than average 3 Average 4 Smaller than average 5 Very small 8 DK 9 Missing Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Was (name) weighed at birth? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall How much did (name) weigh? Record weight from health card, if available. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Card KG. 2 Card Ib. 3 Recall KG. 4 Recall Ib. 7 Inconsistent 8 DK 9 Missing Weight at birth Weight at birth Weight at birth Weight at birth Weight at birth 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 Missing 99.998 DK 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 8 Dk/remember 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 Time first bathe your baby (Unit) Time first bathe your baby (Unit) Time first bathe your baby (Unit) Time first bathe your baby (Unit) Time first bathe your baby (Unit) 1 With in 24 Hours 2 1-3 Days 3 More than 3 days 4 Not bathed 8 Dk/remember 9 Missing Time first bathe your baby INumber) Time first bathe your baby INumber) Time first bathe your baby INumber) Time first bathe your baby INumber) Time first bathe your baby INumber) 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 3 No 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 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 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 get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can people get the AIDS virus by sharing food with a person who has AIDS? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can people get the AIDS virus by getting injections with a needle that was already used by someone else? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Healthy-looking person can have AIDS Healthy-looking person can have AIDS Healthy-looking person can have AIDS Healthy-looking person can have AIDS Healthy-looking person can have AIDS Is it possible for a healthy-looking person to have the AIDS virus? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy Can the AIDS virus be transmitted from a mother to a baby? During pregnancy? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery Can the AIDS virus be transmitted from a mother to a baby? During delivery? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk Can the AIDS virus be transmitted from a mother to a baby? By breastfeeding? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Households 1 Mr. Aminul Islam Bir 2 Mr. Husain Shahid 3 Mr. Jamal Uddin 4 Mr. Hamidul Islam 5 Mr. Abdur Rahman 6 Mr. Mohd. Almas Uddin 7 Mr. Mahadi Hassan 8 Mr. Sontosh Kr. Mandal (Sumon 9 Mr. Amar Ch. Majumder 10 Ms. Sahana Parvin 11 Mr. Mominul Haque (Firoj) 12 Ms. Shirajum Munira 13 Mr. Moniruzzaman 14 Mr. Nasir Ahmed 15 Mr. Mahamud Ali Mamun 16 Ms. Ziaonnessa Begum 17 Ms. Farida Yesmin (Old) 18 Mr. Alakesh Bepary 19 Mr. Mokbul Hossain Sharif 20 Mr. Nasir Uddin (Mostafa) 21 Ms. Tahera Khatun 22 Mr. Abdur Rahim 23 Ms. Salma Sultana 24 Mr. Prodip Biswas 25 Mr. Ajoy Krishna Das 26 Mr. Rabindranath Chowdhury 27 Mr. Rafiqul Alam 28 Mr. Monjurul Haque (Monju) 29 Ms. Selina Akter 30 Mr Helal Uddin 31 Mr. Sanjoy Kumar Biswas 32 Mr. Monir Ahamed 33 Mr. Dibyendu Kumar Dutta 34 Ms. Nasima Khatun 35 Ms. Kanan Bala Mozumder 36 Ms. Zakia Sultana 37 Mr. Rezaul Islam 38 Mr. Firoz Khan 39 Ms. Suriya Parvin (Trishna) 40 Ms. Fatima Begum 42 Mr. Shahinul Islam 43 Ms. Asma Akther 44 Ms. Fatema Hasnin 45 Mr. Abdur Rahim Sikder 46 Mr. Liton Acharja 47 Ms. Afroza Jannat 48 Ms. Marzia Begum 49 Mr. Nazrul Islam 51 Ms. Salma Akter 52 Ms. Nasima Khatun (Shaila) 53 Mr. Dudha Mia 54 Ms. Nusrat Sharmin Nipa 55 Ms. Mina Khanam 56 Ms. Farzana Yasmin 57 Mr. Nurul Islam 58 Mr. Abdul Malek 59 Ms. Rina Aktar 60 Ms. Lovely Begum 61 Mr. Sanjoy Bepary 62 Ms. Shalina Khanam 63 Ms. Anima Biswas 64 Ms. Shirin Akter (K) 65 Mr. Abdul Motalab 66 Mr. Saidduz-zaman 67 Ms. Susama Halder 68 Ms. Nazmun Nahar (Popy) 69 Mr. Sabyasachi Dash 70 Mr. Shaheen Uddin 71 Ms. Shakila Sultana Moni 72 Ms. Shila Chakrabarty 74 Ms. Nazma Khanam 75 Mr. Sohel Mozumder 76 Ms. Amena Akter 77 Mr. Shafi Mohd. Ali Siddiki 78 Mr. Reaj Uddin 79 Ms. Taibatun Nehar 80 Ms. Rupali Biswas 81 Mr. Zulfikar Ali 82 Mr. ASM Kamrul Hasan 83 Ms. Aysha Begum 84 Ms. Rajia Sultana 85 Mr. Monotos Halder 86 Ms. Nasima Akter Mozumder 87 Ms. Uranus Ahamad(Lubna) 88 Ms. Jesmin Akter Banu 89 Mr. Jasim Uddin 90 Ms. Momeja Khatun 91 Ms. Sheikh Nargis Akter 92 Ms. Rebaka Sultana 93 Mr. Billal Hossain 94 Mr. Mobinur Rahman 95 Ms. Mahamuda Akter 96 Ms. Nazmun Naher (Jharna) 97 Mr. Meher Ali 98 Mr. Sayed Abdul Gaffar 99 Ms. Labonee 100 Ms. Nadira Khatun 101 Mr. Anowarul Islam Khan 102 Ms. Mahmumada Parvin 103 Ms. Ayesa Akter (Anna) 104 Ms. Anupa Biswas 105 Mr. Masudul Haque Bhuiyan 106 Ms. Majeda Begum 107 Ms. Shaheen Akhter 108 Ms. Mousumi Akter 109 Mr. Sheikh Moniruzzaman 110 Ms. Sharmin Sultana 111 Ms. Lutfunnesa 112 Ms. Salina Jahan 113 Mr. Ahmad Al-Munzir (Rana) 114 Mr. Saidur Rahman 115 Ms. Anima Rani Mistry 116 Ms. Gita Rani Biswas 117 Mr. Ahmad Al-Amin 118 Ms. Rozina Khatun 119 Ms. Nargis Sultana 120 Ms. Margia Khatun 121 Mr. Bahadur Mia 122 Mr. Swapan Kumar Halder 123 Ms. Nilufar Yeasmin 124 Ms. Motahara Begum (Rozy) 125 Mr. Habibur Rahman 126 Ms. Hosne Ara Konica 127 Ms. Sharmin Sayela 129 Mr. ATM Anowarul Hakim 130 Ms. Nazrin Akter Bithi 131 Ms. Shahanaz Pervin 132 Ms. Najiba Fairuj 133 Mr. Rukun Uddin 134 Ms. Pala Halder 135 Ms. Shayla Sharmin 136 Ms. Nurjahan Akter 137 Mr. Khairul Motin 138 Ms. Kohinoor Akter 139 Ms. Beauty Akter 140 Ms. Tahasna Azima Azam 141 Mr. Abu Sayem (Mamun) 142 Ms. Shahanaj Nasrin 143 Ms. Sabina Yasmin (Sapna) 144 Ms. Marufa Akter 145 Mr. Anamul Haque 146 Mr. KM Rezaul Karim 147 Ms. Shelina Khatun (Lipy) 148 Ms. Mahafuja Akter (Ratna) 149 Mr. Shahajahan Ali 150 Ms. Liza Sultana 151 Ms. Roushon Ara 152 Ms. Badrun Nessa 153 Mr. Mirza Md. Robiul Islam 154 Ms. Sabina Akter 155 Ms. Shilpi Adhekary 157 Mr. Ranjit Ku. Barman 158 Ms. Rabeya Jesmin Chowdhury 159 Ms. Farida Parvin 160 Ms. Lucky Akter 161 Ms. Lal Rin-Pui 162 Mr. Shahidul Islam Milon 163 Mr. Sharif Miah Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor name and number: Households 1 Mr. Aminul Islam Bir 2 Mr. Husain Shahid 3 Mr. Jamal Uddin 4 Mr. Hamidul Islam 5 Mr. Abdur Rahman 6 Mr. Mohd. Almas Uddin 7 Mr. Mahadi Hassan 8 Mr. Sontosh Kr. Mandal (Sumon 9 Mr. Amar Ch. Majumder 10 Ms. Sahana Parvin 11 Mr. Mominul Haque (Firoj) 12 Ms. Shirajum Munira 13 Mr. Moniruzzaman 14 Mr. Nasir Ahmed 15 Mr. Mahamud Ali Mamun 16 Ms. Ziaonnessa Begum 17 Ms. Farida Yesmin (Old) 18 Mr. Alakesh Bepary 19 Mr. Mokbul Hossain Sharif 20 Mr. Nasir Uddin (Mostafa) 21 Ms. Tahera Khatun 22 Mr. Abdur Rahim 23 Ms. Salma Sultana 24 Mr. Prodip Biswas 25 Mr. Ajoy Krishna Das 26 Mr. Rabindranath Chowdhury 27 Mr. Rafiqul Alam 28 Mr. Monjurul Haque (Monju) 29 Ms. Selina Akter 30 Mr Helal Uddin 31 Mr. Sanjoy Kumar Biswas 32 Mr. Monir Ahamed 33 Mr. Dibyendu Kumar Dutta 34 Ms. Nasima Khatun 35 Ms. Kanan Bala Mozumder 36 Ms. Zakia Sultana 37 Mr. Rezaul Islam 38 Mr. Firoz Khan 39 Ms. Suriya Parvin (Trishna) 40 Ms. Fatima Begum 42 Mr. Shahinul Islam 43 Ms. Asma Akther 44 Ms. Fatema Hasnin 45 Mr. Abdur Rahim Sikder 46 Mr. Liton Acharja 47 Ms. Afroza Jannat 48 Ms. Marzia Begum 49 Mr. Nazrul Islam 51 Ms. Salma Akter 52 Ms. Nasima Khatun (Shaila) 53 Mr. Dudha Mia 54 Ms. Nusrat Sharmin Nipa 55 Ms. Mina Khanam 56 Ms. Farzana Yasmin 57 Mr. Nurul Islam 58 Mr. Abdul Malek 59 Ms. Rina Aktar 60 Ms. Lovely Begum 61 Mr. Sanjoy Bepary 62 Ms. Shalina Khanam 63 Ms. Anima Biswas 64 Ms. Shirin Akter (K) 65 Mr. Abdul Motalab 66 Mr. Saidduz-zaman 67 Ms. Susama Halder 68 Ms. Nazmun Nahar (Popy) 69 Mr. Sabyasachi Dash 70 Mr. Shaheen Uddin 71 Ms. Shakila Sultana Moni 72 Ms. Shila Chakrabarty 74 Ms. Nazma Khanam 75 Mr. Sohel Mozumder 76 Ms. Amena Akter 77 Mr. Shafi Mohd. Ali Siddiki 78 Mr. Reaj Uddin 79 Ms. Taibatun Nehar 80 Ms. Rupali Biswas 81 Mr. Zulfikar Ali 82 Mr. ASM Kamrul Hasan 83 Ms. Aysha Begum 84 Ms. Rajia Sultana 85 Mr. Monotos Halder 86 Ms. Nasima Akter Mozumder 87 Ms. Uranus Ahamad(Lubna) 88 Ms. Jesmin Akter Banu 89 Mr. Jasim Uddin 90 Ms. Momeja Khatun 91 Ms. Sheikh Nargis Akter 92 Ms. Rebaka Sultana 93 Mr. Billal Hossain 94 Mr. Mobinur Rahman 95 Ms. Mahamuda Akter 96 Ms. Nazmun Naher (Jharna) 97 Mr. Meher Ali 98 Mr. Sayed Abdul Gaffar 99 Ms. Labonee 100 Ms. Nadira Khatun 101 Mr. Anowarul Islam Khan 102 Ms. Mahmumada Parvin 103 Ms. Ayesa Akter (Anna) 104 Ms. Anupa Biswas 105 Mr. Masudul Haque Bhuiyan 106 Ms. Majeda Begum 107 Ms. Shaheen Akhter 108 Ms. Mousumi Akter 109 Mr. Sheikh Moniruzzaman 110 Ms. Sharmin Sultana 111 Ms. Lutfunnesa 112 Ms. Salina Jahan 113 Mr. Ahmad Al-Munzir (Rana) 114 Mr. Saidur Rahman 115 Ms. Anima Rani Mistry 116 Ms. Gita Rani Biswas 117 Mr. Ahmad Al-Amin 118 Ms. Rozina Khatun 119 Ms. Nargis Sultana 120 Ms. Margia Khatun 121 Mr. Bahadur Mia 122 Mr. Swapan Kumar Halder 123 Ms. Nilufar Yeasmin 124 Ms. Motahara Begum (Rozy) 125 Mr. Habibur Rahman 126 Ms. Hosne Ara Konica 127 Ms. Sharmin Sayela 129 Mr. ATM Anowarul Hakim 130 Ms. Nazrin Akter Bithi 131 Ms. Shahanaz Pervin 132 Ms. Najiba Fairuj 133 Mr. Rukun Uddin 134 Ms. Pala Halder 135 Ms. Shayla Sharmin 136 Ms. Nurjahan Akter 137 Mr. Khairul Motin 138 Ms. Kohinoor Akter 139 Ms. Beauty Akter 140 Ms. Tahasna Azima Azam 141 Mr. Abu Sayem (Mamun) 142 Ms. Shahanaj Nasrin 143 Ms. Sabina Yasmin (Sapna) 144 Ms. Marufa Akter 145 Mr. Anamul Haque 146 Mr. KM Rezaul Karim 147 Ms. Shelina Khatun (Lipy) 148 Ms. Mahafuja Akter (Ratna) 149 Mr. Shahajahan Ali 150 Ms. Liza Sultana 151 Ms. Roushon Ara 152 Ms. Badrun Nessa 153 Mr. Mirza Md. Robiul Islam 154 Ms. Sabina Akter 155 Ms. Shilpi Adhekary 157 Mr. Ranjit Ku. Barman 158 Ms. Rabeya Jesmin Chowdhury 159 Ms. Farida Parvin 160 Ms. Lucky Akter 161 Ms. Lal Rin-Pui 162 Mr. Shahidul Islam Milon 163 Mr. Sharif Miah Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Households Area Area Area Area Area Area: Households 1 Rural 2 Urban (Municipality) 3 Urban non-slum (Metro city) 4 Urban slum 5 Tribal Region Region Region Region Region Region: Households 1 Barisal 2 Chittagong 3 Dhaka 4 Khulna 5 Rajshahi 6 Sylhet District District District District District 1 Bagerhat 3 Bandarban 4 Barguna 6 Barisal 9 Bhola 10 Bogra 12 Brahmanbaria 13 Chandpur 15 Chittagong 18 Chuadanga 19 Comilla 22 Cox's Bazar 26 Dhaka 27 Dinajpur 29 Faridpur 30 Feni 32 Gaibandha 33 Gazipur 35 Gopalganj 36 Habiganj 38 Joypurhat 39 Jamalpur 41 Jessore 42 Jhalokati 44 Jhenaidah 46 Khagrachhari 47 Khulna 48 Kishorganj 49 Kurigram 50 Kushtia 51 Lakshmipur 52 Lalmonirhat 54 Madaripur 55 Magura 56 Manikganj 57 Meherpur 58 Maulvibazar 59 Munshiganj 61 Mymensingh 64 Naogaon 65 Narail 67 Narayanganj 68 Narsingdi 69 Natore 70 Nawabganj 72 Netrakona 73 Nilphamari 75 Noakhali 76 Pabna 77 Panchagarh 78 Patuakhali 79 Pirojpur 81 Rajshahi 82 Rajbari 84 Rangamati 85 Rangpur 86 Shariatpur 87 Satkhira 88 Sirajganj 89 Sherpur 90 Sunamganj 91 Sylhet 93 Tangail 94 Thakurgaon Sub-district Sub-district Sub-district Sub-district Sub-district Result of HH interview Result of HH interview Result of HH interview Result of HH interview Result of HH interview After all questionnaires for the household have been completed, fill in the following information: Result of HH interview: Households 1 Completed 2 Not at home 3 Refused 4 HH not found/destroyed 6 Other Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent to HH questionnaire: Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members: Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 No.of children under age 5: Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Households Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk: Households 1 Rokan Mia 3 Jharna Datta 4 Rina 5 Ripon 6 Foysal 7 Shakil 8 Anwar 9 Ratan 10 Shahinul Islam 11 Moniruzzaman 12 Nazimuddin 13 Hafiz 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 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 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 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 Alum Alum Alum Alum Alum ? Missing G Alum 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 Heard of arsenic in water Heard of arsenic in water Heard of arsenic in water Heard of arsenic in water Heard of arsenic in water 1 Yes 2 No 9 Missing Black, white or red spot in body Black, white or red spot in body Black, white or red spot in body Black, white or red spot in body Black, white or red spot in body ? Missing A Black, white or red spot in body Hand and feet become rough Hand and feet become rough Hand and feet become rough Hand and feet become rough Hand and feet become rough ? Missing B Hand and feet become rough Legs swells up Legs swells up Legs swells up Legs swells up Legs swells up ? Missing C Legs swells up Losing the feelings of hand and legs Losing the feelings of hand and legs Losing the feelings of hand and legs Losing the feelings of hand and legs Losing the feelings of hand and legs ? Missing D Losing the feelings of hand and legs Sore over hand and leg Sore over hand and leg Sore over hand and leg Sore over hand and leg Sore over hand and leg ? Missing E Sore over hand and leg Others Others Others Others Others ? Missing X Others Nothing/DK Nothing/DK Nothing/DK Nothing/DK Nothing/DK ? Missing Z Nothing/DK Using water from arsenic free TW Using water from arsenic free TW Using water from arsenic free TW Using water from arsenic free TW Using water from arsenic free TW ? Missing A Using water from arsenic free TW Using boiled pond/river/canal water Using boiled pond/river/canal water Using boiled pond/river/canal water Using boiled pond/river/canal water Using boiled pond/river/canal water ? Missing B Using boiled pond/river/canal water Using rain water Using rain water Using rain water Using rain water Using rain water ? Missing C Using rain water Using pond/sand filter water Using pond/sand filter water Using pond/sand filter water Using pond/sand filter water Using pond/sand filter water ? Missing D Using pond/sand filter water Using SIDKO filter Using SIDKO filter Using SIDKO filter Using SIDKO filter Using SIDKO filter ? Missing E Using SIDKO filter Others Others Others Others Others ? Missing X Others Nothing/DK Nothing/DK Nothing/DK Nothing/DK Nothing/DK ? Missing Z Nothing/DK TW tested for arsenic TW tested for arsenic TW tested for arsenic TW tested for arsenic TW tested for arsenic 1 Not tested 2 Tested/marked red 3 Tested/marked green 9 Missing 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 41 Bucket 51 Hanging toilet/hanging latrine 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 Hand washing after defication Hand washing after defication Hand washing after defication Hand washing after defication Hand washing after defication 1 Only water 2 Water and soil 3 Water and ash 4 Water and soap 6 Others 9 Missing Religion Religion Religion Religion Religion What is the religion of the head of this household? Households 1 Islam 2 Hindu 3 Christian 4 Buddist 6 Others 7 No religion 9 Missing Ethnicity Ethnicity Ethnicity Ethnicity Ethnicity To what ethnic group does the head of this household belong? Households 1 Bangali 2 Chakma 3 Saontal 4 Marma 5 Tripura 6 Others 7 Garo 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 Polished wood 33 Ceramic tiles/Mojaic 34 Cement 35 Carpet 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 12 Thatch/palm leaf 21 Rustic mat/Plastic sheet/Polythine 22 Palm/bamboo 31 Metal 32 Wood 34 Ceramic tiles 35 Cement 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 12 Cane/palm/trunks/Leaf/Jute stick/Sod 13 Dirt/Mud 21 Bambo with mud 22 Stone with mud 25 Carton/Tin sheet 31 Cement 33 Bricks 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) 3 Natural gas 4 Biogas 5 Kerosene 8 Wood 9 Straw/shrubs/grass 10 Animal dung 11 Agricultural crop residue 96 Other 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 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 Electric fan Electric fan Electric fan Electric fan Electric fan 1 Yes 2 No 9 Missing Computer Computer Computer Computer Computer 1 Yes 2 No 9 Missing AC AC AC AC AC 1 Yes 2 No 9 Missing Washing machine Washing machine Washing machine Washing machine Washing machine 1 Yes 2 No 9 Missing 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 a motor Boat with a motor Boat with a motor Boat with a motor Boat with a motor Does any member of your household own: Households 1 Yes 2 No 9 Missing Sofa Sofa Sofa Sofa Sofa 1 Yes 2 No 9 Missing Rickshaw Van Rickshaw Van Rickshaw Van Rickshaw Van Rickshaw Van 1 Yes 2 No 9 Missing Did any under 18 children get injured Did any under 18 children get injured Did any under 18 children get injured Did any under 18 children get injured Did any under 18 children get injured 1 Yes 2 No 9 Missing Fall_Boy Fall_Boy Fall_Boy Fall_Boy Fall_Boy 9 Missing Fall_Girl Fall_Girl Fall_Girl Fall_Girl Fall_Girl 9 Missing Burn_Boy Burn_Boy Burn_Boy Burn_Boy Burn_Boy 9 Missing Burn_Girl Burn_Girl Burn_Girl Burn_Girl Burn_Girl 9 Missing Accidental poisoning_Boy Accidental poisoning_Boy Accidental poisoning_Boy Accidental poisoning_Boy Accidental poisoning_Boy 9 Missing Accidental poisoning_Girl Accidental poisoning_Girl Accidental poisoning_Girl Accidental poisoning_Girl Accidental poisoning_Girl 9 Missing Animal/snake/insect_Boy Animal/snake/insect_Boy Animal/snake/insect_Boy Animal/snake/insect_Boy Animal/snake/insect_Boy 9 Missing Animal/snake/insect_Girl Animal/snake/insect_Girl Animal/snake/insect_Girl Animal/snake/insect_Girl Animal/snake/insect_Girl 9 Missing Rd. Accident_Boy Rd. Accident_Boy Rd. Accident_Boy Rd. Accident_Boy Rd. Accident_Boy 9 Missing Rd. Accident_Girl Rd. Accident_Girl Rd. Accident_Girl Rd. Accident_Girl Rd. Accident_Girl 9 Missing Drowned_Boy Drowned_Boy Drowned_Boy Drowned_Boy Drowned_Boy 9 Missing Drowned_Girl Drowned_Girl Drowned_Girl Drowned_Girl Drowned_Girl 9 Missing Acid victim_Boy Acid victim_Boy Acid victim_Boy Acid victim_Boy Acid victim_Boy 9 Missing Acid victim_Girl Acid victim_Girl Acid victim_Girl Acid victim_Girl Acid victim_Girl 9 Missing Other_Boy Other_Boy Other_Boy Other_Boy Other_Boy 9 Missing Other_Girl Other_Girl Other_Girl Other_Girl Other_Girl 9 Missing Recovered_Boy Recovered_Boy Recovered_Boy Recovered_Boy Recovered_Boy 9 Missing Recovered_Girl Recovered_Girl Recovered_Girl Recovered_Girl Recovered_Girl 9 Missing Still suffering_Boy Still suffering_Boy Still suffering_Boy Still suffering_Boy Still suffering_Boy 9 Missing Still suffering_Girl Still suffering_Girl Still suffering_Girl Still suffering_Girl Still suffering_Girl 9 Missing Died_Boy Died_Boy Died_Boy Died_Boy Died_Boy 9 Missing Died_Girl Died_Girl Died_Girl Died_Girl Died_Girl 9 Missing Was there any marriage in the household Was there any marriage in the household Was there any marriage in the household Was there any marriage in the household Was there any marriage in the household 1 No Marriage 2 Registered 3 Not registered 8 DK Duration of living in the slum area in year Duration of living in the slum area in year Duration of living in the slum area in year Duration of living in the slum area in year Duration of living in the slum area in year 99 Missing Do you or someone in this household own or rent this dwellin Do you or someone in this household own or rent this dwellin Do you or someone in this household own or rent this dwellin Do you or someone in this household own or rent this dwellin Do you or someone in this household own or rent this dwellin 1 Own 2 Rent 3 Rentfree/squatter/other 9 Missing Do you or someone in this household have a title deed for th Do you or someone in this household have a title deed for th Do you or someone in this household have a title deed for th Do you or someone in this household have a title deed for th Do you or someone in this household have a title deed for th 1 Yes 2 No 9 Missing Certificate of occupation (or adjudication certificate) Certificate of occupation (or adjudication certificate) Certificate of occupation (or adjudication certificate) Certificate of occupation (or adjudication certificate) Certificate of occupation (or adjudication certificate) ? Missing A Certificate of occupation (or adjudication certificate) Property tax certification Property tax certification Property tax certification Property tax certification Property tax certification ? Missing B Property tax certification Utility bills Utility bills Utility bills Utility bills Utility bills ? Missing C Utility bills Other Other Other Other Other ? Missing X Other None/No document None/No document None/No document None/No document None/No document ? Missing Y None/No document Do you have a written rental contract for this dwelling Do you have a written rental contract for this dwelling Do you have a written rental contract for this dwelling Do you have a written rental contract for this dwelling Do you have a written rental contract for this dwelling 1 Yes 2 No 9 Missing Informal agreement (written) Informal agreement (written) Informal agreement (written) Informal agreement (written) Informal agreement (written) ? Missing A Informal agreement (written) Verbal agreement (no document) Verbal agreement (no document) Verbal agreement (no document) Verbal agreement (no document) Verbal agreement (no document) ? Missing B Verbal agreement (no document) Occupied rent free with knowledge of the owner Occupied rent free with knowledge of the owner Occupied rent free with knowledge of the owner Occupied rent free with knowledge of the owner Occupied rent free with knowledge of the owner ? Missing C Occupied rent free with knowledge of the owner Occupied rent free without knowledge of the owner Occupied rent free without knowledge of the owner Occupied rent free without knowledge of the owner Occupied rent free without knowledge of the owner Occupied rent free without knowledge of the owner ? Missing D Occupied rent free without knowledge of the owner Other Other Other Other Other ? Missing X Other None/No document None/No document None/No document None/No document None/No document ? Missing Y None/No document Do you feel secure from eviction fromthis dwelling Do you feel secure from eviction fromthis dwelling Do you feel secure from eviction fromthis dwelling Do you feel secure from eviction fromthis dwelling Do you feel secure from eviction fromthis dwelling 1 Yes 2 No 8 DK 9 Missing Have you been evicted from your home in the 5 past years Have you been evicted from your home in the 5 past years Have you been evicted from your home in the 5 past years Have you been evicted from your home in the 5 past years Have you been evicted from your home in the 5 past years 1 Yes 2 No 9 Missing Landslide area Landslide area Landslide area Landslide area Landslide area ? Missing A Landslide area Flood-prone area Flood-prone area Flood-prone area Flood-prone area Flood-prone area ? Missing B Flood-prone area River bank River bank River bank River bank River bank ? Missing C River bank Steep hill Steep hill Steep hill Steep hill Steep hill ? Missing D Steep hill Garbage mountain/pile Garbage mountain/pile Garbage mountain/pile Garbage mountain/pile Garbage mountain/pile ? Missing E Garbage mountain/pile Industrial pollution area Industrial pollution area Industrial pollution area Industrial pollution area Industrial pollution area ? Missing F Industrial pollution area Railroad Railroad Railroad Railroad Railroad ? Missing G Railroad None of the above None of the above None of the above None of the above None of the above ? Missing Y None of the above Cracks/openings in walls Cracks/openings in walls Cracks/openings in walls Cracks/openings in walls Cracks/openings in walls ? Missing A Cracks/openings in walls No windows No windows No windows No windows No windows ? Missing B No windows Windows with broken glass/no glass Windows with broken glass/no glass Windows with broken glass/no glass Windows with broken glass/no glass Windows with broken glass/no glass ? Missing C Windows with broken glass/no glass Visible holes in the roof Visible holes in the roof Visible holes in the roof Visible holes in the roof Visible holes in the roof ? Missing D Visible holes in the roof Incomplete roof Incomplete roof Incomplete roof Incomplete roof Incomplete roof ? Missing E Incomplete roof Insecure door Insecure door Insecure door Insecure door Insecure door ? Missing F Insecure door Squartter (Jhupri) Squartter (Jhupri) Squartter (Jhupri) Squartter (Jhupri) Squartter (Jhupri) ? Missing G Squartter (Jhupri) None of the above None of the above None of the above None of the above None of the above ? Missing Y None of the above Very narrow passage between house intead of road Very narrow passage between house intead of road Very narrow passage between house intead of road Very narrow passage between house intead of road Very narrow passage between house intead of road ? Missing A Very narrow passage between house intead of road Too many power cables connecting to neighborhood's Too many power cables connecting to neighborhood's Too many power cables connecting to neighborhood's Too many power cables connecting to neighborhood's Too many power cables connecting to neighborhood's ? Missing B Too many power cables connecting to neighborhood's None of the above None of the above None of the above None of the above None of the above ? Missing Y None of the above 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 Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 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 Education Education Education Education Education 1 None 2 Primary 3 Secondary + 4 Non-standard curriculum 9 Missing/DK Education Education Education Education Education Recoded variable Children aged 0-4 1 None 2 Primary incomplete 3 Primary completed 4 Secondary incomplete 5 Secondary completed or higher 6 Non-standard curriculum 9 Missing/DK The variable is created from information collected on educational level in the HL file. See makewm.sps in the data processing folder under technical information. 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 Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Children aged 0-4 1 Mr. Aminul Islam Bir 2 Mr. Husain Shahid 3 Mr. Jamal Uddin 4 Mr. Hamidul Islam 5 Mr. Abdur Rahman 6 Mr. Mohd. Almas Uddin 7 Mr. Mahadi Hassan 8 Mr. Sontosh Kr. Mandal (Sumon 9 Mr. Amar Ch. Majumder 10 Ms. Sahana Parvin 11 Mr. Mominul Haque (Firoj) 12 Ms. Shirajum Munira 13 Mr. Moniruzzaman 14 Mr. Nasir Ahmed 15 Mr. Mahamud Ali Mamun 16 Ms. Ziaonnessa Begum 17 Ms. Farida Yesmin (Old) 18 Mr. Alakesh Bepary 19 Mr. Mokbul Hossain Sharif 20 Mr. Nasir Uddin (Mostafa) 21 Ms. Tahera Khatun 22 Mr. Abdur Rahim 23 Ms. Salma Sultana 24 Mr. Prodip Biswas 25 Mr. Ajoy Krishna Das 26 Mr. Rabindranath Chowdhury 27 Mr. Rafiqul Alam 28 Mr. Monjurul Haque (Monju) 29 Ms. Selina Akter 30 Mr Helal Uddin 31 Mr. Sanjoy Kumar Biswas 32 Mr. Monir Ahamed 33 Mr. Dibyendu Kumar Dutta 34 Ms. Nasima Khatun 35 Ms. Kanan Bala Mozumder 36 Ms. Zakia Sultana 37 Mr. Rezaul Islam 38 Mr. Firoz Khan 39 Ms. Suriya Parvin (Trishna) 40 Ms. Fatima Begum 42 Mr. Shahinul Islam 43 Ms. Asma Akther 44 Ms. Fatema Hasnin 45 Mr. Abdur Rahim Sikder 46 Mr. Liton Acharja 47 Ms. Afroza Jannat 48 Ms. Marzia Begum 49 Mr. Nazrul Islam 51 Ms. Salma Akter 52 Ms. Nasima Khatun (Shaila) 53 Mr. Dudha Mia 54 Ms. Nusrat Sharmin Nipa 55 Ms. Mina Khanam 56 Ms. Farzana Yasmin 57 Mr. Nurul Islam 58 Mr. Abdul Malek 59 Ms. Rina Aktar 60 Ms. Lovely Begum 61 Mr. Sanjoy Bepary 62 Ms. Shalina Khanam 63 Ms. Anima Biswas 64 Ms. Shirin Akter (K) 65 Mr. Abdul Motalab 66 Mr. Saidduz-zaman 67 Ms. Susama Halder 68 Ms. Nazmun Nahar (Popy) 69 Mr. Sabyasachi Dash 70 Mr. Shaheen Uddin 71 Ms. Shakila Sultana Moni 72 Ms. Shila Chakrabarty 74 Ms. Nazma Khanam 75 Mr. Sohel Mozumder 76 Ms. Amena Akter 77 Mr. Shafi Mohd. Ali Siddiki 78 Mr. Reaj Uddin 79 Ms. Taibatun Nehar 80 Ms. Rupali Biswas 81 Mr. Zulfikar Ali 82 Mr. ASM Kamrul Hasan 83 Ms. Aysha Begum 84 Ms. Rajia Sultana 85 Mr. Monotos Halder 86 Ms. Nasima Akter Mozumder 87 Ms. Uranus Ahamad(Lubna) 88 Ms. Jesmin Akter Banu 89 Mr. Jasim Uddin 90 Ms. Momeja Khatun 91 Ms. Sheikh Nargis Akter 92 Ms. Rebaka Sultana 93 Mr. Billal Hossain 94 Mr. Mobinur Rahman 95 Ms. Mahamuda Akter 96 Ms. Nazmun Naher (Jharna) 97 Mr. Meher Ali 98 Mr. Sayed Abdul Gaffar 99 Ms. Labonee 100 Ms. Nadira Khatun 101 Mr. Anowarul Islam Khan 102 Ms. Mahmumada Parvin 103 Ms. Ayesa Akter (Anna) 104 Ms. Anupa Biswas 105 Mr. Masudul Haque Bhuiyan 106 Ms. Majeda Begum 107 Ms. Shaheen Akhter 108 Ms. Mousumi Akter 109 Mr. Sheikh Moniruzzaman 110 Ms. Sharmin Sultana 111 Ms. Lutfunnesa 112 Ms. Salina Jahan 113 Mr. Ahmad Al-Munzir (Rana) 114 Mr. Saidur Rahman 115 Ms. Anima Rani Mistry 116 Ms. Gita Rani Biswas 117 Mr. Ahmad Al-Amin 118 Ms. Rozina Khatun 119 Ms. Nargis Sultana 120 Ms. Margia Khatun 121 Mr. Bahadur Mia 122 Mr. Swapan Kumar Halder 123 Ms. Nilufar Yeasmin 124 Ms. Motahara Begum (Rozy) 125 Mr. Habibur Rahman 126 Ms. Hosne Ara Konica 127 Ms. Sharmin Sayela 129 Mr. ATM Anowarul Hakim 130 Ms. Nazrin Akter Bithi 131 Ms. Shahanaz Pervin 132 Ms. Najiba Fairuj 133 Mr. Rukun Uddin 134 Ms. Pala Halder 135 Ms. Shayla Sharmin 136 Ms. Nurjahan Akter 137 Mr. Khairul Motin 138 Ms. Kohinoor Akter 139 Ms. Beauty Akter 140 Ms. Tahasna Azima Azam 141 Mr. Abu Sayem (Mamun) 142 Ms. Shahanaj Nasrin 143 Ms. Sabina Yasmin (Sapna) 144 Ms. Marufa Akter 145 Mr. Anamul Haque 146 Mr. KM Rezaul Karim 147 Ms. Shelina Khatun (Lipy) 148 Ms. Mahafuja Akter (Ratna) 149 Mr. Shahajahan Ali 150 Ms. Liza Sultana 151 Ms. Roushon Ara 152 Ms. Badrun Nessa 153 Mr. Mirza Md. Robiul Islam 154 Ms. Sabina Akter 155 Ms. Shilpi Adhekary 157 Mr. Ranjit Ku. Barman 158 Ms. Rabeya Jesmin Chowdhury 159 Ms. Farida Parvin 160 Ms. Lucky Akter 161 Ms. Lal Rin-Pui 162 Mr. Shahidul Islam Milon 163 Mr. Sharif Miah Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Children aged 0-4 Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Children aged 0-4 Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Children aged 0-4 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for children under 5 Children aged 0-4 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 6 Other Day of birth of child Day of birth of child Day of birth of child Day of birth of child Day of birth of child Repeat greeting if not already read to this respondent: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit. Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday? If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day. Children aged 0-4 97 Inconsistent 98 DK 99 Missing Month of birth of child Month of birth of child Month of birth of child Month of birth of child Month of birth of child Repeat greeting if not already read to this respondent: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit. Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday? If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day. Children aged 0-4 97 Inconsistent 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 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 Age of child in months Age of child in months Age of child in months Age of child in months Age of child in months 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 5 Does not know where to register 7 Don't feel it necessary 96 Other 98 DK 99 Missing Know how to register birth Know how to register birth Know how to register birth Know how to register birth Know how to register birth Do you know how to register your child's birth? Children aged 0-4 1 Yes 2 No 9 Missing Place of birth registration Place of birth registration Place of birth registration Place of birth registration Place of birth registration 1 City corporation 2 Pourshava 3 Union Parishad 6 Other 8 DK 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 Develop the Intelligence of this child? Develop the Intelligence of this child? Develop the Intelligence of this child? Develop the Intelligence of this child? Develop the Intelligence of this child? 1 Yes 2 No 9 Missing Give warm and responsive care Give warm and responsive care Give warm and responsive care Give warm and responsive care Give warm and responsive care ? Missing A Give warm and responsive care Encourage any participation Encourage any participation Encourage any participation Encourage any participation Encourage any participation ? Missing B Encourage any perticipation Let child play and socialize with others Let child play and socialize with others Let child play and socialize with others Let child play and socialize with others Let child play and socialize with others ? Missing C Let child play and socialize with others Set good example by modeling good behaviors and morals Set good example by modeling good behaviors and morals Set good example by modeling good behaviors and morals Set good example by modeling good behaviors and morals Set good example by modeling good behaviors and morals ? Missing D Set good example by modeling good behaviors and morals Discipline/punish the child physically Discipline/punish the child physically Discipline/punish the child physically Discipline/punish the child physically Discipline/punish the child physically ? Missing E Discipline/punish the child physically Scold the child Scold the child Scold the child Scold the child Scold the child ? Missing F Scold the child Stimulate attachment by providing consistent & responsive ca Stimulate attachment by providing consistent & responsive ca Stimulate attachment by providing consistent & responsive ca Stimulate attachment by providing consistent & responsive ca Stimulate attachment by providing consistent & responsive ca ? Missing G Stimulate attachment by providing consistent & responsive ca Development of learning abilities Development of learning abilities Development of learning abilities Development of learning abilities Development of learning abilities ? Missing H Development of learning abilities Don't Know Don't Know Don't Know Don't Know Don't Know ? Missing X Others Doing anything to prepare to go to school? Doing anything to prepare to go to school? Doing anything to prepare to go to school? Doing anything to prepare to go to school? Doing anything to prepare to go to school? 1 Yes 2 No 9 Missing Develop speaking Develop speaking Develop speaking Develop speaking Develop speaking ? Missing A Develop speaking Develop writing Develop writing Develop writing Develop writing Develop writing ? Missing B Develop writing Follow rules & regulations Follow rules & regulations Follow rules & regulations Follow rules & regulations Follow rules & regulations ? Missing C Follow rules & regulations Sending to school at appropriate age Sending to school at appropriate age Sending to school at appropriate age Sending to school at appropriate age Sending to school at appropriate age ? Missing D Sending to school at appropriate Prepare mentally Prepare mentally Prepare mentally Prepare mentally Prepare mentally ? Missing E Prepare mentally Opportunity for playing Opportunity for playing Opportunity for playing Opportunity for playing Opportunity for playing ? Missing F Opportunity for playing Encourage by comparing other children Encourage by comparing other children Encourage by comparing other children Encourage by comparing other children Encourage by comparing other children ? Missing G Encourage by comparing other children Development of learning abilities Development of learning abilities Development of learning abilities Development of learning abilities Development of learning abilities ? Missing H Development of learning abilities Others Others Others Others Others ? Missing X Others Child ever received vitamin A Child ever received vitamin A Child ever received vitamin A Child ever received vitamin A Child ever received vitamin A Has (name) ever received a vitamin A capsule (supplement) like this one? Show capsule or dispenser for different doses - 100,000 IU for those 6-11 months old, 200,000 IU for those 12-59 months old Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Months ago child took last Vitamin A dose Months ago child took last Vitamin A dose Months ago child took last Vitamin A dose Months ago child took last Vitamin A dose Months ago child took last Vitamin A dose How many months ago did (name) take the last dose? Children aged 0-4 97 Inconsistent 98 DK 99 Missing Place child got last Vitamin A dose Place child got last Vitamin A dose Place child got last Vitamin A dose Place child got last Vitamin A dose Place child got last Vitamin A dose Where did (name) get this last dose? Children aged 0-4 1 On routine visit to health centre 2 Sick child visit to health centre 3 National immunization day campain 4 Vitamin A campaign 6 Other 8 DK 9 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 Give honey/suger water/mastered oil as pre lactial food Give honey/suger water/mastered oil as pre lactial food Give honey/suger water/mastered oil as pre lactial food Give honey/suger water/mastered oil as pre lactial food Give honey/suger water/mastered oil as pre lactial food 1 Yes 2 No 8 DK 9 Missing Timing of braest feeding after birth (Unit) Timing of braest feeding after birth (Unit) Timing of braest feeding after birth (Unit) Timing of braest feeding after birth (Unit) Timing of braest feeding after birth (Unit) Immediately 1 Hours 2 Days 8 DK 9 Missing Timing of braest feeding after birth (Number) Timing of braest feeding after birth (Number) Timing of braest feeding after birth (Number) Timing of braest feeding after birth (Number) Timing of braest feeding after birth (Number) 98 DK 99 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 diarrhea Pre-packaged ORS fluid for diarrhea Pre-packaged ORS fluid for diarrhea Pre-packaged ORS fluid for diarrhea Pre-packaged ORS fluid for diarrhea During this last episode of diarrhoea, did (name) drink any of the following: Read each item aloud and record response before proceeding to the next item. A pre-packaged ORS fluid for diarrhoea? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing 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 care: Govt Hospital Place sought care: Govt Hospital Place sought care: Govt Hospital Place sought care: Govt Hospital Place sought care: Govt Hospital From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing A Govt. Hospital/health centre Place sought care: Village health worker Place sought care: Village health worker Place sought care: Village health worker Place sought care: Village health worker Place sought care: Village health worker From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing D Health worker/HA/MA Place sought care: Mobile/outreach clinic Place sought care: Mobile/outreach clinic Place sought care: Mobile/outreach clinic Place sought care: Mobile/outreach clinic Place sought care: Mobile/outreach clinic From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing E Mobile/outreach clinic Place sought care: Other public medical center Place sought care: Other public medical center Place sought care: Other public medical center Place sought care: Other public medical center Place sought care: Other public medical center From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing H Other public sources Place sought care: Private hospital/clinic Place sought care: Private hospital/clinic Place sought care: Private hospital/clinic Place sought care: Private hospital/clinic Place sought care: Private hospital/clinic From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing I Private hospital/clinic Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician Place sought care: Private physician From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing J Private phisician Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy Place sought care: Private pharmacy From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing K Pharmacy Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical Place sought care: Other private medical From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing O Other private Place sought care: Relative or friend Place sought care: Relative or friend Place sought care: Relative or friend Place sought care: Relative or friend Place sought care: Relative or friend From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing P Relative or friend Place sought care: Shop Place sought care: Shop Place sought care: Shop Place sought care: Shop Place sought care: Shop From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing Q Shop Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner Place sought care: Traditional practitioner From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing R Traditional practitioner Place sought care: NGO hospital/clinic Place sought care: NGO hospital/clinic Place sought care: NGO hospital/clinic Place sought care: NGO hospital/clinic Place sought care: NGO hospital/clinic ? Missing S NGO hospital/Clinic Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other Place sought care: Other From where did you seek care? Anywhere else? Circle all providers mentioned, but do NOT prompt with any suggestions. If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. (Name of place) Children aged 0-4 ? Missing X Other Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Given medicine to treat this illness Was (name) given medicine to treat this illness? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Antibiotic Antibiotic Antibiotic Antibiotic Antibiotic What medicine was (name) given? Circle all medicines given. Children aged 0-4 ? Missing A Antibiotic Paracetamal/Panadol/Acetaminophen Paracetamal/Panadol/Acetaminophen Paracetamal/Panadol/Acetaminophen Paracetamal/Panadol/Acetaminophen Paracetamal/Panadol/Acetaminophen What medicine was (name) given? Circle all medicines given. Children aged 0-4 ? Missing P Paracetamol/Panadol/Acetaminophen Aspirin Aspirin Aspirin Aspirin Aspirin What medicine was (name) given? Circle all medicines given. Children aged 0-4 ? Missing Q Aspirin Ibupropfen Ibupropfen Ibupropfen Ibupropfen Ibupropfen What medicine was (name) given? Circle all medicines given. Children aged 0-4 ? Missing R Ibuprofen Other Other Other Other Other What medicine was (name) given? Circle all medicines given. Children aged 0-4 ? Missing X Other DK DK DK DK 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 Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Symptoms: Child not able to drink or breastfeed Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing A Child not able to drink or breatfeed Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Symptoms: Child becomes sicker Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing B Child becomes sicker Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Symptoms: Child develops a fever Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing C Child develops a fever Symptoms: Child has faster breathing Symptoms: Child has faster breathing Symptoms: Child has faster breathing Symptoms: Child has faster breathing Symptoms: Child has faster breathing Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing D Child has fast breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Symptoms: Child has difficult breathing Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing E Child has difficult breathing Symptoms: Child has blood in stool Symptoms: Child has blood in stool Symptoms: Child has blood in stool Symptoms: Child has blood in stool Symptoms: Child has blood in stool Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing F Child has blood in stool Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Symptoms: Child is drinking poorly Ask the following question (CA14) only once for each caretaker. Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? Keep asking for more signs or symptoms until the caretaker cannot recall any additional symptoms. Circle all symptoms mentioned, But do NOT prompt with any suggestions. Children aged 0-4 ? Missing G Child is drinking poorly Symptoms: Animal bite Symptoms: Animal bite Symptoms: Animal bite Symptoms: Animal bite Symptoms: Animal bite ? Missing H Animal bite Symptoms: Snake bite Symptoms: Snake bite Symptoms: Snake bite Symptoms: Snake bite Symptoms: Snake bite ? Missing I Snake bite Symptoms: Drowing Symptoms: Drowing Symptoms: Drowing Symptoms: Drowing Symptoms: Drowing Snake bite Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: Other Symptoms: 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 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 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 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 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 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 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 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 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 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 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 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 9999 Missing Day of Hepatitis B1 immunization Day of Hepatitis B1 immunization Day of Hepatitis B1 immunization Day of Hepatitis B1 immunization Day of Hepatitis B1 immunization Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Hepatitis B1 immunization Month of Hepatitis B1 immunization Month of Hepatitis B1 immunization Month of Hepatitis B1 immunization Month of Hepatitis B1 immunization 99 Missing Year of Hepatitis B1 immunization Year of Hepatitis B1 immunization Year of Hepatitis B1 immunization Year of Hepatitis B1 immunization Year of Hepatitis B1 immunization 9999 Missing Day of Hepatitis B2 immunization Day of Hepatitis B2 immunization Day of Hepatitis B2 immunization Day of Hepatitis B2 immunization Day of Hepatitis B2 immunization Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing month of Hepatitis B2 immunization month of Hepatitis B2 immunization month of Hepatitis B2 immunization month of Hepatitis B2 immunization month of Hepatitis B2 immunization 99 Missing Year of Hepatitis B2 immunization Year of Hepatitis B2 immunization Year of Hepatitis B2 immunization Year of Hepatitis B2 immunization Year of Hepatitis B2 immunization 9999 Missing Day of Hepatitis B3 immunization Day of Hepatitis B3 immunization Day of Hepatitis B3 immunization Day of Hepatitis B3 immunization Day of Hepatitis B3 immunization Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Hepatitis B3 immunization Month of Hepatitis B3 immunization Month of Hepatitis B3 immunization Month of Hepatitis B3 immunization Month of Hepatitis B3 immunization 99 Missing Year of Hepatitis B4 immunization Year of Hepatitis B4 immunization Year of Hepatitis B4 immunization Year of Hepatitis B4 immunization Year of Hepatitis B4 immunization 9999 Missing Day of OPV0 immunization Day of OPV0 immunization Day of OPV0 immunization Day of OPV0 immunization Day of OPV0 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 at birth Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of OPV0 immunization Month of OPV0 immunization Month of OPV0 immunization Month of OPV0 immunization Month of OPV0 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 at birth Children aged 0-4 99 Missing Year of OPV0 immunization Year of OPV0 immunization Year of OPV0 immunization Year of OPV0 immunization Year of OPV0 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 at birth Children aged 0-4 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 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 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 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 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 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 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 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 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 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 99 Missing Month of OPV4 immunization Month of OPV4 immunization Month of OPV4 immunization Month of OPV4 immunization Month of OPV4 immunization 99 Missing Year of OPV4 immunization Year of OPV4 immunization Year of OPV4 immunization Year of OPV4 immunization Year of OPV4 immunization 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 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 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 9999 Missing Day of Vitamin A 1 immunization Day of Vitamin A 1 immunization Day of Vitamin A 1 immunization Day of Vitamin A 1 immunization Day of Vitamin A 1 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 Vitamin A 1 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Vitaimn A 1 imunization Month of Vitaimn A 1 imunization Month of Vitaimn A 1 imunization Month of Vitaimn A 1 imunization Month of Vitaimn A 1 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 Vitamin A 1 Children aged 0-4 99 Missing Year of Vitamin A 1 immunization Year of Vitamin A 1 immunization Year of Vitamin A 1 immunization Year of Vitamin A 1 immunization Year of Vitamin A 1 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 Vitamin A 1 Children aged 0-4 9999 Missing Day of Vitamin A 2 immunization Day of Vitamin A 2 immunization Day of Vitamin A 2 immunization Day of Vitamin A 2 immunization Day of Vitamin A 2 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 Vitamin A 2 Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Vitamin A (2) Month of Vitamin A (2) Month of Vitamin A (2) Month of Vitamin A (2) Month of Vitamin A (2) 99 Missing Year of Vitamin A 2 immunization Year of Vitamin A 2 immunization Year of Vitamin A 2 immunization Year of Vitamin A 2 immunization Year of Vitamin A 2 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 Vitamin A 2 Children aged 0-4 9999 Missing Received additional vaccinations Received additional vaccinations Received additional vaccinations Received additional vaccinations Received additional vaccinations In addition to the vaccinations and vitamin A capsules shown on this card, did (name) receive any other vaccinations - including vaccinations received in campaigns or immunization days? Record 'Yes' only if respondent mentions BCG, OPV 0-3, DPT 1-3, Hepatitis B 1-3, Measles, Yellow Fever vaccine(s), or Vitamin A supplements. (If yes, Probe for vaccinations and write '66' in the corresponding day column on IM2 to IM8B.) 1 Yes 2 No 8 DK 9 Missing Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Child ever received any vaccinations Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a campaign or immunization day? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Child ever given BCG vaccination Has (name) ever been given a BCG vaccination against tuberculosis - that is, an injection in the arm or shoulder that caused a scar? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Child ever given Polio vaccination Has (name) ever been given any "vaccination drops in the mouth" to protect him/her from getting diseases - that is, polio? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing 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 Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Date/type of campaign A Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child participated in national immunization day B Child participated in national immunization day B Child participated in national immunization day B Child participated in national immunization day B Child participated in national immunization day B Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Date/type of campaign B Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Child participated in national immunization day C Child participated in national immunization day C Child participated in national immunization day C Child participated in national immunization day C Child participated in national immunization day C Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin A or child health days: Date/type of campaign C 1 Yes 2 No 8 DK 9 Missing Sex Sex Sex Sex Sex Children aged 0-4 1 Male 2 Female 9 Missing Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended What is the highest level of school (name) attended? Children aged 0-4 Preschool/kindergarten 1 Primary 2 Secondary 3 Higher 6 NGO/Mosque based/Adult literacy programme 8 DK 9 Missing Highest grade at level Highest grade at level Highest grade at level Highest grade at level Highest grade at level What is the highest grade (name) completed at this level? Children aged 0-4 97 Inconsistent 98 DK 99 Missing Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Households 1 Mr. Aminul Islam Bir 2 Mr. Husain Shahid 3 Mr. Jamal Uddin 4 Mr. Hamidul Islam 5 Mr. Abdur Rahman 6 Mr. Mohd. Almas Uddin 7 Mr. Mahadi Hassan 8 Mr. Sontosh Kr. Mandal (Sumon 9 Mr. Amar Ch. Majumder 10 Ms. Sahana Parvin 11 Mr. Mominul Haque (Firoj) 12 Ms. Shirajum Munira 13 Mr. Moniruzzaman 14 Mr. Nasir Ahmed 15 Mr. Mahamud Ali Mamun 16 Ms. Ziaonnessa Begum 17 Ms. Farida Yesmin (Old) 18 Mr. Alakesh Bepary 19 Mr. Mokbul Hossain Sharif 20 Mr. Nasir Uddin (Mostafa) 21 Ms. Tahera Khatun 22 Mr. Abdur Rahim 23 Ms. Salma Sultana 24 Mr. Prodip Biswas 25 Mr. Ajoy Krishna Das 26 Mr. Rabindranath Chowdhury 27 Mr. Rafiqul Alam 28 Mr. Monjurul Haque (Monju) 29 Ms. Selina Akter 30 Mr Helal Uddin 31 Mr. Sanjoy Kumar Biswas 32 Mr. Monir Ahamed 33 Mr. Dibyendu Kumar Dutta 34 Ms. Nasima Khatun 35 Ms. Kanan Bala Mozumder 36 Ms. Zakia Sultana 37 Mr. Rezaul Islam 38 Mr. Firoz Khan 39 Ms. Suriya Parvin (Trishna) 40 Ms. Fatima Begum 42 Mr. Shahinul Islam 43 Ms. Asma Akther 44 Ms. Fatema Hasnin 45 Mr. Abdur Rahim Sikder 46 Mr. Liton Acharja 47 Ms. Afroza Jannat 48 Ms. Marzia Begum 49 Mr. Nazrul Islam 51 Ms. Salma Akter 52 Ms. Nasima Khatun (Shaila) 53 Mr. Dudha Mia 54 Ms. Nusrat Sharmin Nipa 55 Ms. Mina Khanam 56 Ms. Farzana Yasmin 57 Mr. Nurul Islam 58 Mr. Abdul Malek 59 Ms. Rina Aktar 60 Ms. Lovely Begum 61 Mr. Sanjoy Bepary 62 Ms. Shalina Khanam 63 Ms. Anima Biswas 64 Ms. Shirin Akter (K) 65 Mr. Abdul Motalab 66 Mr. Saidduz-zaman 67 Ms. Susama Halder 68 Ms. Nazmun Nahar (Popy) 69 Mr. Sabyasachi Dash 70 Mr. Shaheen Uddin 71 Ms. Shakila Sultana Moni 72 Ms. Shila Chakrabarty 74 Ms. Nazma Khanam 75 Mr. Sohel Mozumder 76 Ms. Amena Akter 77 Mr. Shafi Mohd. Ali Siddiki 78 Mr. Reaj Uddin 79 Ms. Taibatun Nehar 80 Ms. Rupali Biswas 81 Mr. Zulfikar Ali 82 Mr. ASM Kamrul Hasan 83 Ms. Aysha Begum 84 Ms. Rajia Sultana 85 Mr. Monotos Halder 86 Ms. Nasima Akter Mozumder 87 Ms. Uranus Ahamad(Lubna) 88 Ms. Jesmin Akter Banu 89 Mr. Jasim Uddin 90 Ms. Momeja Khatun 91 Ms. Sheikh Nargis Akter 92 Ms. Rebaka Sultana 93 Mr. Billal Hossain 94 Mr. Mobinur Rahman 95 Ms. Mahamuda Akter 96 Ms. Nazmun Naher (Jharna) 97 Mr. Meher Ali 98 Mr. Sayed Abdul Gaffar 99 Ms. Labonee 100 Ms. Nadira Khatun 101 Mr. Anowarul Islam Khan 102 Ms. Mahmumada Parvin 103 Ms. Ayesa Akter (Anna) 104 Ms. Anupa Biswas 105 Mr. Masudul Haque Bhuiyan 106 Ms. Majeda Begum 107 Ms. Shaheen Akhter 108 Ms. Mousumi Akter 109 Mr. Sheikh Moniruzzaman 110 Ms. Sharmin Sultana 111 Ms. Lutfunnesa 112 Ms. Salina Jahan 113 Mr. Ahmad Al-Munzir (Rana) 114 Mr. Saidur Rahman 115 Ms. Anima Rani Mistry 116 Ms. Gita Rani Biswas 117 Mr. Ahmad Al-Amin 118 Ms. Rozina Khatun 119 Ms. Nargis Sultana 120 Ms. Margia Khatun 121 Mr. Bahadur Mia 122 Mr. Swapan Kumar Halder 123 Ms. Nilufar Yeasmin 124 Ms. Motahara Begum (Rozy) 125 Mr. Habibur Rahman 126 Ms. Hosne Ara Konica 127 Ms. Sharmin Sayela 129 Mr. ATM Anowarul Hakim 130 Ms. Nazrin Akter Bithi 131 Ms. Shahanaz Pervin 132 Ms. Najiba Fairuj 133 Mr. Rukun Uddin 134 Ms. Pala Halder 135 Ms. Shayla Sharmin 136 Ms. Nurjahan Akter 137 Mr. Khairul Motin 138 Ms. Kohinoor Akter 139 Ms. Beauty Akter 140 Ms. Tahasna Azima Azam 141 Mr. Abu Sayem (Mamun) 142 Ms. Shahanaj Nasrin 143 Ms. Sabina Yasmin (Sapna) 144 Ms. Marufa Akter 145 Mr. Anamul Haque 146 Mr. KM Rezaul Karim 147 Ms. Shelina Khatun (Lipy) 148 Ms. Mahafuja Akter (Ratna) 149 Mr. Shahajahan Ali 150 Ms. Liza Sultana 151 Ms. Roushon Ara 152 Ms. Badrun Nessa 153 Mr. Mirza Md. Robiul Islam 154 Ms. Sabina Akter 155 Ms. Shilpi Adhekary 157 Mr. Ranjit Ku. Barman 158 Ms. Rabeya Jesmin Chowdhury 159 Ms. Farida Parvin 160 Ms. Lucky Akter 161 Ms. Lal Rin-Pui 162 Mr. Shahidul Islam Milon 163 Mr. Sharif Miah Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor name and number: Households 1 Mr. Aminul Islam Bir 2 Mr. Husain Shahid 3 Mr. Jamal Uddin 4 Mr. Hamidul Islam 5 Mr. Abdur Rahman 6 Mr. Mohd. Almas Uddin 7 Mr. Mahadi Hassan 8 Mr. Sontosh Kr. Mandal (Sumon 9 Mr. Amar Ch. Majumder 10 Ms. Sahana Parvin 11 Mr. Mominul Haque (Firoj) 12 Ms. Shirajum Munira 13 Mr. Moniruzzaman 14 Mr. Nasir Ahmed 15 Mr. Mahamud Ali Mamun 16 Ms. Ziaonnessa Begum 17 Ms. Farida Yesmin (Old) 18 Mr. Alakesh Bepary 19 Mr. Mokbul Hossain Sharif 20 Mr. Nasir Uddin (Mostafa) 21 Ms. Tahera Khatun 22 Mr. Abdur Rahim 23 Ms. Salma Sultana 24 Mr. Prodip Biswas 25 Mr. Ajoy Krishna Das 26 Mr. Rabindranath Chowdhury 27 Mr. Rafiqul Alam 28 Mr. Monjurul Haque (Monju) 29 Ms. Selina Akter 30 Mr Helal Uddin 31 Mr. Sanjoy Kumar Biswas 32 Mr. Monir Ahamed 33 Mr. Dibyendu Kumar Dutta 34 Ms. Nasima Khatun 35 Ms. Kanan Bala Mozumder 36 Ms. Zakia Sultana 37 Mr. Rezaul Islam 38 Mr. Firoz Khan 39 Ms. Suriya Parvin (Trishna) 40 Ms. Fatima Begum 42 Mr. Shahinul Islam 43 Ms. Asma Akther 44 Ms. Fatema Hasnin 45 Mr. Abdur Rahim Sikder 46 Mr. Liton Acharja 47 Ms. Afroza Jannat 48 Ms. Marzia Begum 49 Mr. Nazrul Islam 51 Ms. Salma Akter 52 Ms. Nasima Khatun (Shaila) 53 Mr. Dudha Mia 54 Ms. Nusrat Sharmin Nipa 55 Ms. Mina Khanam 56 Ms. Farzana Yasmin 57 Mr. Nurul Islam 58 Mr. Abdul Malek 59 Ms. Rina Aktar 60 Ms. Lovely Begum 61 Mr. Sanjoy Bepary 62 Ms. Shalina Khanam 63 Ms. Anima Biswas 64 Ms. Shirin Akter (K) 65 Mr. Abdul Motalab 66 Mr. Saidduz-zaman 67 Ms. Susama Halder 68 Ms. Nazmun Nahar (Popy) 69 Mr. Sabyasachi Dash 70 Mr. Shaheen Uddin 71 Ms. Shakila Sultana Moni 72 Ms. Shila Chakrabarty 74 Ms. Nazma Khanam 75 Mr. Sohel Mozumder 76 Ms. Amena Akter 77 Mr. Shafi Mohd. Ali Siddiki 78 Mr. Reaj Uddin 79 Ms. Taibatun Nehar 80 Ms. Rupali Biswas 81 Mr. Zulfikar Ali 82 Mr. ASM Kamrul Hasan 83 Ms. Aysha Begum 84 Ms. Rajia Sultana 85 Mr. Monotos Halder 86 Ms. Nasima Akter Mozumder 87 Ms. Uranus Ahamad(Lubna) 88 Ms. Jesmin Akter Banu 89 Mr. Jasim Uddin 90 Ms. Momeja Khatun 91 Ms. Sheikh Nargis Akter 92 Ms. Rebaka Sultana 93 Mr. Billal Hossain 94 Mr. Mobinur Rahman 95 Ms. Mahamuda Akter 96 Ms. Nazmun Naher (Jharna) 97 Mr. Meher Ali 98 Mr. Sayed Abdul Gaffar 99 Ms. Labonee 100 Ms. Nadira Khatun 101 Mr. Anowarul Islam Khan 102 Ms. Mahmumada Parvin 103 Ms. Ayesa Akter (Anna) 104 Ms. Anupa Biswas 105 Mr. Masudul Haque Bhuiyan 106 Ms. Majeda Begum 107 Ms. Shaheen Akhter 108 Ms. Mousumi Akter 109 Mr. Sheikh Moniruzzaman 110 Ms. Sharmin Sultana 111 Ms. Lutfunnesa 112 Ms. Salina Jahan 113 Mr. Ahmad Al-Munzir (Rana) 114 Mr. Saidur Rahman 115 Ms. Anima Rani Mistry 116 Ms. Gita Rani Biswas 117 Mr. Ahmad Al-Amin 118 Ms. Rozina Khatun 119 Ms. Nargis Sultana 120 Ms. Margia Khatun 121 Mr. Bahadur Mia 122 Mr. Swapan Kumar Halder 123 Ms. Nilufar Yeasmin 124 Ms. Motahara Begum (Rozy) 125 Mr. Habibur Rahman 126 Ms. Hosne Ara Konica 127 Ms. Sharmin Sayela 129 Mr. ATM Anowarul Hakim 130 Ms. Nazrin Akter Bithi 131 Ms. Shahanaz Pervin 132 Ms. Najiba Fairuj 133 Mr. Rukun Uddin 134 Ms. Pala Halder 135 Ms. Shayla Sharmin 136 Ms. Nurjahan Akter 137 Mr. Khairul Motin 138 Ms. Kohinoor Akter 139 Ms. Beauty Akter 140 Ms. Tahasna Azima Azam 141 Mr. Abu Sayem (Mamun) 142 Ms. Shahanaj Nasrin 143 Ms. Sabina Yasmin (Sapna) 144 Ms. Marufa Akter 145 Mr. Anamul Haque 146 Mr. KM Rezaul Karim 147 Ms. Shelina Khatun (Lipy) 148 Ms. Mahafuja Akter (Ratna) 149 Mr. Shahajahan Ali 150 Ms. Liza Sultana 151 Ms. Roushon Ara 152 Ms. Badrun Nessa 153 Mr. Mirza Md. Robiul Islam 154 Ms. Sabina Akter 155 Ms. Shilpi Adhekary 157 Mr. Ranjit Ku. Barman 158 Ms. Rabeya Jesmin Chowdhury 159 Ms. Farida Parvin 160 Ms. Lucky Akter 161 Ms. Lal Rin-Pui 162 Mr. Shahidul Islam Milon 163 Mr. Sharif Miah Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Households Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Households Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Households Area Area Area Area Area Area: Households 1 Rural 2 Urban (Municipality) 3 Urban non-slum (Metro city) 4 Urban slum 5 Tribal Region Region Region Region Region Region: Households 1 Barisal 2 Chittagong 3 Dhaka 4 Khulna 5 Rajshahi 6 Sylhet District District District District District 1 Bagerhat 3 Bandarban 4 Barguna 6 Barisal 9 Bhola 10 Bogra 12 Brahmanbaria 13 Chandpur 15 Chittagong 18 Chuadanga 19 Comilla 22 Cox's Bazar 26 Dhaka 27 Dinajpur 29 Faridpur 30 Feni 32 Gaibandha 33 Gazipur 35 Gopalganj 36 Habiganj 38 Joypurhat 39 Jamalpur 41 Jessore 42 Jhalokati 44 Jhenaidah 46 Khagrachhari 47 Khulna 48 Kishorganj 49 Kurigram 50 Kushtia 51 Lakshmipur 52 Lalmonirhat 54 Madaripur 55 Magura 56 Manikganj 57 Meherpur 58 Maulvibazar 59 Munshiganj 61 Mymensingh 64 Naogaon 65 Narail 67 Narayanganj 68 Narsingdi 69 Natore 70 Nawabganj 72 Netrakona 73 Nilphamari 75 Noakhali 76 Pabna 77 Panchagarh 78 Patuakhali 79 Pirojpur 81 Rajshahi 82 Rajbari 84 Rangamati 85 Rangpur 86 Shariatpur 87 Satkhira 88 Sirajganj 89 Sherpur 90 Sunamganj 91 Sylhet 93 Tangail 94 Thakurgaon Sub-district Sub-district Sub-district Sub-district Sub-district Result of HH interview Result of HH interview Result of HH interview Result of HH interview Result of HH interview After all questionnaires for the household have been completed, fill in the following information: Result of HH interview: Households 1 Completed 2 Not at home 3 Refused 4 HH not found/destroyed 6 Other Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent HH questionnaire Respondent to HH questionnaire: Households 99 Missing Number of household members Number of household members Number of household members Number of household members Number of household members Total number of household members: Households Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Households Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Households Total children under 5 Total children under 5 Total children under 5 Total children under 5 Total children under 5 No.of children under age 5: Households Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Households Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk: Households 1 Rokan Mia 3 Jharna Datta 4 Rina 5 Ripon 6 Foysal 7 Shakil 8 Anwar 9 Ratan 10 Shahinul Islam 11 Moniruzzaman 12 Nazimuddin 13 Hafiz 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 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 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 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 Alum Alum Alum Alum Alum ? Missing G Alum 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 Heard of arsenic in water Heard of arsenic in water Heard of arsenic in water Heard of arsenic in water Heard of arsenic in water 1 Yes 2 No 9 Missing Black, white or red spot in body Black, white or red spot in body Black, white or red spot in body Black, white or red spot in body Black, white or red spot in body ? Missing A Black, white or red spot in body Hand and feet become rough Hand and feet become rough Hand and feet become rough Hand and feet become rough Hand and feet become rough ? Missing B Hand and feet become rough Legs swells up Legs swells up Legs swells up Legs swells up Legs swells up ? Missing C Legs swells up Losing the feelings of hand and legs Losing the feelings of hand and legs Losing the feelings of hand and legs Losing the feelings of hand and legs Losing the feelings of hand and legs ? Missing D Losing the feelings of hand and legs Sore over hand and leg Sore over hand and leg Sore over hand and leg Sore over hand and leg Sore over hand and leg ? Missing E Sore over hand and leg Others Others Others Others Others ? Missing X Others Nothing/DK Nothing/DK Nothing/DK Nothing/DK Nothing/DK ? Missing Z Nothing/DK Using water from arsenic free TW Using water from arsenic free TW Using water from arsenic free TW Using water from arsenic free TW Using water from arsenic free TW ? Missing A Using water from arsenic free TW Using boiled pond/river/canal water Using boiled pond/river/canal water Using boiled pond/river/canal water Using boiled pond/river/canal water Using boiled pond/river/canal water ? Missing B Using boiled pond/river/canal water Using rain water Using rain water Using rain water Using rain water Using rain water ? Missing C Using rain water Using pond/sand filter water Using pond/sand filter water Using pond/sand filter water Using pond/sand filter water Using pond/sand filter water ? Missing D Using pond/sand filter water Using SIDKO filter Using SIDKO filter Using SIDKO filter Using SIDKO filter Using SIDKO filter ? Missing E Using SIDKO filter Others Others Others Others Others ? Missing X Others Nothing/DK Nothing/DK Nothing/DK Nothing/DK Nothing/DK ? Missing Z Nothing/DK TW tested for arsenic TW tested for arsenic TW tested for arsenic TW tested for arsenic TW tested for arsenic 1 Not tested 2 Tested/marked red 3 Tested/marked green 9 Missing 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 41 Bucket 51 Hanging toilet/hanging latrine 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 Hand washing after defication Hand washing after defication Hand washing after defication Hand washing after defication Hand washing after defication 1 Only water 2 Water and soil 3 Water and ash 4 Water and soap 6 Others 9 Missing Religion Religion Religion Religion Religion What is the religion of the head of this household? Households 1 Islam 2 Hindu 3 Christian 4 Buddist 6 Others 7 No religion 9 Missing Ethnicity Ethnicity Ethnicity Ethnicity Ethnicity To what ethnic group does the head of this household belong? Households 1 Bangali 2 Chakma 3 Saontal 4 Marma 5 Tripura 6 Others 7 Garo 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 Polished wood 33 Ceramic tiles/Mojaic 34 Cement 35 Carpet 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 12 Thatch/palm leaf 21 Rustic mat/Plastic sheet/Polythine 22 Palm/bamboo 31 Metal 32 Wood 34 Ceramic tiles 35 Cement 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 12 Cane/palm/trunks/Leaf/Jute stick/Sod 13 Dirt/Mud 21 Bambo with mud 22 Stone with mud 25 Carton/Tin sheet 31 Cement 33 Bricks 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) 3 Natural gas 4 Biogas 5 Kerosene 8 Wood 9 Straw/shrubs/grass 10 Animal dung 11 Agricultural crop residue 96 Other 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 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 Electric fan Electric fan Electric fan Electric fan Electric fan 1 Yes 2 No 9 Missing Computer Computer Computer Computer Computer 1 Yes 2 No 9 Missing AC AC AC AC AC 1 Yes 2 No 9 Missing Washing machine Washing machine Washing machine Washing machine Washing machine 1 Yes 2 No 9 Missing 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 a motor Boat with a motor Boat with a motor Boat with a motor Boat with a motor Does any member of your household own: Households 1 Yes 2 No 9 Missing Sofa Sofa Sofa Sofa Sofa 1 Yes 2 No 9 Missing Rickshaw Van Rickshaw Van Rickshaw Van Rickshaw Van Rickshaw Van 1 Yes 2 No 9 Missing Did any under 18 children get injured Did any under 18 children get injured Did any under 18 children get injured Did any under 18 children get injured Did any under 18 children get injured 1 Yes 2 No 9 Missing Fall_Boy Fall_Boy Fall_Boy Fall_Boy Fall_Boy 9 Missing Fall_Girl Fall_Girl Fall_Girl Fall_Girl Fall_Girl 9 Missing Burn_Boy Burn_Boy Burn_Boy Burn_Boy Burn_Boy 9 Missing Burn_Girl Burn_Girl Burn_Girl Burn_Girl Burn_Girl 9 Missing Accidental poisoning_Boy Accidental poisoning_Boy Accidental poisoning_Boy Accidental poisoning_Boy Accidental poisoning_Boy 9 Missing Accidental poisoning_Girl Accidental poisoning_Girl Accidental poisoning_Girl Accidental poisoning_Girl Accidental poisoning_Girl 9 Missing Animal/snake/insect_Boy Animal/snake/insect_Boy Animal/snake/insect_Boy Animal/snake/insect_Boy Animal/snake/insect_Boy 9 Missing Animal/snake/insect_Girl Animal/snake/insect_Girl Animal/snake/insect_Girl Animal/snake/insect_Girl Animal/snake/insect_Girl 9 Missing Rd. Accident_Boy Rd. Accident_Boy Rd. Accident_Boy Rd. Accident_Boy Rd. Accident_Boy 9 Missing Rd. Accident_Girl Rd. Accident_Girl Rd. Accident_Girl Rd. Accident_Girl Rd. Accident_Girl 9 Missing Drowned_Boy Drowned_Boy Drowned_Boy Drowned_Boy Drowned_Boy 9 Missing Drowned_Girl Drowned_Girl Drowned_Girl Drowned_Girl Drowned_Girl 9 Missing Acid victim_Boy Acid victim_Boy Acid victim_Boy Acid victim_Boy Acid victim_Boy 9 Missing Acid victim_Girl Acid victim_Girl Acid victim_Girl Acid victim_Girl Acid victim_Girl 9 Missing Other_Boy Other_Boy Other_Boy Other_Boy Other_Boy 9 Missing Other_Girl Other_Girl Other_Girl Other_Girl Other_Girl 9 Missing Recovered_Boy Recovered_Boy Recovered_Boy Recovered_Boy Recovered_Boy 9 Missing Recovered_Girl Recovered_Girl Recovered_Girl Recovered_Girl Recovered_Girl 9 Missing Still suffering_Boy Still suffering_Boy Still suffering_Boy Still suffering_Boy Still suffering_Boy 9 Missing Still suffering_Girl Still suffering_Girl Still suffering_Girl Still suffering_Girl Still suffering_Girl 9 Missing Died_Boy Died_Boy Died_Boy Died_Boy Died_Boy 9 Missing Died_Girl Died_Girl Died_Girl Died_Girl Died_Girl 9 Missing Was there any marriage in the household Was there any marriage in the household Was there any marriage in the household Was there any marriage in the household Was there any marriage in the household 1 No Marriage 2 Registered 3 Not registered 8 DK Duration of living in the slum area in year Duration of living in the slum area in year Duration of living in the slum area in year Duration of living in the slum area in year Duration of living in the slum area in year 99 Missing Do you or someone in this household own or rent this dwellin Do you or someone in this household own or rent this dwellin Do you or someone in this household own or rent this dwellin Do you or someone in this household own or rent this dwellin Do you or someone in this household own or rent this dwellin 1 Own 2 Rent 3 Rentfree/squatter/other 9 Missing Do you or someone in this household have a title deed for th Do you or someone in this household have a title deed for th Do you or someone in this household have a title deed for th Do you or someone in this household have a title deed for th Do you or someone in this household have a title deed for th 1 Yes 2 No 9 Missing Certificate of occupation (or adjudication certificate) Certificate of occupation (or adjudication certificate) Certificate of occupation (or adjudication certificate) Certificate of occupation (or adjudication certificate) Certificate of occupation (or adjudication certificate) ? Missing A Certificate of occupation (or adjudication certificate) Property tax certification Property tax certification Property tax certification Property tax certification Property tax certification ? Missing B Property tax certification Utility bills Utility bills Utility bills Utility bills Utility bills ? Missing C Utility bills Other Other Other Other Other ? Missing X Other None/No document None/No document None/No document None/No document None/No document ? Missing Y None/No document Do you have a written rental contract for this dwelling Do you have a written rental contract for this dwelling Do you have a written rental contract for this dwelling Do you have a written rental contract for this dwelling Do you have a written rental contract for this dwelling 1 Yes 2 No 9 Missing Informal agreement (written) Informal agreement (written) Informal agreement (written) Informal agreement (written) Informal agreement (written) ? Missing A Informal agreement (written) Verbal agreement (no document) Verbal agreement (no document) Verbal agreement (no document) Verbal agreement (no document) Verbal agreement (no document) ? Missing B Verbal agreement (no document) Occupied rent free with knowledge of the owner Occupied rent free with knowledge of the owner Occupied rent free with knowledge of the owner Occupied rent free with knowledge of the owner Occupied rent free with knowledge of the owner ? Missing C Occupied rent free with knowledge of the owner Occupied rent free without knowledge of the owner Occupied rent free without knowledge of the owner Occupied rent free without knowledge of the owner Occupied rent free without knowledge of the owner Occupied rent free without knowledge of the owner ? Missing D Occupied rent free without knowledge of the owner Other Other Other Other Other ? Missing X Other None/No document None/No document None/No document None/No document None/No document ? Missing Y None/No document Do you feel secure from eviction fromthis dwelling Do you feel secure from eviction fromthis dwelling Do you feel secure from eviction fromthis dwelling Do you feel secure from eviction fromthis dwelling Do you feel secure from eviction fromthis dwelling 1 Yes 2 No 8 DK 9 Missing Have you been evicted from your home in the 5 past years Have you been evicted from your home in the 5 past years Have you been evicted from your home in the 5 past years Have you been evicted from your home in the 5 past years Have you been evicted from your home in the 5 past years 1 Yes 2 No 9 Missing Landslide area Landslide area Landslide area Landslide area Landslide area ? Missing A Landslide area Flood-prone area Flood-prone area Flood-prone area Flood-prone area Flood-prone area ? Missing B Flood-prone area River bank River bank River bank River bank River bank ? Missing C River bank Steep hill Steep hill Steep hill Steep hill Steep hill ? Missing D Steep hill Garbage mountain/pile Garbage mountain/pile Garbage mountain/pile Garbage mountain/pile Garbage mountain/pile ? Missing E Garbage mountain/pile Industrial pollution area Industrial pollution area Industrial pollution area Industrial pollution area Industrial pollution area ? Missing F Industrial pollution area Railroad Railroad Railroad Railroad Railroad ? Missing G Railroad None of the above None of the above None of the above None of the above None of the above ? Missing Y None of the above Cracks/openings in walls Cracks/openings in walls Cracks/openings in walls Cracks/openings in walls Cracks/openings in walls ? Missing A Cracks/openings in walls No windows No windows No windows No windows No windows ? Missing B No windows Windows with broken glass/no glass Windows with broken glass/no glass Windows with broken glass/no glass Windows with broken glass/no glass Windows with broken glass/no glass ? Missing C Windows with broken glass/no glass Visible holes in the roof Visible holes in the roof Visible holes in the roof Visible holes in the roof Visible holes in the roof ? Missing D Visible holes in the roof Incomplete roof Incomplete roof Incomplete roof Incomplete roof Incomplete roof ? Missing E Incomplete roof Insecure door Insecure door Insecure door Insecure door Insecure door ? Missing F Insecure door Squartter (Jhupri) Squartter (Jhupri) Squartter (Jhupri) Squartter (Jhupri) Squartter (Jhupri) ? Missing G Squartter (Jhupri) None of the above None of the above None of the above None of the above None of the above ? Missing Y None of the above Very narrow passage between house intead of road Very narrow passage between house intead of road Very narrow passage between house intead of road Very narrow passage between house intead of road Very narrow passage between house intead of road ? Missing A Very narrow passage between house intead of road Too many power cables connecting to neighborhood's Too many power cables connecting to neighborhood's Too many power cables connecting to neighborhood's Too many power cables connecting to neighborhood's Too many power cables connecting to neighborhood's ? Missing B Too many power cables connecting to neighborhood's None of the above None of the above None of the above None of the above None of the above ? Missing Y None of the above 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 Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score 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 1 None 2 Primary 3 Secondary 4 Non-standard curriculum 9 Missing/DK 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 incomplete 3 Primary completed 4 Secondary incomplete 5 Secondary completed or higher 6 Non-standard curriculum 9 Missing/DK The variable is created from information collected on educational level in the HL file. See makewm.sps in the data processing folder under technical information.