Name | Label | Question |
CA1 |
IN THE LAST TWO WEEKS, HAS (name) HAD DIARRHOEA?
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CA2 |
DURING THE TIME (name) HAD DIARRHOEA, WAS HE/SHE GIVEN LESS THAN USUAL TO DRINK, ABOUT THE SAME AMOUNT, OR MORE THAN USUAL?
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CA3 |
DURING THE TIME (name) HAD DIARRHOEA, WAS HE/SHE GIVEN LESS THAN USUAL TO EAT, ABOUT THE SAME AMOUNT, MORE THAN USUAL, OR NOTHING TO EAT?
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CA3A |
DID YOU SEEK ANY ADVICE OR TREATMENT FOR THE DIARRHOEA FROM ANY SOURCE?
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CA3BA |
Specialized professional health center (Mother and child center)
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From where or whom did you seek advice or treatment?
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CA3BB |
General hospital (Aimag centre/ district health centre)
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From where or whom did you seek advice or treatment?
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CA3BE |
Soum/ family group practice
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From where or whom did you seek advice or treatment?
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CA3BF |
Bag health physician
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From where or whom did you seek advice or treatment?
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CA3BG |
Private sector, Ulaanbaatar, Hospital
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From where or whom did you seek advice or treatment?
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CA3BH |
Private sector, Ulaanbaatar, Clinic
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From where or whom did you seek advice or treatment?
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CA3BI |
Private sector, Aimag/ Soum, Hospital
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From where or whom did you seek advice or treatment?
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CA3BJ |
Private sector, Aimag/ Soum, Clinic
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From where or whom did you seek advice or treatment?
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CA3BK |
Physician
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From where or whom did you seek advice or treatment?
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CA3BL |
Pharmacy
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From where or whom did you seek advice or treatment?
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CA3BP |
Other source Relative/Friend
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From where or whom did you seek advice or treatment?
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CA3BR |
Other source Traditional practitioner
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From where or whom did you seek advice or treatment?
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CA3BX |
Other (specify)
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From where or whom did you seek advice or treatment?
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CA3BOTHER |
Other
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From where or whom did you seek advice or treatment?
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CA3BDK |
If unable to determine whether referred to public or private sector, write the name of the place.
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From where or whom did you seek advice or treatment?
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CA3D |
WHERE OR WHOM DID YOU FIRST SEEK ADVICE?
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CA3DOTHER |
Other
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CA3DDK |
If unable to determine whether referred to public or private sector, write the name of the place.
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CA4A |
“Khorosol” ORS packet
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During the time (name) had diarrhoea, was (name) given to drink any of the following?
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CA4F |
“Oralit” ORS packet
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During the time (name) had diarrhoea, was (name) given to drink any of the following?
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CA4G |
“Unicef” ORS packet
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During the time (name) had diarrhoea, was (name) given to drink any of the following?
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CA4H |
ANY OTHER ORS PACKET?
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During the time (name) had diarrhoea, was (name) given to drink any of the following?
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CA4HOTHER |
Other
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During the time (name) had diarrhoea, was (name) given to drink any of the following?
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CA4BB |
WHERE DID YOU GET THE ORS?
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Where did you get the ORS?
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CA4BBOTHER |
Other
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Where did you get the ORS?
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CA4BBDK |
If unable to determine whether referred to public or private, write the name of the place.
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Where did you get the ORS?
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CA4CA |
ZINC TABLETS?
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During the time (name) had diarrhoea, was (name) given:
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CA4CB |
ZINC SYRUP?
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During the time (name) had diarrhoea, was (name) given:
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CA4E |
WHERE DID YOU GET THE ZINC?
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CA4EOTHER |
Other
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CA4EDK |
If unable to determine whether referred to public or private, write the name of the place.
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CA4FA |
A HOMEMADE ORS FLUID FOR DIARRHOEA?
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During the time (name) had diarrhoea, was (name) given to drink any of the following:
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CA4FB |
BOILED WATER?
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During the time (name) had diarrhoea, was (name) given to drink any of the following:
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CA4FC |
DILUTED SOUP?
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During the time (name) had diarrhoea, was (name) given to drink any of the following:
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CA4FD |
RICE JUICE?
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During the time (name) had diarrhoea, was (name) given to drink any of the following:
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CA5 |
WAS ANYTHING (ELSE) GIVEN TO TREAT THE DIARRHOEA?
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CA6A |
WHAT (ELSE) WAS GIVEN TO TREAT THE DIARRHOEA? Antibiotic
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CA6B |
WHAT (ELSE) WAS GIVEN TO TREAT THE DIARRHOEA? Antimotility
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CA6G |
WHAT (ELSE) WAS GIVEN TO TREAT THE DIARRHOEA? Other pill or syrup (Not antibiotic)
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CA6H |
WHAT (ELSE) WAS GIVEN TO TREAT THE DIARRHOEA? Unknown pill or syrup
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CA6L |
WHAT (ELSE) WAS GIVEN TO TREAT THE DIARRHOEA? Antibiotic
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CA6M |
WHAT (ELSE) WAS GIVEN TO TREAT THE DIARRHOEA? Non-antibiotic
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CA6N |
WHAT (ELSE) WAS GIVEN TO TREAT THE DIARRHOEA? Unknown injection
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CA6O |
WHAT (ELSE) WAS GIVEN TO TREAT THE DIARRHOEA? Intravenous
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CA6Q |
WHAT (ELSE) WAS GIVEN TO TREAT THE DIARRHOEA? Home remedy / Herbal medicine
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CA6X |
WHAT (ELSE) WAS GIVEN TO TREAT THE DIARRHOEA? Other (specify)
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CA6OTHER |
Other
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CA6DK |
Record all treatments given. Write brand name(s) of all medicines mentioned.
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CA6CC |
WHO RECOMMENDED SUCH TREATMENT?
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CA6CCOTHER |
Other
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|
CA6AA |
IN THE LAST TWO WEEKS, HAS (name) BEEN ILL WITH A FEVER AT ANY TIME?
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|
CA7 |
AT ANY TIME IN THE LAST TWO WEEKS, HAS (name) HAD AN ILLNESS WITH A COUGH?
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CA8 |
WHEN (name) HAD AN ILLNESS WITH A COUGH, DID HE/SHE BREATHE FASTER THAN USUAL WITH SHORT, RAPID BREATHS OR HAVE DIFFICULTY BREATHING?
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|
CA9 |
WAS THE FAST OR DIFFICULT BREATHING DUE TO A PROBLEM IN THE CHEST OR A BLOCKED NOSE?
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CA9OTHER |
Other
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CA9B |
DURING THE TIME (name) HAD (FEVER/COUGH), WAS HE/SHE GIVEN LESS THAN USUAL TO DRINK, ABOUT THE SAME AMOUNT, OR MORE THAN USUAL?
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|
CA9C |
DURING THE TIME (name) HAD (FEVER/COUGH), WAS HE/SHE GIVEN LESS THAN USUAL TO EAT, ABOUT THE SAME AMOUNT, MORE THAN USUAL, OR NOTHING TO EAT?
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|
CA10 |
DID YOU SEEK ANY ADVICE OR TREATMENT FROM ANY SOURCE?
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|
CA11A |
Specialized professional health center (Mother and child center)
|
From where or whom did you seek advice or treatment?
|
|
CA11B |
General hospital (Aimag centre/ district health centre)
|
From where or whom did you seek advice or treatment?
|
|
CA11E |
Soum/ family group practice
|
From where or whom did you seek advice or treatment?
|
|
CA11F |
Bag health physician
|
From where or whom did you seek advice or treatment?
|
|
CA11G |
Private sector Ulaanbaatar Hospital
|
From where or whom did you seek advice or treatment?
|
|
CA11H |
Private sector Ulaanbaatar Clinic
|
From where or whom did you seek advice or treatment?
|
|
CA11I |
Private sector Aimag/ Soum Hospital
|
From where or whom did you seek advice or treatment?
|
|
CA11J |
Private sector Aimag/ Soum Clinic
|
From where or whom did you seek advice or treatment?
|
|
CA11K |
Physician
|
From where or whom did you seek advice or treatment?
|
|
CA11L |
Pharmacy
|
From where or whom did you seek advice or treatment?
|
|
CA11P |
Other source Relative/Friend
|
From where or whom did you seek advice or treatment?
|
|
CA11R |
Other source Traditional practitioner
|
From where or whom did you seek advice or treatment?
|
|
CA11X |
Other (specify)
|
From where or whom did you seek advice or treatment?
|
|
CA11OTHER |
Other
|
From where or whom did you seek advice or treatment?
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CA11DK |
If unable to determine if referred to public or private sector, write the name of the place.
|
From where or whom did you seek advice or treatment?
|
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CA11BB |
WHERE OR WHOM DID YOU FIRST SEEK ADVICE OR TREATMENT?
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CA11BBOTHER |
Other
| |
|
CA11BBDK |
If unable to determine if referred to public or private sector, write the name of the place.
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|
CA12 |
AT ANY TIME DURING THE ILLNESS, WAS (name) GIVEN ANY MEDICINE /INJECTION FOR THE ILLNESS?
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CA13I |
Pill / Syrup
|
What medicine/injection was (name) given?
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CA13J |
Injection
|
What medicine/injection was (name) given?
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CA13P |
Paracetamol (Panadol, Acetaminophen)
|
What medicine/injection was (name) given?
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|
CA13Q |
Aspirin
|
What medicine/injection was (name) given?
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CA13R |
Ibuprofen
|
What medicine/injection was (name) given?
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CA13X |
Other (specify)
|
What medicine/injection was (name) given?
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CA13Z |
DK
|
What medicine/injection was (name) given?
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CA13OTHER |
Other
|
What medicine/injection was (name) given?
|
|
CA13DK |
Write brand name(s) of all medicines mentioned.
|
What medicine/injection was (name) given?
|
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CA13BB |
WHERE DID YOU GET THE ANTIBIOTICS?
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|
CA13BBOTHER |
Other
| |
|
CA13BBDK |
If unable to determine whether referred to public or private, write the name of the place.
| |
|
CA15 |
THE LAST TIME (name) PASSED STOOLS, WHAT WAS DONE TO DISPOSE OF THE STOOLS?
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|
CA15BBOTHER |
Other
| |
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