Demographic and Health Survey 2009-10 - Timor-Leste Ministry of ...

326 | Appendix E
LAST BIRTH NEXT-TO-LAST BIRTH SECOND-FROM-LAST BIRTH
NO. QUESTIONS AND FILTERS NAME __________________ NAME ________________ NAME _________________
408 Where did you receive antenatal HOME
care for this pregnancy? YOUR HOME . . . . . A
OTHER HOME. . . . . B
Anywhere else?
PUBLIC SECTOR
PROBE TO IDENTIFY TYPE(S) NATIONAL
OF SOURCE(S) AND CIRCLE HOSPITAL . . . . . C
THE APPROPRIATE CODE(S). REFERRAL
HOSPITAL . . . . . D
IF UNABLE TO DETERMINE COMMUNITY
IF A HOSPITAL, HEALTH HEALTH CEN. .. E
CENTER, OR CLINIC IS HEALTH POSTS .. F
PUBLIC OR PRIVATE SISCa POSTS . . . . . G
MOBILE CLINIC H
MEDICAL, WRITE THE OTHER PUBLIC
THE NAME OF THE PLACE. SEC. I
(SPECIFY)
NON-GOVT (NGO) SECTOR
MARIE STOPES .... J
OTHER
(NAME OF PLACE(S)) NGOS K
SPECIFY
PRIVATE MED. SECTOR
PVT. HOSPITAL/
CLINIC . . . . . . . . . L
OTHER PRIVATE
MED. M
(SPECIFY)
OTHER X
(SPECIFY)
409 How many months pregnant were
you when you first received MONTHS . . .
antenatal care for this pregnancy?
DON'T KNOW . . . . . . . 98
410 How many times did you receive NUMBER
antenatal care during this OF TIMES .
pregnancy?
DON'T KNOW . . . . . . . 98
411 As part of your antenatal care
during this pregnancy, were any of
the following done at least once? YES NO
Were you weighed? WEIGHT . . . 1 2
Was your blood pressure
measured? BP . . . . . . . 1 2
Did you give a urine sample? URINE . . . . . 1 2
Did you give a blood sample? BLOOD . . . 1 2
412 During (any of) your antenatal YES . . . . . . . . . . . . . . . 1
care visit(s), were you told about NO . . . . . . . . . . . . . . . 2
the signs of pregnancy (SKIP TO 413A)
complications? DON'T KNOW . . . . . . . 8
413 Were you told where to go if you YES . . . . . . . . . . . . . . . 1
had any of these complications? NO . . . . . . . . . . . . . . . 2
DON'T KNOW . . . . . . . 8
413A What are the symptoms during VAGINAL BLEEDING A
pregnancy indicating the need SEVERE LOWER
to seek immediate care? ABDOMINAL PAIN B
SEVERE HEADACHE C
PROBE: Any other? CONVULSION D
BLURRED VISION &
RECORD ALL MENTIONED SWELLING OF
HANDS & FACE E
OTHER X
(SPECIFY)
DON'T KNOW Z