Name | Label | Question |
SIA06 |
Interviewer name
| Interviewer name |
|
SIA07 |
Supervisor number
| Supervisor ID |
|
SIA08 |
Supervisor name
| Supervisor name |
|
SIA09 |
Start date of interview
| Day/Month/Year of interview |
|
SIA10 |
Start time of interview
| Hour and minutes |
|
SIA11 |
Household ID
| Household ID number |
|
SIA12 |
Individual number of individual / child (from form HM)
| Individual listing number (HM21) |
|
SIA13 |
Individual number being surveyed (from form HM)
| Individual listing number (HM21) |
|
SIA14 |
Individual number (from form HM) of primary caregiver of child identified in que
| Line number |
|
SIA15 |
Latitude
| Latitude |
|
SIA16 |
Longitude
| Longitude |
|
SIA17 |
Were you / the child living here during the campaign?
| Were you(was the child) living here during the campaign? (Yellow Fever Vaccination Campaign in November/December 2018)? |
|
SIA18 |
What was the primary source of information about the occurrence of the campaign?
| What was the primary source of information about the occurrence of the campaign? |
|
SIA19 |
Other, please specify
| If other in 18 above,please specify |
|
SIA20 |
Did you / the child receive the YF vaccine during the recent campaign (name camp
| Did you (the child) receive the Yellow fever vaccine during the recent campaign(Yellow fever vaccination campaign in November/December 2018)? |
|
SIA21 |
Did you / the child receive a vaccination card after receiving the YF vaccinatio
| Did you (the child) receive a vaccination card after receiving the yellow fever vaccine during the recent campaign? |
|
SIA22 |
Was your finger/ child's finger marked with a pen after receiving the YF vaccine
| Was your (the child) finger marked with a pen after receiving the yellow fever vaccine during the campaign? |
|
SIA23 |
Did you / the child develop a reaction in the months following the vaccination?
| Did you (the child) develop a reaction after the vaccination? |
|
SIA24a |
Fever between 7 and 12-days following vaccination?
| Fever between 7 and 12 days following vaccination? |
|
SIA24b |
General rash between 7- and 10-days following vaccination?
| General rash between 7 and 10 days following vaccination? |
|
SIA24c |
Pain at the site of injection?
| Pain at the site of injection? |
|
SIA24d |
Problems with hearing or vision?
| Problems with hearing or vision? |
|
SIA24e |
Extreme drowsiness, fainting?
| Extreme drowsiness, fainting? |
|
SIA24f |
Fussiness, irritability, crying for an hour or longer?
| Fussiness, irritability, crying for an hour or longer? |
|
SIA24g |
Early bruising or bleeding, unusual weakness?
| Early bruising or bleeding, unusual weakness? |
|
SIA24h |
Difficulty in breathing or swallowing?
| Difficulty in breathing or swallowing? |
|
SIA24i |
Itching, especially of feet or hands?
| Itching, especially of feet or hands? |
|
SIA24j |
Hives (other itching or irrigation)?
| Hives (other itching or irrigation)? |
|
SIA24k |
Seizure (black-out or convulsions); or High fever (within a few hours or a few d
| Seizure (black-out or convulsions); or High fever (within a few hours or a few days after the vaccine)? |
|
SIA24l |
Pain or tiredness of eyes, swelling, or a lump where the shot was given?
| Pain or tiredness of eyes, swelling, or a lump where the shot was given? |
|
SIA24m |
Headache (severe or continuing)?
| Headache (severe or continuing)? |
|
SIA24n |
Confusion or dizziness?
| Confusion or dizziness? |
|
SIA24o |
Muscle weakness in legs spreading to upper body?
| low fever; joint or muscle pain? |
|
SIA24p |
Loss of bladder or bowel control?
| ladder or bowel control? |
|
SIA24oc |
Problems with speech or hearing
| Problems with speech or hearing |
|
SIA24od |
Others Specify
| Others Specify |
|
SIA24sspc |
Other (specify) SPC
| If other to S1A24,Specify |
|
SIA25 |
If you / the child did not receive the YF vaccine during the campaign, why?
| Why you (the child) did not receive the yellow feer vaccine during the campaign? |
|
SIA26 |
Other, please specify
| If other to S1A25, please specify |
|
SIA27 |
Before the campaign, had you / the child already received the YF vaccine?
| Before the campaign,had you (the child) already received the yellow fever vaccine? |
|
SIA28 |
If the vaccination record (routine) is available, record the dates of vaccinatio
| If the home-based vaccination record (Routine) is vailable,record the dates of vaccination:1st Yellow Fever Vaccination |
|
SIA29 |
If the vaccination record (routine) is available, is 1st YF vaccination recorded
| If the home-based vaccination record (Routine) is vailable,record the dates of vaccination:1st Yellow Fever Vaccination |
|
SIA30 |
If the vaccination record (routine) is available, record the dates of vaccinatio
| If the home-based vaccination record (Routine) is vailable,record the dates of vaccination:1st Yellow Fever Vaccination |
|
SIA31 |
If the vaccination record (routine) is available, is 2nd YF vaccination recorded
| If the home-based vaccination record (Routine) is vailable,record the dates of vaccination:1st Yellow Fever Vaccination |
|
SIA32 |
If the vaccination record (previous campaign) is available, record the dates of
| If the home-based vaccination record (Routine) is vailable,record the dates of vaccination:1st Yellow Fever Vaccination |
|
SIA33 |
If the vaccination record (previous campaign) is available, record the dates of
| If the home-based vaccination record (Routine) is vailable,record the dates of vaccination:1st Yellow Fever Vaccination |
|
SIA34 |
End date of interview
| Record date of interview. |
|
SIA35 |
End time of interview
| Record the end time |
|
SIA36 |
Interviewer’s comments
| Interviewers comments. |
|
SIA37 |
Supervisor’s comments
| Supervisors comments. |
|
ZONE |
Geopolitical zone
| |
|
urban_cluster |
Urban/Rural
| |
|
gender |
Sex of household member
| |
|
psweight_sia | | |
|
expected_hh_to_visit | | |
|
province_id |
Geopolitical zone
| |
|