LAO_LSB_LSIS-2011_m_EN_v1.0 LSIS2011_16May2012 Daoheuang Monthalack Phanthanome 2012-05-07 NADA Version 01 (May 2012) Lao Social Indicator Survey 2011 LSIS 2011 LAO_LSB_LSIS-2011_v1.0 Statistics Division, Department of Planning and Finance Lao Statistics Bureau (c) 2011, Lao Statistics Bureau MetadataEditor Government of Lao PDR United Nations Population Fund United Nations Children's Fund United States Agency for International Development Japan International Cooperation Agency Director General of Department of Service Statistics Director General of Department of Planning and Finance Multiple Indicator Cluster Survey and Demographic Health Survey Version 2.0 - Final dataset, anonymized, for public distribution Health Systems & Financing Education Nutrition Lao People's Democratic Replubic National coverage Province Sample survey data [ssd] Central staff (Lao Statistics Bureau) Provincial staff Lao Statistics Bureau Face-to-face [f2f] This Lao Social Indicator Survey conforms to the provisions of confidentiality stated under Article 24 of the Statistics Law, of Lao PDR which identifies the “three type of statistics confidentiality as follows: 1. State confidentiality with regard to stability, national defense, security and other secrets that are defined in a specific manner; 2. State confidentiality with importance to any specific sector; 3. Individual confidentiality of information from any individual, legal person or any organization that are gathered/collected from survey and administrative report." Before being granted access to the dataset, all users have to formally agree: 1. To make no copies of any files or portions of files to which s/he is granted access except those authorized by the LSB. 2. Not to use any technique in an attempt to learn the identity of any person, establishment, or sampling unit not identified in the dataset. 3. To hold in strictest confidence the identification of any establishment or individual that may be inadvertently revealed in any documents or discussion, or analysis. Such inadvertent identification revealed in her/his analysis will be immediately be reported to the LSB. Vice Minister, Head Director General WM Individual Women (bh) This file contains the section : "Birth history" of the Questionnaire for individual women. 2777 30 UF Children Under 5 - (ch) This file contains all the sections in the Questionnaire for children under-five. It also contains the section "Insecticide treated nets", some questions from the section "household information panel" and some questions from the section "Education" of the Household Questionnaire. 628 279 HH Household (hh) The file contains data related to the section Household Information Panel, Water and Sanitation, Household Characteristics, Child Discipilne and Salt Iodization of the HOUSEHOLD QUESTIONNAIRE. It also contains some information for teh household head and the household sample weight. 1016 115 HH Household (hl) The file contains data related to the section "Household Listing Form" , " Insecticide treated nets" and some from Household information panel of the HOUSEHOLD QUESTIONNAIRE LSIS 2011 4971 60 WM Individual Women (mm) 5886 27 M Individual Men (mn) This file contains the sections: Man's information panel , man's background,Access to mass madia and use of information/communication technology,contraception,attitudes toward domestic Violence,marriage and sexual activity,HIV/AIDS of the Questionnaire for individual men. 518 171 HH Household (tn) 2918 26 WM Individual Women (wm) 1214 310 Cluster number FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. Cluster number Household number FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. Household number Household Line number FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. Household Line number Relationship to the head FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. Relationship to the head 1 Head 2 Wife / Husband 3 Son / Daughter 4 Son-In-Law / Daughter-In-Law 5 Grandchild 6 Parent 7 Parent-In-Law 8 Brother / Sister 9 Brother-In-Law / Sister-In-Law 10 Uncle / Aunt 11 Niece / Nephew 12 Other relative 13 Adopted / Foster / Stepchild 14 Not related 97 Inconsistent 98 Don't know Sex FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. Sex 1 Male 2 Female Member stayed in the house last night FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. Member stayed in the house last night 1 Yes 2 No 9 Month of birth FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. Month of birth 1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December 98 DK 99 Year of birth FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. Year of birth 1914 1919 1921 1922 1923 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 9998 DK Member Age FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. Member Age 95 95+ 98 DK Marital Status FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. - For age 15 and above Marital Status 1 Never Married 2 Married 3 Divorced 4 Widowed 5 Separated 8 DK 9 Sysmiss Line number of women age 15 - 49 FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. - For women age 15-49 Line number of women age 15 - 49 Not eligible 1 2 3 4 5 6 7 8 9 10 11 Line number of men age 15 - 49 FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. - For men age 15 - 49 Line number of men age 15 - 49 Not eligible 1 2 3 4 5 6 7 8 9 10 11 12 Line number of mother/caretaker for children age 5 - 14 FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. - For children age 5-14 record the Line number of mother/caretaker for children age 5 - 14 Not eligible 1 2 3 4 5 6 7 8 9 10 14 16 Line number of mother/caretaker for children under age 5 FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. - For children under age 5 Line number of mother/caretaker for children under age 5 Not eligible 1 2 3 4 5 6 7 8 9 11 12 Is natural mother alive FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. - For children age 0-17 years Is natural mother alive If No - go to HL13. If DK - go to HL13. 1 Yes 2 No 8 DK 9 Sysmiss Natural mother's line number in HH FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. - For children age 0-17 years line number of natural mother living in the Household Not in household 1 2 3 4 5 6 7 8 9 10 11 12 14 16 97 Inconsistent Sysmiss Is natural father alive FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. - For children age 0-17 years Is natural father alive If No - go to Next line. If Dk - go to next line. 1 Yes 2 No 8 DK 9 Sysmiss Natural father's line number in HH FIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD. List the head of the household in line 01. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4) Then ask: ARE THERE ANY OTHERS WHO LIVE HERE, EVEN IF THEY ARE NOT AT HOME NOW? If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5 for each person at a time. Use an additional questionnaire if all rows in the household listing form have been used. - For children age 0-17 years Line number of Natural father living in the HH Not in household 1 2 3 4 5 6 7 8 9 10 11 15 97 Inconsistent Sysmiss Line number For all household members. Line number 1 2 3 4 5 6 7 8 9 10 11 12 13 15 16 17 18 25 26 Age For all household members. Name and age Copy from Household Listing Form, HL2 and HL6 95 95+ 98 DK Ever attended school or pre-school For household members age 3 and above. HAS (name) EVER ATTENDED SCHOOL OR PRE-SCHOOL? If No - go to Next line. 1 Yes 2 No 9 Sysmiss Highest level of education attended For household members age 3 and above. Highest level of education attended If level = 0, skip to ED5 Preschool 1 Primary 2 Lower Secondary 3 Upper Secondary 4 Post secondary non tertiary 5 Tertiary Education 8 DK 9 Sysmiss Highest grade completed at that level For household members age 3 and above. Highest grade completed at that level If less than 1 grade at this level, enter 00 None completed 11 primary 12 primary 13 primary 14 primary 15 primary 21 Lower sec 22 Lower sec 23 Lower sec 24 Lower sec 31 Upper sec 32 Upper sec 33 Upper sec 41 Post Secondary- non tertiary 42 Post Secondary- non tertiary 43 Post Secondary- non tertiary 51 Tertiary Educ. 52 Tertiary Educ. 53 Tertiary Educ. 54 Tertiary Educ. 55 Tertiary Educ. 56 Tertiary Educ. 57 Tertiary Educ. 97 Inconsistent 98 DK 99 Sysmiss Attended school during current school year (2011-2012) For household members age 3-24 years DURING THE (2011-2012) SCHOOL YEAR, DID (name) ATTEND SCHOOL OR PRESCHOOL AT ANY TIME? if No - go to ED7 1 Yes 2 No 9 Sysmiss Level of education attended current school year For household members age 3-24 years Level of education attended current school year If level = 0, skip to ED7 Preschool 1 Primary 2 Lower Secondary 3 Upper Secondary 4 Post secondary non tertiary 5 Tertiary Education 8 DK Sysmiss Grade of education attended current school year For household members age 3-24 years Grade of education attended current school year 11 primary 12 primary 13 primary 14 primary 15 primary 21 Lower sec 22 Lower sec 23 Lower sec 24 Lower sec 31 Upper sec 32 Upper sec 33 Upper sec 41 Post Secondary- non tertiary 42 Post Secondary- non tertiary 43 Post Secondary- non tertiary 51 Tertiary Educ. 52 Tertiary Educ. 53 Tertiary Educ. 54 Tertiary Educ. 55 Tertiary Educ. 56 Tertiary Educ. 57 Tertiary Educ. 98 DK Sysmiss Attended school previous school year (2010-2011) For household members age 3-24 years Attended school previous school year (2010-2011) If No - go to Next line. If Dk - go to Next line. 1 Yes 2 No 8 DK 9 Sysmiss Level of education attended previous school year For household members age 3-24 years Level of education attended previous school year If level = 0, go to next person Preschool 1 Primary 2 Lower Secondary 3 Upper Secondary 4 Post secondary non tertiary 5 Tertiary Education 8 DK Sysmiss Grade of education attended previous school year For household members age 3-24 years Grade of education attended previous school year 11 primary 12 primary 13 primary 14 primary 15 primary 21 Lower sec 22 Lower sec 23 Lower sec 24 Lower sec 31 Upper sec 32 Upper sec 33 Upper sec 41 Post Secondary- non tertiary 42 Post Secondary- non tertiary 43 Post Secondary- non tertiary 51 Tertiary Educ. 52 Tertiary Educ. 53 Tertiary Educ. 54 Tertiary Educ. 55 Tertiary Educ. 56 Tertiary Educ. 57 Tertiary Educ. 98 DK Sysmiss Net number Net number 1 2 3 4 5 6 7 Sysmiss Mosquito net observed Mosquito net observed 1 Observed 2 Not observed 9 Sysmiss Brand/type of observed net Brand/type of observed mosquito net 11 Olyset net 12 Permanent net 21 Ordinary net 31 Other net (Specify) 98 DK brand / type 99 Sysmiss Months ago net obtained Months ago mosquito net obtained Less than one month ago 95 More than 36 months ago 98 DK / Not sure Net treated with an insecticide when obtained Net treated with an insecticide when obtained 1 Yes 2 No 8 DK / Not sure 9 Sysmiss Net soaked or dipped since obtained Net soaked or dipped since obtained If no - go to TN11. If DK/Not sure - go to TN11 1 Yes 2 No 8 DK / Not sure 9 Sysmiss Months ago net soaked or dipped Months ago net soaked or dipped Less than one month ago 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 95 More than 24 months ago 98 DK / Not sure 99 Sysmiss Persons slept under mosquito net last night Persons slept under mosquito net last night If no - go to TN13. If DK/Not sure - go to TN13. 1 Yes 2 No 8 DK / Not sure Sysmiss Person 1 who slept under net Person 1 who slept under net last night Record the person's line number from the household listing form. Person who slept under net not in HH listing 1 2 3 4 5 6 7 8 9 10 11 12 90 No one / No one else Sysmiss Person 2 who slept under net Person 2 who slept under net Record the person's line number from the household listing form. Person who slept under net not in HH listing 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 90 No one / No one else Sysmiss Person 3 who slept under net Person 3 who slept under net Record the person's line number from the household listing form. Person who slept under net not in HH listing 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 24 90 No one / No one else Sysmiss Person 4 who slept under net Person 4 who slept under net Record the person's line number from the household listing form. Person who slept under net not in HH listing 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 25 90 No one / No one else Sysmiss Person 5 who slept under net Person 5 who slept under net Record the person's line number from the household listing form. Person who slept under net not in HH listing 4 5 6 7 8 9 10 11 12 13 14 18 26 90 No one / No one else Sysmiss Day of interview Day of interview Month of interview Month of interview 1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December Year of interview Year of interview 2011 2012 Area Area of interview 1 Urban 2 Rural with road 3 Rural without road Province Province 1 Vientiane Capital 2 Phongsaly 3 Luangnamtha 4 Oudomxay 5 Bokeo 6 Luangprabang 7 Huaphanh 8 Xayabury 9 Xiengkhuang 10 Vientiane 11 Borikhamxay 12 Khammuane 13 Savannakhet 14 Saravane 15 Sekong 16 Champasack 17 Attapeu Residence Residence 1 Urban 2 Rural . 2 ..Rural with road 3 ..Rural without road Sysmiss Region Region of interview 1 North 2 Central 3 South Mother's line number Mother's line number Not in household 1 2 3 4 5 6 7 8 9 10 11 12 14 16 Sysmiss Father's line number Father's line number Not in household 1 2 3 4 5 6 7 8 9 10 11 15 Sysmiss Age at beginning of school year Age at beginning of school year 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 88 89 92 97 995 Child born after begining of school year 998 DK/Missing Ethnicity of household head Ethnicity of household head 1 Lao 2 Khmu 3 Hmong 4 Other 9 Missing/DK Religion of household head Religion of household head 1 Buddhist 2 Animist 3 Other 9 Missing/DK Wealth index quintile Wealth index quintile No wealth index yet! Mother's education Mother's education 1 None 2 Primary 3 Lower secondary 4 Upper secondary 5 Higher 7 Mother not in household 9 Missing/DK Sysmiss Father's education Father's education 1 None 2 Primary 3 Lower secondary 4 Upper secondary 5 Higher 7 Father not in household 9 Missing/DK Sysmiss Education of household head Education of household head 1 None 2 Primary 3 Lower secondary 4 Upper secondary 5 Higher 9 Missing/DK Household sample weight Household sample weight Cluster number Cluster number Household number Household number Interviewer number Interviewer number Supervisor number Supervisor number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Day of interview Day of interview 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month of interview Month of interview 1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December Year of interview Year of interview 2011 2012 Area Area 1 Urban 2 Rural with road 3 Rural without road Province Province 1 Vientiane Capital 2 Phongsaly 3 Luangnamtha 4 Oudomxay 5 Bokeo 6 Luangprabang 7 Huaphanh 8 Xayabury 9 Xiengkhuang 10 Vientiane 11 Borikhamxay 12 Khammuane 13 Savannakhet 14 Saravane 15 Sekong 16 Champasack 17 Attapeu Household selected for male interivew Household selected for male interivew 1 Yes 2 No Result of HH interview Result of Household interview 1 Completed 2 No household member or no competent respondent at home at ti 3 Entire household absent for extended time 4 Refused 5 Dwelling vacant / Address not a dwelling 6 Dwelling destroyed 7 Dwelling not found 96 Other Respondent to HH questionnaire Respondent to HH questionnaire 1 2 3 4 5 6 7 Sysmiss Number of HH members Number of HH members Number of women 15 - 49 years Number of women 15 - 49 years Number of women's questionnaires completed Number of women's questionnaires completed Number of children under age 5 Number of children under age 5 Number of under - 5 questionnaires completed Number of under - 5 questionnaires completed Number of men 15 - 49 years Number of men 15 - 49 years Number of men's questionnaires completed Number of men's questionnaires completed Field editor Field editor number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Data entry clerk Data entry clerk number Start of interview - Hour Start of interview - Hour 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 99 Sysmiss Start of interview - Minutes Start of interview - Minutes 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 99 Sysmiss End of interview - Hour End of interview - Hour 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 99 Sysmiss End of interview - Minutes End of interview - Minutes 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 99 Sysmiss Main source of drinking water Main source of drinking water for members of your household if 11 - go to question WS6. if 12 - go to question WS6. if 13 - go to question WS6. if 14 - go to question WS3. if 21 - go to question WS3. if 31 - go to question WS3. if 32 - go to question WS3. if 41 - go to question WS3. if 42 - go to question WS3. if 51 - go to question WS3. if 61 - go to question WS3. if 71 - go to question WS3. if 81 - go to question WS3. if 96 - go to question WS3. 11 Piped into dwelling 12 Piped into compound, yard or plot 13 Piped to neighbour 14 Public tap / standpipe 21 Tube well, Borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank / drum 81 Surface water (river, stream, dam, lake, pond, canal, irriga 91 Bottled water 96 Other Sysmiss Main source of water used for other purposes (if bottled water used for drinking) Main source of water used for other purposes such as handwashing if 11 - go to question WS6. if 12 - go to question WS6. if 13 - go to question WS6. 11 Piped into dwelling 12 Piped into compound, yard or plot 13 Piped to neighbour 14 Public tap / standpipe 21 Tube well, Borehole 31 Protected well 32 Unprotected well 41 Protected spring 42 Unprotected spring 51 Rainwater collection 61 Tanker-truck 71 Cart with small tank / drum 81 Surface water (river, stream, dam, lake, pond, canal, irriga 96 Other Sysmiss Location of the water source Location of the water source if 1 - go to question WS6. if 2 - go to question WS6. 1 In own dwelling 2 In own yard / plot 3 Elsewhere Sysmiss Time (in minutes) to get water and come back Time (in minutes) to get water and come back 1 2 3 4 5 6 7 8 9 10 12 13 15 18 20 22 24 25 30 40 50 60 90 120 180 998 DK 999 Sysmiss Person collecting water Person collecting water Probe: Is this person under age 15? What sex? 1 Adult woman (age 15+ years) 2 Adult man (age 15+ years) 3 Female child (under 15) 4 Male child (under 15) 8 DK 9 Sysmiss Piped water connected to safe water supply Piped water connected to safe water supply. 1 Yes 2 No 8 DK 9 Sysmiss Treat water to make safer for drinking Treat water to make safer for drinking if No - go to question WS8. if DK - go to question WS8. 1 Yes 2 No 8 DK Sysmiss Water treatment: Boil Water treatment: Boil 1 Yes 2 No Sysmiss Water treatment: Add bleach/chlorine Water treatment: Add bleach/chlorine 1 yes 2 No Sysmiss Water treatment: Strain it through a cloth Water treatment: Strain it through a cloth 1 yes 2 No Sysmiss Water treatment: Use water filter Water treatment: Use water filter 1 yes 2 No Sysmiss Water treatment: Solar disinfection Water treatment: Solar disinfection 1 yes 2 No Sysmiss Water treatment: Let it stand and settle Water treatment: Let it stand and settle 1 yes 2 No Sysmiss Water treatment: Other Water treatment: Other 1 yes 2 No Sysmiss Water treatment: DK Water treatment: DK 8 DK 1 Sysmiss Type of toilet facility Type of toilet facility If "Flush" or "pur flush" . probe: Where does it flush to?. If necessary, ask permission to observe the facility. If 95 - go to Next Module. 11 Flush to piped sewer system 12 Flush to septic tank 13 Flush to pit (latrine) 14 Flush to somewhere else 15 Flush to unknown place / Not sure / DK where 21 Ventilated Improved Pit latrine (VIP) 22 Pit latrine with slab 23 Pit latrine without slab / Open pit 31 Composting toilet 41 Bucket 51 Hanging toilet, Hanging latrine 95 No facility, Bush, Field 96 Other Sysmiss Toilet facility shared Toilet facility shared with others who are not members in the household If No - go to Next Module. 1 Yes 2 No 9 Sysmiss Toilet shared with other household or with general public Toilet shared with other household or with general public If public facility - go to next module. 1 Other households only (not public) 2 Public facility Sysmiss Households using this toilet facility Households using this toilet facility, including your own household 2 3 4 6 10 Ten or more households 98 DK 99 Sysmiss Religion of household head Religion of household head 1 Buddhism 2 Christianity 3 Islam 4 Animist 6 Other religion 7 No religion 9 Sysmiss Ethnic group of household head Ethnic group of household head 1 Lao 2 Tai 3 Phouthai 4 Leu 5 Nguan 6 Yung 7 Sairk 8 Thaineau 9 Keummeu 10 Prai 11 Singmoon 12 Phong 13 Thein 14 Adoo 15 Bid 16 Lamed 17 Samtao 18 Katang 19 Makong 20 Tri 21 Yuroo 22 Treang 23 Taoy 24 Yerh 25 Brao 26 Katu 27 Hahak 28 Oy 29 Grieng 30 Cheng 31 Sdang 32 Shuay 33 Ngahearn 34 Lavy 35 Pako 36 Kamer 37 Toum 38 Guan 39 Moy 40 Kree 41 Akha 42 Singsiri 43 Lahoo 44 Sila 45 Hayee 46 Lolo 47 Hor 48 Mong 49 Ilmeam 96 Other 999 Sysmiss Number of rooms used for sleeping Number of rooms used for sleeping Main material of floor Main material of floor record observation. 11 Earth / sand 12 Dung 21 Wood planks 22 Palm / Bamboo 31 Parquet or polished wood 32 Vinyl or asphalt strips 33 Ceramic tiles 34 Cement 35 Carpet 96 Other Sysmiss Main material of roof Main material of roof record observation. 11 No roof 12 Thatch / Palm leaf 22 Palm / Bamboo 23 Wood planks 31 Metal 32 Wood 33 Calamine / Cement fibre 34 Ceramic tiles 35 Cement 36 Roofing shingles 96 Other Sysmiss Main material of exterior wall Main material of exterior wall Record observation. 11 No walls 12 Cane/Palm/Trunks 13 Dirt 21 Bamboo with mud 24 Plywood 25 Cardboard 26 Reused wood 27 Bamboo mat 28 Bamboo/Bamboo with dry leaf 29 Bamboo lattice 31 Cement 32 Stone with lime / cement 33 Bricks 34 Cement blocks 36 Wood planks / shingles 96 Other 99 Sysmiss Type of fuel using for cooking Type of fuel (mainly) using for cooking If 1 - go to HC8. If 2 - go to HC8. If 3 - go to HC8. If 4 - go to HC8. If 5 - go to HC8. If 95 - go to HC8. 1 Electricity 2 Liquefied Petroleum Gas (LPG) 3 Natural gas 4 Biogas 5 Kerosene 6 Coal / Lignite 7 Charcoal 8 Wood 9 Straw / Shrubs / Grass 10 Animal dung 11 Agricultural crop residue 95 No food cooked in household 96 Other Sysmiss Cooking location Cooking location If "In the house". probe: Is it done in a separate room used as a kitchen?. 1 In a separate room used as kitchen 2 Elsewhere in the house 3 In a separate building 4 Outdoors 6 Other 9 Sysmiss Electricity your house have : Electricity 1 Yes 2 No 9 Sysmiss Radio your house have Radio 1 Yes 2 No 9 Sysmiss Television your house have Television 1 Yes 2 No 9 Sysmiss Non-Mobile telephone your house have Non-Mobile telephone 1 Yes 2 No 9 Sysmiss Refrigerator your house have Refridgerator 1 Yes 2 No 9 Sysmiss Clock your house have clock 1 Yes 2 No 9 Sysmiss Fan your house have fan 1 Yes 2 No 9 Sysmiss Sofa/wooden settee your house have Sofa/wooden settee 1 Yes 2 No 9 Sysmiss Water pump your house have Water pump 1 Yes 2 No 9 Sysmiss Air Condictioner your house have Air Conditioner 1 Yes 2 No 9 Sysmiss Washing Machine your house have Washing Machine 1 Yes 2 No 9 Sysmiss CD/DVD Player your house have CD/DVD Player 1 Yes 2 No 9 Sysmiss Watch Member in the household own a watch 1 Yes 2 No Sysmiss Mobile telephone Member in the household own a mobile phone 1 Yes 2 No Sysmiss Bicycle Member in the household own a bicycle 1 Yes 2 No Sysmiss Motorcycle or scooter Member in the household own a Motorcycle or scooter 1 Yes 2 No Sysmiss Animal-drawn cart Member in the household own a Animal-drawn cart 1 Yes 2 No Sysmiss Car or truck Member in the household own a Car or truck 1 Yes 2 No Sysmiss Boat with motor Member in the household own a Boat with motor 1 Yes 2 No Sysmiss Tuk Tuk Member in the household own a Tuk Tuk 1 Yes 2 No Sysmiss Tak Tak Member in the household own a Tak Tak 1 Yes 2 No Sysmiss Camera Member in the household own a Camera 1 Yes 2 No Sysmiss Computer Member in the household own a Computer 1 Yes 2 No Sysmiss Household owns the dwelling member in the Household owns the dwelling If "No" then ask : Do you rent this dwelling from someone not living in this household? . If "rented from someone else" circle "2" . for other response, circle "6". 1 Own 2 Rent 6 Other (not owned or rented) 9 Sysmiss Any household member own land that can be used for agriculture Any household member own land that can be used for agriculture 1 Yes 2 No 9 Sysmiss Hectares of agricultural land members of household owns number of hectares that a household member own land that can be used for agriculture Less than one hectare 1 2 3 4 5 6 7 8 9 10 11 15 20 29 30 95 More than 95 98 DK Sysmiss Household own any animals Household own any lives stocks, herds, other farm animals, pourtry if No - go to HC15. 1 Yes 2 No Sysmiss Cows Number of bulls that household have None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 18 19 20 24 27 30 32 33 40 50 95 95+ 98 DK Sysmiss Buffalo Number of buffalos that household have None 1 2 3 4 5 6 7 8 9 10 12 13 14 15 20 24 31 95 95+ 98 DK Sysmiss Goats Number of goats that household have None 1 2 3 4 5 6 7 8 10 95 95+ 98 DK Sysmiss Sheep Number of sheeps that household have None 8 60 95 95+ 98 DK Sysmiss Poultry Number of poultries that household have None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 28 29 30 32 33 35 38 40 42 45 48 50 57 58 60 66 70 80 90 95 95+ 98 DK 99 Sysmiss Pigs Number of pigs that household have None 1 2 3 4 5 6 7 8 9 10 11 15 17 20 95 95+ 98 DK Sysmiss Horses, Donkeys or Mules Number of horse, donkeys or mules that household have None 1 95 95+ 98 DK Sysmiss Any household member own bank account Any household member own bank account 1 Yes 2 No 9 Sysmiss Household has mosquito nets Household has mosquito nets if 2 - go to Next Module. 1 Yes 2 No Sysmiss Number of mosquito nets Number of mosquito nets Total children aged 2-14 years Children aged 2-14 years eligible for child dicipline questions Total children aged 2-14 years within the household If there is only one child age 2-14 years in the household, then skip table 2 and go to CD8, write down "1" and continue with CD9 Rank number of the selected child Selection of Random child for child discipline questions Check the total number of eligible children (2-14) in CD6 above. This is the number of the column you should go to. Rank number of the selected child 1 2 3 4 5 Sysmiss Child line number Child name and line number of the child selected for the module from CD3 and CD2, based on the rank number in CD8 2 3 4 5 6 7 8 9 10 11 12 13 97 Inconsistent Sysmiss Flag for correct child line number 1 Correct child selected 2 Incorrect child selected Sysmiss Took away privileges Adults use certain ways to teach children the right behaviour or to adress a behaviour problem. these are the methods that are used and I want you to tell me if you or anyone in your household has used this methods with"the child" in the past month Took away privileges 1 Yes 2 No 9 Sysmiss Explained why behaviour was wrong Adults use certain ways to teach children the right behaviour or to adress a behaviour problem. these are the methods that are used and I want you to tell me if you or anyone in your household has used this methods with"the child" in the past month Explained why behaviour was wrong 1 Yes 2 No 9 Sysmiss Shook child Adults use certain ways to teach children the right behaviour or to adress a behaviour problem. these are the methods that are used and I want you to tell me if you or anyone in your household has used this methods with"the child" in the past month Shook child 1 Yes 2 No 9 Sysmiss Shouted, yelled or screamed at child Adults use certain ways to teach children the right behaviour or to adress a behaviour problem. these are the methods that are used and I want you to tell me if you or anyone in your household has used this methods with"the child" in the past month Shouted, yelled or screamed at child 1 Yes 2 No 9 Sysmiss Gave child something else to do Adults use certain ways to teach children the right behaviour or to adress a behaviour problem. these are the methods that are used and I want you to tell me if you or anyone in your household has used this methods with"the child" in the past month Gave child something else to do 1 Yes 2 No 9 Sysmiss Spanked, hit or slapped child on bottom with bare hand Adults use certain ways to teach children the right behaviour or to adress a behaviour problem. these are the methods that are used and I want you to tell me if you or anyone in your household has used this methods with"the child" in the past month Spanked, hit or slapped child on bottom with bare hand 1 Yes 2 No 9 Sysmiss Hit child on the bottom or elsewhere with belt, brush, stick, etc. Adults use certain ways to teach children the right behaviour or to adress a behaviour problem. these are the methods that are used and I want you to tell me if you or anyone in your household has used this methods with"the child" in the past month Hit child on the bottom or elsewhere with belt, brush, stick, etc. 1 Yes 2 No 9 Sysmiss Called child dumb, lazy or another name Adults use certain ways to teach children the right behaviour or to adress a behaviour problem. these are the methods that are used and I want you to tell me if you or anyone in your household has used this methods with"the child" in the past month Called child dumb, lazy or another name 1 Yes 2 No 9 Sysmiss Hit or slapped child on the face, head or ears Adults use certain ways to teach children the right behaviour or to adress a behaviour problem. these are the methods that are used and I want you to tell me if you or anyone in your household has used this methods with"the child" in the past month Hit or slapped child on the face, head or ears 1 Yes 2 No 9 Sysmiss Hit or slapped child on the hand, arm or leg Adults use certain ways to teach children the right behaviour or to adress a behaviour problem. these are the methods that are used and I want you to tell me if you or anyone in your household has used this methods with"the child" in the past month Hit or slapped child on the hand, arm or leg 1 Yes 2 No 9 Sysmiss Beat child up as hard as one could Adults use certain ways to teach children the right behaviour or to adress a behaviour problem. these are the methods that are used and I want you to tell me if you or anyone in your household has used this methods with"the child" in the past month Beat child up as hard as one could 1 Yes 2 No 9 Sysmiss Child needs to be physically punished to be brought up properly Adults use certain ways to teach children the right behaviour or to adress a behaviour problem. these are the methods that are used and I want you to tell me if you or anyone in your household has used this methods with"the child" in the past month Child needs to be physically punished to be brought up properly 1 Yes 2 No 8 Don't know / No opinion 9 Sysmiss Salt iodization test outcome Salt iodization test outcome Once you have tested the salt, circle number that corresponds to test outcome 1 No color change- not iodized 0 PPM 2 Color change- More than 0 PPM & less than 15 PPM 3 15 PPM or more 6 No salt in the household 7 Salt not tested 9 Sysmiss Sex of household head Sex of the household head 1 Male 2 Female Sysmiss Residence Residence of the household 1 Urban 2 Rural . Residence 2 ..Rural with road 3 ..Rural without road Sysmiss Region Region 1 North 2 Central 3 South Ethnicity of household head Ethnicity of household head 1 Lao 2 Khmu 3 Hmong 4 Other 9 Missing/DK Religion of household head Religion of household head 1 Buddhist 2 Animist 3 Other 9 Missing/DK Wealth index quintile Wealth index quintile No wealth index yet! Education of household head Education of household head 1 None 2 Primary 3 Lower secondary 4 Upper secondary 5 Higher 9 Missing/DK Sysmiss Household sample weight Household sample weight Cluster number Household number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Net number 1 2 3 4 5 6 7 8 9 10 Mosquito net observed 1 Observed 2 Not observed 9 Missing Brand/type of observed net 11 Olyset net 12 Permanent net 21 Ordinary net 31 Other net 98 DK brand / type 99 Missing Months ago net obtained Less than one month ago 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 23 24 25 26 27 28 29 30 36 95 More than 36 months ago 98 DK / Not sure 99 Missing Net treated with an insecticide when obtained 1 Yes 2 No 8 DK / Not sure 9 Missing Sysmiss Net soaked or dipped since obtained 1 Yes 2 No 8 DK / Not sure 9 Missing Sysmiss Months ago net soaked or dipped Less than one month ago 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 95 More than 24 months ago 98 DK / Not sure 99 Missing Sysmiss Persons slept under mosquito net last night 1 Yes 2 No 8 DK / Not sure 9 Missing Person 1 who slept under net Person who slept under net not in HH listing 1 2 3 4 5 6 7 8 9 10 11 14 17 90 No one / No one else Sysmiss Person 2 who slept under net Person who slept under net not in HH listing 1 2 3 4 5 6 7 8 9 10 11 13 14 17 20 90 No one / No one else Sysmiss Person 3 who slept under net Person who slept under net not in HH listing 2 3 4 5 6 7 8 9 10 11 12 13 15 16 24 90 No one / No one else Sysmiss Person 4 who slept under net Person who slept under net not in HH listing 3 4 5 6 7 8 9 10 11 13 14 16 22 90 No one / No one else Sysmiss Person 5 who slept under net Person who slept under net not in HH listing 5 6 7 8 9 10 11 17 90 No one / No one else Sysmiss Number of mosquito nets 1 2 3 4 5 6 7 8 9 10 Area 1 Urban 2 Rural with road 3 Rural without road Province 1 Vientiane Capital 2 Phongsaly 3 Luangnamtha 4 Oudomxay 5 Bokeo 6 Luangprabang 7 Huaphanh 8 Xayabury 9 Xiengkhuang 10 Vientiane 11 Borikhamxay 12 Khammuane 13 Savannakhet 14 Saravane 15 Sekong 16 Champasack 17 Attapeu Residence 1 Urban 2 Rural . 2 ..Rural with road 3 ..Rural without road Sysmiss Region 1 North 2 Central 3 South Education of household head 1 None 2 Primary 3 Lower secondary 4 Upper secondary 5 Higher 9 Missing/DK Ethnicity of household head 1 Lao 2 Khmu 3 Hmong 4 Other 9 Missing/DK Religion of household head 1 Buddhist 2 Animist 3 Other 9 Missing/DK Wealth index quintile No wealth index yet! Household sample weight Cluster number Cluster number 1 Household number Household number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Line number 1 2 3 4 5 6 7 8 9 10 11 12 16 Cluster number Cluster number Household number Household number: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Woman's line number Woman's line number: 1 2 3 4 5 6 7 8 9 10 11 12 16 Interviewer number Interviewer name and number: Day of interview Day of interview Month of interview Month of interview 1 2 9 10 11 12 Year of interview Year of interview 2011 2012 Result of woman's interview Result of woman's interview is: Completed01 Not at home02 Refused03 Partly completed04 Incapacitated05 Other (specify)96 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 96 Other Field editor This questionnaire is to be administered to all women age 15 through 49 Field edited by (Name and number) E01 E02 E03 E04 E05 E06 E07 E08 E09 E10 E11 E12 E13 E14 E15 E16 E17 E18 E19 E20 Data entry clerk Data entry clerk (Name and number) 1 Name Start of interview - Hour Record the time (Hour) 1 Hour 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 99 Sysmiss Start of interview - Minutes Record the time. 1 Minutes 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 99 Sysmiss End of interview - Hour Record the time 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 99 Missing Sysmiss End of interview - Minutes Record the time 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 99 Missing Sysmiss Month of birth of woman what month were you born? 1 2 3 4 5 6 7 8 9 10 11 12 98 DK Mount Sysmiss Year of birth of woman what year were you born? 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 9998 DK year Sysmiss Age of woman How old are you? How old were you at your last birthday? 1 Age Ever attended school Have you ever attended school or preschool? Go to 2_WB7 Now I would like you to read this sentence to me 1 yes 2 no Sysmiss Highest level of school you attended What is the highest level of school you attended? Go to WB7. I would like you to read this sentence to me. Preschool 1 Primary 2 Lower Secondary 3 Upper Secondary 4 Post secondary non tertiary 5 Tertiary Education Sysmiss Highest grade completed at that level What is the highest grade you completed at that level? 1 Preschool 00 2 Primary 11-15 3 Lower Sec 21-24 Upper Sec 31-33 4 Post secondary non tertiary 41-43 Tertiary Edu 51-57 5 Non Formal Edu. 61-63 6 98 DK 7 If less than 1 grade, enter "00" 11 12 13 14 15 21 22 23 24 31 32 33 41 42 43 51 52 53 54 55 57 98 Sysmiss Can read part of the sentence I would like you to read this sentence to me. Can you read part of the sentence to me? 1 Cannot read at all 2 Able to read only parts of sentence 3 Able to read whole sentence 4 No sentence in required language 5 Blind / mute, visually / speech impaired 9 Missing Sysmiss CMC Date of birth of woman 99 missing Flag for date of birth of woman 1 3 99 missing Sysmiss Imputed age of woman Age (in completed years)__ __ WB2. How old are you? Probe: How old were you at your last birthday? Compare and correct WB1 and/or WB2 if inconsistent 99 missing Frequency of reading newspaper or magazine How often do you read a newspaper or magazine: Almost every day, at least once a week, less than once a week or not at all? 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Sysmiss Frequency of listening to the radio Do you listen to the radio almost every day, at least once a week, less than once a week or not at all? 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Missing Sysmiss Frequency of watching TV How often do you watch television: Would you say that you watch almost every day, at least once a week, less than once a week or not at all? 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Missing Sysmiss Ever used a computer Have you ever used a computer? Go to WT9 Have you ever used the internet? And go to Next Module that Child Motality 1 Yes 2 No 9 Sysmiss Computer usage in the last 12 months Have you used a computer from any location in the last 12 months? Go to WT9 1 Yes 2 No Sysmiss Frequency of computer usage in the last month During the last one month, how often did you use a computer: almost every day, at least once a week, less than once a week or not at all? 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Sysmiss Ever used Internet Have you ever used the internet? If go to Next Module 1 Yes 2 No 9 Sysmiss Internet usage in the last 12 months In the last 12 months, have you used the internet? If go to Next Module 1 Yes 2 No Sysmiss Frequency of Internet usage in the past month During the last one month, how often did you use the internet: almost every day, at least once a week, less than once a week or not at all ? 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all Sysmiss Ever given birth Now i would like to ask about all the births you have had during your life Have you ever given birth? If 2 go to CM8 Have you ever given birth to a boy or girl who was born alive but later died If 2 go to CM10 Sum answers to CM5, CM7, and CM9. 1 Yes 2 No Sysmiss Any sons or daughters living with you Do you have any sons or daughters to whom you have given birth who are now living with you ? If 2 go to CM6 Do you have any sons or daughters to whom you have given birth who are alive but do not live with you? And 2 go to CM8 Have you ever given birth to a boy or girl who was born alive but later died? 1 Yes 2 No Sysmiss Sons living with you How many sons live with you? 1 if none record 00 2 3 4 5 6 Sysmiss Daughters living with you How many daughters live with you? 1 if none record 00 2 3 4 5 Sysmiss Any sons or daughters not living with you Do you have any sons or daughters to whom you have given birth who are alive but do not live with you? If 2 go to CM8 Have you ever given birth to a boy or girl who was born alive but later died? And If 2 go to CM10 Sum answers to CM5, CM7, and CM9. 1 Yes 2 No Sysmiss Sons living elsewhere 1 2 3 4 Sysmiss Daughters living elsewhere 1 2 3 4 Sysmiss Ever had child who later died 1 Yes 2 No Sysmiss Boys dead How many boys have died? 1 If none, record '00' 2 3 4 5 6 Sysmiss Girls dead How many girls have died ? 1 If none, record '00' 2 3 4 8 Sysmiss Children ever born 1 2 3 4 5 6 7 8 9 10 11 13 99 missing Sysmiss Last birth in last two years Check BH4 in Birth History form Last birth occurred within the last 2 years, that is, since (day and month of interview) in 2009 what month and year was (name) born? And What is his/her birthday? N No, last birth more than 2 years ago ฎามดศญ, ภก๓ฉ์๘กอพจกธศพ Y Yes, last birth in the last 2 years มดศญ, ภก๓ฉ์๘กรญ 2 ฏ๓ฐศพญ Any births since last birth Have you had any live births since the birth of (name of last birth in Birth History)? If 1 go to Record Birth(s) in Birth History 1 Yes 2 No 9 Sysmiss Wanted last child then When you got pregnant with (name), did you want to get pregnant at that time? If 1 go to Next Module 1 Yes 2 No 9 Sysmiss Wanted child later or did not want more children Did you want to have a baby later on, or did you not want any (more) children? If 2 go to Next Module 1 Later 2 No more 9 Sysmiss Desired waiting time (units) How much longer did you want to wait? 1 Months 2 Years 9 998 DK Sysmiss Desired waiting time (number) How much longer did you want to wait? 1 Months 2 Years 3 4 98 998 DK Sysmiss Received antenatal care Did you see anyone for antenatal care during your pregnancy with (name)? If 2 go to MN5 1 Yes 2 No 9 Sysmiss Antenatal care: Doctor How many months pregnant were you when you first received antenatal care for this pregnancy? 98 Dk 99 missing A Antenatal care: Nurse / Midwife 99 Missing B Nurse / Midwife Antenatal care: Auxiliary midwife 99 Missing C Auxiliary midwife Antenatal care: Traditional birth attendant 99 Missing F Traditional birth attendant Antenatal care: Community health worker ? Missing G Community health worker Antenatal care: Other 99 Missing X Other First received antenatal care for this pregnancy 1 2 3 4 5 6 7 8 9 98 DK 99 Missing Sysmiss Times received antenatal care How many times did you receive antenatal care during this pregnancy? 1 2 3 4 5 6 7 8 9 10 11 12 98 DK 99 Missing Sysmiss Blood pressure Was your blood pressure measured? 1 Yes 2 No Sysmiss Urine sample Did you give a urine sample? 1 Yes 2 No Sysmiss Blood sample Did you give a blood sample? 1 Yes 2 No Sysmiss Has own immunization card Do you have a card or other document with your own immunizations listed? May i see it please? 1 Yes (card seen) 2 Yes (card not seen) 3 No 8 DK 9 Sysmiss Any tetanus toxoid injection during last pregnancy did you receive any injection in the arm or shoulder to prevent the baby from getting tetanus, that is convulsions after birth? If 2 go to MN9 And If 8 go to MN9 Did you receive any tetanus injection at any time before your pregnancy with (name), either to protect yourself or another baby? 1 Yes 2 No 8 DK 9 Missing Sysmiss Doses of tetanus toxoid during last pregnancy How many times did you receive this tetanus injection during your pregnancy with (name)? If 8 go to MN9 1 2 3 4 5 6 8 DK 99 Missing Sysmiss Any tetanus toxoid injection before last pregnancy Did you receive any tetanus injection at any time before your pregnancy with (name), either to protect yourself or another baby? Iif 2 or 8 go to MN11A too. During this pregnancy, were you given or did you buy any iron tablets or iron syrup? And More Option for continue you have go to If 2 or 8 go to MN17 Who assisted with the delivery of Anyone else? 1 Yes 2 No 8 DK 9 99 Missing Sysmiss Doses of tetanus toxoid before last pregnancy How many times did you receive a tetanus injection before your pregnancy with (name)? If 8go to MN11A During this pregnancy, were you given or did you buy any iron tablets or iron syrup? And If 2 or 8 go to MN17 . Who assisted with the delivery of Anyone else? 1 yes 2 no 3 4 5 6 7 8 DK 99 Missing Sysmiss Years ago last tetanus toxoid received How many years ago did you receive the last tetanus injection before your pregnancy with (name)? 1 2 3 4 5 6 7 8 9 10 11 12 17 99 Missing Sysmiss Any Iron tables or Iron syrup During this pregnancy, were you given or did you buy any iron tablets or iron syrup? If 2 or 8 please go to MN17 Who assisted with the delivery of Anyone else? 1 Yes 2 No 8 DK 9 Sysmiss Take the tables or Iron syrup During the whole pregnancy, for how many days did you take the tablets or syrup? 3 5 7 10 15 20 25 30 31 32 47 50 56 60 62 70 80 90 110 120 150 170 180 196 209 210 240 270 998 DK Sysmiss Assistance at delivery: Doctor Who assisted with the delivery of Anyone else? 99 missing ? A Doctor Assistance at delivery: Nurse / Midwife 99 Missing ? B Nurse / Midwife Assistance at delivery: Auxiliary midwife Who assisted with the delivery of Anyone else? 99 Missing ? C Auxiliary midwife Assistance at delivery: Traditional birth attendant Who assisted with the delivery of Anyone else? 99 Missing ? F Traditional birth attendant Assistance at delivery: Community health worker Who assisted with the delivery of Anyone else? 99 Missing ? G Community health worker Assistance at delivery: Relative / Friend Who assisted with the delivery of Anyone else? 99 Missing ? H Relative / Friend Assistance at delivery: Other Who assisted with the delivery of Anyone else? 100 99 Missing ? X Other Assistance at delivery: No one Who assisted with the delivery of Anyone else? 99 Missing ? Y No one Place of delivery Where did you give birth to (name)? If selected 11 or 12 or 96 please go to MN20 11 Respondent's home 12 Other home 21 Hospital 22 Health centre 26 Other public 31 Private hospital 32 Private clinic 33 Private maternity home 36 Other private medical 96 Other 99 Missing Sysmiss Delivery by caesarean section Was (name) delivered by caesarean section? 1 Yes 2 No 9 Sysmiss Size of child at birth When (name) was born, was he/she very large, larger than average, average, smaller than average, or very small? 1 Very large 2 Larger than average 3 Average 4 Smaller than average 5 Very small 8 DK 9 99 Missing Sysmiss Child weighed at birth Was (name) weighed at birth? 1 Yes 2 No 8 DK 9 99 Missing Sysmiss Weight from card or recall How much did (name) weigh? 1 Card 2 Recall 99 Missing Sysmiss Weight at birth (Kilograms) . How much did (name) weigh? 1.9 2 2.4 2.5 2.6 2.7 2.8 2.9 3 3.01 3.06 3.1 3.154 3.2 3.3 3.4 3.5 3.6 3.7 3.8 4 99 Missing 99998 DK Sysmiss Menstrual period returned since the birth of child Has your menstrual period returned since the birth of (name)? 1 Yes 2 No 9 Sysmiss Ever breastfeed Did you ever breastfeed (name)? If Selected 2 please go to Next Module 1 Yes 2 No 9 Sysmiss Time baby put to breast (unit) How long after birth did you first put (name) to the breast? Immediately 1 Hours 2 Days 9 Special Sysmiss Time baby put to breast (number) 1 2 3 4 5 7 8 9 10 98 998 Don't know or remember Sysmiss Within first 3 days after delivery, child given anything to drink other than breast milk In the first three days after delivery, was (name) given anything to drink other than breast milk? If 2 please go to Next Module 1 Yes 2 No Sysmiss Child given to drink - Milk (other than breast milk) What was (name) given to drink? And Anything else? 99 Missing A Milk (other than breast milk) Child given to drink - Plain water What was (name) given to drink? And Anything else? 99 Missing B Plain water Child given to drink - Sugar or glucose water What was (name) given to drink? And Anything else? 99 Missing C Sugar or glucose water Child given to drink - Gripe water What was (name) given to drink?And Anything else? 99 Missing D Gripe water Child given to drink - Sugar - salt - water solution What was (name) given to drink? And Anything else? 99 Missing E Sugar-salt-water solution Child given to drink - Fruit juice What was (name) given to drink? And Anything else? 99 Missing F Fruit juice Child given to drink - Infant formula What was (name) given to drink? And Anything else? 99 Missing G Infant formula Child given to drink - Tea / Infusions What was (name) given to drink? And Anything else? 99 Missing H Tea / Infusions Child given to drink - Honey What was (name) given to drink? And Anything else? 99 Missing I Honey Child given to drink - Other What was (name) given to drink? And Anything else? 99 Missing X Other Time stayed in health facility after delivery (unit) Now I would like to ask you some questions about what happened in the hours and days after the birth of (name). 1 Hours 2 Days 3 Weeks 9 998 DK Sysmiss Time stayed in health facility after delivery (number) Now I would like to ask you some questions about what happened in the hours and days after the birth of (name). 1 2 3 4 5 6 8 9 15 18 99 Missing 998 DK Sysmiss Child's health checked before leaving facility Before you left , did anyone check on (name)'s health? 1 Yes 2 No 9 99 Missing Sysmiss Respondent's health checked before leaving facility what about checks on your health - I mean, someone assessing your health, for example asking questions about your health or examining you Did anyone check on your health before you left ? 1 Yes 2 No 9 99 Missing Sysmiss Child's health checked after leaving facility Now I would like to talk to you about what happened after you left . Did anyone check on (name)'s health after you left ? -If selected 1please go to PN11 Did such a check happen only once, or more than once? If selected 1 please go to PN12A and If 2 please go to 12B How long after delivery did that check happen? How long after delivery did the first of these checks happen? - If selected 2 please go to PN16 did anyone check on your health?And Than go to Next Module include selected 1 or 2 1 Yes 2 No 9 99 Missing 998 DK Sysmiss Child's health checked by attending staff after delivery After the delivery was over and before left you, did check on (name)'s health? 1 Yes 2 No 9 Sysmiss Respondent's health checked by attending staff after delivery did check on your health before leaving? 1 Yes 2 No 9 Sysmiss Child's health checked after attending staff left After the left you left from Health care? did anyone check on the health of (name)? - If selected 1 please go to PN11 Did such a check happen only once, or more than once? And If Selected to 1 please go to PN12A and If selected 2 please go to PN12B How long after delivery did that check happen? - If selected 2 pllease go to PN18 did anyone check on your health?And If 1 please go to PN20 and selected 2 please go to Next Module 1 Yes 2 No 9 99 Missing Sysmiss Child's health checked by anyone after delivery I would like to talk to you about checks on (name)'s health after delivery - for example, someone examining (name), checking the cord, or seeing if the baby is ok. did anyone check on his/her health? If 2 please go to PN19 did anyone check on your health?And If 2 please go to Next Module 1 Yes 2 No 9 Sysmiss Child checked once or more Did such a check happen only once, or more than once? - If selected 1 please go to PN12A How long after delivery did that check happen? -If selected 2 please go to PN12B How long after delivery did the first of these checks happen? 1 Once 2 More than once 998 DK Sysmiss Time after delivery child's check happened (unit) 1 Hours 2 Days 3 Weeks 998 DK Sysmiss Time after delivery child's check happened (number) 1 2 3 4 7 8 20 98 DK 99 Missing Sysmiss Who checked on child's health at that time: Doctor Who checked on (name)'s health at that time? 99 Missing A Doctor Who checked on child's health at that time: Nurse/Midwife Who checked on (name)'s health at that time? 99 Missing B Nurse / Midwife Who checked on child's health at that time: Auxiliary midwife Who checked on (name)'s health at that time? 99 Missing C Auxiliary midwife Who checked on child's health at that time: Traditional birth attendant Who checked on (name)'s health at that time? 99 Missing F Traditional birth attendant Who checked on child's health at that time: Community health worker Who checked on (name)'s health at that time? 99 Missing G Community health worker Who checked on child's health at that time: Relative/Friend Who checked on (name)'s health at that time? 99 Missing H Relative / Friend Who checked on child's health at that time: Other Who checked on (name)'s health at that time? 99 Missing X Other Place of child's health check Where did this check take place? 11 Respondent's home 12 Other home 21 Government hospital 22 Government health centre 26 Other public 31 Private hospital 32 Private clinic 33 Private maternity home 36 Other private medical 96 Other 99 Missing Sysmiss Respondent's health checked by anyone after leaving facility After you left, did anyone check on your health? - If 1Please go to PN20 Did such a check happen only once, or more than once?And Please if 1please go to PN21A . How long after delivery did that check happen? and if 2 please go to PN21B. How long after delivery did the first of these checks happen? - If 2 please go to Next Module 1 Yes 2 No 9 998 DK Sysmiss Respondent's health checked by anyone after delivery and assisting staff left did anyone check on your health? - If selecled 1 Please go to PN20 Did such a check happen only once, or more than once? And If selected 1 please go to PN21A, How long after delivery did that check happen? if 2 selected 2 please go to PN21B,How long after delivery did the first of these checks happen? and If selected 2 go to Next Module 1 Yes 2 No 998 DK Sysmiss Respondent's health checked by anyone after the birth of child did anyone check on your health? If 2 Please go to Next Module 1 Yes 2 No 9 Sysmiss Respondent checked once or more Did such a check happen only once, or more than once? - If selected 1 please go to PN21A How long after delivery did that check happen? - If selected 2 please go to PN21B, How long after delivery did the first of these checks happen? 1 Once 2 More than once 998 DK Sysmiss Time after delivery respondent's check happened (unit) How long after delivery did that check happen? 1 Hours 2 Days 3 Weeks 9 998 DK Sysmiss Time after delivery respondent's check happened (number) How long after delivery did the first of these checks happen? 1 2 3 4 7 8 98 DK 99 Missing Sysmiss Who checked on respondent's health at that time: Doctor Who checked on your health at that time? 99 Missing A Doctor Who checked on respondent's health at that time: Nurse/Midwife Who checked on your health at that time? 99 Missing B Nurse / Midwife Who checked on respondent's health at that time: Auxiliary midwife Who checked on your health at that time? 99 Missing C Auxiliary midwife Who checked on respondent's health at that time: Traditional birth attendant Who checked on your health at that time? 99 Missing F Traditional birth attendant Who checked on respondent's health at that time: Community health worker Who checked on your health at that time? 99 Missing G Community health worker Who checked on respondent's health at that time: Relative/Friend Who checked on your health at that time? 99 Missing H Relative / Friend Who checked on respondent's health at that time: Other Who checked on your health at that time? 99 Missing X Other Place of respondent's health check Where did this check take place? 11 Respondent's home 12 Other home 21 Government hospital 22 Government health centre 26 Other public 31 Private hospital 32 Private clinic 33 Private maternity home 36 Other private medical 96 Other 99 Missing Sysmiss Symptoms: Child not able to drink or breastfeed Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? ? A Child not able to drink or breastfeed Symptoms: Child becomes sicker Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? ? B Child becomes sicker B Symptoms: Child develops a fever Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? ? C Child develops a fever Symptoms: Child has fast breathing Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? ? D Child has fast breathing Symptoms: Child has difficult breathing Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? ? E Child has difficult breathing Symptoms: Child has blood in stools Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? ? F Child has blood in stools Symptoms: Child is drinking poorly Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? ? G Child is drinking poorly Symptoms: Child has diarrhea Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? ? H Child has diarrhea Symptoms: Child has cough Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? ? I Child has cough Symptoms: Other Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? ? X Other Symptoms: Other Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? ? Y Other Symptoms: Other Sometimes children have severe illnesses and should be taken immediately to a health facility. What types of symptoms would cause you to take your child to a health facility right away? ? Z Other Current method: Female sterilization Female Sterilization?Women can have an operation to avoid having any more children 1 Yes 2 No Sysmiss Current method: Male sterilization Male Sterilization? Men can have an operation to avoid having any more children. 1 Yes 2 No Sysmiss Current method: IUD IUD? Women can have a loop or coil placed inside them by a doctor or a nurse. 1 Yes 2 No 9 Sysmiss Current method: Injectables Injectables? Women can have an injection by a health provider that stops them from becoming pregnant for one or more months. 1 Yes 2 No 9 Sysmiss Current method: Implants Implants? Women can have one or more small rods placed in their upper arm by a doctor or nurse which can prevent pregnancy for one or more years 1 Yes 2 No Sysmiss Current method: Pill Pill?Women can take a pill every day to avoid becoming pregnant. 1 Yes 2 No Sysmiss Current method: Male condom Condom?Men can put a rubber sheath on their penis before sexual intercourse. 1 Yes 2 No Sysmiss Current method: Female condom Female Condom? Women can place a sheath in their vagina before sexual intercourse 1 Yes 2 No Sysmiss Current method: Rhythm Rhythm Method? Every month that a woman is sexually active she can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant. 1 Yes 2 No Sysmiss Current method: Withdrawal 1 Yes 2 No 9 Sysmiss Current method: Other method Have you heard of any other ways or methods that women or men can use to avoid pregnancy 1 Yes 2 No 9 Sysmiss Currently pregnant Are you pregnant now? If selected 1 please go to CP5 Do you know of a place where you can obtain a method of family planning? And if selescted 2 please go to Next Module 1 Yes, currently pregnant 2 No 8 Unsure or DK Sysmiss Currently using a method to avoid pregnancy Couples use various ways or methods to delay or avoid a pregnancy. Are you currently doing something or using any method to delay or avoid getting pregnant? If selected 2 please go to CP5 Do you know of a place where you can obtain a method of family planning? 1 Yes 2 No Sysmiss Current method: Female sterilization 99 mossing A Female sterilization Current method: Male sterilization What are you doing to delay or avoid a pregnancy? 99 Missing B Male sterilization Current method: IUD What are you doing to delay or avoid a pregnancy? 99 Missing C IUD Current method: Injectables What are you doing to delay or avoid a pregnancy? ? Missing D Injectables Current method: Implants What are you doing to delay or avoid a pregnancy? ? Missing E Implants Current method: Pill What are you doing to delay or avoid a pregnancy? ? Missing F Pill Current method: Male condom What are you doing to delay or avoid a pregnancy? ? Missing G Male condom Current method: Female condom What are you doing to delay or avoid a pregnancy? ? Missing H Female condom Current method: Diaphragm What are you doing to delay or avoid a pregnancy? ? Missing I Diaphragm Current method: Foam / Jelly Withdrawal? Men can be careful and pull out before climax. ? Missing J Foam / Jelly Current method: Lactational amenorrhoea method What are you doing to delay or avoid a pregnancy? ? Missing K Lactational amenorrhoea method (LAM) Current method: Periodic abstinence / Rhythm What are you doing to delay or avoid a pregnancy? ? Missing L Periodic abstinence / Rhythm Current method: Withdrawal What are you doing to delay or avoid a pregnancy? ? Missing M Withdrawal Current method: Other What are you doing to delay or avoid a pregnancy? 99 Missing X Other Place obtained current method 11 Government hospital 12 Government health centre 13 Family planning clinic 14 Mobile clinic 15 Field worker 16 Other public sector 21 Private Hospital/Clinic 22 Private Pharmacy 23 Private Doctor 24 Private mobile clinic 25 Private field worker 26 Other Private 31 Shop 33 Friend /Relative 96 Other source 99 Missing Sysmiss Know place to obtain family planning method 1 Yes 2 No 9 Missing Sysmiss Place to obtain method: (public sector) Government hospital ? Missing A Government hospital Place to obtain method: (public sector) Government health center ? Missing B Government health center Place to obtain method: (public sector) Family planning clinic ? Missing C Loa Youth Center Place to obtain method: (public sector) Mobile clinic ? Missing D Outreach team Place to obtain method: (public sector) Field worker ? Missing E Village Health Volunteer Place to obtain method: Other public ? Missing F Other public Place to obtain method: Private hospital / clinic ? Missing G Private hospital / clinic Place to obtain method: Private pharmacy ? Missing H Pharmacy Place to obtain method: Private doctor ? Missing I Private Doctor Place to obtain method: Private Mobile clinic ? Missing J Private mobile clinic Place to obtain method: Private field worker ? Missing K Private field worker Place to obtain method: Other private medical ? Missing L Other private medical Place to obtain method: Shop ? Missing M Shop Place to obtain method: Friend/Relative ? Missing N Friend/Relative Place to obtain method: Other source ? Missing X Other source Wanted to get pregnant at the time 1 Yes 2 No 9 Missing Sysmiss Wanted baby later or did not want more children 1 Later 2 No more 9 Missing Sysmiss Want another child in the future 1 Have another child 2 No more / None 8 Undecided / Don't know 9 Missing Sysmiss Want a child 1 Have (a/another) child 2 No more / None 3 Says she cannot get pregnant 8 Undecided / Don't know 9 Missing Sysmiss Desired waiting time (unit) 1 Months 2 Years 9 Special Sysmiss Desired waiting time (number) 1 2 3 4 5 6 7 8 9 10 12 15 20 25 30 93 Soon / Now 94 Says she cannot get pregnant 95 After marriage 96 Other 98 Don't know 99 Missing Sysmiss Able to get pregnant 1 Yes 2 No 8 DK 9 Missing Sysmiss Reason: Infrequent sex / No sex ? Missing A Infrequent sex / No sex Reason: Menopausal ? Missing B Menopausal Reason: Never menstruated ? Missing C Never menstruated Reason: Hysterectomy ? Missing D Hysterectomy Reason: Trying to get pregnant for 2 years without result ? Missing E Trying to get pregnant for 2 years without result Reason: Postpartum amenorrheic ? Missing F Postpartum amenorrheic Reason: Breastfeeding ? Missing G Breastfeeding Reason: Too old ? Missing H Too old Reason: Fatalistic ? Missing I Fatalistic Reason: Other ? Missing X Other Reason: Don't know ? Missing Z Don't know Start of last menstrual period (unit) 1 Days ago 2 Weeks ago 3 Months ago 4 Years ago 9 Special Sysmiss Start of last menstrual period (number) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 20 21 23 25 26 94 In menopause/had hysterectomy 95 Before last birth 96 Never menstruated 99 Missing Sysmiss If she goes out with out telling husband: wife beating justified 1 Yes 2 No 8 DK 9 Missing Sysmiss If she neglects the children: wife beating justified 1 Yes 2 No 8 DK 9 Missing Sysmiss If she argues with husband: wife beating justified 1 Yes 2 No 8 DK 9 Missing Sysmiss If she refuses sex with husband: wife beating justified 1 Yes 2 No 8 DK 9 Missing Sysmiss If she burns the food: wife beating justified 1 Yes 2 No 8 DK 9 Missing Sysmiss Currently married or living with a man 1 Yes, currently married 2 Yes, living with a man 3 No, not in union Sysmiss Age of husband/partner 10 11 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 65 67 69 71 98 DK 99 Missing Sysmiss Ever married or lived with a man 1 Yes, formerly married 2 Yes, formerly lived with a man 3 No 9 Missing Sysmiss Marital status 1 Widowed 2 Divorced 3 Separated 9 Missing Sysmiss Married or lived with a man once or more than once 1 Only once 2 More than once 9 Missing Sysmiss Month of first union 1 2 3 4 5 6 7 8 9 10 11 12 97 Inconsistent 98 DK 99 Missing Sysmiss Year of first union 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 9997 Inconsistent 9998 DK 9999 Missing Sysmiss Age at first union 13 14 15 16 17 18 19 20 22 97 Inconsistent 99 Missing Sysmiss CMC Date of marriage of woman Flag for date of marriage of woman 1 Month and year given 2 Month and age given - year imputed 3 Year and age given - month imputed 4 Year and age given - year ignored 5 Year given - age, month imputed 6 Age given - year, month imputed 7 Month given - age, year imputed 8 None - all imputed Sysmiss Imputed age of woman at marriage Age at first sexual intercourse Never had intercourse 10 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 32 36 38 95 First time when started living with partner 97 Inconsistent 99 Missing Sysmiss Condom used during first sexual intercourse 1 Yes 2 No 8 DK / Don't remember 9 Missing Sysmiss Time since last sexual intercourse (unit) 1 Days ago 2 Weeks ago 3 Months ago 4 Year ago 9 Special Sysmiss Time since last sexual intercourse (number) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 21 23 97 Inconsistent 99 Missing Sysmiss Condom used at last sexual intercourse 1 Yes 2 No 9 Missing Sysmiss Relationship to last sexual partner 1 Husband 2 Cohabiting partner 3 Boyfriend 4 Casual acquaintance 6 Other 9 Missing Sysmiss Age of last sexual partner 15 18 20 21 22 25 31 32 33 36 40 42 47 49 98 DK 99 Missing Sysmiss Ever heard of AIDS 1 Yes 2 No 9 Missing Sysmiss Can avoid AIDS virus by having one uninfected partner 1 Yes 2 No 8 DK 9 Missing Sysmiss Can get AIDS virus through supernatural means 1 Yes 2 No 8 DK 9 Missing Sysmiss Can avoid AIDS virus by using a condom correctly every time 1 Yes 2 No 8 DK 9 Missing Sysmiss Can get AIDS virus from mosquito bites 1 Yes 2 No 8 DK 9 Missing Sysmiss Can get AIDS virus by sharing food with a person who has AIDS 1 Yes 2 No 8 DK 9 Missing Sysmiss Healthy-looking person may have AIDS virus 1 Yes 2 No 8 DK 9 Missing Sysmiss AIDS virus from mother to child during pregnancy 1 Yes 2 No 8 DK 9 Missing Sysmiss AIDS virus from mother to child during delivery 1 Yes 2 No 8 DK 9 Missing Sysmiss AIDS virus from mother to child through breastfeeding 1 Yes 2 No 8 DK 9 Missing Sysmiss Should female teacher with AIDS virus be allowed to teach in school 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Would buy fresh vegetables from shopkeeper with AIDS virus 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss If HH member became infected with AIDS virus, would want it to remain a secret 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Willing to care for person with AIDS in household 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Justified in asking to use a condom if husband has a disease 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Justified in refusing sex if husband has other partners 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Can say no if does not to want to have sexual intercourse 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Can ask husband to use condom 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Info at ANC about AIDS - from mother 1 Yes 2 No 8 DK 9 Missing Sysmiss Info at ANC about AIDS - things to do 1 Yes 2 No 8 DK 9 Missing Sysmiss Info at ANC about AIDS - tested for AIDS 1 Yes 2 No 8 DK 9 Missing Sysmiss Info at ANC about AIDS - offered AIDS test 1 Yes 2 No 8 DK 9 Missing Sysmiss Tested for AIDS virus as part of antenatal care 1 Yes 2 No 8 DK 9 Missing Sysmiss Received results from test during antenatal care 1 Yes 2 No 8 DK 9 Missing Sysmiss Received consultation after testing during antenatal care 1 Yes 2 No 8 DK 9 Missing Sysmiss Tested for AIDS virus during delivery 1 Yes 2 No 9 Missing Sysmiss Received results from test during delivery 1 Yes 2 No 9 Missing Sysmiss Tested for AIDS virus since test during pregnancy 1 Yes 2 No 9 Missing Sysmiss Most recent time of testing for AIDS virus 1 Less than 12 months ago 2 12-23 months ago 3 2 or more years ago 9 Missing Sysmiss Ever been tested for AIDS virus 1 Yes 2 No 9 Missing Sysmiss Most recent time of testing for AIDS virus 1 Less than 12 months ago 2 12-23 months ago 3 2 or more years ago 9 Missing Sysmiss Received results of AIDS virus test 1 Yes 2 No 8 DK 9 Missing Sysmiss Know a place to get AIDS virus test 1 Yes 2 No 9 Missing Sysmiss Heard about transmitted through sexual 1 Yes 2 No 9 Missing Sysmiss Last 12 months had a disease through sexual contact 1 Yes 2 No 8 DK 9 Missing Sysmiss Last 12 months smelling abnormal genital discharge 1 Yes 2 No 8 DK 9 Missing Sysmiss Last 12 months had a genital sore or ulcer 1 Yes 2 No 8 DK 9 Missing Sysmiss South advice or treatment for STI 1 Yes 2 No 9 Missing Sysmiss Place sought advice or treatment 11 Government hospital 12 Government health centre 13 Lao youth center 14 Outreach team 15 Villae health volunteer 16 Other public sector 21 Private Hospital/Clinic 22 Private Pharmacy 23 Private Doctor 24 Private mobile clinic 25 Private field worker 26 Other Private 31 Shop 33 Friend /Relative 96 Other source 99 Missing Sysmiss Mother's children ever born 1 Respondent only 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 99 Missing Sysmiss Children born before respondent 1 2 3 4 5 6 7 8 9 10 11 Sysmiss Net number 1 2 3 4 5 Sysmiss Mosquito net observed 1 Observed 2 Not observed 9 Missing Sysmiss Brand/type of observed net 11 Olyset net 12 Permanent net 21 Ordinary net 31 Other net 98 DK brand / type 99 Missing Sysmiss Months ago net obtained Less than one month ago 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 22 24 25 26 27 28 29 31 36 95 More than 36 months ago 98 DK / Not sure 99 Missing Sysmiss Net treated with an insecticide when obtained 1 Yes 2 No 8 DK / Not sure 9 Missing Sysmiss Net soaked or dipped since obtained 1 Yes 2 No 8 DK / Not sure 9 Missing Sysmiss Months ago net soaked or dipped Less than one month ago 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 95 More than 24 months ago 98 DK / Not sure 99 Missing Sysmiss Persons slept under mosquito net last night 1 Yes 2 No 8 DK / Not sure 9 Missing Sysmiss Person 1 who slept under net Person who slept under net not in HH listing 1 2 3 4 5 6 7 8 9 11 90 No one / No one else Sysmiss Person 2 who slept under net Person who slept under net not in HH listing 2 3 4 5 6 7 8 9 10 11 12 90 No one / No one else Sysmiss Person 3 who slept under net 3 4 5 6 7 8 9 10 11 12 24 90 Sysmiss Person 4 who slept under net Person who slept under net not in HH listing 3 4 5 6 7 8 9 10 11 12 13 14 25 90 No one / No one else Sysmiss Person 5 who slept under net Person who slept under net not in HH listing 5 6 7 8 9 10 12 14 90 No one / No one else Sysmiss Area 1 Urban 2 Rural with road 3 Rural without road Province 1 Vientiane Capital 2 Phongsaly 3 Luangnamtha 4 Oudomxay 5 Bokeo 6 Luangprabang 7 Huaphanh 8 Xayabury 9 Xiengkhuang 10 Vientiane 11 Borikhamxay 12 Khammuane 13 Savannakhet 14 Saravane 15 Sekong 16 Champasack 17 Attapeu Residence 1 Urban 2 Rural . 2 ..Rural with road 3 ..Rural without road Sysmiss Region 1 North 2 Central 3 South Date of interview women (CMC) 1341 1342 1343 1344 1345 1346 Date of birth of woman (CMC) Age 1 15-19 2 20-24 3 25-29 4 30-34 5 35-39 6 40-44 7 45-49 Sysmiss Date of marriage (CMC) Age at first marriage/union Date of birth of first child (CMC) 1 1203 2 1034 3 1318 4 1328 5 1020 6 1173 7 1289 8 1098 9 1118 10 1065 11 1270 12 1276 13 1001 14 1311 15 1102 16 1083 17 1014 18 1185 19 1305 20 1123 21 1334 22 1220 23 1320 24 1024 25 1321 26 1071 27 1238 28 1236 29 1124 30 1095 31 1101 32 1322 33 1288 34 1340 35 1096 36 1041 37 1296 38 1250 39 1267 40 1297 41 1271 42 1264 43 1204 44 1234 45 1202 46 1093 47 1055 48 1216 49 1332 50 1206 51 1253 52 1316 53 1290 54 1172 55 1257 56 1142 57 1278 58 1268 59 1161 60 1057 61 1040 62 1171 63 1063 64 1312 65 1084 66 1326 67 1218 68 1199 69 1190 70 1283 71 1200 72 1266 73 1009 74 1299 75 1315 76 1223 77 1035 78 1273 79 1150 80 1138 81 1062 82 1119 83 1148 84 1128 85 1240 86 1293 87 1337 88 1026 89 1043 90 1227 91 1111 92 1212 93 1074 94 1329 95 1144 96 1324 97 1081 98 1122 99 1330 100 1109 101 1031 102 1153 103 1246 104 1217 105 1070 106 1221 107 1085 108 1282 109 998 110 1163 111 1214 112 1280 113 1310 114 1226 115 1252 116 1113 117 1179 118 1189 119 1004 120 1104 121 1141 122 1343 123 1345 124 993 125 1201 126 1131 127 1249 128 1044 129 1304 130 1255 131 1303 132 1342 133 1174 134 1235 135 1126 136 1105 137 1178 138 1291 139 1239 140 1160 141 1241 142 1091 143 1208 144 1135 145 1005 146 1157 147 1145 148 1314 149 1284 150 1006 151 1158 152 1197 153 987 154 1279 155 982 156 1325 157 1228 158 1309 159 1110 160 1180 161 1182 162 1082 163 1194 164 1136 165 1256 166 1298 167 1017 168 1333 169 1307 170 1272 171 1132 172 1294 173 1222 174 1244 175 1263 176 1147 177 1281 178 1080 179 1100 180 1243 181 1115 182 1187 183 1319 184 1336 185 1056 186 1137 187 1169 188 1260 189 999 190 1230 191 985 192 1086 193 978 194 1087 195 1097 196 1165 197 1259 198 1134 199 1164 200 1008 201 1077 202 1207 203 1099 204 989 205 1286 206 1339 207 1114 208 1155 209 1277 210 1269 211 1127 212 1022 213 1139 214 1301 215 1121 216 1211 217 1050 218 1066 219 968 220 1112 221 1191 222 1052 223 1331 224 1215 225 1019 226 1046 227 1108 228 1167 229 1088 230 1261 231 1247 232 1308 233 1242 234 1069 235 1090 236 1047 237 1210 238 1117 239 1143 240 1213 241 1072 242 1295 243 1033 244 1159 245 1064 246 1025 247 973 248 1192 249 1205 250 1049 251 1196 252 1073 253 1224 254 1193 255 1186 256 1168 257 1306 258 1059 259 1078 260 1335 261 1133 262 1058 263 1162 264 1219 265 988 266 1011 267 1053 268 991 269 1152 270 1262 271 1094 272 974 273 1231 274 1300 275 1048 276 1116 277 1327 278 1188 279 1156 280 1010 281 1176 282 1051 283 965 284 1038 285 1225 286 1107 287 1036 288 1092 289 1254 290 951 291 928 292 1341 293 927 294 1338 295 964 296 1237 297 1129 298 1198 299 938 300 1028 301 1274 302 1285 303 1103 304 1275 305 1184 306 1106 307 1245 308 1166 309 1248 310 1146 311 1232 312 1039 313 1067 314 1302 315 1154 316 1060 317 1287 318 1344 319 1032 320 1012 321 1029 322 1209 323 1068 324 1030 325 1061 326 1023 327 1313 328 1002 329 1054 330 1181 331 992 332 1076 333 1229 334 1016 335 997 336 962 337 983 927 928 938 951 962 964 965 968 973 974 978 982 983 985 987 988 989 991 992 993 997 998 999 1001 1002 1004 1005 1006 1008 1009 1010 1011 1012 1014 1016 1017 1019 1020 1022 1023 1024 1025 1026 1028 1029 1030 1031 1032 1033 1034 1035 1036 1038 1039 1040 1041 1043 1044 1046 1047 1048 1049 1050 1051 1052 1053 1054 1055 1056 1057 1058 1059 1060 1061 1062 1063 1064 1065 1066 1067 1068 1069 1070 1071 1072 1073 1074 1076 1077 1078 1080 1081 1082 1083 1084 1085 1086 1087 1088 1090 1091 1092 1093 1094 1095 1096 1097 1098 1099 1100 1101 1102 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1121 1122 1123 1124 1126 1127 1128 1129 1131 1132 1133 1134 1135 1136 1137 1138 1139 1141 1142 1143 1144 1145 1146 1147 1148 1150 1152 1153 1154 1155 1156 1157 1158 1159 1160 1161 1162 1163 1164 1165 1166 1167 1168 1169 1171 1172 1173 1174 1176 1178 1179 1180 1181 1182 1184 1185 1186 1187 1188 1189 1190 1191 1192 1193 1194 1196 1197 1198 1199 1200 1201 1202 1203 1204 1205 1206 1207 1208 1209 1210 1211 1212 1213 1214 1215 1216 1217 1218 1219 1220 1221 1222 1223 1224 1225 1226 1227 1228 1229 1230 1231 1232 1234 1235 1236 1237 1238 1239 1240 1241 1242 1243 1244 1245 1246 1247 1248 1249 1250 1252 1253 1254 1255 1256 1257 1259 1260 1261 1262 1263 1264 1266 1267 1268 1269 1270 1271 1272 1273 1274 1275 1276 1277 1278 1279 1280 1281 1282 1283 1284 1285 1286 1287 1288 1289 1290 1291 1293 1294 1295 1296 1297 1298 1299 1300 1301 1302 1303 1304 1305 1306 1307 1308 1309 1310 1311 1312 1313 1314 1315 1316 1318 1319 1320 1321 1322 1324 1325 1326 1327 1328 1329 1330 1331 1332 1333 1334 1335 1336 1337 1338 1339 1340 1341 1342 1343 1344 1345 Sysmiss Date of birth of last child (CMC) Marital/Union status 1 Currently married/in union 2 Formerly married/in union 3 Never married/in union Sysmiss Children ever born 1 2 3 4 5 6 7 8 9 10 11 13 Sysmiss Children surviving 1 2 3 4 5 6 7 8 9 10 11 Sysmiss Children dead 1 2 3 4 5 6 7 10 Sysmiss Education 1 None 2 Primary 3 Lower secondary 4 Upper secondary 5 Higher 9 Missing/DK Sysmiss Ethnicity of household head 1 Lao 2 Khmu 3 Hmong 4 Other 9 Missing/DK Religion of household head 1 Buddhist 2 Animist 3 Other 9 Missing/DK Wealth index quintile No wealth index yet! Women's sample weight Cluster number Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Cluster number Cluster number Household number Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Household number Line number Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Line number BH Line Number Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. BH Line Number Twins Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Twins 1 Single 2 Multiple Sex of child Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Sex of child 1 Boy 2 Girl Month of birth Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Month of birth 1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December 97 Inconsistent Year of birth Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Year of birth 9997 Inconsistent Still alive Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Still alive If No - go to BH9 1 Yes 2 No Age of child Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Age of child Record age in completed years Living with respondent Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Living with respondent 1 Yes 2 No Line number of child in HH Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Line number of child in HH (from HL1) Not in household listing Age at death (units) Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Age at death (units) If 1 year, probe: how many months old was? Record days if less than 1 month, record months if less than 2 years, or years 1 Days 2 Months 3 Years Age at death (number) Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Age at death (number) If 1 year, probe: how many months old was? Record days if less than 1 month, record months if less than 2 years, or years Any other between births Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Any other between births, including any children who died after birth. If yes- add birth. If no - Next birth. 1 Yes 2 No 9 Sysmiss CMC Date of birth of child Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. CMC Date of birth of child Flag for date of birth of child Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Flag for date of birth of child 1 Month and year given 2 Month and age given - year imputed 3 Year and age given - month imputed 4 Year and age given - year ignored 5 Year given - age, month imputed 6 Age given - year, month imputed 7 Month given - age, year imputed 8 None - all imputed Imputed age at death of child (months) Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Imputed age at death of child (months) Flag for age at death of child Ask Mothers to record the names of all of your births, whether still alive or not, starting with the first one you had. Record names of all of the births in BH1. Record twins and triplets on separate line. If there are more than 14 births, use an additional questionnaire. Flag for age at death of child 1 Month and year given 2 Month and age given - year imputed 3 Year and age given - month imputed 4 Year and age given - year ignored 5 Year given - age, month imputed 6 Age given - year, month imputed 7 Month given - age, year imputed 8 None - all imputed Area Area 1 Urban 2 Rural with road 3 Rural without road Province Province 1 Vientiane Capital 2 Phongsaly 3 Luangnamtha 4 Oudomxay 5 Bokeo 6 Luangprabang 7 Huaphanh 8 Xayabury 9 Xiengkhuang 10 Vientiane 11 Borikhamxay 12 Khammuane 13 Savannakhet 14 Saravane 15 Sekong 16 Champasack 17 Attapeu Residence Residence 1 Urban 2 Rural Region Region 1 North 2 Central 3 South Date of interview women (CMC) Date of interview women (CMC) Date of birth of woman (CMC) Ethnicity of household head Ethnicity of household head 1 Lao 2 Khmu 3 Hmong 4 Other 9 Missing/DK Religion of household head Religion of household head 1 Buddhist 2 Animist 3 Other 9 Missing/DK Wealth index quintile Wealth index quintile No wealth index yet! Education Education 1 None 2 Primary 3 Lower secondary 4 Upper secondary 5 Higher 9 Missing/DK Women's sample weight Cluster number Household number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Line number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 18 Column number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Sex of sibling 1 Male 2 Female 9 Missing Sibling alive 1 Yes 2 No 8 DK 9 Missing Age of sibling 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 67 68 69 70 71 72 99 Missing Sysmiss Years since siblings death 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 60 61 62 67 98 DK 99 Missing Sysmiss Age of sibling at death 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 50 51 54 55 57 60 63 75 98 DK 99 Missing Sysmiss Died while pregnant 1 Yes 2 No 9 Missing Sysmiss Died during childbirth 1 Yes 2 No 9 Missing Sysmiss Died within 2 months of delivery 1 Yes 2 No 9 Missing Sysmiss Children gave birth to 1 2 3 4 5 6 7 10 99 Missing Sysmiss Mother's children ever born 1 Respondent only 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 99 Missing Children born before respondent 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Area 1 Urban 2 Rural with road 3 Rural without road Province 1 Vientiane Capital 2 Phongsaly 3 Luangnamtha 4 Oudomxay 5 Bokeo 6 Luangprabang 7 Huaphanh 8 Xayabury 9 Xiengkhuang 10 Vientiane 11 Borikhamxay 12 Khammuane 13 Savannakhet 14 Saravane 15 Sekong 16 Champasack 17 Attapeu Residence 1 Urban 2 Rural . 2 ..Rural with road 3 ..Rural without road Sysmiss Region 1 North 2 Central 3 South Date of interview women (CMC) 1341 1342 1343 1344 1345 1346 Date of birth of woman (CMC) Ethnicity of household head 1 Lao 2 Khmu 3 Hmong 4 Other 9 Missing/DK Religion of household head 1 Buddhist 2 Animist 3 Other 9 Missing/DK Wealth index quintile No wealth index yet! Education 1 None 2 Primary 3 Lower secondary 4 Upper secondary 5 Higher 9 Missing/DK Women's sample weight HH1 Cluster number Household number Household number 2 4 6 8 10 12 14 16 18 20 Line number 1 2 3 4 5 6 7 8 9 10 Cluster number Cluster number Household number Household number 2 4 6 8 10 12 14 16 18 20 Man's line number Man's line number 1 2 3 4 5 6 7 8 9 10 Interviewer number Interviewer number Day of interview Month of interview 1 2 9 10 11 12 Year of interview 2011 2012 Result of man's interview Result of man's interview Result of man's interview 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 96 Other Field editor Field editor Field editor E01 E02 E03 E04 E05 E06 E07 E08 E09 E10 E11 E12 E13 E14 E15 E16 E17 E18 E19 E20 Data entry clerk Data entry clerk Data entry clerk Start of interview - Hour 6 7 8 9 10 11 12 13 14 15 16 17 18 19 21 99 Missing Sysmiss Start of interview - Minutes 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 99 Missing Sysmiss End of interview - Hour 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 99 Missing Sysmiss End of interview - Minutes 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 99 Missing Sysmiss Month of birth of man 1 2 3 4 5 6 7 8 9 10 11 12 97 Inconsistent 98 DK 99 Missing Sysmiss Year of birth of man 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 9997 Inconsistent 9998 DK 9999 Missing Sysmiss Age of man Age of man Age of man Ever attended school Ever attended school Ever attended school 1 Yes 2 No Sysmiss Highest level of school you attended of school you attended Highest level of school you attended Preschool 1 Primary 2 Lower Secondary 3 Upper Secondary 4 Post secondary non tertiary 5 Tertiary Education Sysmiss Highest grade completed at that level Highest grade completed at that level None completed 11 12 13 14 15 21 22 23 24 31 32 33 41 42 43 51 52 53 54 55 56 57 97 Inconsistent 98 DK 99 Missing Sysmiss Can read part of the sentence Can read part of the sentence 1 Cannot read at all 2 Able to read only parts of sentence 3 Able to read whole sentence 4 No sentence in required language 5 Blind / mute, visually / speech impaired 9 Missing Sysmiss CMC Date of birth of man Flag for date of birth of man 1 Month and year given 2 Month and age given - year imputed 3 Year and age given - month imputed 4 Year and age given - year ignored 5 Year given - age, month imputed 6 Age given - year, month imputed 7 Month given - age, year imputed 8 None - all imputed Sysmiss Imputed age of man Frequency of reading newspaper or magazine Frequency newspaper or magazine 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Missing Sysmiss Frequency of listening to the radio Frequency of listening to the radio 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Missing Sysmiss Frequency of watching TV Frequency of watching TV 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Missing Sysmiss Ever used a computer Ever used a computer 1 Yes 2 No 9 Missing Sysmiss Computer usage in the last 12 months Computer usage in the last 12 months 1 Yes 2 No 9 Missing Sysmiss Frequency of computer usage in the last month Frequency of computer usage in the last month 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Missing Sysmiss Ever used Internet Ever used Internet 1 Yes 2 No 9 Missing Sysmiss Internet usage in the last 12 months Internet usage in the last 12 months 1 Yes 2 No 9 Missing Sysmiss Frequency of Internet usage in the past month Frequency of Internet usage in the past month 1 Almost every day 2 At least once a week 3 Less than once a week 4 Not at all 9 Missing Sysmiss Current method: Female sterilization Current method: Female sterilization 1 Yes 2 No 9 Missing Sysmiss Current method: Male sterilization Current method: Male sterilization 1 Yes 2 No 9 Missing Sysmiss Current method: IUD Current method: IUD 1 Yes 2 No 9 Missing Sysmiss Current method: Injectables ent method: Injectables 1 Yes 2 No 9 Missing Sysmiss Current method: Implants Current method: Implants 1 Yes 2 No 9 Missing Sysmiss Current method: Pill Current method: Pill 1 Yes 2 No 9 Missing Sysmiss Current method: Male condom Current method: Male condom 1 Yes 2 No 9 Missing Sysmiss Current method: Female condom urrent method: Female condom 1 Yes 2 No 9 Missing Sysmiss Current method: Rhythm urrent method: Rhythm 1 Yes 2 No 9 Missing Sysmiss Current method: Withdrawal current method: Withdrawal 1 Yes 2 No 9 Missing Sysmiss Current method: Other method Current method: Other method 1 Yes 2 No 9 Missing Sysmiss Heard family planning: Radio 1 Yes 2 No 9 Missing Sysmiss Heard family planning: TV 1 Yes 2 No 9 Missing Sysmiss Heard family planning: Newspaper or Magazine 1 Yes 2 No 9 Missing Sysmiss Discussed family planning with health worker Discussed family planning with health worker 1 Yes 2 No 9 Missing Sysmiss Days women risk pregnacy Days women risk pregnacy 1 Yes 2 No 8 DK 9 Missing Sysmiss Timing of risk of pregnancy Timing of risk of pregnancy 1 Just before her period begins 2 During her period 3 Right after her period has ended 4 Halftway between two periods 6 Other 9 Missing Sysmiss Contraception is a women's bussiness 1 Agree 2 Disagree 8 DK 9 Missing Sysmiss Women may become promiscuous 1 Agree 2 Disagree 8 DK 9 Missing Sysmiss Knows place to get condom Knows place to get condom 1 Yes 2 No 9 Missing Sysmiss Place to get condom: (public sector) Government hospital ? Missing A Government hospital Place to get condom: (public sector) Government health center ? Missing B Government health center Place to get condom: (public sector) Lao youth center ? Missing C Lao youth center Place to get condom: (public sector) Outreach team ? Missing D Outreach team Place to get condom: (public sector) Village health volunteer ? Missing E Village health volunteer Place to get condom: Other public ? Missing F Other public Place to get condom: Private hospital / clinic ? Missing G Private hospital / clinic Place to get condom: Private pharmacy ? Missing H Pharmacy Place to get condom: Private doctor ? Missing I Doctor Place to get condom: Private Mobile clinic ? Missing J Private Mobile clinic Place to get condom: Private field worker ? Missing K Private field worker Place to get condom: Other private medical ? Missing L Other private medical Place to get condom: Shop ? Missing M Shop Place to get condom: Friend/Relative ? Missing O Friend/Relative Place to get condom: Other Place ? Missing X Other source If she goes out with out telling him: Goes out without telling 1 Yes 2 No 8 DK 9 Missing Sysmiss If she neglects the children: Neglects children 1 Yes 2 No 8 DK 9 Missing Sysmiss If she argues with him: Argues with him 1 Yes 2 No 8 DK 9 Missing Sysmiss If she refuses sex with him: Refuses sex 1 Yes 2 No 8 DK 9 Missing Sysmiss If she burns the food: Burn food 1 Yes 2 No 8 DK 9 Missing Sysmiss Currently married or living with a man Currently married or living with a man 1 Yes, currently married 2 Yes, living with a man 3 No, not in union 9 Missing Sysmiss Live together with woman Live together with woman 1 Yes, formerly married 2 Yes, formerly lived with a woman 3 No 9 Missing Sysmiss Marital status Marital status 1 Widowed 2 Divorced 3 Separated 9 Missing Sysmiss Wife/partner living with you Wife/partner living with you 1 Living with him 2 Staying elsewhere 9 Missing Sysmiss Line number of wife/partner Line number of wife/partner 2 3 4 5 6 7 8 9 10 11 13 99 Missing Sysmiss Married once or more than once Married once or more than once 1 Only once 2 More than once 9 Missing Sysmiss Month of first marriage 1 2 3 4 5 6 7 8 9 10 11 12 97 Inconsistent 98 DK 99 Missing Sysmiss Year of first marriage 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 9997 Inconsistent 9998 DK 9999 Missing Sysmiss Age first lived with wife/partner Age at first lived with wife/partner 18 19 20 24 25 26 27 97 Inconsistent 99 Missing Sysmiss Age at first sexual intercourse Age at first sexual intercourse Never had sexual intercourse 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 95 First time when started living with wife/partner 99 Missing Sysmiss Condom used at first sexual intercourse used Condom at first sexual intercourse 1 Yes 2 No 8 DK / Don't remember 9 Missing Sysmiss Time since last sexual intercourse (unit) 1 Day 2 Week 3 Month 4 Year 9 Missing Sysmiss Time since last sexual intercourse (number) 1 2 3 4 5 6 7 8 9 10 97 Inconsistent 99 Missing Sysmiss Condom used at last sexual intercourse Condom used at last sexual intercourse 1 Yes 2 No 9 Missing Sysmiss Relationship with whom last sexual intercourse Relationship with whom last sexual intercourse 1 Wife 2 Live-in partner 3 Girlfriend not living with respondent 4 Casual acquaintance 5 Prostitute 6 Other 9 Missing Sysmiss Age of partner Age of partner 13 15 16 17 18 19 20 21 22 23 24 25 26 29 98 DK 99 Missing Sysmiss CMC Date of marriage of man Flag for date of marriage of man 1 Month and year given 2 Month and age given - year imputed 3 Year and age given - month imputed 4 Year and age given - year ignored 5 Year given - age, month imputed 6 Age given - year, month imputed 7 Month given - age, year imputed 8 None - all imputed Sysmiss Imputed age of man at marriage Ever heard of AIDS Ever heard of AIDS 1 Yes 2 No 9 Missing Sysmiss Can avoid AIDS virus by having one uninfected partner can avoid AIrus virus by having one uninfected partner 1 Yes 2 No 8 DK 9 Missing Sysmiss Can get AIDS virus through supernatural means Can get AIDS virus through supernatural means 1 Yes 2 No 8 DK 9 Missing Sysmiss Can avoid AIDS virus by using a condom correctly every time Can avoid AIDS virus by using a condom correctly every time 1 Yes 2 No 8 DK 9 Missing Sysmiss Can get AIDS virus from mosquito bites can get AIDS virus from mosquito bites 1 Yes 2 No 8 DK 9 Missing Sysmiss Can get AIDS virus by sharing food with a person who has AIDS Can get AIDS virus by sharing food with a person who has AIDS 1 Yes 2 No 8 DK 9 Missing Sysmiss Healthy-looking person may have AIDS virus Healthy-looking person may have AIDS virus 1 Yes 2 No 8 DK 9 Missing Sysmiss AIDS virus from mother to child during pregnancy 1 Yes 2 No 8 DK 9 Missing Sysmiss AIDS virus from mother to child during delivery 1 Yes 2 No 8 DK 9 Missing Sysmiss AIDS virus from mother to child through breastfeeding 1 Yes 2 No 8 DK 9 Missing Sysmiss Should female teacher with AIDS virus be allowed to teach in school Should female teacher with AIDS be allowed to teach in school 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Would buy fresh vegetables from shopkeeper with AIDS virus Would buy fresh vegetables from shopkeeper with AIDS virus 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss If HH member became infected with AIDS virus, would want it to remain a secret If hh member became infected with AIDS Virus,would want it to remain a secret 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Willing to care for person with AIDS in household Willing to care for person with AIDS in household 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Wife justified in asking to use a condom if husband has disease Wife justified in asking to use a condom if husband has disease 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Wife justified in refusing to have sex if husband has sex with other women 1 Yes 2 No 8 DK / Not sure / Depends 9 Missing Sysmiss Ever been tested for AIDS virus been tested for AIDS virus 1 Yes 2 No 9 Missing Sysmiss Most recent time of testing for AIDS virus 1 Less than 12 months ago 2 12-23 months ago 3 2 or more years ago 9 Missing Sysmiss Received results of AIDS virus test 1 Yes 2 No 8 DK 9 Missing Sysmiss Place AIDS test done 11 Government hospital 12 Government health centre 13 Lao youth center 14 Outreach team 15 Village health volunteer 16 Other public sector 21 Private Hospital/Clinic 22 Private Pharmacy 23 Private Doctor 24 Private mobile clinic 25 Private field worker 26 Other Private 31 Shop 33 Friend /Relative 96 Other source 99 Missing Sysmiss Know a place to get AIDS virus test 1 Yes 2 No 9 Missing Sysmiss Place to get AIDS test: (public sector) Government hospital ? Missing A Government hospital Place to get AIDS test: (public sector) Government health center ? Missing B Government health center Place to get AIDS test: (public sector) Lao youth center ? Missing C Lao youth center Place to get AIDS test: (public sector) Outreach team ? Missing D Outreach team Place to get AIDS test: (public sector) Village health volunteer ? Missing E Village health volunteer Place to get AIDS test: Other public ? Missing H Other public Place to get AIDS test: Private hospital / clinic ? Missing I Private hospital / clinic Place to get AIDS test: Private pharmacy ? Missing J Pharmacy Place to get AIDS test: Private doctor ? Missing K Doctor Place to get AIDS test: Private Mobile clinic ? Missing L Private Mobile clinic Place to get AIDS test: Private field worker ? Missing M Private field worker Place to get AIDS test: Other private medical ? Missing O Other private medical Place to get AIDS test: Shop ? Missing P Shop Place to get AIDS test: Friend/Relative ? Missing Q Friend/Relative Place to get AIDS test: Other Place ? Missing R Other source Heard about infections transmitted through sexual contact 1 Yes 2 No 9 Missing Sysmiss Last 12 months got a disease through sexual contact 1 Yes 2 No 8 DK 9 Missing Sysmiss Last 12 months smelling abnormal genital discharge 1 Yes 2 No 8 DK 9 Missing Sysmiss Last 12 months had a genital sore or ulcer 1 Yes 2 No 8 DK 9 Missing Sysmiss Sought advice or treatment 1 Yes 2 No 9 Missing Sysmiss Place sought advice or treatment 11 Government hospital 12 Government health centre 13 Lao youth center 14 Outreach team 15 Village health volunteer 16 Other public sector 21 Private Hospital/Clinic 22 Private Pharmacy 23 Private Doctor 24 Private mobile clinic 25 Private field worker 26 Other Private 31 Shop 33 Friend / Relative 96 Other source 99 Missing Sysmiss Net number 1 2 3 4 5 6 Sysmiss Mosquito net observed 1 Observed 2 Not observed 9 Missing Sysmiss Brand/type of observed net 11 Olyset net 12 Permanent net 21 Ordinary net 31 Other net 98 DK brand / type 99 Missing Sysmiss Months ago net obtained Less than one month ago 1 2 3 4 5 6 7 8 10 11 12 14 15 16 18 19 24 25 26 28 36 95 More than 36 months ago 98 DK / Not sure 99 Missing Sysmiss Net treated with an insecticide when obtained 1 Yes 2 No 8 DK / Not sure 9 Missing Sysmiss Net soaked or dipped since obtained 1 Yes 2 No 8 DK / Not sure 9 Missing Sysmiss Months ago net soaked or dipped Less than one month ago 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 24 95 More than 24 months ago 98 DK / Not sure 99 Missing Sysmiss Persons slept under mosquito net last night 1 Yes 2 No 8 DK / Not sure 9 Missing Sysmiss Person 1 who slept under net Person who slept under net not in HH listing 1 2 3 4 5 6 7 8 9 90 No one / No one else Sysmiss Person 2 who slept under net Person who slept under net not in HH listing 2 3 4 5 6 7 8 9 10 11 12 13 90 No one / No one else Sysmiss Person 3 who slept under net Person who slept under net not in HH listing 3 4 5 6 7 8 9 10 11 12 14 18 90 No one / No one else Sysmiss Person 4 who slept under net Person who slept under net not in HH listing 4 5 6 7 8 9 10 13 14 15 19 90 No one / No one else Sysmiss Person 5 who slept under net Person who slept under net not in HH listing 3 5 6 7 8 9 11 16 90 No one / No one else Sysmiss Area 1 Urban 2 Rural with road 3 Rural without road Province 1 Vientiane Capital 2 Phongsaly 3 Luangnamtha 4 Oudomxay 5 Bokeo 6 Luangprabang 7 Huaphanh 8 Xayabury 9 Xiengkhuang 10 Vientiane 11 Borikhamxay 12 Khammuane 13 Savannakhet 14 Saravane 15 Sekong 16 Champasack 17 Attapeu Residence 1 Urban 2 Rural . 2 ..Rural with road 3 ..Rural without road Sysmiss Region 1 North 2 Central 3 South Date of interview men (CMC) 1341 1342 1343 1344 1345 1346 Date of birth of man (CMC) Age - man 1 15-19 2 20-24 3 25-29 4 30-34 5 35-39 6 40-44 7 45-49 Sysmiss Date of marriage (CMC) Age at first marriage/union - man Date of birth of first child (CMC) Sysmiss Date of birth of last child (CMC) Sysmiss Marital/Union status - man 1 Currently married/in union 2 Formerly married/in union 3 Never married/in union Sysmiss Children ever born 1 2 3 4 5 6 7 8 9 10 12 Sysmiss Children surviving 1 2 3 4 5 6 7 8 Sysmiss Children dead 1 2 3 4 5 Sysmiss Education 1 None 2 Primary 3 Lower secondary 4 Upper secondary 5 Higher 9 Missing/DK Sysmiss Ethnicity of household head 1 Lao 2 Khmu 3 Hmong 4 Other 9 Missing/DK Religion of household head 1 Buddhist 2 Animist 3 Other 9 Missing/DK Wealth index quintile No wealth index yet! Men's sample weight HH Cluster number This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Cluster number 1 5 6 8 10 11 13 16 18 21 24 28 30 34 38 40 41 42 44 46 47 48 49 52 53 54 55 56 59 62 65 69 70 71 72 73 75 81 83 84 86 89 91 93 94 95 98 100 104 108 111 112 114 115 118 119 123 128 129 134 135 136 142 145 147 148 150 151 154 157 158 159 160 162 163 164 165 171 172 173 177 179 182 187 189 190 191 192 193 197 198 199 200 201 202 204 207 208 209 210 211 216 217 218 219 222 223 224 226 228 230 233 237 241 244 246 247 249 251 253 260 261 263 265 266 267 274 275 276 278 285 287 288 290 291 294 296 298 299 300 301 303 304 310 312 316 320 322 326 328 329 333 334 337 338 339 340 342 344 345 347 351 353 354 363 365 366 367 368 369 372 378 379 382 383 384 385 386 388 389 390 391 393 397 398 399 402 408 410 411 415 419 421 422 425 437 441 443 444 446 450 451 452 453 454 455 464 468 472 474 479 481 482 484 486 487 491 492 496 498 499 500 501 504 505 507 508 510 512 523 525 527 528 532 534 541 542 543 544 545 549 555 556 562 567 568 570 572 573 578 580 586 589 592 594 597 599 603 604 607 608 611 613 615 617 618 619 620 621 622 623 624 628 629 632 634 635 638 639 640 644 645 647 651 652 653 659 665 666 667 668 672 673 676 677 678 679 680 681 683 684 685 686 687 696 700 702 704 705 706 709 710 713 714 716 717 718 719 721 723 724 727 728 730 732 737 741 744 747 748 749 750 751 756 757 760 768 770 773 775 776 777 778 781 782 786 787 789 791 792 794 798 803 804 805 806 808 811 817 818 821 822 824 826 831 833 834 835 836 837 840 841 842 846 849 851 852 853 854 855 861 864 865 866 867 870 871 872 873 875 879 883 884 888 890 891 892 895 896 901 902 909 914 918 922 923 927 928 929 931 932 935 939 943 944 945 946 947 949 951 952 957 958 959 961 966 968 971 973 974 977 981 986 988 992 994 996 Household number This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Household number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Line number This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Line number 2 3 4 5 6 7 8 9 10 11 12 13 14 16 18 19 25 29 Cluster number This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Cluster number 1 5 6 8 10 11 13 16 18 21 24 28 30 34 38 40 41 42 44 46 47 48 49 52 53 54 55 56 59 62 65 69 70 71 72 73 75 81 83 84 86 89 91 93 94 95 98 100 104 108 111 112 114 115 118 119 123 128 129 134 135 136 142 145 147 148 150 151 154 157 158 159 160 162 163 164 165 171 172 173 177 179 182 187 189 190 191 192 193 197 198 199 200 201 202 204 207 208 209 210 211 216 217 218 219 222 223 224 226 228 230 233 237 241 244 246 247 249 251 253 260 261 263 265 266 267 274 275 276 278 285 287 288 290 291 294 296 298 299 300 301 303 304 310 312 316 320 322 326 328 329 333 334 337 338 339 340 342 344 345 347 351 353 354 363 365 366 367 368 369 372 378 379 382 383 384 385 386 388 389 390 391 393 397 398 399 402 408 410 411 415 419 421 422 425 437 441 443 444 446 450 451 452 453 454 455 464 468 472 474 479 481 482 484 486 487 491 492 496 498 499 500 501 504 505 507 508 510 512 523 525 527 528 532 534 541 542 543 544 545 549 555 556 562 567 568 570 572 573 578 580 586 589 592 594 597 599 603 604 607 608 611 613 615 617 618 619 620 621 622 623 624 628 629 632 634 635 638 639 640 644 645 647 651 652 653 659 665 666 667 668 672 673 676 677 678 679 680 681 683 684 685 686 687 696 700 702 704 705 706 709 710 713 714 716 717 718 719 721 723 724 727 728 730 732 737 741 744 747 748 749 750 751 756 757 760 768 770 773 775 776 777 778 781 782 786 787 789 791 792 794 798 803 804 805 806 808 811 817 818 821 822 824 826 831 833 834 835 836 837 840 841 842 846 849 851 852 853 854 855 861 864 865 866 867 870 871 872 873 875 879 883 884 888 890 891 892 895 896 901 902 909 914 918 922 923 927 928 929 931 932 935 939 943 944 945 946 947 949 951 952 957 958 959 961 966 968 971 973 974 977 981 986 988 992 994 996 Household number This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Household number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Child's line number This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Child's line number 2 3 4 5 6 7 8 9 10 11 12 13 14 16 18 19 25 29 Mother / Caretaker's line number This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Mother / Caretaker's line number 1 2 3 4 5 6 7 8 9 10 11 12 13 16 Interviewer number This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Interviewer number 11 12 13 14 21 22 23 24 31 33 41 42 43 44 51 52 53 54 61 63 64 72 73 74 81 82 83 84 91 92 101 102 103 111 112 113 121 122 123 131 132 133 134 141 142 143 144 151 152 153 154 162 163 164 171 172 173 174 181 182 183 184 191 192 193 194 201 202 203 204 Day of interview This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Day of interview 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month of interview This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Month of interview 1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December Year of interview This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Year of interview 2011 2012 Result of interview for children under 5 This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Result of interview for children under 5 Codes refer to mother/Caretaker. 1 Completed 2 Not at home 3 Refused 4 Partly completed 5 Incapacitated 96 Other Field editor This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Field editor 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Data entry clerk This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Data entry clerk 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Start of interview - Hour This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Start of interview - Hour 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 99 Sysmiss Start of interview - Minutes This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Start of interview - Minutes 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 99 Missing Sysmiss End of interview - Hour This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). End of interview - Hour 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 99 Sysmiss End of interview - Minutes This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). End of interview - Minutes 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 99 Sysmiss Day of birth of child This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). NOW I WOULD LIKE TO ASK YOU SOME QUESTIONS ABOUT THE HEALTH OF (name). IN WHAT MONTH AND YEAR WAS (name) BORN? - day Probe: What is his/her birthday?. If the mother/caretaker knows the exact birth date, also enter teh day; otherwise, circle 98 for day. Month and year must be recorded. 97 Inconsistent 98 DK Month of birth of child This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Ask about the health of the child. IN WHAT MONTH AND YEAR WAS (name) BORN? - month What is his/her birthday?. If the mother/caretaker knows the exact birth date, also enter teh day; otherwise, circle 98 for day. Month and year must be recorded. 1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December 97 Inconsistent 98 DK Sysmiss Year of birth of child This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Ask about the health of the child. IN WHAT MONTH AND YEAR WAS (name) BORN? - year What is his/her birthday?. If the mother/caretaker knows the exact birth date, also enter teh day; otherwise, circle 98 for day. Month and year must be recorded. 2006 2007 2008 2009 2010 2011 2012 9997 Inconsistent Sysmiss CMC Date of birth of child This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). CMC Date of birth of child 1283 1284 1285 1286 1287 1288 1289 1290 1291 1292 1293 1294 1295 1296 1297 1298 1299 1300 1301 1302 1303 1304 1305 1306 1307 1308 1309 1310 1311 1312 1313 1314 1315 1316 1317 1318 1319 1320 1321 1322 1323 1324 1325 1326 1327 1328 1329 1330 1331 1332 1333 1334 1335 1336 1337 1338 1339 1340 1341 1342 1343 1344 1346 Sysmiss Flag for date of birth of child This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Flag for date of birth of child 1 Month and year given 2 Month and age given - year imputed 3 Year and age given - month imputed 4 Year and age given - year ignored 5 Year given - age, month imputed 6 Age given - year, month imputed 7 Month given - age, year imputed 8 None - all imputed Sysmiss Age of child This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Age of child How old was his/her last birthday? Record age in completed years. Record "0" is less than 1 year. Compare and correct AG1 and/or AG2 if inconsistent. Imputed age of child (months) This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Imputed age of child (months) How old was his/her last birthday? Record age in completed years. Record "0" is less than 1 year. Compare and correct AG1 and/or AG2 if inconsistent. Birth certificate This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). DOES (name) HAVE A BIRTH CERTIFICATE? If yes - May I see it?. If 1 - go to Next module. If 2 - go to next module. 1 Yes, seen 2 Yes, not seen 3 No 8 DK 9 Sysmiss Birth registered This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Birth registered with civil authorities If 1 - go to next module. 1 Yes 2 No 8 DK 9 Sysmiss Know how to register birth This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Know how to register birth 1 Yes 2 No 9 Sysmiss Number of children's books or picture books for child This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Number of children's books or picture books for child None 1 2 3 4 5 6 10 Ten or more books Sysmiss Homemade toys This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Toys that the child plays with when he/she is at home. Homemade toys If the respondent say "YES" to the categories above, then probe to learn specifically what the child plays with to ascertain the response. 1 Yes 2 No 8 DK 9 Sysmiss Toys from shops This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Toys that the child plays with when he/she is at home. Toys from shops If the respondent say "YES" to the categories above, then probe to learn specifically what the child plays with to ascertain the response. 1 Yes 2 No 8 DK 9 Sysmiss Household objects or outside objects This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Toys that the child plays with when he/she is at home. Household objects or outside objects If the respondent say "YES" to the categories above, then probe to learn specifically what the child plays with to ascertain the response. 1 Yes 2 No 8 DK 9 Sysmiss In past week, days left alone for more than 1 hour This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6 In past week, days left alone for more than 1 hour None 8 DK In past week, days left with other child for more than 1 hour This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6 In past week, days left with other child (less than 10 years old) for more than 1 hour None 8 DK Attends early childhood education programme This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Attends early childhood education programme If no - go to EC7. If DK - go to EC7. 1 Yes 2 No 8 DK Sysmiss Within last 7 days, hours attended education This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Within last 7 days, hours attended education Books-Mother This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Read books - mother ? Missing A Mother Books-Father This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing B Father Books-Other This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing X Other Books-No one This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Y No one Tell stories-Mother This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing A Mother Tell stories-Father This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing B Father Tell stories-Other This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing X Other Tell stories-No one This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Y No one Sang songs-Mother This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing A Mother Sang songs-Father This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing B Father Sang songs-Other This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing X Other Sang songs-No one This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Y No one Took outside-Mother This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing A Mother Took outside-Father This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing B Father Took outside-Other This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing X Other Took outside-No one This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Y No one Played with-Mother This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing A Mother Played with-Father This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing B Father Played with-Other This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing X Other Played with-No one This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Y No one Named/counted-Mother This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing A Mother Named/counted-Father This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing B Father Named/counted-Other This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing X Other Named/counted-No one This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Y No one Child identifies at least ten letters of the alphabet This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child reads at least four simple, popular words This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child knows name and recognizes symbol of all numbers from 1-10 This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child able to pick up small object with 2 fingers This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child sometimes too sick to play This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child follows simple directions This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child able to do something independently This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child gets along well with other children This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child kicks, bites or hits other children or adults This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child gets distracted easily This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ever been breastfed This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child still being breastfed This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank plain water yesterday This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank infant formula yesterday This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child drank infant formula This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 7 8 9 10 99 Missing Sysmiss Child drank milk yesterday This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child drank milk This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 7 99 Missing Sysmiss Child drank juice or juice drinks yesterday This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank soup yesterday This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank or ate vitamin or mineral supplements yesterday This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank ORS yesterday This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank any other liquid yesterday This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank or ate yogurt yesterday This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Times drank or ate yogurt This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 99 Missing Sysmiss Child ate thin porridge yesterday This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ate solid or semi-solid food yesterday This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child ate solid or semi-solid food This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 8 99 Missing Sysmiss Child drank anything else from the bottle with a nipple yesterday This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child had diarrhoea in last 2 weeks This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child drank less or more during illness This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Much less 2 Somewhat less 3 About the same 4 More 5 Nothing to drink 8 DK 9 Missing Sysmiss Child ate less or more during illness This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Much less 2 Somewhat less 3 About the same 4 More 5 Stopped food 6 Never gave food 8 DK 9 Missing Sysmiss Fluid from special packet (oralyte) This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Pre-packaged oralyte fluid for diarrhoea This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Recommended homemade fluid: coconut water or rice water with salt) This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Anything else given to treat the diarrhoea This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Other treatment (pill or syrup): Antibiotic This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing A Antibiotic pill or syrup Other treatment (pill or syrup): Antimotility This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing B Antimotility pill or syrup Other treatment (pill or syrup): Zinc This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing C Zinc pill or syrup Other treatment (pill or syrup): Other (not antibiotic, antimotility or zinc) This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing G Other pill or syrup Other treatment (pill or syrup): Unknown This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing H Unknown pill or syrup Other treatment (injection): Antibiotic This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing L Antibiotic injection Other treatment (injection): Non-antibiotic This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing M Non antibiotic injection Other treatment (injection): Unknown This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing N Unknown injection Other treatment: Intravenous This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing O Intravenous Other treatment: Home remedy/Herbal medicine This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Q Home remedy/Herbal medicine Other treatment: Other This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing X Other Child ill with cough in last 2 weeks This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Difficulty breathing during illness with cough This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Symptoms due to problem in chest or blocked nose This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Problem in chest only 2 Blocked or runny nose only 3 Both 6 Other 8 DK 9 Missing Sysmiss Sought advice or treatment for illness This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Place sought care: (public sector) Government hospital This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing A Government hospital Place sought care: (public sector) Government health center This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing B Government health center Place sought care: (public sector) Village health worker This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing D Village health worker Place sought care: (public sector) Outreach team This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing E Outreach team Place sought care: Other public This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing H Other public Place sought care: Private hospital / clinic This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing I Private hospital / clinic Place sought care: Private physician This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing J Private physician Place sought care: Private pharmacy This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing K Private pharmacy Place sought care: Mobile clinic This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing L Mobile clinic Place sought care: Other private medical This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing O Other private medical Place sought care: Relative / Friend This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing P Relative / Friend Place sought care: Shop This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Q Shop Place sought care: Traditional practitioner This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing R Traditional practitioner Place sought care: Other This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing X Other Given medicine to treat this illness This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Medicine: Antibiotic pill / syrup This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing A Antibiotic pill / syrup Medicine: Antibiotic injection This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing B Antibiotic injection Medicine: Anti-malarials This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing M Anti-malarials Medicine: Paracetamol / Panadol / Acetaminophen This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing P Paracetamol / Panadol / Acetaminophen Medicine: Aspirin This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Q Aspirin Medicine: Ibupropfen This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing R Ibuprofen Medicine: Other This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing X Other Medicine: DK This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Z DK What was done to dispose of the stools This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Child used toilet / latrine 2 Put / Rinsed into toilet or latrine 3 Put / Rinsed into drain or ditch 4 Thrown into garbage (solid waste) 5 Buried 6 Left in the open 96 Other 98 DK 99 Missing Sysmiss Child ill with fever in last 2 weeks This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Blood taken for testing during illness This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Advice or treatment during illness This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child taken to a health facility during illness This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child given medicine at health facility This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Medicine given: SP / Fansidar This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing A SP / Fansidar Medicine given: Chloroquine This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing B Chloroquine Medicine given: Amodiaquine This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing C Amodiaquine Medicine given: Quinine This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing D Quinine Medicine given: Coartem (combination with artemisinin) This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing E Coartem (combination with artemisinin) Medicine given: Artesunate This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing F Artesunate Medicine given: Other anti-malarial This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing H Other anti-malarial Medicine given: Antibiotic pill / syrup This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing I Antibiotic pill / syrup Medicine given: Antibiotic injection This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing J Antibiotic injection Medicine given: Paracetamol / Panadol / Acetaminophen This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing P Paracetamol / Panadol / Acetaminophen Medicine given: Aspirin This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Q Aspirin Medicine given: Ibuprofen This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing R Ibuprofen Medicine given: Other This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing X Other Medicine given: DK This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Z DK Child given medicine before visiting health facility This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child given medicine for malaria or fever during illness This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Medicine given: SP / Fansidar This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing A SP / Fansidar Medicine given: Chloroquine This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing B Chloroquine Medicine given: Amodiaquine This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing C Amodiaquine Medicine given: Quinine This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing D Quinine Medicine given: Coartem (combination with Artemisinin) This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing E Coartem (combination with Artemisinin) Medicine given: Artesunate This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing F Artesunate Medicine given: Other anti-malarial This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing H Other anti-malarial Medicine given: Antibiotic pill / syrup This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing I Antibiotic pill / syrup Medicine given: Antibiotic injection This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing J Antibiotic injection Medicine given: Paracetamol / Panadol / Acetaminophen This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing P Paracetamol / Panadol / Acetaminophen Medicine given: Aspirin This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Q Aspirin Medicine given: Ibuprofen This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing R Ibuprofen Medicine given: Other This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing X Other Medicine given: DK This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). ? Missing Z DK Days after fever started first took anti-malarial This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Same day 1 Next day 2 2 days after the fever 3 3 days after the fever 4 4 or more days after the fever 8 DK 9 Missing Sysmiss Vaccination card for child This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes, seen 2 Yes, not seen 3 No card 9 Missing Sysmiss Ever had vaccination card This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 9 Missing Sysmiss Day of BCG immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Not given 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 44 Marked on card - no date given 66 Reported by mother 99 Missing Sysmiss Month of BCG immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 7 8 9 10 11 12 99 Missing Sysmiss Year of BCG immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of HepB at birth immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Not given 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 44 Marked on card - no date given 66 Reported by mother 99 Missing Sysmiss Month of HepB at birth immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 7 8 9 10 11 12 99 Missing Sysmiss Year of HepB at birth immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of Polio1 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Not given 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 44 Marked on card - no date given 66 Reported by mother 99 Missing Sysmiss Month of Polio1 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 7 8 9 10 11 12 99 Missing Sysmiss Year of Polio1 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 2007 2008 2009 2010 2011 2012 9999 Missing Sysmiss Day of DPT-HepB-Hib1 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Not given 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 44 Marked on card - no date given 66 Reported by mother 99 Missing Sysmiss Month of DPT-HepB-Hib1 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 7 8 9 10 11 12 99 Missing Sysmiss Year of DPT-HepB-Hib1 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 2007 2008 2009 2010 2011 2012 9999 Missing Sysmiss Day of Polio2 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Not given 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 44 Marked on card - no date given 66 Reported by mother 99 Missing Sysmiss Month of Polio2 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 7 8 9 10 11 12 99 Missing Sysmiss Year of Polio2 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 2007 2008 2009 2010 2011 2012 9999 Missing Sysmiss Day of DPT-HepB-Hib2 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Not given 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 44 Marked on card - no date given 66 Reported by mother 99 Missing Sysmiss Month of DPT-HepB-Hib2 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 7 8 9 10 11 12 99 Missing Sysmiss Year of DPT-HepB-Hib2 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 2007 2008 2009 2010 2011 2012 9999 Missing Sysmiss Day of Polio3 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Not given 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 29 30 31 44 Marked on card - no date given 66 Reported by mother 99 Missing Sysmiss Month of Polio3 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 7 8 9 10 11 12 99 Missing Sysmiss Year of Polio3 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 2007 2008 2009 2010 2011 2012 9999 Missing Sysmiss Day of DPT-HepB-Hib3 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Not given 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 29 30 31 44 Marked on card - no date given 66 Reported by mother 99 Missing Sysmiss Month of DPT-HepB-Hib3 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 7 8 9 10 11 12 99 Missing Sysmiss Year of DPT-HepB-Hib3 immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 2007 2008 2009 2010 2011 2012 9999 Missing Sysmiss Day Measles immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Not given 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 44 Marked on card - no date given 66 Reported by mother 99 Missing Sysmiss Month Measles immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 7 8 9 10 11 12 99 Missing Sysmiss Year of Measles immunization This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 2007 2008 2009 2010 2011 2012 9999 Missing Sysmiss Day of Vitamin A This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Not given 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 24 25 26 27 28 30 44 Marked on card - no date given 66 Reported by mother 99 Missing Sysmiss Month of Vitamin A This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 7 8 9 10 11 12 99 Missing Sysmiss Year of Vitamin A This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 2007 2008 2009 2010 2011 9999 Missing Sysmiss Day of Deworming This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Not given 1 3 4 5 6 7 8 9 11 12 15 16 17 20 21 22 25 27 28 44 Marked on card - no date given 66 Reported by mother 99 Missing Sysmiss Month of Deworming This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 5 6 7 9 10 11 12 99 Missing Sysmiss Year of Deworming This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 2008 2009 2010 2011 9999 Missing Sysmiss Child received any other vaccinations This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ever received any vaccinations This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ever given BCG vaccination This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child ever given Polio vaccination This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Polio first given just after birth or later This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 First two weeks 2 Later 9 Missing Sysmiss Times child given Polio vaccination This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 9 Missing Sysmiss Child ever given DPT vaccination This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Times child given DPT vaccination This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 9 Missing Sysmiss Child ever given Hepatitis B vaccination This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Hepatitis B first given within 24 h after birth or later This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Within 24 hours 2 Later 9 Missing Sysmiss Times child given Hepatitis B vaccination This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 9 Missing Sysmiss Child ever given Measles or MMR vaccination This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Child given Vitamin A dose within last 6 months This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss National Measles Campaign (2007) This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss National Immunisation Day This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Provincial Health Day This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK 9 Missing Sysmiss Measurer's identification code This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). M01 M02 M03 M04 M05 M06 M07 M08 M09 M10 M11 M12 M13 M14 M15 M16 M17 M18 M19 M20 Result of height/length and weight measurement This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Either or both measured 2 Child not present 3 Child or caretaker refused 6 Other 7 Inconsistent 9 Missing Sysmiss Child's weight (kilograms) This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 2.3 2.7 2.8 2.9 3.1 3.3 3.5 3.9 4.1 4.2 4.4 4.5 4.6 4.7 4.9 5 5.1 5.2 5.4 5.5 5.7 5.8 5.9 6 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9 7 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 8 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9 9 9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9 10 10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8 10.9 11 11.1 11.2 11.3 11.4 11.5 11.6 11.7 11.8 11.9 12 12.1 12.2 12.3 12.4 12.5 12.6 12.7 12.8 12.9 13 13.1 13.2 13.3 13.4 13.5 13.6 13.7 13.8 13.9 14 14.1 14.2 14.3 14.4 14.5 14.6 14.7 14.8 14.9 15 15.2 15.3 15.4 15.5 15.6 15.7 15.8 15.9 16 16.2 16.3 16.4 16.5 16.6 16.7 16.8 16.9 17 17.1 17.2 17.3 17.4 17.8 18.3 18.4 19.5 19.7 20.6 23.2 99.9 Missing Sysmiss Child measured lying or standing This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Lying down 2 Standing up 9 Missing Sysmiss Child's length or height (centimetres) This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 43.6 44.2 45.5 47.1 47.5 47.6 49 49.6 50 50.3 50.6 51.4 52 52.6 53.5 54 54.1 57 57.5 57.8 58 58.1 58.2 58.7 58.8 59 60 60.2 60.3 61 61.1 61.3 61.4 61.7 61.9 62.3 62.4 63 63.2 64 64.1 64.5 64.6 64.7 65 65.2 65.3 65.5 65.8 66 66.1 66.2 66.4 66.5 67 67.1 67.3 67.5 67.6 68.1 68.4 68.5 68.6 68.7 68.8 69 69.2 69.5 70 70.1 70.2 70.3 70.9 71 71.3 71.5 71.6 72 72.1 72.2 72.5 72.7 72.8 72.9 73 73.1 73.2 73.3 73.5 73.6 73.8 74 74.1 74.2 74.3 74.4 74.6 74.7 75 75.1 75.2 75.3 75.4 75.5 75.7 76 76.1 76.2 76.4 76.5 76.6 76.8 76.9 77 77.1 77.2 77.3 77.4 77.6 77.7 77.9 78 78.1 78.3 78.4 78.5 78.6 78.7 78.8 78.9 79 79.1 79.2 79.3 79.5 79.7 79.8 79.9 80 80.1 80.3 80.5 80.6 80.9 81 81.2 81.3 81.5 81.6 81.7 82 82.2 82.3 82.4 82.5 82.6 82.8 82.9 83 83.3 83.4 83.5 83.6 83.7 83.8 84 84.2 84.3 84.5 85 85.2 85.3 85.4 85.5 85.6 85.8 85.9 86 86.2 86.3 86.4 86.6 86.7 86.8 86.9 87 87.1 87.2 87.3 87.5 87.6 87.8 87.9 88 88.1 88.4 88.5 88.6 88.7 88.8 88.9 89 89.3 89.4 89.5 89.6 89.7 89.9 90 90.1 90.2 90.3 90.4 90.5 90.6 90.7 91 91.2 91.3 91.4 91.5 91.6 91.7 92 92.1 92.2 92.3 92.4 92.5 92.6 92.8 92.9 93 93.1 93.2 93.3 93.4 93.5 93.7 93.9 94 94.1 94.3 94.4 94.5 94.7 95 95.1 95.2 95.3 95.4 95.5 95.6 95.7 95.9 96 96.1 96.2 96.3 96.4 96.5 96.6 96.7 96.9 97 97.1 97.2 97.3 97.4 97.5 97.7 97.9 98 98.2 98.3 98.5 98.7 98.8 99 99.1 99.2 99.4 99.9 100 100.1 100.2 100.5 100.6 100.7 100.9 101 101.2 101.3 101.4 101.5 101.6 102 102.4 102.5 103.1 104 104.3 104.4 104.5 105 105.1 105.4 105.5 106.6 107 107.1 107.3 107.4 108 108.5 109 110 110.5 111.8 112.3 120.3 999.9 Missing Sysmiss Oedema presence This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Checked, oedema present 2 Checked, odoema not present 3 Checked, unsure 7 Not checked 9 Missing Sysmiss Height for age percentile NCHS This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Height for age z-score NCHS This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Height for age percent of reference median NCHS This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Weight for age percentile NCHS This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Weight for age z-score NCHS This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Weight for age percent of reference median NCHS This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Weight for height percentile NCHS This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Weight for height z-score NCHS This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Weight for height percent of reference median NCHS This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Flag for anthropometric indicators This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). No flag 1 Height for age 2 Weight for height 3 Weight for height, Height for age 4 Weight for age 5 Weight for age, Height for age 6 Weight for age, Weight for height 7 Weight for age, Weight for height, Height for age Sysmiss Body Mass Index WHO This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 6.91 9.07 10.36 10.39 10.8 11.11 11.38 12 12.08 12.11 12.22 12.25 12.26 12.41 12.56 12.71 12.74 12.85 12.86 12.89 12.94 12.96 12.99 13 13.03 13.12 13.14 13.15 13.19 13.23 13.24 13.35 13.38 13.41 13.44 13.52 13.56 13.58 13.64 13.65 13.68 13.72 13.74 13.75 13.77 13.78 13.8 13.81 13.82 13.84 13.85 13.86 13.89 13.93 13.94 13.96 13.97 13.98 14.03 14.06 14.07 14.1 14.11 14.13 14.16 14.17 14.18 14.2 14.21 14.22 14.23 14.24 14.25 14.26 14.28 14.29 14.32 14.33 14.34 14.36 14.38 14.4 14.42 14.43 14.44 14.45 14.46 14.52 14.53 14.57 14.58 14.59 14.6 14.61 14.63 14.66 14.67 14.69 14.7 14.71 14.72 14.73 14.74 14.76 14.77 14.78 14.79 14.8 14.82 14.83 14.84 14.85 14.86 14.87 14.88 14.9 14.91 14.92 14.93 14.94 14.95 14.96 14.97 14.98 15 15.01 15.02 15.03 15.04 15.06 15.07 15.08 15.09 15.11 15.12 15.13 15.14 15.16 15.17 15.18 15.19 15.2 15.21 15.22 15.23 15.24 15.25 15.26 15.27 15.28 15.29 15.3 15.31 15.32 15.33 15.34 15.36 15.37 15.38 15.39 15.4 15.41 15.42 15.43 15.44 15.46 15.48 15.5 15.51 15.52 15.53 15.54 15.56 15.57 15.58 15.59 15.6 15.61 15.62 15.63 15.64 15.65 15.66 15.67 15.69 15.7 15.71 15.72 15.73 15.74 15.75 15.77 15.82 15.83 15.84 15.85 15.86 15.87 15.88 15.89 15.9 15.91 15.92 15.93 15.94 15.95 15.96 15.97 15.98 15.99 16 16.02 16.03 16.04 16.05 16.06 16.07 16.08 16.09 16.1 16.11 16.12 16.13 16.14 16.16 16.17 16.18 16.23 16.24 16.26 16.27 16.28 16.3 16.33 16.34 16.35 16.36 16.37 16.39 16.4 16.44 16.46 16.48 16.5 16.51 16.52 16.55 16.56 16.59 16.61 16.62 16.63 16.64 16.65 16.66 16.68 16.69 16.7 16.71 16.74 16.75 16.79 16.8 16.82 16.83 16.89 16.9 16.92 16.94 16.95 16.96 16.98 16.99 17 17.03 17.05 17.06 17.07 17.08 17.09 17.11 17.14 17.19 17.2 17.21 17.22 17.25 17.28 17.29 17.31 17.33 17.35 17.41 17.42 17.46 17.5 17.51 17.53 17.59 17.64 17.69 17.71 17.74 17.75 17.79 17.8 17.84 17.85 17.86 17.92 17.93 17.95 18 18.05 18.06 18.07 18.11 18.13 18.17 18.22 18.27 18.3 18.36 18.38 18.41 18.44 18.48 18.49 18.6 18.63 18.75 18.78 18.82 18.86 18.87 18.89 18.94 18.99 19.1 19.16 19.3 19.33 19.39 19.48 19.49 19.53 19.56 19.6 20.15 20.59 21.04 21.19 21.81 22.04 22.09 22.63 23.31 24 31.24 99.9 99.97 Measurement out of range 99.99 Not measured Sysmiss Body Mass Index z-score WHO This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). -4.26 -4.11 -3.86 -3.48 -3.43 -3.28 -3.26 -3.23 -2.95 -2.73 -2.62 -2.58 -2.57 -2.55 -2.49 -2.43 -2.39 -2.38 -2.29 -2.26 -2.23 -2.2 -2.18 -2.15 -2.12 -2.11 -2.07 -2.05 -2.04 -2 -1.97 -1.92 -1.86 -1.81 -1.8 -1.78 -1.77 -1.76 -1.74 -1.69 -1.68 -1.61 -1.58 -1.57 -1.55 -1.52 -1.51 -1.48 -1.45 -1.44 -1.42 -1.41 -1.4 -1.39 -1.36 -1.34 -1.32 -1.31 -1.3 -1.29 -1.28 -1.27 -1.26 -1.25 -1.23 -1.21 -1.2 -1.19 -1.18 -1.17 -1.16 -1.15 -1.12 -1.11 -1.09 -1.08 -1.07 -1.06 -1.05 -1.04 -1.03 -1.02 -1.01 -1 -0.99 -0.96 -0.95 -0.94 -0.93 -0.92 -0.91 -0.9 -0.89 -0.88 -0.87 -0.86 -0.85 -0.84 -0.83 -0.82 -0.81 -0.8 -0.79 -0.78 -0.77 -0.76 -0.75 -0.74 -0.72 -0.71 -0.7 -0.69 -0.68 -0.67 -0.66 -0.65 -0.64 -0.63 -0.61 -0.6 -0.59 -0.58 -0.57 -0.55 -0.54 -0.53 -0.52 -0.51 -0.5 -0.49 -0.48 -0.47 -0.46 -0.45 -0.44 -0.43 -0.42 -0.41 -0.4 -0.39 -0.37 -0.36 -0.35 -0.34 -0.33 -0.32 -0.31 -0.3 -0.29 -0.28 -0.27 -0.26 -0.25 -0.24 -0.22 -0.21 -0.2 -0.19 -0.18 -0.17 -0.16 -0.15 -0.14 -0.13 -0.11 -0.1 -0.09 -0.08 -0.06 -0.05 -0.04 -0.03 -0.02 -0.01 0.01 0.02 0.03 0.04 0.05 0.06 0.07 0.08 0.09 0.1 0.12 0.13 0.14 0.15 0.16 0.17 0.18 0.19 0.21 0.22 0.23 0.24 0.25 0.26 0.27 0.28 0.29 0.3 0.31 0.32 0.34 0.35 0.36 0.37 0.38 0.4 0.41 0.42 0.43 0.44 0.45 0.47 0.48 0.49 0.5 0.51 0.52 0.53 0.54 0.55 0.57 0.58 0.59 0.6 0.61 0.62 0.63 0.64 0.65 0.66 0.67 0.68 0.69 0.71 0.72 0.73 0.75 0.76 0.77 0.78 0.85 0.86 0.87 0.89 0.9 0.91 0.94 0.95 0.99 1 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.1 1.12 1.16 1.17 1.18 1.22 1.23 1.24 1.25 1.3 1.31 1.32 1.34 1.37 1.39 1.41 1.42 1.43 1.44 1.47 1.48 1.49 1.53 1.59 1.69 1.7 1.71 1.72 1.74 1.78 1.8 1.83 1.87 1.91 2.02 2.13 2.16 2.2 2.25 2.31 2.33 2.49 2.57 2.73 2.82 3.07 3.25 3.33 3.49 3.87 4.03 4.09 4.6 99.97 Measurement out of range 99.98 Z-score out of range 99.99 Not measured Sysmiss Height for age z-score WHO This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). -5.85 -5.82 -5.78 -5.73 -5.47 -5.42 -5.34 -5.28 -5.26 -5.25 -5.13 -5.07 -4.97 -4.83 -4.81 -4.8 -4.79 -4.76 -4.74 -4.67 -4.66 -4.65 -4.64 -4.62 -4.56 -4.42 -4.34 -4.21 -4.16 -4.15 -4.08 -4.07 -4.06 -4.05 -3.97 -3.96 -3.93 -3.92 -3.87 -3.85 -3.81 -3.8 -3.76 -3.72 -3.7 -3.69 -3.63 -3.61 -3.6 -3.59 -3.55 -3.52 -3.49 -3.46 -3.43 -3.41 -3.4 -3.38 -3.37 -3.36 -3.35 -3.34 -3.33 -3.32 -3.31 -3.3 -3.29 -3.26 -3.22 -3.21 -3.18 -3.15 -3.14 -3.1 -3.09 -3.08 -3.07 -3.06 -3.05 -3.04 -3.03 -3.02 -3.01 -3 -2.99 -2.98 -2.95 -2.94 -2.93 -2.92 -2.91 -2.9 -2.89 -2.87 -2.86 -2.85 -2.84 -2.83 -2.82 -2.81 -2.8 -2.79 -2.78 -2.77 -2.76 -2.75 -2.74 -2.73 -2.71 -2.7 -2.67 -2.66 -2.65 -2.64 -2.63 -2.62 -2.61 -2.6 -2.59 -2.58 -2.57 -2.54 -2.52 -2.5 -2.49 -2.48 -2.47 -2.46 -2.45 -2.42 -2.41 -2.4 -2.38 -2.37 -2.36 -2.34 -2.33 -2.32 -2.31 -2.3 -2.29 -2.28 -2.27 -2.26 -2.25 -2.24 -2.21 -2.2 -2.19 -2.18 -2.17 -2.16 -2.15 -2.13 -2.12 -2.1 -2.09 -2.08 -2.07 -2.06 -2.05 -2.04 -2.03 -2.02 -2 -1.99 -1.98 -1.97 -1.96 -1.95 -1.94 -1.93 -1.92 -1.91 -1.9 -1.89 -1.88 -1.87 -1.85 -1.84 -1.83 -1.81 -1.8 -1.79 -1.78 -1.77 -1.76 -1.73 -1.72 -1.71 -1.7 -1.68 -1.67 -1.66 -1.65 -1.64 -1.62 -1.6 -1.58 -1.57 -1.56 -1.55 -1.54 -1.53 -1.52 -1.51 -1.49 -1.48 -1.47 -1.46 -1.45 -1.44 -1.43 -1.41 -1.4 -1.39 -1.38 -1.37 -1.35 -1.34 -1.33 -1.32 -1.31 -1.3 -1.29 -1.28 -1.27 -1.26 -1.25 -1.23 -1.21 -1.2 -1.18 -1.16 -1.15 -1.14 -1.13 -1.12 -1.11 -1.1 -1.09 -1.05 -1.03 -1.02 -1.01 -1 -0.97 -0.96 -0.95 -0.94 -0.93 -0.92 -0.91 -0.9 -0.88 -0.86 -0.85 -0.84 -0.83 -0.81 -0.8 -0.76 -0.75 -0.74 -0.73 -0.72 -0.7 -0.69 -0.67 -0.66 -0.65 -0.64 -0.63 -0.59 -0.58 -0.57 -0.52 -0.5 -0.48 -0.47 -0.46 -0.45 -0.44 -0.43 -0.42 -0.41 -0.38 -0.37 -0.35 -0.33 -0.31 -0.3 -0.29 -0.28 -0.27 -0.26 -0.25 -0.24 -0.23 -0.18 -0.15 -0.14 -0.1 -0.07 -0.05 0.01 0.04 0.05 0.08 0.09 0.11 0.15 0.16 0.17 0.24 0.25 0.26 0.27 0.28 0.3 0.31 0.32 0.34 0.35 0.38 0.39 0.43 0.44 0.47 0.48 0.5 0.58 0.6 0.63 0.96 1 1.04 1.33 1.37 1.45 1.54 1.56 1.57 1.61 1.66 1.72 1.74 2.7 3.02 3.1 3.3 3.41 3.76 3.77 4.55 99.97 Measurement out of range 99.98 Z-score out of range 99.99 Not measured Sysmiss Weight for age z-score WHO This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). -5.8 -4.88 -4.53 -4.49 -4.26 -4.18 -4.12 -4.04 -4.03 -4.01 -3.97 -3.95 -3.93 -3.7 -3.67 -3.63 -3.59 -3.55 -3.52 -3.51 -3.5 -3.49 -3.43 -3.42 -3.35 -3.31 -3.3 -3.27 -3.24 -3.2 -3.19 -3.18 -3.17 -3.16 -3.15 -3.14 -3.13 -3.03 -3.02 -3.01 -2.98 -2.91 -2.9 -2.87 -2.85 -2.83 -2.82 -2.79 -2.78 -2.71 -2.69 -2.68 -2.67 -2.63 -2.62 -2.6 -2.58 -2.57 -2.55 -2.54 -2.51 -2.5 -2.49 -2.48 -2.46 -2.45 -2.43 -2.42 -2.41 -2.4 -2.39 -2.38 -2.37 -2.36 -2.35 -2.33 -2.32 -2.3 -2.29 -2.28 -2.27 -2.26 -2.25 -2.24 -2.23 -2.22 -2.21 -2.2 -2.19 -2.17 -2.16 -2.15 -2.14 -2.12 -2.11 -2.1 -2.09 -2.06 -2.05 -2.04 -2.03 -2.02 -2.01 -2 -1.99 -1.98 -1.97 -1.94 -1.93 -1.92 -1.9 -1.89 -1.88 -1.87 -1.85 -1.84 -1.83 -1.82 -1.8 -1.79 -1.78 -1.77 -1.76 -1.75 -1.74 -1.72 -1.71 -1.7 -1.69 -1.68 -1.66 -1.65 -1.64 -1.63 -1.62 -1.61 -1.6 -1.59 -1.58 -1.57 -1.56 -1.55 -1.54 -1.53 -1.52 -1.51 -1.5 -1.49 -1.48 -1.47 -1.46 -1.44 -1.43 -1.42 -1.4 -1.39 -1.38 -1.37 -1.36 -1.35 -1.34 -1.33 -1.32 -1.31 -1.3 -1.29 -1.28 -1.27 -1.26 -1.24 -1.23 -1.22 -1.21 -1.2 -1.19 -1.18 -1.17 -1.16 -1.15 -1.14 -1.13 -1.12 -1.11 -1.1 -1.09 -1.08 -1.07 -1.06 -1.04 -1.03 -1.02 -1.01 -1 -0.99 -0.98 -0.97 -0.96 -0.95 -0.94 -0.93 -0.92 -0.91 -0.9 -0.89 -0.88 -0.87 -0.86 -0.85 -0.83 -0.82 -0.81 -0.8 -0.79 -0.77 -0.76 -0.75 -0.74 -0.73 -0.72 -0.71 -0.7 -0.69 -0.68 -0.67 -0.65 -0.64 -0.63 -0.62 -0.61 -0.6 -0.58 -0.57 -0.56 -0.55 -0.54 -0.53 -0.52 -0.51 -0.48 -0.47 -0.45 -0.44 -0.43 -0.42 -0.41 -0.4 -0.39 -0.37 -0.34 -0.33 -0.32 -0.3 -0.29 -0.28 -0.27 -0.26 -0.25 -0.22 -0.21 -0.2 -0.18 -0.17 -0.12 -0.08 -0.06 -0.04 -0.03 -0.02 0.03 0.04 0.05 0.06 0.07 0.08 0.09 0.1 0.14 0.16 0.19 0.2 0.21 0.23 0.24 0.25 0.26 0.27 0.28 0.29 0.31 0.32 0.34 0.35 0.36 0.39 0.43 0.44 0.45 0.46 0.53 0.55 0.56 0.57 0.58 0.6 0.61 0.66 0.67 0.68 0.69 0.71 0.74 0.75 0.8 0.81 0.84 0.9 0.93 0.99 1 1.2 1.49 1.55 1.57 1.59 1.66 2.14 2.79 99.97 Measurement out of range 99.98 Z-score out of range 99.99 Not measured Sysmiss Weight for height z-score WHO This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). -3.9 -3.82 -3.49 -3.48 -3.4 -3.37 -3.33 -3.1 -2.87 -2.78 -2.7 -2.66 -2.65 -2.64 -2.6 -2.59 -2.54 -2.44 -2.35 -2.34 -2.33 -2.24 -2.17 -2.11 -2.08 -2.07 -2.06 -2.04 -1.98 -1.96 -1.92 -1.9 -1.88 -1.84 -1.83 -1.81 -1.8 -1.79 -1.77 -1.76 -1.71 -1.7 -1.69 -1.68 -1.65 -1.63 -1.62 -1.61 -1.6 -1.58 -1.55 -1.54 -1.53 -1.52 -1.51 -1.49 -1.47 -1.46 -1.45 -1.44 -1.42 -1.41 -1.4 -1.37 -1.35 -1.34 -1.32 -1.3 -1.29 -1.28 -1.27 -1.26 -1.25 -1.23 -1.22 -1.21 -1.2 -1.19 -1.18 -1.17 -1.16 -1.15 -1.14 -1.13 -1.12 -1.11 -1.1 -1.08 -1.07 -1.06 -1.04 -1.02 -1.01 -1 -0.99 -0.98 -0.97 -0.96 -0.95 -0.94 -0.93 -0.91 -0.9 -0.89 -0.88 -0.87 -0.86 -0.85 -0.84 -0.83 -0.82 -0.81 -0.8 -0.78 -0.77 -0.76 -0.75 -0.73 -0.72 -0.71 -0.7 -0.69 -0.68 -0.67 -0.66 -0.65 -0.64 -0.63 -0.62 -0.61 -0.6 -0.59 -0.58 -0.57 -0.56 -0.55 -0.54 -0.53 -0.52 -0.51 -0.5 -0.49 -0.48 -0.47 -0.46 -0.45 -0.44 -0.43 -0.41 -0.39 -0.38 -0.37 -0.36 -0.34 -0.33 -0.32 -0.31 -0.3 -0.29 -0.28 -0.27 -0.26 -0.25 -0.24 -0.23 -0.22 -0.21 -0.2 -0.19 -0.18 -0.17 -0.15 -0.14 -0.12 -0.11 -0.1 -0.09 -0.08 -0.07 -0.06 -0.05 -0.04 -0.03 -0.02 0.01 0.02 0.03 0.04 0.05 0.06 0.09 0.1 0.11 0.12 0.13 0.14 0.15 0.16 0.17 0.18 0.19 0.2 0.21 0.22 0.23 0.24 0.25 0.26 0.29 0.3 0.31 0.32 0.33 0.34 0.36 0.37 0.38 0.39 0.4 0.41 0.42 0.43 0.44 0.45 0.46 0.49 0.5 0.51 0.52 0.53 0.54 0.55 0.57 0.59 0.6 0.61 0.62 0.63 0.65 0.66 0.68 0.69 0.7 0.71 0.75 0.77 0.78 0.79 0.8 0.83 0.84 0.89 0.92 0.93 0.94 0.96 1.02 1.03 1.05 1.06 1.07 1.09 1.13 1.16 1.17 1.18 1.24 1.26 1.28 1.29 1.3 1.31 1.32 1.35 1.38 1.41 1.43 1.45 1.5 1.52 1.53 1.56 1.58 1.62 1.67 1.7 1.77 1.8 1.84 1.86 1.95 2.07 2.17 2.21 2.33 2.76 2.78 2.84 2.89 3.06 3.09 3.15 3.51 4.1 4.91 99.97 Measurement out of range 99.98 Z-score out of range 99.99 Not measured Sysmiss Height for age flag WHO This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). No error 1 Error flag Sysmiss Weight for age flag WHO This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). No error 1 Error flag Sysmiss Weight for height flag WHO This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). No error 1 Error flag Sysmiss BMI flag WHO This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). No error 1 Error flag Sysmiss Weight for height - Age flag WHO This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Age given - all measurements calculated 1 No age - only weight for height calculated Sysmiss Net number This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 2 3 4 5 6 Sysmiss Mosquito net observed This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Observed 2 Not observed 9 Missing Sysmiss Brand/type of observed net This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 11 Olyset net 12 Permanent net 21 Ordinary net 31 Other net 98 DK brand / type 99 Missing Sysmiss Months ago net obtained This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Less than one month ago 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 18 19 20 21 23 24 26 27 28 29 36 95 More than 36 months ago 98 DK / Not sure 99 Missing Sysmiss Net treated with an insecticide when obtained This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK / Not sure 9 Missing Sysmiss Net soaked or dipped since obtained This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK / Not sure 9 Missing Sysmiss Months ago net soaked or dipped This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Less than one month ago 2 3 4 5 6 7 8 9 10 11 12 13 16 17 18 19 20 21 24 95 More than 24 months ago 98 DK / Not sure 99 Missing Sysmiss Persons slept under mosquito net last night This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Yes 2 No 8 DK / Not sure 9 Missing Sysmiss Person 1 who slept under net This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Person who slept under net not in HH listing 1 2 3 4 5 6 7 9 10 90 No one / No one else Sysmiss Person 2 who slept under net This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Person who slept under net not in HH listing 1 2 3 4 5 6 7 8 9 10 11 12 13 14 90 No one / No one else Sysmiss Person 3 who slept under net This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Person who slept under net not in HH listing 3 4 5 6 7 8 9 10 11 12 13 14 16 18 24 29 90 No one / No one else Sysmiss Person 4 who slept under net This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Person who slept under net not in HH listing 3 4 5 6 7 8 9 10 11 12 13 14 15 18 19 25 33 90 No one / No one else Sysmiss Person 5 who slept under net This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Person who slept under net not in HH listing 1 5 6 7 8 9 10 11 12 13 14 16 26 90 No one / No one else Sysmiss Area This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Urban 2 Rural with road 3 Rural without road Province This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Vientiane Capital 2 Phongsaly 3 Luangnamtha 4 Oudomxay 5 Bokeo 6 Luangprabang 7 Huaphanh 8 Xayabury 9 Xiengkhuang 10 Vientiane 11 Borikhamxay 12 Khammuane 13 Savannakhet 14 Saravane 15 Sekong 16 Champasack 17 Attapeu Residence This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Urban 2 Rural . This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 2 ..Rural with road 3 ..Rural without road Sysmiss Region This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 North 2 Central 3 South Sex This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Male 2 Female 9 Missing Highest level of education attended This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Preschool 1 Primary 2 Lower Secondary 3 Upper Secondary 4 Post secondary non tertiary 5 Tertiary Education 8 DK 9 Missing Sysmiss Highest grade completed at that level This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). None completed 11 12 13 14 15 21 22 23 24 31 32 33 41 42 43 51 53 54 57 97 Inconsistent 98 DK 99 Missing Sysmiss Date of interview child (CMC) This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1341 1342 1343 1344 1345 1346 Date of birth of child (CMC) This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Age (months) This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Age This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 0-5 2 6-11 3 12-23 4 24-35 5 36-47 6 48-59 Sysmiss Age This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 0-11 2 12-23 3 24-35 4 36-47 5 48-59 Sysmiss Age in days This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). Mother's education This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 None 2 Primary 3 Lower secondary 4 Upper secondary 5 Higher 9 Missing/DK Ethnicity of household head This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Lao 2 Khmu 3 Hmong 4 Other 9 Missing/DK Religion of household head This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). 1 Buddhist 2 Animist 3 Other 9 Missing/DK Wealth index quintile This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6). No wealth index yet! Children's sample weight This questionnaire is to be administered to all mothers or caretakers (see household listing form, column HL9) who care for a child that lives with them and is under the age of 5 years (see household listing Form, column HL6).