| Name | Label | Question |
| zone |
ZONE
| |
|
| state |
STATE
| |
|
| lga |
LGA
| |
|
| sector |
SECTOR
| |
|
| ea |
EA CODE
| |
|
| hhid |
HOUSEHOLD ID
| |
|
| indiv |
INDIVIDUAL ID
| |
|
| s03q01 |
IS THIS PERSON ANSWERING FOR HIMSELF/ HERSELF?
| |
|
| s03q02 |
PERSON RESPONDING ON BEHALF OF [NAME]
| |
|
| s03q03 |
Has [NAME] consulted a health practitioner or ... in the last 30 days?
| |
|
| s03q04_1 |
What was(were) the main reason(s) for [NAME]'s visit? (1ST)
| |
|
| s03q04_2 |
What was(were) the main reason(s) for [NAME]'s visit? (2ND)
| |
|
| s03q05 |
Was [NAME] sick or injured in the last 30 days?
| |
|
| s03q06_1 |
What type of illness/injury did [NAME] suffer most? (1ST)
| |
|
| s03q06_2 |
What type of illness/injury did [NAME] suffer most? (2ND)
| |
|
| s03q06_os |
Please specify the other illness/injury
| |
|
| s03q07a |
For how many days did [NAME] suffer from this [ILLNESS/INJURY] in the past 30 da
| |
|
| s03q08 |
Did [NAME] have to stop his/her usual activities because of this [ILLNESS/INJURY
| |
|
| s03q09 |
For how many days did [NAME] has to stop his/her usual activities because of thi
| |
|
| s03q10_1 |
Whom did [NAME] consult regarding the [ILLNESS/INJURY]? (1ST)
| |
|
| s03q10_2 |
Whom did [NAME] consult regarding the [ILLNESS/INJURY]? (2ND)
| |
|
| s03q10_os |
Please specify other person consulted
| |
|
| s03q11__1 |
Why did [NAME] not consult anyone?:NO NEED, MINOR ILLNESS OR INJURY
| |
|
| s03q11__2 |
Why did [NAME] not consult anyone?:TOO FAR
| |
|
| s03q11__3 |
Why did [NAME] not consult anyone?:TOO EXPENSIVE
| |
|
| s03q11__4 |
Why did [NAME] not consult anyone?:POOR QUALITY OF CARE
| |
|
| s03q11__5 |
Why did [NAME] not consult anyone?:OTHER (SPECIFY)
| |
|
| s03q12 |
Where did [NAME]'s consultation with [Q10] for [ILLNESS/INJURY] take place?
| |
|
| s03q12_os |
Please specify other location
| |
|
| s03q13 |
Who ran the [Q12] where [NAME]'s consultation with [Q10] took place?
| |
|
| s03q13_os |
Please specify other person/entity that ran
| |
|
| s03q14 |
How much did the household pay for [NAME]'s first consultation, excluding drugs?
| |
|
| s03q15 |
How much did the household pay for [NAME]'s transportation to/from the first con
| |
|
| s03q16a |
How long did [NAME]'s first consultation take including travel time?
| |
|
| s03q16b |
Travel time unit
| |
|
| s03q17 |
Did the household spend any money for [NAME] for drugs over the counter or kiosk
| |
|
| s03q18 |
How much did [NAME] pay for the drug over the counter or kiosks?
| |
|
| s03q18b |
Who paid for most of [NAME]'s consultations or over the counter drugs in the pas
| |
|
| s03q18b_os |
Please specify other person who paid
| |
|
| s03q19 |
Was [NAME] admitted to a hospital or health facility in the last 12 months?
| |
|
| s03q20 |
How many nights did [NAME] stay in the hospital or health centre in the last 12
| |
|
| s03q21 |
How much did the household pay for [NAME] to stay in the hospital or health cent
| |
|
| s03q22 |
Does [NAME] have difficulty seeing, even if he/she is wearing glasses?
| |
|
| s03q23 |
Does [NAME] have difficulty hearing, even if he/she is wearing a hearing aid?
| |
|
| s03q24 |
Does [NAME] have difficulty walking or climbing steps?
| |
|
| s03q25 |
Does [NAME] have difficulty remembering or concentrating?
| |
|
| s03q26 |
Does [NAME] have difficulty with self care such as washing all over or dressing,
| |
|
| s03q27 |
Using your usual language, does [NAME] have difficulty communicating?
| |
|
| s03q28 |
IS THERE A YES RESPONSE IN Q22-Q27?
| |
|
| s03q29 |
Did the household have any additional costs related to [NAME]'s difficulty?
| |
|
| s03q30 |
In the past 12 months, how much did the household spend on additional costs rela
| |
|
| s03q31 |
Did [NAME] sleep under an insecticide treated net yesterday?
| |
|
| s03q32 |
How did [NAME] obtain the insecticide treated net?
| |
|
| s03q32_os |
Please specify other means
| |
|
| s03q33 |
How much did the household pay for the bed net that [NAME] slept under yesterday
| |
|
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