DDI_YEM_2006_MICS_v01_M James, Rhiannon Pan Arab Project for Family Health Bjelic, Ivana Croft, Trevor Holmberg, Emma 2009-05-27 NADA Yemen MICS 2006 v0.9 Slightly edited version of UNICEF's DDI ref. DDI-MoPH&P-YEM-MICS2006/1.0-v0.1 Multiple Indicator Cluster Survey 2006 Monitoring the Situation of Children and Women MICS 2006 YEM_2006_MICS_v01_M Ministry of Health Pan Arab Project for Family Health Strategic Information Section, Division of Policy and Planning, UNICEF NYHQ UNICEF, Yemen Country Office NADA UNICEF Pan Arab Project for Family Health General Inquiries MICS Programme Manager 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 Child discipline Disability Women's background Marriage Child mortality Birth history Tetanus toxoid Maternal and newborn health Contraception and unmet need HIV/AIDS Children's background Birth registration Early education Child development Care of illness Immunization 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 declarations issued by the League of Arab States and related institutions and organizations concerned about child rights in Arab countries, and the Cairo Declaration “Towards an Arab World Fit for Children”, and the Second Arab Work Plan for Children (2004-2015) that was adopted at the Arab Summits. The 2006 Yemen Multiple Indicator Cluster Survey has as its primary objectives: - To provide up-to-date information for assessing the situation of children and women in Yemen; - To furnish data needed for monitoring progress toward goals established in the Millennium Declaration, 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 Yemen 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 Ministry of Health and Population, with the support and assistance of UNICEF and PAPFAM. Technical assistance and training for the surveys was 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. Yemen, Rep. The survey is nationally represe ntative and covers the whole of Yemen, excluding islands and the nomadic population. 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) Ever-married women aged 15-49 Children aged 0-4 The survey covered all de jure household members (usual residents), ever-married 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 Yemen Multiple Indicator Cluster Survey included the following modules in the questionnaires: HOUSEHOLD QUESTIONNAIRE : Household listing, Education, Water and Sanitation, Housing characteristics, Child labor, Child discipline, and Disability. WOMEN'S QUESTIONNAIRE: Women's characteristics, Marriage, Child mortality, Birth history, Tetanus Toxid, Maternal and newborn health, Contraception and unmet need, and HIV and AIDS. CHILDREN'S QUESTIONNAIRE: Children's characteristics, Birth registration and early education, Child development, Care for illness, and Immunization. Ministry of Public Health & Population The Yemen MICS sample design was a two-stage stratified cluster sample. The following parameters were accounted for in designing the sample: 1 - The sample is to provide estimates with reasonable precision at national and urban/rural levels. 2 - The residents of the Yemeni islands and the nomadic population are excluded from survey coverage. 3 - The size of ultimate cluster is 20 households 4 - It is approximately self-weighted design. Sample allocation The sample is allocated proportionally between urban and rural strata; the percentage of households that should be allocated to urban and rural areas was obtained from the 2004 Census. As the ultimate cluster is determined to be 20 households, the number of sample clusters is therefore 200. The proportional allocation of the sample is such that 142 for rural stratum and 58 for urban stratum. Sample Selection The sample is to be selected in two stages. The Primary Sampling Unit (PSU) is a village (or a group of villages) in rural areas and a lane (hara) in urban. The micro data of the 2004 Census at these administrative levels has been relied upon to create frames for the first stage sample. The following provides a description of the sample selection in both stages: First Stage Sample The 2004 Census data (numbers of households and population) for all urban and rural agglomerations have been utilized to create appropriate frames for the first stage sample of urban and rural strata. It was taken into account that the PSU size would be in the range 150-300 households approximately. The creation of a rural frame has entailed grouping neighboring small villages so as to create PSUs in the range of 150-300 households each. Hence, a rural PSU is in most cases a group of small villages. The whole village is considered a PSU as long as its size is in the range 150-300 households. The situation in urban areas is quite different from rural areas since most lanes (Haras) are much larger than the indicated range of the desired PSU size. For this reason, a second (dummy) sampling stage is necessary to reduce the burden of field listing whenever the lane size is above 300 households. The first urban stage sample included 41 PSU's that required division into equally sized parts. Whereas only 4 PSU's in the rural sample needed to be divided into equal parts. An implicit stratification has been introduced in both rural and urban frames of the PSUs. Governorates were ordered geographically in a serpentine fashion starting from the northwest corner moving to the northeast corner and back to the west, then to the east and so on till the last governorate. Moreover, as governorate are further divided into a number of directorates (modyriate), another process of implicit stratification within each governorate was implemented by geographically ordering directorates following the same way as for governorates. Undoubtedly, implicit stratification will contribute to more precise sample estimates at both national and urban/rural levels. The selection of rural and urban first stage samples was made following the Probability Proportionate to Size (PPS) selection method. The employed measure of size (MOS) is the number of Households in each PSU as measured in the 2004 Census. Second stage sample The selected PSU from the first sample stage, whether it was the whole PSU or a part of one, was updated in the field. A field operation was carried out in each PSU (or a part of it), which has been selected in the first stage sample so as to create an updated list of households for each sample PSU. These lists were used as sample frames for selecting the second stage sample. The proposed selection method was determined in such a way so as to create compact ultimate clusters of 20 households in the rural sample, and non-compact ultimate cluster of the same size in the urban sample. The reason for selecting compact clusters for rural sample is that most of the rural sample PSU's are composed of several small villages which are, in most cases, located at the tops of adjacent mountains. The spread of the household sample over several small villages, within the same PSU, that would result from the systematic selection, would impose much difficulty in the main survey fieldwork. Hence it has been deemed operationally efficient to deal with the household list for each rural sample PSU as forming a circle. The selection of a single random number in the range of 1 - the total number of households in the list, will determine the entire household sample to be selected from the sample PSU. The household indicated by the selected random number and the subsequent 19 households in the list constitute the household sample to be selected from rural sample PSU's (keeping in mind the circular nature of the list). In the case of the urban sample, however, an ordinary random systematic selection is suggested, so as to produce a non-compact cluster of 20 households. The households forming urban PSU (or a part of it) are not dispersed over a large area; hence the compact cluster is not justifiable. 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 for the Yemen MICS were structured questionnaires based on the MICS3 Model Questionnaire with some modifications and additions. A household questionnaire was administered in each household, which collected various information on household members including sex, age, relationship, and orphanhood status. The household questionnaire includes household listing, education, water and sanitation, housing characteristics, child labor, child discipline and disability. In addition to a household questionnaire, questionnaires were administered in each household for ever-married women age 15-49 and children under age five. For children, the questionnaire was administered to the mother or caretaker of the child. The women's questionnaire include women's characteristics, marriage, child mortality, birth history, tetanus toxid, maternal and newborn health, contraception and unmet need, and HIV and AIDS modules. The children's questionnaire includes children's characteristics, birth registration and early education, child development, care for illness, and immunization. From the MICS3 model Arabic version, the questionnaires were pre-tested and based on the results of the pre-test, modifications were made to the wording and translation of the questionnaires. A copy of the Yemen MICS questionnaires is provided in Appendix F of the final report. Training for the fieldwork was conducted for 2 weeks in August 2006. Training included lectures on interviewing techniques and the contents of the questionnaires, and mock interviews between trainees to gain practice in asking questions. The data were collected by 16 teams; each team was comprised of 4 female interviewers, one driver, one male editor and a male supervisor. Fieldwork took place over one month in September 2006. Interviews averaged 35 minutes for the household questionnaire, 23 minutes for the women's questionnaire, and 27 for the under five children's questionnaire. Interviews were conducted in Arabic. Interviewing was conducted by teams of interviewers. Each interviewing team comprised of 3-4 female interviewers, a field editor and a supervisor, and a driver. Each team used a 4 wheel drive vehicle to travel from cluster to cluster (and where necessary within cluster). The role of the supervisor was to coordinator field data collection activities, including management of the field teams, supplies and equipment, finances, maps and listings, coordinate with local authorities concerning the survey plan and make arrangements for accomodation and travel. Additionally, the field supervisor assigned the work to the interviewers, spot checked work, maintained field control documents, and sent completed questionnaires and progress reports to the central office The field editor was responsible for reviewing each questionnaire at the end of the day, checking for missed questions, skip errors, fields incorrectly completed, and checking for inconsistencies in the data. The field editor also observed interviews and conducted review sessions with interviewers. Responsibilities of the supervisors and field editors are described in the Instructions for Supervisors and Field Editors, together with the different field controls that were in place to control the quality of the fieldwork. Field visits were also made by a team of central staff on a periodic basis during fieldwork. The senior staff of Ministry of Public Health & Population also made 3 visits to field teams to provide support and to review progress. Sample weights were calculated for each of the datafiles. Weights were used in deriving survey estimates to account for the expected differences between the updated household lists of the sample PSU and the Measure of Size (the 2004 number of households) as well as non-response which is inevitable in surveys of this nature. If non-response varies substantially over the sample PSU’s weights are needed for data tuning. The final weight is the product of design weight and non-response weight, where the design weight is the inverse of the overall selection probability and the non-response weight is the inverse of response rate. Data were processed in clusters, with each cluster being processed as a complete unit through each stage of data processing. Each cluster goes through the following steps: 1) Questionnaire reception 2) Office editing and coding 3) Data entry 4) Structure and completeness checking 5) Verification entry 6) Comparison of verification data 7) Back up of raw data 8) Secondary editing 9) Edited data back up After all clusters are processed, all data is concatenated together and then the following steps are completed for all data files: 10) Export to SPSS in 5 files (hh - household, hl - household members, wm - women, bh - birth history, ch - children under 5) 11) Recoding of variables needed for analysis 12) Adding of sample weights 13) Calculation of wealth quintiles and merging into data 14) Structural checking of SPSS files 15) Data quality tabulations 16) Production of analysis tabulations Details of each of these steps can be found in the data processing documentation, data editing guidelines, data processing programs in CSPro and SPSS, and tabulation guidelines. The data was carried out by 11 data entry operators and 1 data entry supervisor. In order to ensure quality control, and internal consistency checks were performed. Procedures and standard programs developed under the global MICS3 project and adapted to the Yemen questionnaire were used throughout. Data processing began after data collection had been conducted in October 2006 and was completed in December 2006. All range checks and skips were controlled by the program and operators could not override these. A limited set of consistency checks were also included inthe data entry program. Open-ended responses ("Other" answers) were not entered or coded, except in rare circumstances where the response matched an existing code in the questionnaire. Structure and completeness checking ensured that all questionnaires for the cluster had been entered, were structurally sound, and that women's and children's questionnaires existed for each eligible woman and child. 100% verification of all variables was performed using independent verification, i.e. double entry of data, with separate comparison of data followed by modification of one or both datasets to correct keying errors by original operators who first keyed the files. After completion of all processing in CSPro, all individual cluster files were backed up before concatenating data together using the CSPro file concatenate utility. 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 3979 households selected for the sample, 3972 were found to be occupied. Of these, 3586 were successfully interviewed for a household response rate of 90.3 percent. In the interviewed households, 3912 ever-married women (age 15-49) were identified. Of these, 3742 were successfully interviewed, yielding a response rate of 95.7 percent. In addition, 3918 children under age five were listed in the household questionnaire. Questionnaires were completed for 3783 of these children, which corresponds to a response rate of 96.6 percent. Overall response rates of 86.4 and 87.2 are calculated for the women’s and under-5’s interviews respectively. Response rates were similar across urban and rural areas. 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 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 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 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 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 and urban and rural areas. 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). A series of data quality tables and graphs are available to review the quality of the data and include the following: Age distribution of household population Age distribution of eligible 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 in the 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 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. United Nations Children's Fund Ministry of Public Health & Population Ministry of Public Health & Population, Yemen. Multiple Indicator Cluster Survey: Household , household listing, women and children's files, 2006 [Computer file]. Yemen: Ministry of Public Health & Population [producer], 2006. Yemen: Ministry of Public Health & Population and New York: Strategic Information Section, Division 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 the research objectives 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: 1. Dr. Mutahar Al-Abbasi, Deputy Minister of Planning and International Organization, Yemen E-mail: asabri1973@gmail.com 2. Dr. Nafisa Al-Jaifi, Secretary General of High Council of Motherhood and Childhood HCMC,Yemen E-mail: Requests for access to the datasets may be made through the website www.childinfo.org. Ministry of Public Health & Population and UNICEF provide these data to external users without any warranty or responsibility implied. Ministry of Public Health & Population 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, Housing characteristics, Child discipline) 0 76 hl Data collected at the household member's level (MICS Household questionnaire: modules Household listing, Child labour, Child Disability) 0 104 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, Child development, Care of Illness, Immunization) 0 212 wm Data collected at the women's level (MICS Women's questionnaire: modules Women's Information Panel, Marriage, Child mortality, Tetanus toxoid, Maternal and newborn health, Contraception and unmet need, HIV/AIDS). 0 187 bh Data collected at the women's level (MICS Women's questionnaire: modules Birth History) 0 68 Interview and HH identification Characteristics of dwelling Water and sanitation Members characteristics Education Child mortality Maternal and newborn health Nutrition Child health Contraception Child protection Marriage/union HIV-AIDS Wealth Index Asset ownership Weighting coefficients Antenatal care Tetanus toxoid Vitamin A Assistance at delivery Unmet need Newborn health Early marriage Cooking fuels Breastfeeding Cluster number Cluster number Cluster number Cluster number Cluster number We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. During this time I would like to speak with the household head and all mothers or others who take care of children in the household. May I start now? If permission is given, begin the interview. Cluster number: Ever married women age 15-49 who have given birth Unique identifier for the cluster in which the household exists Household number Household number Household number Household number Household number Household number: Ever married women age 15-49 who have given birth Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Women aged 15-49 Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor name and number: Women aged 15-49 Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Women aged 15-49 Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Women aged 15-49 Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Women aged 15-49 Area Area Area Area Area Ever married women age 15-49 who have given birth 1 Urban 2 Rural Governorate Governorate Governorate Governorate Governorate Governorate: Ever married women age 15-49 who have given birth 11 Ibb 12 Abyan 13 Sana'a City 14 Al Baidhah 15 Taiz 16 Al Jawf 17 Hajjah 18 Al Hodeidah 19 Hadramout 20 Dhamar 21 Shabwah 22 Sa'adah 23 Sana'a 24 Aden 25 Lahej 26 Mareb 27 Al Mahweet 28 Al Maharah 29 Amran 30 Al Dala'a 31 Raimah 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: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Women aged 15-49 Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Women aged 15-49 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: Women aged 15-49 Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Women aged 15-49 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk: Women aged 15-49 1 Wadeia Al Samiei 2 Abdalla Maodah 3 Nasser Al Zamiki 4 Banar Al Faek 5 Radiah Fara'a 6 Fatimah SAif 7 Rodwaan Al Akori 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? Women aged 15-49 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 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? Women aged 15-49 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 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? Women aged 15-49 995 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. Women aged 15-49 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? Women aged 15-49 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. Women aged 15-49 ? 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. Women aged 15-49 ? 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. Women aged 15-49 ? 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. Women aged 15-49 ? 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. Women aged 15-49 ? Missing F Let it stand and settle Other Other Other Other Other What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Women aged 15-49 ? 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. Women aged 15-49 ? Missing Z DK Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to? If necessary, ask permission to observe the facility. Women aged 15-49 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 21 Ventilated Improved Pit latrine (VIP) 22 Pit latrine with slab 23 Pit latrine without slab/open pit 41 Bucket 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do you share this facility with other households? Women aged 15-49 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? Women aged 15-49 10 Ten or more households 98 DK 99 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? Women aged 15-49 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. Women aged 15-49 11 Earth/sand 12 Dung 21 Wood planks 22 Palm/bamboo 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 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? Women aged 15-49 1 Electricity 2 Liquid propane gas (LPG) 5 Kerosene 7 Charcoal 8 Wood 10 Animal dung 11 Agricultural crop residue 96 Other 99 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? Women aged 15-49 1 In the house 2 In a separate bulding 3 Outdoors 6 Other 9 Missing Electricity Electricity Electricity Electricity Electricity Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Radio Radio Radio Radio Radio Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Television Television Television Television Television Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Mobile phone Mobile phone Mobile phone Mobile phone Mobile phone Does your household have: Women aged 15-49 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: Women aged 15-49 1 Yes 2 No 9 Missing Refrigerator Refrigerator Refrigerator Refrigerator Refrigerator Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Satalite Dish Satalite Dish Satalite Dish Satalite Dish Satalite Dish Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Electric Generator Electric Generator Electric Generator Electric Generator Electric Generator Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Bicycle Bicycle Bicycle Bicycle Bicycle Does any member of your household own: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 1 Yes 2 No 9 Missing Agricultural Land Agricultural Land Agricultural Land Agricultural Land Agricultural Land Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Workshop/Factory Workshop/Factory Workshop/Factory Workshop/Factory Workshop/Factory Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Real State/Land Real State/Land Real State/Land Real State/Land Real State/Land Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Shop/Company Shop/Company Shop/Company Shop/Company Shop/Company Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Total children aged 2-14 years Review the household listing and list each of the children aged 2-14 years below in order according to their line number (HL1). Do not include other household members outside of the age range 2-14 years. Record the line number, name, sex, age, and the line number of the mother or caretaker for each child. Then record the total number of children aged 2-14 in the box provided (CD7). Total children aged 2-14 years Households Rank number of child (from response box) Rank number of child (from response box) Rank number of child (from response box) Rank number of child (from response box) Rank number of child (from response box) Use this table to select one child between the ages of 2 and 14 years, if there is more than one child in that age range in the household. Look for the last digit of the household number from the cover page. This is the number of the row you should go to in the table below. Check the total number of eligible children (2-14) in CD7 above. This is the number of the column you should go to. Find the box where the row and the column meet and circle the number that appears in the box. This is the rank number of the child about whom the questions will be asked. Record the rank number in CD9 below. Finally, record the line number and name of the selected child in CD11 on the next page. Then, find the mother or primary caretaker of that child, and ask the questions, beginning with CD12. Record the rank number of the selected child from table 2 above Households Child line number Child line number Child line number Child line number Child line number Identify eligible child aged 2 to 14 in the household using the tables on the preceding page, according to your instructions. Ask to interview the mother or primary caretaker of the selected child (identified by the line number in CD6). Write name and line no. of the child selected for the module from CD3 and CD2, based on the rank number in CD9. One selected child per household aged 2-14 97 Inconsistent Took away privileges Took away privileges Took away privileges Took away privileges Took away privileges All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Took away privileges, forbade something (name) liked or did not allow him/her to leave house). One selected child per household aged 2-14 1 Yes 2 No 9 Missing Explaned why something was wrong Explaned why something was wrong Explaned why something was wrong Explaned why something was wrong Explaned why something was wrong All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Explained why something (the behavior) was wrong. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Shook him/her Shook him/her Shook him/her Shook him/her Shook him/her All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Shook him/her. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Shouted yelled at or screamed at him/her Shouted yelled at or screamed at him/her Shouted yelled at or screamed at him/her Shouted yelled at or screamed at him/her Shouted yelled at or screamed at him/her All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Shouted, yelled at or screamed at him/her. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Gave him/her something else to do Gave him/her something else to do Gave him/her something else to do Gave him/her something else to do Gave him/her something else to do All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Gave him/her something else to do. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Spanked, hit or slapped him/her with bare hand Spanked, hit or slapped him/her with bare hand Spanked, hit or slapped him/her with bare hand Spanked, hit or slapped him/her with bare hand Spanked, hit or slapped him/her with bare hand All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Spanked, hit or slapped him/her on the bottom with bare hand. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Hit him/her on the bottom with or elsewhere with a belt Hit him/her on the bottom with or elsewhere with a belt Hit him/her on the bottom with or elsewhere with a belt Hit him/her on the bottom with or elsewhere with a belt Hit him/her on the bottom with or elsewhere with a belt All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Hit him/her on the bottom or elsewhere on the body with something like a belt, hairbrush, stick or other hard object. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Called him/her dumb, lazy Called him/her dumb, lazy Called him/her dumb, lazy Called him/her dumb, lazy Called him/her dumb, lazy All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Called him/her dumb, lazy, or another name like that. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Hit or slapped him/her on the face Hit or slapped him/her on the face Hit or slapped him/her on the face Hit or slapped him/her on the face Hit or slapped him/her on the face All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Hit or slapped him/her on the face, head or ears. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Hit or slapped him/her on the hand Hit or slapped him/her on the hand Hit or slapped him/her on the hand Hit or slapped him/her on the hand Hit or slapped him/her on the hand All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Hit or slapped him/her on the hand, arm, or leg. One selected child per household aged 2-14 1 Yes 2 No 9 Missing Beat him/her up with an implement Beat him/her up with an implement Beat him/her up with an implement Beat him/her up with an implement Beat him/her up with an implement All adults use certain ways to teach children the right behaviour or to address a behaviour problem. I will read various methods that are used and I want you to tell me if you or anyone else in your household has used this method with (name) in the past month. Beat him/her up with an implement (hit over and over as hard as one could). One selected child per household aged 2-14 1 Yes 2 No 9 Missing Do you believe to bring up you nedd to punish him/her Do you believe to bring up you nedd to punish him/her Do you believe to bring up you nedd to punish him/her Do you believe to bring up you nedd to punish him/her Do you believe to bring up you nedd to punish him/her Do you believe that in order to bring up (raise, educate) (name) properly, you need to physically punish him/her? One selected child per household aged 2-14 1 Yes 2 No 8 Don't know/no opinion 9 Missing 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 Basic 3 Secondary+ 4 Non-standard curriculum 9 Missing/DK The variable is created from information collected on educational level in the HL file. See makehh.sps in the data processing folder under technical information. Sex of household head Sex of household head Sex of household head Sex of household head Sex of household head Recoded variable Households 1 Male 2 Female 9 Missing/DK The variable is created from information collected in the HL file. See makehh.sps in the data processing folder under technical information. Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Recoded variable Ever married women age 15-49 who have given birth Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Recoded variable Ever married women age 15-49 who have given birth 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight Recoded variable De jure household members (usual residents) 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: Ever married women age 15-49 who have given birth Unique identifier for the cluster in which the household exists Household number Household number Household number Household number Household number Household number: Ever married women age 15-49 who have given birth Line number Line number Line number Line number Line number Ever married women age 15-49 who have given birth 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 Spouse 3 Son or daughter 4 Father/mother of Head 5 Son/daughter-in-law 6 Grandchild 96 Other relationship 97 Not related 98 Made/HH help Sex Sex Sex Sex Sex Children aged 0-4 1 Male 2 Female Age Age Age Age Age How old is (name)? How old was (name) on his/her last birthday? Record in completed years 98=DK* * See instructions: to be used only for elderly household members (code meaning "do not know/over age 50"). De jure household members (usual residents) 95 95+ Marital status Marital status Marital status Marital status Marital status What is (name's) marital status? 1 Single 2 Married 3 Widowed 4 Divorced 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) 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) 98 Not a member/dead 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) 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) 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) 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) 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) 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 Baisic 2 Diploma before Secondary 3 Secondary 4 Diploma after Secondary 5 Bachelor 6 Higer Studies 7 Non-standard curriculum 8 DK 9 Missing Highest grade at level Highest grade at level Highest grade at level Highest grade at level Highest grade at level For household members age 5 and above What is the highest grade (name) completed at this level? De jure household members (usual residents) 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 (2005- 2006) 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 Baisic 2 Diploma before Secondary 3 Secondary 4 Diploma after Secondary 5 Bachelor 6 Higer Studies 7 Non-standard curriculum 8 DK 9 Missing Grade of education attended Grade of education attended Grade of education attended Grade of education attended Grade of education attended For household members age 5-24 years During this/that school year, which level and grade is/was (name) attending? De jure household members (usual residents) aged 5-24 97 Inconsistent 98 DK 99 Missing Attended school last year (2003-2004) Attended school last year (2003-2004) Attended school last year (2003-2004) Attended school last year (2003-2004) Attended school last year (2003-2004) For household members age 5-24 years Did (name) attend school or preschool at any time during the previous school year, that is (2004-2005)? 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 Baisic 2 Diploma before Secondary 3 Secondary 4 Diploma after Secondary 5 Bachelor 6 Higer Studies 7 Non-standard curriculum 8 DK 9 Missing Grade of education attended last year Grade of education attended last year Grade of education attended last year Grade of education attended last year Grade of education attended last year For household members age 5-24 years During that previous school year, which level and grade did (name) attend? De jure household members (usual residents) aged 5-24 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: Women aged 15-49 Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor name and number: Women aged 15-49 Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Women aged 15-49 Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Women aged 15-49 Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Women aged 15-49 Area Area Area Area Area Ever married women age 15-49 who have given birth 1 Urban 2 Rural Governorate Governorate Governorate Governorate Governorate Governorate: Ever married women age 15-49 who have given birth 11 Ibb 12 Abyan 13 Sana'a City 14 Al Baidhah 15 Taiz 16 Al Jawf 17 Hajjah 18 Al Hodeidah 19 Hadramout 20 Dhamar 21 Shabwah 22 Sa'adah 23 Sana'a 24 Aden 25 Lahej 26 Mareb 27 Al Mahweet 28 Al Maharah 29 Amran 30 Al Dala'a 31 Raimah 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: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Women aged 15-49 Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Women aged 15-49 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: Women aged 15-49 Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Women aged 15-49 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk: Women aged 15-49 1 Wadeia Al Samiei 2 Abdalla Maodah 3 Nasser Al Zamiki 4 Banar Al Faek 5 Radiah Fara'a 6 Fatimah SAif 7 Rodwaan Al Akori 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? Women aged 15-49 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 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? Women aged 15-49 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 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? Women aged 15-49 995 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. Women aged 15-49 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? Women aged 15-49 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. Women aged 15-49 ? 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. Women aged 15-49 ? 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. Women aged 15-49 ? 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. Women aged 15-49 ? 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. Women aged 15-49 ? Missing F Let it stand and settle Other Other Other Other Other What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Women aged 15-49 ? 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. Women aged 15-49 ? Missing Z DK Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to? If necessary, ask permission to observe the facility. Women aged 15-49 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 21 Ventilated Improved Pit latrine (VIP) 22 Pit latrine with slab 23 Pit latrine without slab/open pit 41 Bucket 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do you share this facility with other households? Women aged 15-49 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? Women aged 15-49 10 Ten or more households 98 DK 99 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? Women aged 15-49 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. Women aged 15-49 11 Earth/sand 12 Dung 21 Wood planks 22 Palm/bamboo 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 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? Women aged 15-49 1 Electricity 2 Liquid propane gas (LPG) 3 Natural gas 4 Biogas 5 Kerosene 6 Coal/lignite 7 Charcoal 8 Wood 9 Straw/shrubs/grass 10 Animal dung 11 Agricultural crop residue 96 Other 99 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? Women aged 15-49 1 In the house 2 In a separate bulding 3 Outdoors 6 Other 9 Missing Electricity Electricity Electricity Electricity Electricity Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Radio Radio Radio Radio Radio Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Television Television Television Television Television Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Mobile phone Mobile phone Mobile phone Mobile phone Mobile phone Does your household have: Women aged 15-49 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: Women aged 15-49 1 Yes 2 No 9 Missing Refrigerator Refrigerator Refrigerator Refrigerator Refrigerator Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Satalite Dish Satalite Dish Satalite Dish Satalite Dish Satalite Dish Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Electric Generator Electric Generator Electric Generator Electric Generator Electric Generator Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Bicycle Bicycle Bicycle Bicycle Bicycle Does any member of your household own: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 1 Yes 2 No 9 Missing Agricultural Land Agricultural Land Agricultural Land Agricultural Land Agricultural Land Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Workshop/Factory Workshop/Factory Workshop/Factory Workshop/Factory Workshop/Factory Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Real State/Land Real State/Land Real State/Land Real State/Land Real State/Land Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Shop/Company Shop/Company Shop/Company Shop/Company Shop/Company Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing 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 Ever married women age 15-49 who have given birth 1 None 2 Basic 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 Basic 3 Secondary+ 4 Non-standard curriculum 5 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. 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 Basic 3 Secondary+ 4 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. Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Recoded variable Ever married women age 15-49 who have given birth Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Recoded variable Ever married women age 15-49 who have given birth 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Household sample weight Household sample weight Household sample weight Household sample weight Household sample weight Recoded variable De jure household members (usual residents) 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: Ever married women age 15-49 who have given birth Unique identifier for the cluster in which the household exists Household number Household number Household number Household number Household number Household number: Ever married women age 15-49 who have given birth Line number Line number Line number Line number Line number Ever married women age 15-49 who have given birth 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 Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Children aged 0-4 Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Children aged 0-4 Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Children aged 0-4 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for chidren under 5 Result of interview for children under 5 Children aged 0-4 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 6 Other Day of birth of child Day of birth of child Day of birth of child Day of birth of child Day of birth of child Repeat greeting if not already read to this respondent: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit. Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday? If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day. Children aged 0-4 97 Inconsistent 98 DK 99 Missing Month of birth of child Month of birth of child Month of birth of child Month of birth of child Month of birth of child Repeat greeting if not already read to this respondent: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit. Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday? If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day. Children aged 0-4 97 Inconsistent 98 DK 99 Missing Year of birth of child Year of birth of child Year of birth of child Year of birth of child Year of birth of child Repeat greeting if not already read to this respondent: We are from (COUNTRY-SPECIFIC AFFILIATION). We are working on a project concerned with family health and education. I would like to talk to you about this. The interview will take about (NUMBER) minutes. All the information we obtain will remain strictly confidential and your answers will never be identified. Also, you are not obliged to answer any question you don't want to, and you may withdraw from the interview at any time. May I start now? If permission is given, begin the interview. If the respondent does not agree to continue, thank him/her and go to the next interview. Discuss this result with your supervisor for a future revisit. Now I would like to ask you some questions about the health of each child under the age of 5 in your care, who lives with you now. Now I want to ask you about (NAME). In what month and year was (NAME) born? Probe: What is his/her birthday? If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day. Children aged 0-4 9997 Inconsistent 9998 DK 9999 Missing Age of child Age of child Age of child Age of child Age of child How old was (NAME) at his/her last birthday? Record age in completed years. Children aged 0-4 Child has birth certificate Child has birth certificate Child has birth certificate Child has birth certificate Child has birth certificate Does (name) have a birth certificate? May I see it? Children aged 0-4 1 Yes, seen 2 Yes, not seen 3 No 8 DK 9 Missing Child registered Child registered Child registered Child registered Child registered Has (name's) birth been registered with the civil authorities? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Reason birth not registered Reason birth not registered Reason birth not registered Reason birth not registered Reason birth not registered Why is (name's) birth not registered? Children aged 0-4 1 Costs too much 2 Must travel too far 3 Did not know it should be registered 4 Late, and did not want to pay fine 5 Does not know where to register 6 Other 8 DK 9 Missing Know how to register birth Know how to register birth Know how to register birth Know how to register birth Know how to register birth Do you know how to register your child's birth? Children aged 0-4 1 Yes 2 No 9 Missing Child attends early childhood education programme Child attends early childhood education programme Child attends early childhood education programme Child attends early childhood education programme Child attends early childhood education programme BR5. Check age of child in UF11: Child is 3 or 4 years old? Yes. Continue with BR6 No. Go to BR8 Does (name) attend any organized learning or early childhood education programme, such as a private or government facility, including kindergarten or community child care? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Hours attended education in last 7 days Hours attended education in last 7 days Hours attended education in last 7 days Hours attended education in last 7 days Hours attended education in last 7 days Within the last seven days, about how many hours did (name) attend? Children aged 0-4 98 DK 99 Missing Books-Mother Books-Mother Books-Mother Books-Mother Books-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Read books or look at picture books with (name)? Children aged 0-4 ? Missing A Mother Books-Father Books-Father Books-Father Books-Father Books-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Read books or look at picture books with (name)? Children aged 0-4 ? Missing B Father Books-Other Books-Other Books-Other Books-Other Books-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Read books or look at picture books with (name)? Children aged 0-4 ? Missing X Other Books-No one Books-No one Books-No one Books-No one Books-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Read books or look at picture books with (name)? Children aged 0-4 ? Missing Y No one Stories-Mother Stories-Mother Stories-Mother Stories-Mother Stories-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Tell stories to (name)? Children aged 0-4 ? Missing A Mother Stories-Father Stories-Father Stories-Father Stories-Father Stories-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Tell stories to (name)? Children aged 0-4 ? Missing B Father Stories-Other Stories-Other Stories-Other Stories-Other Stories-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Tell stories to (name)? Children aged 0-4 ? Missing X Other Stories-No one Stories-No one Stories-No one Stories-No one Stories-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Tell stories to (name)? Children aged 0-4 ? Missing Y No one Songs-Mother Songs-Mother Songs-Mother Songs-Mother Songs-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Sing songs with (name)? Children aged 0-4 ? Missing A Mother Songs-Father Songs-Father Songs-Father Songs-Father Songs-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Sing songs with (name)? Children aged 0-4 ? Missing B Father Songs-Other Songs-Other Songs-Other Songs-Other Songs-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Sing songs with (name)? Children aged 0-4 ? Missing X Other Songs-No one Songs-No one Songs-No one Songs-No one Songs-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Sing songs with (name)? Children aged 0-4 ? Missing Y No one Outside-Mother Outside-Mother Outside-Mother Outside-Mother Outside-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Take (name) outside the home, compound, yard or enclosure? Children aged 0-4 ? Missing A Mother Outside-Father Outside-Father Outside-Father Outside-Father Outside-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Take (name) outside the home, compound, yard or enclosure? Children aged 0-4 ? Missing B Father Outside-Other Outside-Other Outside-Other Outside-Other Outside-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Take (name) outside the home, compound, yard or enclosure? Children aged 0-4 ? Missing X Other Outside-No one Outside-No one Outside-No one Outside-No one Outside-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Take (name) outside the home, compound, yard or enclosure? Children aged 0-4 ? Missing Y No one Play-Mother Play-Mother Play-Mother Play-Mother Play-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Play with (name)? Children aged 0-4 ? Missing A Mother Play-Father Play-Father Play-Father Play-Father Play-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Play with (name)? Children aged 0-4 ? Missing B Father Play-Other Play-Other Play-Other Play-Other Play-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Play with (name)? Children aged 0-4 ? Missing X Other Play-No one Play-No one Play-No one Play-No one Play-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Play with (name)? Children aged 0-4 ? Missing Y No one Naming-Mother Naming-Mother Naming-Mother Naming-Mother Naming-Mother In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Spend time with (name) naming, counting, and/or drawing things? Children aged 0-4 ? Missing A Mother Naming-Father Naming-Father Naming-Father Naming-Father Naming-Father In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Spend time with (name) naming, counting, and/or drawing things? Children aged 0-4 ? Missing B Father Naming-Other Naming-Other Naming-Other Naming-Other Naming-Other In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Spend time with (name) naming, counting, and/or drawing things? Children aged 0-4 ? Missing X Other Naming-No one Naming-No one Naming-No one Naming-No one Naming-No one In the past 3 days, did you or any household member over 15 years of age engage in any of the following activities with (name): If yes, ask: who engaged in this activity with the child - the mother, the child's father or another adult member of the household (including the caretaker/respondent)? Spend time with (name) naming, counting, and/or drawing things? Children aged 0-4 ? Missing Y No one How many books are there in the household How many books are there in the household How many books are there in the household How many books are there in the household How many books are there in the household Question CE1 is to be administered only once to each caretaker How many books are there in the household? Please include schoolbooks, but not other books meant for children, such as picture books If 'none' enter 00 Children aged 0-4 10 Ten or more books How many children books or picture books do you have for him How many children books or picture books do you have for him How many children books or picture books do you have for him How many children books or picture books do you have for him How many children books or picture books do you have for him How many children's books or picture books do you have for (name)? If 'none' enter 00 Children aged 0-4 10 Ten or more books Bowls, plate, cups ,pots Bowls, plate, cups ,pots Bowls, plate, cups ,pots Bowls, plate, cups ,pots Bowls, plate, cups ,pots I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with household objects, such as bowls, plates, cups or pots? Children aged 0-4 ? Missing A Household objects Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves Sticks , rocks, animals shells, leaves I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with objects and materials found outside the living quarters, such as sticks, rocks, animals, shells, or leaves? Children aged 0-4 ? Missing B Outside objects Homemade toys Homemade toys Homemade toys Homemade toys Homemade toys I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with homemade toys, such as dolls, cars and other toys made at home? Children aged 0-4 ? Missing C Homemade toys Toys that came from a store Toys that came from a store Toys that came from a store Toys that came from a store Toys that came from a store I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with toys that came from a store? Children aged 0-4 ? Missing D Store bought toys No playthings mentioned No playthings mentioned No playthings mentioned No playthings mentioned No playthings mentioned I am interested in learning about the things that (NAME) plays with when he/she is at home. What does (NAME) play with? Does he/she play with household objects, such as bowls, plates, cups or pots? If the respondent says "YES" to any of the prompted categories, then probe to learn specifically what the child plays with to ascertain the response Code Y if child does not play with any of the items mentioned. Children aged 0-4 ? Missing Y No playthings mentioned How many time was he/her left in the care of another child How many time was he/her left in the care of another child How many time was he/her left in the care of another child How many time was he/her left in the care of another child How many time was he/her left in the care of another child Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children with others. since last (day of the week) how many times was (name) left in the care of another child (that is, someone less than 10 years old)? If 'none' enter 00 Children aged 0-4 98 DK 99 Missing How many time he was left alone How many time he was left alone How many time he was left alone How many time he was left alone How many time he was left alone In the past week, how many times was (name) left alone? If 'none' enter 00 Children aged 0-4 98 DK 99 Missing Child 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 YES WITH NO BLOOD 3 N0 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 Drinking Water Drinking Water Drinking Water Drinking Water Drinking Water 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. 1 Yes 2 No 8 DK 9 Missing Rice Water Rice Water Rice Water Rice Water Rice Water 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. 1 Yes 2 No 8 DK 9 Missing Vegitable Soup Vegitable Soup Vegitable Soup Vegitable Soup Vegitable Soup 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. 1 Yes 2 No 8 DK 9 Missing Fruit juice Fruit juice Fruit juice Fruit juice Fruit juice 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. 1 Yes 2 No 8 DK 9 Missing Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness Child drank less or more during illness During (name's) illness, did he/she drink much less, about the same, or more than usual? Children aged 0-4 1 Much less or none 2 About the same (or somewhat less) 3 More 8 DK 9 Missing Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness Child ate less or more during illness During (name's) illness, did he/she eat less, about the same, or more food than usual? If "less", probe: Much less or a little less? Children aged 0-4 1 None 2 Much less 3 Somewhat less 4 About the same 5 More 8 DK 9 Missing Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Child ill with cough in last 2 weeks Has (name) had an illness with a cough at any time in the last two weeks, that is, since (day of the week) of the week before last? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough Difficulty breathing during illness with cough When (name) had an illness with a cough, did he/she breathe faster than usual with short, quick breaths or have difficulty breathing? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Symptoms due to problem in chest or blocked nose Were the symptoms due to a problem in the chest or a blocked nose? Children aged 0-4 1 Problem in chest 2 Blocked nose 3 Both 6 Other 8 DK 9 Missing Sought advice or teatment for illness Sought advice or teatment for illness Sought advice or teatment for illness Sought advice or teatment for illness Sought advice or teatment for illness Did you seek advice or treatment for the illness outside the home? Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Place sought advice or treatment Place sought advice or treatment Place sought advice or treatment Place sought advice or treatment Place sought advice or treatment From where did you seek care? From where did you seek care? 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 Antipyretics Antipyretics Antipyretics Antipyretics Antipyretics What medicine was (name) given? ? Missing S Paracetamol/Panadol/Acetaminophen Decongestant Decongestant Decongestant Decongestant Decongestant What medicine was (name) given? ? Missing T Aspirin Antitusiv Antitusiv Antitusiv Antitusiv Antitusiv What medicine was (name) given? ? Missing U 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 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: Child is vomiting continously Symptoms: Child is vomiting continously Symptoms: Child is vomiting continously Symptoms: Child is vomiting continously Symptoms: Child is vomiting continously 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 X Other 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 Y Other 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 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 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 HepB1 or DPTHepB1 immunization Day of HepB1 or DPTHepB1 immunization Day of HepB1 or DPTHepB1 immunization Day of HepB1 or DPTHepB1 immunization Day of HepB1 or DPTHepB1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB1 (or DPTHepB1) Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization Month of HepB1 or DPThepB1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB1 (or DPTHepB1) Children aged 0-4 99 Missing Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization Year of HepB1 or DPTHepB1 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB1 (or DPTHepB1) Children aged 0-4 9999 Missing Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization Day HepB2 or DPTHepB2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB2 (or DPTHepB2) Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization Month of HepB2 or DPTHepB2 imunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB2 (or DPTHepB2) Children aged 0-4 99 Missing Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization Year of HepB2 or DPTHepB2 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB2 (or DPTHepB2) Children aged 0-4 9999 Missing Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization Day of DPTHepB3 or HepB3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB3 (or DPTHepB3) Children aged 0-4 Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization Month of DPTHepB3 or HepB3 ummunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB3 (or DPTHepB3) Children aged 0-4 99 Missing Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization Year of DPTHepB3 or HepB3 immunization (a) Copy dates for each vaccination from the card. (b) Write '44' in day column if card shows that vaccination was given but no date recorded. Date of immunization HepB3 (or DPTHepB3) Children aged 0-4 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 date of Poster dose for measles MMR immunization Day date of Poster dose for measles MMR immunization Day date of Poster dose for measles MMR immunization Day date of Poster dose for measles MMR immunization Day date of Poster dose for measles MMR immunization Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month date of Poster dose for measles MMR immunization Month date of Poster dose for measles MMR immunization Month date of Poster dose for measles MMR immunization Month date of Poster dose for measles MMR immunization Month date of Poster dose for measles MMR immunization 99 Missing Date year of Poster dose for measles MMR immunization Date year of Poster dose for measles MMR immunization Date year of Poster dose for measles MMR immunization Date year of Poster dose for measles MMR immunization Date year of Poster dose for measles MMR immunization 9999 Missing Day of Pen Sa Valent1 Vaccine immunization Day of Pen Sa Valent1 Vaccine immunization Day of Pen Sa Valent1 Vaccine immunization Day of Pen Sa Valent1 Vaccine immunization Day of Pen Sa Valent1 Vaccine immunization Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month of Pen Sa Valent1 Vaccine immunization Month of Pen Sa Valent1 Vaccine immunization Month of Pen Sa Valent1 Vaccine immunization Month of Pen Sa Valent1 Vaccine immunization Month of Pen Sa Valent1 Vaccine immunization 99 Missing Year of of Pen Sa Valent1 Vaccine immunization Year of of Pen Sa Valent1 Vaccine immunization Year of of Pen Sa Valent1 Vaccine immunization Year of of Pen Sa Valent1 Vaccine immunization Year of of Pen Sa Valent1 Vaccine immunization 9999 Missing Day Date of Pen Sa Valent2 Vaccine immunization Day Date of Pen Sa Valent2 Vaccine immunization Day Date of Pen Sa Valent2 Vaccine immunization Day Date of Pen Sa Valent2 Vaccine immunization Day Date of Pen Sa Valent2 Vaccine immunization Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month Date of Pen Sa Valent2 Vaccine immunization Month Date of Pen Sa Valent2 Vaccine immunization Month Date of Pen Sa Valent2 Vaccine immunization Month Date of Pen Sa Valent2 Vaccine immunization Month Date of Pen Sa Valent2 Vaccine immunization 99 Missing Year Date of Pen Sa Valent2 Vaccine immunization Year Date of Pen Sa Valent2 Vaccine immunization Year Date of Pen Sa Valent2 Vaccine immunization Year Date of Pen Sa Valent2 Vaccine immunization Year Date of Pen Sa Valent2 Vaccine immunization 9999 Missing Day Date of Pen Sa Valent3 Vaccine immunization Day Date of Pen Sa Valent3 Vaccine immunization Day Date of Pen Sa Valent3 Vaccine immunization Day Date of Pen Sa Valent3 Vaccine immunization Day Date of Pen Sa Valent3 Vaccine immunization Not given 44 Marked on card - no date given 66 Reported by mother 99 Missing Month Date of Pen Sa Valent3 Vaccine immunization Month Date of Pen Sa Valent3 Vaccine immunization Month Date of Pen Sa Valent3 Vaccine immunization Month Date of Pen Sa Valent3 Vaccine immunization Month Date of Pen Sa Valent3 Vaccine immunization 99 Missing Year Date of Pen Sa Valent3 Vaccine immunization Year Date of Pen Sa Valent3 Vaccine immunization Year Date of Pen Sa Valent3 Vaccine immunization Year Date of Pen Sa Valent3 Vaccine immunization Year Date of Pen Sa Valent3 Vaccine immunization 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 Ever given Hepatitis B Ever given Hepatitis B Ever given Hepatitis B Ever given Hepatitis B Ever given Hepatitis B Has (name) ever been given "Hepatitis B vaccination injections" - that is, an injection in the thigh or buttocks - to prevent him/her from getting Hepatitis B? (sometimes given at the same time as DPT) Children aged 0-4 1 Yes 2 No 8 DK 9 Missing Times child given Hepatitis B Times child given Hepatitis B Times child given Hepatitis B Times child given Hepatitis B Times child given Hepatitis B How many times? Children aged 0-4 99 Missing Child ever given Pen Sa Valent vaccine Child ever given Pen Sa Valent vaccine Child ever given Pen Sa Valent vaccine Child ever given Pen Sa Valent vaccine Child ever given Pen Sa Valent vaccine 1 Yes 2 No 8 DK 9 Missing Times child given Pen SA Valent vaccine Times child given Pen SA Valent vaccine Times child given Pen SA Valent vaccine Times child given Pen SA Valent vaccine Times child given Pen SA Valent vaccine 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 Sex Sex Sex Sex Sex Children aged 0-4 1 Male 2 Female Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended Highest level of school attended What is the highest level of school (name) attended? Children aged 0-4 Preschool/kindergarten 1 Baisic 2 Diploma before Secondary 3 Secondary 4 Diploma after Secondary 5 Bachelor 6 Higer Studies 7 Non-standard curriculum 8 DK 9 Missing Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Women aged 15-49 Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor name and number: Women aged 15-49 Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Women aged 15-49 Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Women aged 15-49 Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Women aged 15-49 Area Area Area Area Area Ever married women age 15-49 who have given birth 1 Urban 2 Rural Governorate Governorate Governorate Governorate Governorate Governorate: Ever married women age 15-49 who have given birth 11 Ibb 12 Abyan 13 Sana'a City 14 Al Baidhah 15 Taiz 16 Al Jawf 17 Hajjah 18 Al Hodeidah 19 Hadramout 20 Dhamar 21 Shabwah 22 Sa'adah 23 Sana'a 24 Aden 25 Lahej 26 Mareb 27 Al Mahweet 28 Al Maharah 29 Amran 30 Al Dala'a 31 Raimah 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: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Women aged 15-49 Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Women aged 15-49 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: Women aged 15-49 Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Women aged 15-49 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk: Women aged 15-49 1 Wadeia Al Samiei 2 Abdalla Maodah 3 Nasser Al Zamiki 4 Banar Al Faek 5 Radiah Fara'a 6 Fatimah SAif 7 Rodwaan Al Akori 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? Women aged 15-49 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 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? Women aged 15-49 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 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? Women aged 15-49 995 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. Women aged 15-49 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? Women aged 15-49 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. Women aged 15-49 ? 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. Women aged 15-49 ? 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. Women aged 15-49 ? 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. Women aged 15-49 ? 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. Women aged 15-49 ? Missing F Let it stand and settle Other Other Other Other Other What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Women aged 15-49 ? 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. Women aged 15-49 ? Missing Z DK Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to? If necessary, ask permission to observe the facility. Women aged 15-49 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 21 Ventilated Improved Pit latrine (VIP) 22 Pit latrine with slab 23 Pit latrine without slab/open pit 41 Bucket 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do you share this facility with other households? Women aged 15-49 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? Women aged 15-49 10 Ten or more households 98 DK 99 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? Women aged 15-49 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. Women aged 15-49 11 Earth/sand 12 Dung 21 Wood planks 22 Palm/bamboo 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 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? Women aged 15-49 1 Electricity 2 Liquid propane gas (LPG) 3 Natural gas 4 Biogas 5 Kerosene 6 Coal/lignite 7 Charcoal 8 Wood 9 Straw/shrubs/grass 10 Animal dung 11 Agricultural crop residue 96 Other 99 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? Women aged 15-49 1 In the house 2 In a separate bulding 3 Outdoors 6 Other 9 Missing Electricity Electricity Electricity Electricity Electricity Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Radio Radio Radio Radio Radio Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Television Television Television Television Television Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Mobile phone Mobile phone Mobile phone Mobile phone Mobile phone Does your household have: Women aged 15-49 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: Women aged 15-49 1 Yes 2 No 9 Missing Refrigerator Refrigerator Refrigerator Refrigerator Refrigerator Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Satalite Dish Satalite Dish Satalite Dish Satalite Dish Satalite Dish Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Electric Generator Electric Generator Electric Generator Electric Generator Electric Generator Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Bicycle Bicycle Bicycle Bicycle Bicycle Does any member of your household own: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 1 Yes 2 No 9 Missing Agricultural Land Agricultural Land Agricultural Land Agricultural Land Agricultural Land Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Workshop/Factory Workshop/Factory Workshop/Factory Workshop/Factory Workshop/Factory Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Real State/Land Real State/Land Real State/Land Real State/Land Real State/Land Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Shop/Company Shop/Company Shop/Company Shop/Company Shop/Company Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Date of interview child (CMC) Recoded variable Children aged 0-4 Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Recoded variable Children aged 0-4 Age (months) Age (months) Age (months) Age (months) Age (months) Recoded variable Children aged 0-4 Age Age Age Age Age Recoded variable Children aged 0-4 1 < 6 months 2 6-11 months 3 12-23 months 4 24-35 months 5 36-47 months 6 48-59 months Age Age Age Age Age Recoded variable Children aged 0-4 1 0-11 months 2 12-23 months 3 24-35 months 4 36-47 months 5 48-59 months Mother's education Mother's education Mother's education Mother's education Mother's education Recoded Variable Ever married women age 15-49 who have given birth 1 None 2 Basic 3 Secondary+ 4 Non-standard curriculum 9 Missing/DK Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Recoded variable Ever married women age 15-49 who have given birth Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Recoded variable Ever married women age 15-49 who have given birth 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest 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 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: Ever married women age 15-49 who have given birth Unique identifier for the cluster in which the household exists Household number Household number Household number Household number Household number Household number: Ever married women age 15-49 who have given birth Line number Line number Line number Line number Line number Ever married women age 15-49 who have given birth Cluster number Cluster number Cluster number Cluster number Cluster number Ever married women age 15-49 who have given birth Household number Household number Household number Household number Household number Ever married women age 15-49 who have given birth Woman's line number Woman's line number Woman's line number Woman's line number Woman's line number Ever married women age 15-49 who have given birth Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Ever married women age 15-49 who have given birth Day of interview Day of interview Day of interview Day of interview Day of interview Ever married women age 15-49 who have given birth Month of interview Month of interview Month of interview Month of interview Month of interview Ever married women age 15-49 who have given birth Year of interview Year of interview Year of interview Year of interview Year of interview Ever married women age 15-49 who have given birth 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 Ever married women age 15-49 who have given birth 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 Ever married women age 15-49 who have given birth 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 Ever married women age 15-49 who have given birth 9997 Inconsistent 9998 DK 9999 Missing Age of woman Age of woman Age of woman Age of woman Age of woman Ever married women age 15-49 who have given birth 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? Ever married women age 15-49 who have given birth 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? Ever married women age 15-49 who have given birth 1 Baisic 2 Secondary 3 Higher 6 Non-standard curriculum 9 Missing What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade you completed at that level? Ever married women age 15-49 who have given birth 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 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? Ever married women age 15-49 who have given birth 1 Cannot read at all 2 Able to read only parts of sentence 3 Able to read whole sentence 4 Required language 5 Blind/visually impaired 9 Missing Ever given birth Ever given birth Ever given birth Ever given birth Ever given birth Now i would like to ask about all the births you have had during your life. Have you ever given birth? If "No" probe by asking: I mean, to a child who ever breathed or cried or showed other signs of life - even if he or she lived only a few minutes or hours? Ever married women age 15-49 who have given birth 1 Yes 2 No Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Do you have any sons or daughters to whom you have given birth who are now living with you? Ever married women age 15-49 who have given birth 1 Yes 2 No Sons living with you Sons living with you Sons living with you Sons living with you Sons living with you How many sons live with you? Ever married women age 15-49 who have given birth Daughters living with you Daughters living with you Daughters living with you Daughters living with you Daughters living with you How many daughters live with you? Ever married women age 15-49 who have given birth Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Do you have any sons or daughters to whom you have given birth who are alive but do not live with you? Ever married women age 15-49 who have given birth 1 Yes 2 No Sons living not with you Sons living not with you Sons living not with you Sons living not with you Sons living not with you How many sons are alive but do not live with you? Ever married women age 15-49 who have given birth Daughters not living with you Daughters not living with you Daughters not living with you Daughters not living with you Daughters not living with you How many daughters are alive but do not live with you? Ever married women age 15-49 who have given birth Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Have you ever given birth to a boy or girl who was born alive but later died? Ever married women age 15-49 who have given birth 1 Yes 2 No Boys dead Boys dead Boys dead Boys dead Boys dead How many boys have died? Ever married women age 15-49 who have given birth Girls dead Girls dead Girls dead Girls dead Girls dead How many girls have died? Ever married women age 15-49 who have given birth Children ever born Children ever born Children ever born Children ever born Children ever born Ever married women age 15-49 who have given birth 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 98 DK 99 Missing Given tetanus toxoid before pregnancy Given tetanus toxoid before pregnancy Given tetanus toxoid before pregnancy Given tetanus toxoid before pregnancy Given tetanus toxoid before pregnancy Did you receive any tetanus toxoid injection at any time before your last pregnancy? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Times given tetanus toxoid before pregnancy Times given tetanus toxoid before pregnancy Times given tetanus toxoid before pregnancy Times given tetanus toxoid before pregnancy Times given tetanus toxoid before pregnancy How many times did you receive it? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 98 DK 99 Missing Month last given tetanus toxoid before pregnancy Month last given tetanus toxoid before pregnancy Month last given tetanus toxoid before pregnancy Month last given tetanus toxoid before pregnancy Month last given tetanus toxoid before pregnancy In what month and year did you receive the last anti-tetanus injection before that last pregnancy? Skip to next module only if year of injection is given. Otherwise, continue with TT8. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 97 Inconsistent 98 DK 99 Missing Year last given tetanus toxoid before pregnancy Year last given tetanus toxoid before pregnancy Year last given tetanus toxoid before pregnancy Year last given tetanus toxoid before pregnancy Year last given tetanus toxoid before pregnancy In what month and year did you receive the last anti-tetanus injection before that last pregnancy? Skip to next module only if year of injection is given. Otherwise, continue with TT8. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 9997 Inconsistent 9998 DK 9999 Missing Years ago last received tetanus toxoid before pregnancy Years ago last received tetanus toxoid before pregnancy Years ago last received tetanus toxoid before pregnancy Years ago last received tetanus toxoid before pregnancy Years ago last received tetanus toxoid before pregnancy How many years ago did you receive the last anti-tetanus injection before that last pregnancy? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 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: Auxilary midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Antenatal care: Auxilary midwife Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing C Auxiliary/midwife Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Antenatal care: Traditional birth attendant Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing F Traditional birth attendance Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Antenatal care: Community health worker Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing G Community/health worker Antenatal care: Relative/friend Antenatal care: Relative/friend Antenatal care: Relative/friend Antenatal care: Relative/friend Antenatal care: Relative/friend Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing H Relative/friend Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Antenatal care: Other Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing X Other Antenatal care: No one Antenatal care: No one Antenatal care: No one Antenatal care: No one Antenatal care: No one Did you see anyone for antenatal care for this pregnancy? If yes: Whom did you see? Anyone else? Probe for the type of person seen and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing Y No one Weighed Weighed Weighed Weighed Weighed As part of your antenatal care, were any of the following done at least once? Were you weighed? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Blood pressure measured Blood pressure measured Blood pressure measured Blood pressure measured Blood pressure measured As part of your antenatal care, were any of the following done at least once? Was your blood pressure measured? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Urine sample Urine sample Urine sample Urine sample Urine sample As part of your antenatal care, were any of the following done at least once? Did you give a urine sample? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Blood sample Blood sample Blood sample Blood sample Blood sample As part of your antenatal care, were any of the following done at least once? Did you give a blood sample? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus Counseled about AIDS or the AIDS virus During any of the antenatal visits for the pregnancy, were you given any information or counseled about AIDS or the AIDS virus? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS Tested for HIV/AIDS I don't want to know the results, but were you tested for HIV/AIDS as part of your antenatal care? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Received result of HIV test Received result of HIV test Received result of HIV test Received result of HIV test Received result of HIV test I don't want to know the results, but did you get the results of the test? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Assistance at delivery: Doctor Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing A Doctor Assistance at delivery: Nurse Assistance at delivery: Nurse Assistance at delivery: Nurse Assistance at delivery: Nurse Assistance at delivery: Nurse Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing B Nurse/midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Assistance at delivery: Auxiliary midwife Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing C Auxiliary/midwife Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Assistance at delivery: Traditional birth attendant Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing F Traditional birth attendance Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Assistance at delivery: Community health worker Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing G Community/health worker Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Assistance at delivery: Relative/friend Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing H Relative/friend Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Assistance at delivery: Other Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing X Other Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Assistance at delivery: No one Who assisted with the delivery of your last child (name)? Anyone else? Probe for the type of person assisting and circle all answers given. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey ? Missing Y No one Place of delivery Place of delivery Place of delivery Place of delivery Place of delivery Where did you give birth to (NAME)? If source is hospital, health center, or clinic, write the name of the place below. Probe to identify the type of source and circle the appropriate code. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 11 Resondent's home 12 Other home 21 Government hospital 22 Government clinic/health center 26 Other public 31 Private hospital 32 Private clinic 36 Other private medical 96 Other 99 Missing Size of child at birth Size of child at birth Size of child at birth Size of child at birth Size of child at birth When your last child (name) was born, was he/she very large, larger than average, average, smaller than average, or very small? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Very large 2 Larger than average 3 Average 4 Smaller than average 5 Very small 8 DK 9 Missing Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Child weighed at birth Was (name) weighed at birth? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 8 DK 9 Missing Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall Weight from card or recall How much did (name) weigh? Record weight from health card, if available. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 From health card 2 From memory 3 Don't know Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) Weight at birth (Kilograms) 9.998 DK 9.999 Missing Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Ever breastfeed Did you ever breastfeed (name)? Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 1 Yes 2 No 9 Missing Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) Time baby put to breast (unit) How long after birth did you first put (name) to the breast? If less than 1 hour, record '00' hours. If less than 24 hours, record hours. Otherwise, record days. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey Immediately 1 Hours 2 Days 9 Missing Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) Time baby put to breast (number) How long after birth did you first put (name) to the breast? If less than 1 hour, record '00' hours. If less than 24 hours, record hours. Otherwise, record days. Women aged 15-49 who gave birth to a child in the 2 years preceding the survey 98 DK 99 Missing Currently married or living with a man Currently married or living with a man Currently married or living with a man Currently married or living with a man Currently married or living with a man Are you currently married or living together with a man as if married? Ever married women age 15-49 who have given birth 1 Married/Separated 2 Divorced 3 Widowed 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? Ever married women age 15-49 who have given birth 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? Ever married women age 15-49 who have given birth 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? Ever married women age 15-49 who have given birth 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? Ever married women age 15-49 who have given birth 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 How old were you when you started living with your first husband/partner? Ever married women age 15-49 who have given birth 97 Inconsistent 98 DK 99 Missing First Husband was a relative First Husband was a relative First Husband was a relative First Husband was a relative First Husband was a relative Ever married women age 15-49 who have given birth 1 Yes 2 No 9 Missing What was the relationship with your first husband What was the relationship with your first husband What was the relationship with your first husband What was the relationship with your first husband What was the relationship with your first husband Ever married women age 15-49 who have given birth 1 Cousin First Degree (Father side) 2 Cousin First Degree (Mather side) 3 Cousin Second Degree (Father/Mother side) 4 Other blood relation 5 Relative due to marraige Currently pregnant Currently pregnant Currently pregnant Currently pregnant Currently pregnant I would like to talk with you about another subject - family planning - and your reproductive health. Are you pregnant now? Women aged 15-49 1 Yes, currently pregnant 2 No 8 Unsure or DK 9 Missing Did you want to wait later or not want any more children Did you want to wait later or not want any more children Did you want to wait later or not want any more children Did you want to wait later or not want any more children Did you want to wait later or not want any more children At the time you became pregnant did you want to become pregnant <u>then</u>, did you want to wait until <u>later</u>, or did you <u>not want</u> to have any more children? Women aged 15-49 1 Then 2 Later 3 Not want more children 9 Missing Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Currently using a method to avoid pregnancy Some people use various ways or methods to delay or avoid a pregnancy. Are you currently doing something or using any method to delay or avoid getting pregnant? Women aged 15-49 1 Yes 2 No 9 Missing Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Current method: Female sterilization Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing A Female sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Current method: Male sterilization Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing B Male sterilization Current method: Pill Current method: Pill Current method: Pill Current method: Pill Current method: Pill Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing C PILL Current method: IUD Current method: IUD Current method: IUD Current method: IUD Current method: IUD Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing D IUD Current method: Injections Current method: Injections Current method: Injections Current method: Injections Current method: Injections Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing E Injections Current method: Implants Current method: Implants Current method: Implants Current method: Implants Current method: Implants Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing F Implants Current method: Condom Current method: Condom Current method: Condom Current method: Condom Current method: Condom Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing G Condom Current method: Female condom Current method: Female condom Current method: Female condom Current method: Female condom Current method: Female condom Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing H Female condom Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Current method: Diaphragm Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing I Diaphragm Current method: Foam/jelly Current method: Foam/jelly Current method: Foam/jelly Current method: Foam/jelly Current method: Foam/jelly Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing J Foam/Jelly Current method: Lactational amenorrhea method Current method: Lactational amenorrhea method Current method: Lactational amenorrhea method Current method: Lactational amenorrhea method Current method: Lactational amenorrhea method Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing K Lactational amenorrhoea (LAM) Current method: Periodic abstinence Current method: Periodic abstinence Current method: Periodic abstinence Current method: Periodic abstinence Current method: Periodic abstinence Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing L Periodic abstinence Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Current method: Withdrawal Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing M Withdrawal Current method: Other Current method: Other Current method: Other Current method: Other Current method: Other Which method are you using? Do not prompt. If more than one method is mentioned, circle each one. Women aged 15-49 ? Missing X Other Place got contaceptive method Place got contaceptive method Place got contaceptive method Place got contaceptive method Place got contaceptive method 11 Govt. Hospital 12 Govt. Health centre 13 Govt. health post 16 Other Public sources 21 Private hospital/clinic 22 Private phisician 23 Pharmacy 24 Medical Worker 26 Other private 31 Husband 32 Relative or friend 33 Shop 34 Traditional practitioner 96 Other 98 Don't Know Prefer to have or not to have any more children Prefer to have or not to have any more children Prefer to have or not to have any more children Prefer to have or not to have any more children Prefer to have or not to have any more children a. Now I would like to ask some questions about the future. Would you like to have (a/another) child, or would you prefer not to have any (more) children? b. If currently pregnant: Now I would like to ask some questions about the future. After the child you are now expecting, would you like to have another child, or would you prefer not to have any (more) children? Women aged 15-49 1 Have (a/another( child 2 No more /none 3 Says she cannot get pregnant 8 Undecided/don't know 9 Missing Desired waiting time (units) Desired waiting time (units) Desired waiting time (units) Desired waiting time (units) Desired waiting time (units) How long would you like to wait before the birth of (a/another) child? Women aged 15-49 1 Months 2 Years 9 Special Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) Desired waiting time (number) How long would you like to wait before the birth of (a/another) child? Women aged 15-49 93 Soon/now 94 Says she cannot get pregnant 96 Other 98 Don't know 99 Missing Able to get pregnant Able to get pregnant Able to get pregnant Able to get pregnant Able to get pregnant Check CP1: Currently pregnant? Go to Next Module Not currently pregnant or unsure? Continue with CP4E Do you think you are physically able to get pregnant at this time? Women aged 15-49 1 Yes 2 No 8 Don't know 9 Missing Ever heard of HIV or AIDS Ever heard of HIV or AIDS Ever heard of HIV or AIDS Ever heard of HIV or AIDS Ever heard of HIV or AIDS Now I would like to talk with you about something else. Have you ever heard of the virus HIV or an illness called AIDS? Women aged 15-49 1 Yes 2 No 9 Missing Can get AIDS through supernatural means Can get AIDS through supernatural means Can get AIDS through supernatural means Can get AIDS through supernatural means Can get AIDS through supernatural means Can people get infected with the AIDS virus because of witchcraft or other supernatural means? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can avoid AIDS by using a condom correctly every time Can people reduce their chance of getting the AIDS virus by using a condom every time they have sex? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can get AIDS from mosquito bites Can people get the AIDS virus from mosquito bites? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can avoid AIDS by not having sex at all Can people reduce their chance of getting infected with the AIDS virus by not having sex at all? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can get AIDS by sharing food with person with AIDS virus Can people get the AIDS virus by sharing food with a person who has AIDS? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can get AIDS by injection with needle already used by someon Can people get the AIDS virus by getting injections with a needle that was already used by someone else? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Healthy-looking person can have AIDS Healthy-looking person can have AIDS Healthy-looking person can have AIDS Healthy-looking person can have AIDS Healthy-looking person can have AIDS Is it possible for a healthy-looking person to have the AIDS virus? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy AIDS from mother to child during pregnancy Can the AIDS virus be transmitted from a mother to a baby? During pregnancy? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery AIDS from mother to child at delivery Can the AIDS virus be transmitted from a mother to a baby? During delivery? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk AIDS from mother to child through breastmilk Can the AIDS virus be transmitted from a mother to a baby? By breastfeeding? Women aged 15-49 1 Yes 2 No 8 DK 9 Missing Should female teacher with HIV/AIDS be allowed to teach in school Should female teacher with HIV/AIDS be allowed to teach in school Should female teacher with HIV/AIDS be allowed to teach in school Should female teacher with HIV/AIDS be allowed to teach in school Should female teacher with HIV/AIDS be allowed to teach in school If a female teacher has the AIDS virus but is not sick, should she be allowed to continue teaching in school? Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would buy fresh vegetables from shopseller with HIV/AIDS Would you buy fresh vegetables from a shopkeeper or vendor if you knew that this person had the AIDS virus? Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member became infected with the virus, would you want i If a member of your family became infected with the AIDS virus, would you want it to remain a secret? Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household Willing to care for person with AIDS in household If a member of your family became sick with the AIDS virus, would you be willing to care for him or her in your household? Women aged 15-49 1 Yes 2 No 8 DK/not sure/depends 9 Missing Ever had HIV test Ever had HIV test Ever had HIV test Ever had HIV test Ever had HIV test Check MN5: Tested for HIV during antenatal care? Yes. Go to HA18A No. Continue with HA15 I do not want to know the results, but have you ever been tested to see if you have HIV, the virus that causes AIDS? Women aged 15-49 1 Yes 2 No 9 Missing Received results of HIV test Received results of HIV test Received results of HIV test Received results of HIV test Received results of HIV test I do not want you to tell me the results of the test, but have you been told the results? Women aged 15-49 1 Yes 2 No 9 Missing Asked for HIV test or was it offered to you Asked for HIV test or was it offered to you Asked for HIV test or was it offered to you Asked for HIV test or was it offered to you Asked for HIV test or was it offered to you Did you, yourself, ask for the test, was it offered to you and you accepted, or was it required? Women aged 15-49 1 Asked for the test 2 Offered and accepted 3 Required 9 Missing Know a place to get HIV test Know a place to get HIV test Know a place to get HIV test Know a place to get HIV test Know a place to get HIV test At this time, do you know of a place where you can go to get such a test to see if you have the AIDS virus? A. If tested for HIV during antenatal care: Other than at the antenatal clinic, do you know of a place where you can go to get a test to see if you have the AIDS virus? Women aged 15-49 1 Yes 2 No 9 Missing Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Interviewer name and number: Women aged 15-49 Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor Number Supervisor name and number: Women aged 15-49 Day of interview Day of interview Day of interview Day of interview Day of interview Day/Month/Year of interview: Women aged 15-49 Month of interview Month of interview Month of interview Month of interview Month of interview Day/Month/Year of interview: Women aged 15-49 Year of interview Year of interview Year of interview Year of interview Year of interview Day/Month/Year of interview: Women aged 15-49 Area Area Area Area Area Ever married women age 15-49 who have given birth 1 Urban 2 Rural Governorate Governorate Governorate Governorate Governorate Governorate: Ever married women age 15-49 who have given birth 11 Ibb 12 Abyan 13 Sana'a City 14 Al Baidhah 15 Taiz 16 Al Jawf 17 Hajjah 18 Al Hodeidah 19 Hadramout 20 Dhamar 21 Shabwah 22 Sa'adah 23 Sana'a 24 Aden 25 Lahej 26 Mareb 27 Al Mahweet 28 Al Maharah 29 Amran 30 Al Dala'a 31 Raimah 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: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 Total eligible women Total eligible women Total eligible women Total eligible women Total eligible women No.of women eligible for interview: Women aged 15-49 Women interviews completed Women interviews completed Women interviews completed Women interviews completed Women interviews completed No.of women questionnaires completed: Women aged 15-49 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: Women aged 15-49 Child interviews completed Child interviews completed Child interviews completed Child interviews completed Child interviews completed No.of under-5 questionnaires completed: Women aged 15-49 Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk Data entry clerk: Women aged 15-49 1 Wadeia Al Samiei 2 Abdalla Maodah 3 Nasser Al Zamiki 4 Banar Al Faek 5 Radiah Fara'a 6 Fatimah SAif 7 Rodwaan Al Akori 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? Women aged 15-49 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 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? Women aged 15-49 11 Piped into dwelling 12 Piped into yard or plot 13 Public tap/standpipe 21 Tubewell/borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank/drum 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? Women aged 15-49 995 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. Women aged 15-49 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? Women aged 15-49 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. Women aged 15-49 ? 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. Women aged 15-49 ? 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. Women aged 15-49 ? 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. Women aged 15-49 ? 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. Women aged 15-49 ? Missing F Let it stand and settle Other Other Other Other Other What do you usually do to the water to make it safer to drink? Anything else? Record all items mentioned. Women aged 15-49 ? 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. Women aged 15-49 ? Missing Z DK Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility Kind of toilet facility What kind of toilet facility do members of your household usually use? If "flush" or "pour flush", probe: Where does it flush to? If necessary, ask permission to observe the facility. Women aged 15-49 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 21 Ventilated Improved Pit latrine (VIP) 22 Pit latrine with slab 23 Pit latrine without slab/open pit 41 Bucket 95 No facilities or bush or field 96 Other 99 Missing Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Toilet facility shared Do you share this facility with other households? Women aged 15-49 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? Women aged 15-49 10 Ten or more households 98 DK 99 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? Women aged 15-49 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. Women aged 15-49 11 Earth/sand 12 Dung 21 Wood planks 22 Palm/bamboo 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 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? Women aged 15-49 1 Electricity 2 Liquid propane gas (LPG) 3 Natural gas 4 Biogas 5 Kerosene 6 Coal/lignite 7 Charcoal 8 Wood 9 Straw/shrubs/grass 10 Animal dung 11 Agricultural crop residue 96 Other 99 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? Women aged 15-49 1 In the house 2 In a separate bulding 3 Outdoors 6 Other 9 Missing Electricity Electricity Electricity Electricity Electricity Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Radio Radio Radio Radio Radio Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Television Television Television Television Television Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Mobile phone Mobile phone Mobile phone Mobile phone Mobile phone Does your household have: Women aged 15-49 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: Women aged 15-49 1 Yes 2 No 9 Missing Refrigerator Refrigerator Refrigerator Refrigerator Refrigerator Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Satalite Dish Satalite Dish Satalite Dish Satalite Dish Satalite Dish Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Electric Generator Electric Generator Electric Generator Electric Generator Electric Generator Does your household have: Women aged 15-49 1 Yes 2 No 9 Missing Bicycle Bicycle Bicycle Bicycle Bicycle Does any member of your household own: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 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: Women aged 15-49 1 Yes 2 No 9 Missing Agricultural Land Agricultural Land Agricultural Land Agricultural Land Agricultural Land Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Workshop/Factory Workshop/Factory Workshop/Factory Workshop/Factory Workshop/Factory Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Real State/Land Real State/Land Real State/Land Real State/Land Real State/Land Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing Shop/Company Shop/Company Shop/Company Shop/Company Shop/Company Does any member of your household own: Women aged 15-49 1 Yes 2 No 9 Missing 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 Ever married women age 15-49 who have given birth Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Date of birth (CMC) Recoded Variable Ever married women age 15-49 who have given birth Imputed Age of woman using HL Age Imputed Age of woman using HL Age Imputed Age of woman using HL Age Imputed Age of woman using HL Age Imputed Age of woman using HL Age Ever married women age 15-49 who have given birth Age Age Age Age Age Recoded Variable Ever married women age 15-49 who have given birth 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 Ever married women age 15-49 who have given birth Marital/Union status Marital/Union status Marital/Union status Marital/Union status Marital/Union status Recoded Variable Ever married women age 15-49 who have given birth 1 Currently married 2 Formerly married Children ever born Children ever born Children ever born Children ever born Children ever born Recoded Variable Ever married women age 15-49 who have given birth Dead children Dead children Dead children Dead children Dead children Recoded Variable Ever married women age 15-49 who have given birth Surviving children Surviving children Surviving children Surviving children Surviving children Recoded Variable Ever married women age 15-49 who have given birth Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Recoded variable Ever married women age 15-49 who have given birth Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Recoded variable Ever married women age 15-49 who have given birth 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Education Education Education Education Education Recoded Variable Ever married women age 15-49 who have given birth 1 None 2 Basic 3 Secondary + 4 Non-standard 9 Missing Women's sample weight Women's sample weight Women's sample weight Women's sample weight Women's sample weight Recoded Variable Ever married women age 15-49 who have given birth The sample is not self weighting therefore survey sample weights have been created using urban and rural population estimates at the regional level. (See data processing folder under external documents which contains excel sheets and syntax files related to constructing and merging sample weights to file). All woman factors for total All woman factors for total All woman factors for total All woman factors for total All woman factors for total Recoded variable Ever married women age 15-49 who have given birth All woman factors for urban-rural All woman factors for urban-rural All woman factors for urban-rural All woman factors for urban-rural All woman factors for urban-rural Recoded variable Ever married women age 15-49 who have given birth All woman factors for education - none and basic+ All woman factors for education - none and basic+ All woman factors for education - none and basic+ All woman factors for education - none and basic+ All woman factors for education - none and basic+ Recoded variable Ever married women age 15-49 who have given birth All woman factors for wealth quintiles All woman factors for wealth quintiles All woman factors for wealth quintiles All woman factors for wealth quintiles All woman factors for wealth quintiles Recoded variable Ever married women age 15-49 who have given birth 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: Ever married women age 15-49 who have given birth Unique identifier for the cluster in which the household exists Household number Household number Household number Household number Household number Household number: Ever married women age 15-49 who have given birth Line number Line number Line number Line number Line number Ever married women age 15-49 who have given birth Cluster number Cluster number Cluster number Cluster number Cluster number Ever married women age 15-49 who have given birth Household number Household number Household number Household number Household number Ever married women age 15-49 who have given birth Woman's line number Woman's line number Woman's line number Woman's line number Woman's line number Ever married women age 15-49 who have given birth Interviewer number Interviewer number Interviewer number Interviewer number Interviewer number Ever married women age 15-49 who have given birth Day of interview Day of interview Day of interview Day of interview Day of interview Ever married women age 15-49 who have given birth Month of interview Month of interview Month of interview Month of interview Month of interview Ever married women age 15-49 who have given birth Year of interview Year of interview Year of interview Year of interview Year of interview Ever married women age 15-49 who have given birth 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 Ever married women age 15-49 who have given birth 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 Ever married women age 15-49 who have given birth 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 Ever married women age 15-49 who have given birth 9997 Inconsistent 9998 DK 9999 Missing Age of woman Age of woman Age of woman Age of woman Age of woman Ever married women age 15-49 who have given birth 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? Ever married women age 15-49 who have given birth 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? Ever married women age 15-49 who have given birth 1 Baisic 2 Secondary 3 Higher 6 Non-standard curriculum 9 Missing What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade completed at that level What is the highest grade you completed at that level? Ever married women age 15-49 who have given birth 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 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? Ever married women age 15-49 who have given birth 1 Cannot read at all 2 Able to read only parts of sentence 3 Able to read whole sentence 4 Required language 5 Blind/visually impaired 9 Missing Currently married Currently married Currently married Currently married Currently married Are you currently married or living together with a man as if married? Ever married women age 15-49 who have given birth 1 Married/Separated 2 Divorced 3 Widowed Age of husband Age of husband Age of husband Age of husband Age of husband How old was your husband/partner on his last birthday? Ever married women age 15-49 who have given birth 98 DK 99 Missing Married once or more than once Married once or more than once Married once or more than once Married once or more than once Married once or more than once Have you been married or lived with a man only once or more than once? Ever married women age 15-49 who have given birth 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? Ever married women age 15-49 who have given birth 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? Ever married women age 15-49 who have given birth 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 How old were you when you started living with your first husband/partner? Ever married women age 15-49 who have given birth 97 Inconsistent 98 DK 99 Missing First Husband was a relative First Husband was a relative First Husband was a relative First Husband was a relative First Husband was a relative Ever married women age 15-49 who have given birth 1 Yes 2 No 9 Missing What was the relationship with your first husband What was the relationship with your first husband What was the relationship with your first husband What was the relationship with your first husband What was the relationship with your first husband Ever married women age 15-49 who have given birth 1 Cousin First Degree (Father side) 2 Cousin First Degree (Mather side) 3 Cousin Second Degree (Father/Mother side) 4 Other blood relation 5 Relative due to marraige 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? Ever married women age 15-49 who have given birth 1 Yes 2 No Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Any sons or daughters living with you Do you have any sons or daughters to whom you have given birth who are now living with you? Ever married women age 15-49 who have given birth 1 Yes 2 No Sons living with you Sons living with you Sons living with you Sons living with you Sons living with you How many sons live with you? Ever married women age 15-49 who have given birth Daughters living with you Daughters living with you Daughters living with you Daughters living with you Daughters living with you How many daughters live with you? Ever married women age 15-49 who have given birth Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Any sons or daughters not living with you Do you have any sons or daughters to whom you have given birth who are alive but do not live with you? Ever married women age 15-49 who have given birth 1 Yes 2 No Sons living not with you Sons living not with you Sons living not with you Sons living not with you Sons living not with you How many sons are alive but do not live with you? Ever married women age 15-49 who have given birth Daughters not living with you Daughters not living with you Daughters not living with you Daughters not living with you Daughters not living with you How many daughters are alive but do not live with you? Ever married women age 15-49 who have given birth Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Ever had child who later died Have you ever given birth to a boy or girl who was born alive but later died? Ever married women age 15-49 who have given birth 1 Yes 2 No Boys dead Boys dead Boys dead Boys dead Boys dead How many boys have died? Ever married women age 15-49 who have given birth Girls dead Girls dead Girls dead Girls dead Girls dead How many girls have died? Ever married women age 15-49 who have given birth Children ever born Children ever born Children ever born Children ever born Children ever born Ever married women age 15-49 who have given birth Line number of live birth Line number of live birth Line number of live birth Line number of live birth Line number of live birth Ever married women age 15-49 who have given birth Type of pregnancy Type of pregnancy Type of pregnancy Type of pregnancy Type of pregnancy WERE ANY OF THESE BIRTHS TWINS? Ever married women age 15-49 who have given birth 1 Single 2 Multiple Sex of child Sex of child Sex of child Sex of child Sex of child IS (name) A BOY OR A GIRL? Ever married women age 15-49 who have given birth 1 Male 2 Female 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 In what month and year was (name) born? Ever married women age 15-49 who have given birth 98 D.K. 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 In what month and year was (name) born? Ever married women age 15-49 who have given birth 9998 D.K. Survival status of child Survival status of child Survival status of child Survival status of child Survival status of child IS (name) STILL ALIVE? Ever married women age 15-49 who have given birth 1 Alive 2 Dead Age of alive child in years Age of alive child in years Age of alive child in years Age of alive child in years Age of alive child in years How old was (name) at his/her last birthday? Ever married women age 15-49 who have given birth 98 DK Residence of alive child Residence of alive child Residence of alive child Residence of alive child Residence of alive child IS (name) LIVING WITH YOU? Ever married women age 15-49 who have given birth 1 Living at home 2 Away Line number of child in HH Line number of child in HH Line number of child in HH Line number of child in HH Line number of child in HH Ever married women age 15-49 who have given birth Not member of HH Code for age at death Code for age at death Code for age at death Code for age at death Code for age at death Ever married women age 15-49 who have given birth 1 In days 2 In months 3 In years Age at death Age at death Age at death Age at death Age at death Ever married women age 15-49 who have given birth 98 DK 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 Ever married women age 15-49 who have given birth Child's date of birth (CMC) Child's date of birth (CMC) Child's date of birth (CMC) Child's date of birth (CMC) Child's date of birth (CMC) Recoded Variable Ever married women age 15-49 who have given birth Women's date of birth (CMC) Women's date of birth (CMC) Women's date of birth (CMC) Women's date of birth (CMC) Women's date of birth (CMC) Recoded Variable Ever married women age 15-49 who have given birth Imputed Age of woman Imputed Age of woman Imputed Age of woman Imputed Age of woman Imputed Age of woman Ever married women age 15-49 who have given birth Women's age Women's age Women's age Women's age Women's age Recoded Variable Ever married women age 15-49 who have given birth 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 Age at first marriage Age at first marriage Age at first marriage Age at first marriage Recoded Variable Ever married women age 15-49 who have given birth Marital status Marital status Marital status Marital status Marital status Recoded Variable Ever married women age 15-49 who have given birth 1 Currently married 2 Formerly married Education Education Education Education Education Recoded Variable Ever married women age 15-49 who have given birth 1 None 2 Can read 3 Basic 4 Secondary + 9 Missing Children ever born Children ever born Children ever born Children ever born Children ever born Recoded Variable Ever married women age 15-49 who have given birth Dead children Dead children Dead children Dead children Dead children Recoded Variable Ever married women age 15-49 who have given birth Number of children surviving Number of children surviving Number of children surviving Number of children surviving Number of children surviving Recoded Variable Ever married women age 15-49 who have given birth Area Area Area Area Area Ever married women age 15-49 who have given birth 1 Urban 2 Rural Governorate Governorate Governorate Governorate Governorate Governorate: Ever married women age 15-49 who have given birth 11 Ibb 12 Abyan 13 Sana'a City 14 Al Baidhah 15 Taiz 16 Al Jawf 17 Hajjah 18 Al Hodeidah 19 Hadramout 20 Dhamar 21 Shabwah 22 Sa'adah 23 Sana'a 24 Aden 25 Lahej 26 Mareb 27 Al Mahweet 28 Al Maharah 29 Amran 30 Al Dala'a 31 Raimah Wealth index score Wealth index score Wealth index score Wealth index score Wealth index score Recoded variable Ever married women age 15-49 who have given birth Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Wealth index quintiles Recoded variable Ever married women age 15-49 who have given birth 1 Poorest 2 Second 3 Middle 4 Fourth 5 Richest Women's sample weight Women's sample weight Women's sample weight Women's sample weight Women's sample weight Recoded Variable Ever married women age 15-49 who have given birth The sample is not self weighting therefore survey sample weights have been created using urban and rural population estimates at the regional level. (See data processing folder under external documents which contains excel sheets and syntax files related to constructing and merging sample weights to file). All woman factors for total All woman factors for total All woman factors for total All woman factors for total All woman factors for total Recoded variable Ever married women age 15-49 who have given birth All woman factors for urban-rural All woman factors for urban-rural All woman factors for urban-rural All woman factors for urban-rural All woman factors for urban-rural Recoded variable Ever married women age 15-49 who have given birth All woman factors for education - none and basic+ All woman factors for education - none and basic+ All woman factors for education - none and basic+ All woman factors for education - none and basic+ All woman factors for education - none and basic+ Recoded variable Ever married women age 15-49 who have given birth All woman factors for wealth quintiles All woman factors for wealth quintiles All woman factors for wealth quintiles All woman factors for wealth quintiles All woman factors for wealth quintiles Recoded variable Ever married women age 15-49 who have given birth