| Name | Label | Question |
| CA6_A |
What treatment was given: A - Pill or syrup: Antibiotic
| What treatment was (name) given?
|
|
| CA6_B |
What treatment was given: B - Pill or syrup: Antimotility
| What treatment was (name) given?
|
|
| CA6_C |
What treatment was given: C - Pill or syrup: Zinc
| What treatment was (name) given?
|
|
| CA6_G |
What treatment was given: G - Pill or syrup: Other
| What treatment was (name) given?
|
|
| CA6_H |
What treatment was given: H - Pill or syrup: Unknown
| What treatment was (name) given?
|
|
| CA6_L |
What treatment was given: L - Injection: Antibiotic
| What treatment was (name) given?
|
|
| CA6_O |
What treatment was given: O - Intravenous
| What treatment was (name) given?
|
|
| CA6_M |
What treatment was given: M - Injection: Non-antibiotic
| What treatment was (name) given?
|
|
| CA6_N |
What treatment was given: N - Injection: Unknown
| What treatment was (name) given?
|
|
| CA6_Q |
What treatment was given: Q - Home remedy, traditional herbal medicine
| What treatment was (name) given?
|
|
| CA6_X |
What treatment was given: X - Other
| What treatment was (name) given?
|
|
| CA6A |
Who recommended this treatment
| Who recommended this treatment?
|
|
| CA7 |
During the last 14 days, has had an illness with cough
| During the last 14 days, has (name) had an illness with cough?
|
|
| CA8 |
During the time had an illness with cough, did he/ she breathe faster than usual with short or rapid breaths or have dif
| During the time (name) had an illness with cough, did he/ she breathe faster than usual with short or rapid breaths or have difficulty breathing?
|
|
| CA9 |
What was the reason for the fast or difficulty breathing
| What was the reason for the fast or difficulty breathing? Was it due to a problem in the chest or a blocked or runny nose?
|
|
| CA10 |
Did you seek any advice or treatment for illness from any source
| Did you seek any advice or treatment for (name)'s illness from any source?
|
|
| CA11_A |
From where or whom did you seek advice or treatment: A - Public: Government hospital
| From where or whom did you seek advice or treatment?
|
|
| CA11_B |
From where or whom did you seek advice or treatment: B - Public: Government health center
| From where or whom did you seek advice or treatment?
|
|
| CA11_C |
From where or whom did you seek advice or treatment: C - Public: Family clinic
| From where or whom did you seek advice or treatment?
|
|
| CA11_D |
From where or whom did you seek advice or treatment: D - Public: Soum/ bag doctor, nurse
| From where or whom did you seek advice or treatment?
|
|
| CA11_E |
From where or whom did you seek advice or treatment: E - Public: Mobile clinic
| From where or whom did you seek advice or treatment?
|
|
| CA11_I |
From where or whom did you seek advice or treatment: I - Private: Hospital, clinic
| From where or whom did you seek advice or treatment?
|
|
| CA11_J |
From where or whom did you seek advice or treatment: J - Private: Physician
| From where or whom did you seek advice or treatment?
|
|
| CA11_K |
From where or whom did you seek advice or treatment: K - Private: Pharmacist
| From where or whom did you seek advice or treatment?
|
|
| CA11_L |
From where or whom did you seek advice or treatment: L - Private: Mobile clinic
| From where or whom did you seek advice or treatment?
|
|
| CA11_P |
From where or whom did you seek advice or treatment: P - Other: Relative, friend
| From where or whom did you seek advice or treatment?
|
|
| CA11_R |
From where or whom did you seek advice or treatment: R - Other: Traditional practitioner
| From where or whom did you seek advice or treatment?
|
|
| CA11_X |
From where or whom did you seek advice or treatment: X - Other
| From where or whom did you seek advice or treatment?
|
|
| CA12 |
Was given any medicine to treat his/ her illness
| Was (name) given any medicine to treat his/ her illness?
|
|
| CA13_A |
What medicine was given to treat his/ her illness: A - Antibiotic: Pill, syrup
| What medicine was (name) given to treat his/ her illness?
|
|
| CA13_B |
What medicine was given to treat his/ her illness: B - Antibiotic: Injection
| What medicine was (name) given to treat his/ her illness?
|
|
| CA13_P |
What medicine was given to treat his/ her illness: P - Paracetamol
| What medicine was (name) given to treat his/ her illness?
|
|
| CA13_Q |
What medicine was given to treat his/ her illness: Q - Aspirin
| What medicine was (name) given to treat his/ her illness?
|
|
| CA13_R |
What medicine was given to treat his/ her illness: R - Ibuprofen
| What medicine was (name) given to treat his/ her illness?
|
|
| CA13_X |
What medicine was given to treat his/ her illness: X - Other
| What medicine was (name) given to treat his/ her illness?
|
|
| CA13_Z |
What medicine was given to treat his/ her illness: Z - DK
| What medicine was (name) given to treat his/ her illness?
|
|
| CA15 |
When the last time passed stools, what was done to dispose the stools
| When the last time (name) passed stools, what was done to dispose the stools?
|
|
| IM1 |
Does have an immunization card
| Does (name) have an immunization card?
|
|
| IM2 |
Did ever have an immunization card
| Did (name) ever have an immunization card?
|
|
| IM3_BY |
Date of BCG: Year
| |
|
| IM3_BM |
Date of BCG: Month
| |
|
| IM3_BD |
Date of BCG: Day
| |
|
| IM3_P0Y |
Date of Polio at birth: Year
| |
|
| IM3_P0M |
Date of Polio at birth: Month
| |
|
| IM3_P0D |
Date of Polio at birth: Day
| |
|
| IM3_P1Y |
Date of Polio 1: Year
| |
|
| IM3_P1M |
Date of Polio 1: Month
| |
|
| IM3_P1D |
Date of Polio 1: Day
| |
|
| IM3_P2Y |
Date of Polio 2: Year
| |
|
| IM3_P2M |
Date of Polio 2: Month
| |
|
| IM3_P2D |
Date of Polio 2: Day
| |
|
| IM3_P3Y |
Date of Polio 3: Year
| |
|
| IM3_P3M |
Date of Polio 3: Month
| |
|
| IM3_P3D |
Date of Polio 3: Day
| |
|
| IM3_D1Y |
Date of DPT or Pentavalent 1: Year
| |
|
| IM3_D1M |
Date of DPT or Pentavalent 1: Month
| |
|
| IM3_D1D |
Date of DPT or Pentavalent 1: Day
| |
|
| IM3_D2Y |
Date of DPT or Pentavalent 2: Year
| |
|
| IM3_D2M |
Date of DPT or Pentavalent 2: Month
| |
|
| IM3_D2D |
Date of DPT or Pentavalent 2: Day
| |
|
| IM3_D3Y |
Date of DPT or Pentavalent 3: Year
| |
|
| IM3_D3M |
Date of DPT or Pentavalent 3: Month
| |
|
| IM3_D3D |
Date of DPT or Pentavalent 3: Day
| |
|
| IM3_DTY |
Date of Diphtheria-tetanus: Year
| |
|
| IM3_DTM |
Date of Diphtheria-tetanus: Month
| |
|
| IM3_DTD |
Date of Diphtheria-tetanus: Day
| |
|
| IM3_H0Y |
Date of Hepatitis B at birth: Year
| |
|
| IM3_H0M |
Date of Hepatitis B at birth: Month
| |
|
| IM3_H0D |
Date of Hepatitis B at birth: Day
| |
|
| IM3_H1Y |
Date of Hepatitis B 1: Year
| |
|
| IM3_H1M |
Date of Hepatitis B 1: Month
| |
|
| IM3_H1D |
Date of Hepatitis B 1: Day
| |
|
| IM3_H2Y |
Date of Hepatitis B 2: Year
| |
|
| IM3_H2M |
Date of Hepatitis B 2: Month
| |
|
| IM3_H2D |
Date of Hepatitis B 2: Day
| |
|
| IM3_H3Y |
Date of Hepatitis B 3: Year
| |
|
| IM3_H3M |
Date of Hepatitis B 3: Month
| |
|
| IM3_H3D |
Date of Hepatitis B 3: Day
| |
|
| IM3_M1Y |
Date of MMR 1: Year
| |
|
| IM3_M1M |
Date of MMR 1: Month
| |
|
| IM3_M1D |
Date of MMR 1: Day
| |
|
| IM3_M2Y |
Date of MMR 2: Year
| |
|
| IM3_M2M |
Date of MMR 2: Month
| |
|
| IM3_M2D |
Date of MMR 2: Day
| |
|
| IM3_VAY |
Date of Vitamin A: Year
| |
|
| IM3_VAM |
Date of Vitamin A: Month
| |
|
| IM3_VAD |
Date of Vitamin A: Day
| |
|
| IM5 |
In addition to what is recorded on this immunization card, did receive any other vaccinations - including vaccinations r
| In addition to what is recorded on this immunization card, did (name) receive any other vaccinations - including vaccinations received in campaigns or immunization days?
|
|
| IM6 |
Has ever received any vaccinations
| Has (name) ever received any vaccinations?
|
|
| IM7 |
Has ever received a BCG vaccination against tuberculosis - that is, an injection in the arm or shoulder that usually cau
| Has (name) ever received a BCG vaccination against tuberculosis - that is, an injection in the arm or shoulder that usually causes a scar?
|
|
| IM7A |
Was the BCG vaccination received within 48 hours after birth
| Was the BCG vaccination received within 48 hours after birth?
|
|
| IM8 |
Has ever received any vaccination drops in the mouth to prevent polio
| Has (name) ever received any vaccination drops in the mouth to prevent polio?
|
|
| IM9 |
Was the first polio vaccination received within 48 hours after birth
| Was the first polio vaccination received within 48 hours after birth?
|
|
| IM10 |
How many times was the polio vaccination received
| How many times was the polio vaccination received?
|
|
| IM11 |
Has ever received a DPT or pentavalent vaccination - that is, an injection in the thigh or buttocks
| Has (name) ever received a DPT or pentavalent vaccination - that is, an injection in the thigh or buttocks?
|
|
| IM12 |
How many times was the DPT or pentavalent vaccination received
| How many times was the DPT or pentavalent vaccination received?
|
|
| IM13 |
Has ever received a hepatitis B vaccination - that is, an injection in the thigh or buttocks
| Has (name) ever received a hepatitis B vaccination - that is, an injection in the thigh or buttocks?
|
|
| IM14 |
Was the first hepatitis B vaccination received within 48 hours after birth
| Was the first hepatitis B vaccination received within 48 hours after birth?
|
|
| IM15 |
How many times was the hepatitis B vaccination received
| How many times was the hepatitis B vaccination received?
|
|
| IM16 |
Has ever received a MMR vaccination against measles - that is, an injection in the arm at the age of 8 months
| Has (name) ever received a MMR vaccination against measles that is, an injection in the arm at the age of 8 months?
|
|
