| Name | Label | Question |
| State |
State code
| |
|
| Qic |
Cluster number (qic)
| |
|
| Hhno |
Household number
| |
|
| Chilno |
Child number from the household roster.
| I.1 For each child under 5 enter the child and mother's number from the list of household members. ENTER 00 IF THE CHILD'S MOTHER IS DECEASED OR IS NOT A MEMBER OF THE HOUSEHOLD
|
|
| I1b |
Mother number from the household roster.
| |
|
| I2 |
Child's date of birth.
| I.2 Enter [NAME's] date of birth. (Day Month Year)
|
|
| I3 |
Does the child have a birth certificate?
| I.3 Does [NAME] have a birth certificate?
|
|
| I4 |
What was the place of child delivery?
| I.4 Where was [NAME] delivered?
|
|
| I5 |
Weight of child at birth (in kg with implied decimal)
| I.5 What was [NAME]'s weight at birth?
IF RESPONSE IS DON'T KNOW WRITE 999
|
|
| I6 |
Who delivered the child?
| I.6 Who assisted in the delivery of [NAME]?
|
|
| I7a |
Child's weight not used
| I.7 Weight NOT USED
|
|
| I7b |
Child's height not used
| I.8 Height NOT USED
|
|
| I8a |
Did the child participate in a nutrition program?
| I.8 Did [NAME] participate in the following?
a Nutrition program
|
|
| I8b |
Did the child participate in weigh-ins?
| I.8 Did [NAME] participate in the following?
b Weigh-ins
|
|
| I9 |
Has the child ever been vaccinated?
| I.9 Has [NAME] ever been vaccinated?
|
|
| I10a |
Measles
| I.10 Has [NAME] received any of the following?
a Measles
|
|
| I10b |
Bcg
| I.10 Has [NAME] received any of the following?
b BCG
|
|
| I10c |
Dpt1
| I.10 Has [NAME] received any of the following?
c DPT1
|
|
| I10d |
Dpt2
| I.10 Has [NAME] received any of the following?
d DPT2
|
|
| I10e |
Dpt3
| I.10 Has [NAME] received any of the following?
e DPT3
|
|
| I10f |
Opv0
| I.10 Has [NAME] received any of the following?
f OPV0
|
|
| I10g |
Opv1
| I.10 Has [NAME] received any of the following?
g OPV1
|
|
| I10h |
Opv2
| I.10 Has [NAME] received any of the following?
h OPV2
|
|
| I10i |
Opv3
| I.10 Has [NAME] received any of the following?
i OPV3
|
|
| I10j |
Yellow fever
| I.10 Has [NAME] received any of the following?
j Yellow fever
|
|
| I10k |
Mmr
| I.10 Has [NAME] received any of the following?
k MMR
|
|
| I10l |
Vitamin a
| I.10 Has [NAME] received any of the following?
i vitamin A
|
|
| I11 |
Source of vaccination information
| I.11 Record for each child the source of information
|
|
| I12 |
Place where last vaccination given
| I.12 Where was [NAME]'s last vaccination given?
|
|
| I13 |
Was fee paid for vaccination?
| I.13 Did you pay any fee for [NAME]'s vaccination?
|
|
| I14 |
Why was child not vaccinated
| I.14 Why was [NAME] never vaccinated?
|
|
| I15 |
Has child been breastfed?
| I.15 Has [NAME] ever been breastfed?
|
|
| I16 |
Is child still being breastfed?
| I.16 Is [NAME] still being breastfed?
|
|
| I17 |
How many months was child breastfed?
| I.17 How many months was [NAME] breastfed?
|
|
| I18 |
How many months was child exclusively breastfed?
| I.18 How many months was [NAME] exclusively breastfed (i.e fed with breast milk and breast milk only)?
|
|
| I19 |
How are child's faeces disposed?
| I.19 How do you dispose of [NAME]'s faeces?
|
|
| I20 |
Did child have diarrhea in the last 2 weeks?
| I.20 Has [NAME] had diarrhea in the last 2 weeks?
|
|
| I21 |
How much fluid was child offered during diarrhea
| I.21 How much fluid was [NAME] offered to drink during diarrhea compared with normal?
|
|
| I22 |
How much food was child offered during diarrhea
| I.22 How much food was [NAME] offered to eat during diarrhea compared with normal?
|
|
| I23 |
Did child receive oral rehydration treatment
| I.23 Was [NAME] given any of the following during the diarrhea?
|
|
| Sex |
Sex of child
| |
|
| Agemonth |
Age of child in months
| |
|
Digg
Google Buzz
LinkedIn
Stumbleupon
Delicious
