| Name | Label | Question |
| IM1 |
Does have an immunization card
|
DOES (name) HAVE AN IMMUNIZATION CARD? PLEASE SHOW IT TO ME.
|
|
| 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,
|
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
|
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 prev
|
HAS (name) EVER RECEIVED ANY VACCINATION DROPS IN THE MOUTH TO PREVENT POLIO?
|
|
| IM9 |
Was the first polio vaccination received within 48 hours
|
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
|
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
|
HOW MANY TIMES WAS THE DPT OR PENTAVALENT VACCINATION RECEIVED?
|
|
| IM13 |
Has ever received a hepatitis B vaccination - that is, an
|
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
|
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
|
HAS (name) EVER RECEIVED A MMR VACCINATION AGAINST MEASLES – THAT IS, AN INJECTION IN THE ARM AT THE AGE OF 8 MONTHS?
|
|
| IM16A |
How many times was the MMR vaccination received
| |
|
| IM18 |
Has ever received a vitamin A dose within the last 6 months
|
HAS (name) RECEIVED A VITAMIN A DOSE WITHIN THE LAST 6 MONTHS?
|
|
| IM18A_A |
Has received a vitamin A in last 6 months: A - Red
|
WHAT KIND OF A VITAMIN A DOSE (COLOR OF PACKAGE) HAS RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM18A_B |
Has received a vitamin A in last 6 months: B - Blue
|
WHAT KIND OF A VITAMIN A DOSE (COLOR OF PACKAGE) HAS RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM18A_C |
Has received a vitamin A in last 6 months: C - White
|
WHAT KIND OF A VITAMIN A DOSE (COLOR OF PACKAGE) HAS RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM18A_Y |
Has received a vitamin A in last 6 months: Y - DK
|
WHAT KIND OF A VITAMIN A DOSE (COLOR OF PACKAGE) HAS RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM18B |
Has ever received a vitamin D
|
HAS RECEIVED A VITAMIN D DOSE WITHIN THE LAST 6 MONTHS?
|
|
| IM18C_A |
Has received a vitamin D in last 6 months: A - Pill (50,000)
|
WHAT KIND OF A VITAMIN D DOSE HAS RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM18C_B |
Has received a vitamin D in last 6 months: B - Capsule (50,000)
|
WHAT KIND OF A VITAMIN D DOSE HAS RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM18C_C |
Has received a vitamin D in last 6 months: C - Solution (intravenous)
|
WHAT KIND OF A VITAMIN D DOSE HAS RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM18C_X |
Has received a vitamin D in last 6 months: X - Other
|
WHAT KIND OF A VITAMIN D DOSE HAS RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM18C_Y |
Has received a vitamin D in last 6 months: Y - DK
|
WHAT KIND OF A VITAMIN D DOSE HAS RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM18D |
Has took iron in last 6 months
|
HAS RECEIVED AN IRON SUPPLEMENT WITHIN THE LAST 6 MONTHS?
|
|
| IM18E_A |
Has took iron in last 6 months: A - Pill
|
WHAT KIND OF AN IRON SUPPLEMENT HAS RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM18E_B |
Has took iron in last 6 months: B - Syrup
|
WHAT KIND OF AN IRON SUPPLEMENT HAS RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM18E_X |
Has took iron in last 6 months: X - Other
|
WHAT KIND OF AN IRON SUPPLEMENT HAS RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM18E_Y |
Has took iron in last 6 months: Y - DK
|
WHAT KIND OF AN IRON SUPPLEMENT HAS RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM19_A |
May immunization days
|
HAS (name) PARTICIPATED IN ANY OF THE FOLLOWING NATIONAL IMMUNIZATION DAYS?
|
|
| IM19_B |
October immunization days
|
HAS (name) PARTICIPATED IN ANY OF THE FOLLOWING NATIONAL IMMUNIZATION DAYS?
|
|
| IM20 |
Has took a micronutrient in last 6 months
|
HAS RECEIVED A MICRO-NUTRIENT SUPPLEMENT WITHIN THE LAST 6 MONTHS?
|
|
| IM21 |
How many packets of micronutrients has took in last 6 months
|
HOW MANY PACKAGES OF MULTI-NUTRIENT SUPPLEMENT ARE RECEIVED WITHIN THE LAST 6 MONTHS?
|
|
| IM22 |
How to make a mixture of micronutrient and food
|
HOW ARE THE MULTI-NUTRIENT ADDED INTO THE MEALS?
|
|
| IM23_A |
Information source of micronutrient: A - Medical establishment: Soum, household
|
WHERE THE INFORMATION ABOUT MULTI-NUTRIENT SUPPLEMENTS IS RECEIVED FROM?
|
|
| IM23_B |
Information source of micronutrient: B - Medical establishment: Other
|
WHERE THE INFORMATION ABOUT MULTI-NUTRIENT SUPPLEMENTS IS RECEIVED FROM?
|
|
| IM23_C |
Information source of micronutrient: C - Mass media: Television
|
WHERE THE INFORMATION ABOUT MULTI-NUTRIENT SUPPLEMENTS IS RECEIVED FROM?
|
|
| IM23_D |
Information source of micronutrient: D - Mass media: Radio, FM
|
WHERE THE INFORMATION ABOUT MULTI-NUTRIENT SUPPLEMENTS IS RECEIVED FROM?
|
|
| IM23_E |
Information source of micronutrient: E - Mass media: Newspaper, journal
|
WHERE THE INFORMATION ABOUT MULTI-NUTRIENT SUPPLEMENTS IS RECEIVED FROM?
|
|
| IM23_F |
Information source of micronutrient: F - Volunteer
|
WHERE THE INFORMATION ABOUT MULTI-NUTRIENT SUPPLEMENTS IS RECEIVED FROM?
|
|
| IM23_G |
Information source of micronutrient: G - Relatives, friends
|
WHERE THE INFORMATION ABOUT MULTI-NUTRIENT SUPPLEMENTS IS RECEIVED FROM?
|
|
| IM23_X |
Information source of micronutrient: X - Other
|
WHERE THE INFORMATION ABOUT MULTI-NUTRIENT SUPPLEMENTS IS RECEIVED FROM?
|
|
| IM23_Y |
Information source of micronutrient: Y - DK
|
WHERE THE INFORMATION ABOUT MULTI-NUTRIENT SUPPLEMENTS IS RECEIVED FROM?
|
|
