| Name | Label | Question |
| chclno |
Cluster number
| |
|
| chhhno |
Household number
| |
|
| chlnno |
Child's line number
| |
|
| chctno |
Caretaker's line number
| |
|
| br2 |
Child's age
| Child's age?
|
|
| br3d |
Day of birth
| What is his/her day of birth?
|
|
| br3m |
Month of birth
| What is his/her month of birth?
|
|
| br3y |
Year of birth
| What is his/her year of birth?
|
|
| br4 |
Child has birth certificate
| Does(name)have a birth certificate?
|
|
| br5 |
Child registered
| Has(name's)birth been registered?
|
|
| br6 |
Reason birth not registered
| Why is(name's)birth not registered?
|
|
| br7 |
Know how to register birth
| Do you know how to register your child's birth?
|
|
| br8 |
Child attends early childhood education programme
| Does(name)attend any organized learning or early childhood education programme,such as a private or government facility,including kindergarten or community child care?
|
|
| br9 |
Hours attended education in last 7 days
| Within the last seven days,about how many hours did(name)attend?
|
|
| va1 |
Child ever reseived vitamin 'A'
| Has(name)ever received A vitamin A capsule(supplement)like this one?
|
|
| va2 |
Months ago child took last vitamin 'A' dose
| How many months ago did(name)take the last dose?
|
|
| va3 |
Place child got last vitamin 'A' dose
| Where did(name)get this last dose?
|
|
| va4 |
Does your child have any problem seeing in the daytime
| Does your child have any problem seeing in the daytime?
|
|
| va5 |
Does your child have any problem seeng in the nighttime
| Does your child have any problem seeing in the nighttime?
|
|
| va6 |
Is this problem different from other children in your family
| Is this problem different from other children in your community?
|
|
| va7 |
Does your child have night blindness
| Does your child have night blindness?(Use local term for night blindness)
|
|
| bf1 |
Child ever been breastfed
| Has(name)ever been breastfed?
|
|
| bf2 |
Child still being breastfed
| Is he/she still being breastfed?
|
|
| bf3a |
Child received vitamin,mineral supplements or medicine
| Since this time yesterday,did he/she receive vitamin,mineral supplements or medicine?
|
|
| bf3b |
Child received plain water
| Since this time yesterday,did he/she receive plain water?
|
|
| bf3c |
Child received sweetened water or juice
| Since this time yesterday,did he/she receive sweetened,flavoured water or fruit juice or tee or infusion?
|
|
| bf3d |
Child received oral rehydration solution
| Since this time yesterday,did he/she receive oral rehydration solution(ORS)?
|
|
| bf3e |
Child received milk
| Since this time yesterday,did he/she receive tinned,powdered or fresh milk or infant formula?
|
|
| bf3f |
Child received other liquids
| Child received any other liquids?
|
|
| bf3g |
Child received solid or mushy food
| Child received solid or mushy food?
|
|
| bf4 |
Child received drink from bottle with nipple
| Since this time yesterday,has(name)been given anything to drink from a bottle with a nipple or teat?
|
|
| ci1 |
Child had diarrhoea in last 2 week
| Has(name)had diarrhoea in the last two weeks,that is,since(day of the week)of the week before last?
|
|
| ci2 |
Child had other illness in last 2 week
| In the last two weeks,has(name)had any other illness,such as cough or fever,or any other health problem?
|
|
| ci3a |
Child drank breastmilk during diarrhoea episode
| During this last episode of diarhhoea,did(name)drink breast milk?
|
|
| ci3b |
Child drank gruel during dairrhoea episode
| During this last episode of diarhhoea,did(name)drink cereal-based gruel or gruel made from roots or soup?
|
|
| ci3c |
Child drank other acceptable fluids during diarrhoea episode
| During this last episode of diarhhoea,did(name)drink acceptable fluids(yogurt drink)?
|
|
| ci3d |
Child drank ORS packet during diarrhoea episode
| During this last episode of diarhhoea,did(name)drink ORS packet solution?
|
|
| ci3e |
Child drank other milk during diarrhoea episode
| During this last episode of diarhhoea,did(name)drink other milk or infant formula?
|
|
| ci3f |
Child drank water with feeding during dirrhoea episode
| During this last episode of diarhhoea,did(name)drink water with feeding during some part of the day?
|
|
| ci3g |
Child drank water alone during diarrhoea episode
| During this last episode of diarhhoea,did(name)drink water alone?
|
|
| ci3h |
Child drank unacceptable fluid during diarrhoea episode
| During this last episode of diarhhoea,did(name)drink defined "unacceptable" fluids(e.g.,cola,etc.(insert local names))?
|
|
| ci3i |
Child drank nothing during diarrhoea episode
| During this last episode of diarhhoea,did(name)drink nothing?
|
|
| ci4 |
Child drank less or more during illness
| During(name's)illness,did he/she drink much less,about the same,or more food than usual?
|
|
| ci5 |
Child ate less or more during illness
| During(name's)illness,did he/she eat less,about the same,or more food than usual?
|
|
| ci6 |
Child ill with cough in last 2 week
| 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?
|
|
| ci7 |
Difficulty breathng 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?
|
|
| ci8 |
Symptoms due to problem in chest or blocked nose
| Were the symptoms due to a problem in the chest or a blocked nose?
|
|
| ci9 |
Sought advice or teatment for illness
| Did yo seek advice or treatment for the illness outside the home?
|
|
| ci10a |
Place sought care: Hospital
| From where did you seek care?Hospital?
|
|
| ci10b |
Place sought care: Health centre
| From where did you seek care?Health center?
|
|
| ci10c |
Place sought care:Dispensary
| From where did you seek care?Dispensary?
|
|
| ci10d |
Place sought care: Village health worker
| From where did you seek care?Village health worker?
|
|
| ci10e |
Pace sought care: MCH clinic
| From where did you seek care?MCH clinic?
|
|
| ci10f |
Place sought care: Mobile/outreach clinic
| From where did you seek care?Mobile/outreache clinic?
|
|
| ci10g |
Place sought care: Private physician
| From where did you seek care?Private physician?
|
|
| ci10h |
Place sought care: Traditional healer
| From where did you seek care?Traditional healer?
|
|
| ci10i |
Place sought care:Pharmacy or drug seller
| From where did you seek care?Pharmacy or drug seller?
|
|
| ci10j |
Place sought care:relative or friend
| From where did you seek care?Relative or friend?
|
|
| ci10k |
Place sought care: Other
| From where did you seek care?Other(specify)?
|
|
| ci11a |
Symptoms:Child not able to drink or breastfeed
| What types of symptoms would cause you to take your child to a health facility right away?
|
|
| ci11b |
Symptoms:Child becomes sicker
| What types of symptoms would cause you to take your child to a health facility right away?
|
|
| ci11c |
Symptoms:Child develops a fever
| What types of symptoms would cause you to take your child to a health facility right away?
|
|
| ci11d |
Symptoms:Child has faster breathing
| What types of symptoms would cause you to take your child to a health facility right away?
|
|
| ci11e |
Symptoms:Child has difficult breathing
| What types of symptoms would cause you to take your child to a health facility right away?
|
|
| ci11f |
Symptoms:Child has blood in stool
| What types of symptoms would cause you to take your child to a health facility right away?
|
|
| ci11g |
Symptoms:Child is drinking poorly
| What types of symptoms would cause you to take your child to a health facility right away?
|
|
| ci11h |
Symptoms:Other
| What types of symptoms would cause you to take your child to a health facility right away?
|
|
| ci11i |
Symptoms:Other
| What types of symptoms would cause you to take your child to a health facility right away?
|
|
| ci11j |
Symptoms:Other
| What types of symptoms would cause you to take your child to a health facility right away?
|
|
| hb1 |
Did your boy/girl sick or had a hipatet
| Did your boy/girl sick or had a hipatet?
|
|
| hb2 |
How many years ago
| If yes,how many years ago?
|
|
| im1 |
Vaccination record for child
| Is there a vaccination record for(name)?
|
|
| im2d |
Day of BCG immunization
| Day of BCG immunization?
|
|
| im2m |
Month of BCG immunization
| Month of BCG immunization?
|
|
| im2y |
Year of BCG immunization
| Year of BCG immunization?
|
|
| im3ad |
Day of OPV0 immunization
| Day of OPV0 immunization?
|
|
| im3am |
Month of OPV0 immunization
| Month of OPV0 immunization?
|
|
| im3ay |
Year of OPV0 immunization
| Year of OPV0 immunization?
|
|
| im3bd |
Day of OPV1 immunization
| Day of OPV1 immunization?
|
|
| im3bm |
Month of OPV1 immunization
| Month of OPV1 immunization?
|
|
| im3by |
Year of OPV1 immunization
| Year of OPV1 immunization?
|
|
| im3cd |
Day of OPV2 immunization
| Day of OPV2 immunization?
|
|
| im3cm |
Month of OPV2 immunization
| Month of OPV2 immunization?
|
|
| im3cy |
Year of OPV2 immunization
| Year of OPV2 immunization?
|
|
| im3dd |
Day of OPV3 immunization
| Day of OPV3 immunization?
|
|
| im3dm |
Month of OPV3 immunization
| Month of OPV3 immunization?
|
|
| im3dy |
Year of OPV3 immunization
| Year of OPV3 immunization?
|
|
| im4ad |
Day of DPT1 immunization
| Day of DPT1 immunization?
|
|
| im4am |
Month of DPT1 immunization
| Month of DPT1 immunization?
|
|
| im4ay |
Year of DPT1 immunization
| Year of DPT1 immunization?
|
|
| im4bd |
Day of DPT2 immunization
| Day of DPT2 immunization?
|
|
| im4bm |
Month of DPT2 immunization
| Month of DPT2 immunization?
|
|
| im4by |
Year of DPT2 immunization
| Year of DPT2 immunization?
|
|
| im4cd |
Day of DPT3 immunization
| Day of DPT3 immunization?
|
|
| im4cm |
Month of DPT3 immunization
| Month of DPT3 immunization?
|
|
| im4cy |
Year of DPT3 immunization
| Year of DPT3 immunization?
|
|
| im5d |
Day of measles immunization
| Day of measles immunization?
|
|
| im5m |
Month of measles immunization
| Month of measles immunization?
|
|
| im5y |
Year of measles immunization
| Year of measles immunization?
|
|
| im5ad |
Day of hepatetus immunization
| Day of hepatetus immunization?
|
|
