Name | Label | Question |
IM1 |
DOES (name) HAVE A VACCINATION CARD?
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IM2 |
DID (name) EVER HAVE A VACCINATION CARD?
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IM2A |
HAS (name) BEEN REGISTERED WITH CORRESPONDING COMMUNITY HEALTH POST?
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IM2B |
DOES (name) HAVE MOTHER AND CHILD’S HEALTH BOOK?
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IM3BY |
BCG - Year
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IM3BM |
BCG - Month
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IM3BD |
BCG - Day
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IM3P0Y |
Polio at birth - Year
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IM3P0M |
Polio at birth - Month
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IM3P0D |
Polio at birth - Day
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IM3P1Y |
Polio 1 - Year
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IM3P1M |
Polio 1 - Month
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IM3P1D |
Polio 1 - Day
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IM3P2Y |
Polio 2 - Year
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IM3P2M |
Polio 2 - Month
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IM3P2D |
Polio 2 - Day
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IM3P3Y |
Polio 3 - Year
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IM3P3M |
Polio 3 - Month
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IM3P3D |
Polio 3 - Day
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IM3PE1Y |
Pentavalent 1 - Year
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IM3PE1M |
Pentavalent 1 - Month
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IM3PE1D |
Pentavalent 1 - Day
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IM3PE2Y |
Pentavalent 2 - Year
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IM3PE2M |
Pentavalent 2 - Month
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IM3PE2D |
Pentavalent 2 - Day
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IM3PE3Y |
Pentavalent 3 - Year
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IM3PE3M |
Pentavalent 3 - Month
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IM3PE3D |
Pentavalent 3 - Day
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IM3HY |
HEPB - Year
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IM3HM |
HEPB - Month
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IM3HD |
HEPB - Day
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IM3M1Y |
MEASLES (OR MMR OR MR) 1 - Year
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IM3M1M |
MEASLES (OR MMR OR MR) 1 - Month
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IM3M1D |
MEASLES (OR MMR OR MR) 1 - Day
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IM3M2Y |
MEASLES (OR MMR OR MR) 2 - Year
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IM3M2M |
MEASLES (OR MMR OR MR) 2 - Month
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IM3M2D |
MEASLES (OR MMR OR MR) 2 - Day
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IM3V1Y |
VITAMIN A (FIRST DOSE) - Year
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IM3V1M |
VITAMIN A (FIRST DOSE) - Month
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IM3V1D |
VITAMIN A (FIRST DOSE) - Day
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IM3V2Y |
VITAMIN A (SECOND DOSE) - Year
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IM3V2M |
VITAMIN A (SECOND DOSE) - Month
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IM3V2D |
VITAMIN A (SECOND DOSE) - Day
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IM3V3Y |
VITAMIN A (THIRD DOSE) - Year
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IM3V3M |
VITAMIN A (THIRD DOSE) - Month
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IM3V3D |
VITAMIN A (THIRD DOSE) - Day
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|
IM5 |
IN ADDITION TO WHAT IS RECORDED ON THIS CARD OR CHILD’S HEALTH BOOK, DID (NAME) RECEIVE ANY OTHER VACCINATIONS – INCLUDING VACCINATIONS RECEIVED IN CAMPAIGNS OR IMMUNIZATION DAYS?
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IM5O |
Other vaccinations given
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IM6 |
HAS (name) EVER RECEIVED ANY VACCINATIONS TO PREVENT HIM/HER FROM GETTING DISEASES, INCLUDING VACCINATIONS RECEIVED IN A CAMPAIGN OR IMMUNIZATION DAY?
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|
IM7 |
HAS (name) EVER RECEIVED A BCG VACCINATION AGAINST TUBERCULOSIS – THAT IS, AN INJECTION IN THE ARM OR SHOULDER THAT USUALLY CAUSES A SCAR?
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IM7AA |
WITHIN 24 HOURS AFTER BIRTH?
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IM7AB |
WITHIN 2 WEEKS AFTER BIRTH?
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IM7AC |
15 AND MORE DAYS AFTER BIRTH?
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IM8 |
HAS (name) EVER RECEIVED ANY “VACCINATION DROPS IN THE MOUTH†TO PROTECT HIM/HER FROM POLIO?
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IM9A |
WITHIN 24 HOURS AFTER BIRTH?
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IM9B |
WITHIN 2 WEEKS AFTER BIRTH?
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IM9C |
15 AND MORE DAYS AFTER BIRTH?
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IM10 |
HOW MANY TIMES WAS THE POLIO VACCINE RECEIVED?
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IM11 |
HAS (name) EVER RECEIVED A PENTAVALENT VACCINATION – THAT IS, AN INJECTION IN THE THIGH?
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IM12 |
HOW MANY TIMES WAS A PENTAVALENT VACCINE RECEIVED?
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IM13 |
HAS (name) EVER BEEN GIVEN A HEPATITIS B VACCINATION – THAT IS, AN INJECTION IN THE THIGH TO PREVENT HIM/HER FROM GETTING HEPATITIS B?
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IM14A |
WITHIN 24 HOURS AFTER BIRTH?
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IM14B |
WITHIN 2 WEEKS AFTER BIRTH?
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IM14C |
15 AND MORE DAYS AFTER BIRTH?
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IM16 |
HAS (name) EVER RECEIVED A MEASLES INJECTION (OR AN MMR OR MR) – THAT IS, A SHOT IN THE ARM AT THE AGE OF 9 MONTHS OR OLDER - TO PREVENT HIM/HER FROM GETTING MEASLES?
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IM16A |
HOW MANY TIMES WAS MEASLES INJECTION RECEIVED?
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IM18 |
DID (name) TAKE VITAMIN A THAT IS GIVEN AT THE AGE OF MORE 6-11 MONTHS?
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IM18A |
DID (name) TAKE VITAMIN A THAT IS GIVEN AT THE AGE OF 12-59 MONTHS?
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IM18B |
DID (name) TAKE VITAMIN D IN THE LAST 12 MONTHS?
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IM18C |
WHICH MONTH WAS IT WHEN (name) TOOK VITAMIN D THE LAST TIME?
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IM18DA |
RECEIVED VITAMIN D BY TABLET?
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IM18DB |
RECEIVED VITAMIN D BY SYRUP?
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IM19A |
MAY IMMUNIZATION
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IM19B |
OCTOBER IMMUNIZATION
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IM20 |
Check IM3
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