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

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LAST BIRTH NEXT-TO-LAST BIRTH SECOND-FROM-LAST BIRTH<br />

NO. QUESTIONS AND FILTERS NAME __________________ NAME ________________ NAME _________________<br />

414 During this pregnancy, were you YES . . . . . . . . . . . . . . . 1<br />

given an injection in the arm<br />

to prevent the baby from getting NO . . . . . . . . . . . . . . . 2<br />

tetanus, that is, convulsions (SKIP TO 417)<br />

after birth? DON'T KNOW . . . . . . . 8<br />

415 During this pregnancy, how many<br />

times did you get this tetanus TIMES . . . . . . . . . . .<br />

injection?<br />

DON'T KNOW . . . . 8<br />

416 CHECK 415: 2 OR MORE OTHER<br />

TIMES<br />

(SKIP TO 421)<br />

417 At any time before this pregnancy, YES . . . . . . . . . . . . . . . 1<br />

did you receive any tetanus NO . . . . . . . . . . . . . . . 2<br />

injections, either to protect (SKIP TO 421)<br />

yourself or another baby?<br />

DON'T KNOW . . . . . . . 8<br />

418 Before this pregnancy, how many<br />

other times did you receive a TIMES . . . . . . . . . . .<br />

tetanus injection?<br />

IF 7 OR MORE TIMES, DON'T KNOW . . . . 8<br />

RECORD '7'.<br />

419 In what month <strong>and</strong> year did you<br />

receive the last tetanus injection MONTH . . .<br />

before this pregnancy?<br />

DK MONTH . . . . . . . . . 98<br />

YEAR<br />

(SKIP TO 421)<br />

DK YEAR . . . . . . . . 9998<br />

420 How many years ago did you YEARS<br />

receive that tetanus injection? AGO . . . . .<br />

421 During this pregnancy, were you YES . . . . . . . . . . . . . . . 1<br />

given or did you buy any iron<br />

tablets or syrup? NO . . . . . . . . . . . . . . . 2<br />

(SKIP TO 423)<br />

SHOW TABLETS/SYRUP. DON'T KNOW . . . . . . . 8<br />

422 During the whole pregnancy, for<br />

how many days did you take the DAYS .<br />

tablets or syrup?<br />

DON'T KNOW . . . . 998<br />

IF ANSWER IS NOT NUMERIC,<br />

PROBE FOR APPROXIMATE<br />

NUMBER OF DAYS.<br />

423 During this pregnancy, did you YES . . . . . . . . . . . . . . . 1<br />

take any drug for intestinal NO . . . . . . . . . . . . . . . 2<br />

worms? DON'T KNOW . . . . . . . 8<br />

424 During this pregnancy, did you YES . . . . . . . . . . . . . . . 1<br />

have difficulty with your vision NO . . . . . . . . . . . . . . . 2<br />

during daylight? DON'T KNOW . . . . . . . 8<br />

Appendix E<br />

| 327

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