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

328 | Appendix E
LAST BIRTH NEXT-TO-LAST BIRTH SECOND-FROM-LAST BIRTH
NO. QUESTIONS AND FILTERS NAME __________________ NAME ________________ NAME _________________
425 During this pregnancy, did you YES . . . . . . . . . . . . . . . 1
suffer from night blindness NO . . . . . . . . . . . . . . . 2
[USE LOCAL TERM]? DON'T KNOW . . . . . . . 8
425A During this pregnancy, did you
receive supplementary food? YES NO
During pregnancy? PREGNANCY .. 1 2
During lactating period? LACTATION .. 1 2
432 When (NAME) was born, was VERY LARGE . . . . . . . 1 VERY LARGE . . . . . 1 VERY LARGE . . . . . 1
he/she very large, larger than LARGER THAN LARGER THAN LARGER THAN
average, average, smaller than AVERAGE . . . . . . . 2 AVERAGE . . . . . 2 AVERAGE . . . . . 2
average, or very small? AVERAGE . . . . . . . . . 3 AVERAGE . . . . . . . 3 AVERAGE . . . . . . . 3
SMALLER THAN SMALLER THAN SMALLER THAN
AVERAGE . . . . . . . 4 AVERAGE . . . . . 4 AVERAGE . . . . . 4
VERY SMALL . . . . . . . 5 VERY SMALL . . . . . 5 VERY SMALL . . . . . 5
DON'T KNOW . . . . . . . 8 DON'T KNOW . . . . . 8 DON'T KNOW . . . . . 8
433 Was (NAME) weighed at birth? YES . . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . 1
NO . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . 2
(SKIP TO 435) (SKIP TO 435) (SKIP TO 435)
DON'T KNOW . . . . . . . 8 DON'T KNOW . . . . . 8 DON'T KNOW . . . . . 8
434 How much did (NAME) weigh? KG FROM CARD KG FROM CARD KG FROM CARD
RECORD WEIGHT IN
KILOGRAMS FROM HEALTH
CARD, IF AVAILABLE.
1 . 1 . 1 .
KG FROM RECALL KG FROM RECALL KG FROM RECALL
2
. 2 . 2 .
DON'T KNOW . 99.998 DON'T KNOW . 99.998 DON'T KNOW . 99.998
435 Who assisted with the delivery HEALTH PERSONNEL HEALTH PERSONNEL HEALTH PERSONNEL
of (NAME)? DOCTOR . . . . . . . A DOCTOR . . . . . A DOCTOR . . . . . A
NURSE/MIDWIFE . . B NURSE/MIDWIFE. B NURSE/MIDWIFE. B
ASSISTANT NURSE C ASSISTANT NURSE C ASSISTANT NURSE C
Anyone else?
PROBE FOR THE TYPE(S) OF OTHER PERSON OTHER PERSON OTHER PERSON
PERSON(S) AND RECORD ALL TRADITIONAL BIRTH TRADITIONAL BIRTH TRADITIONAL BIRTH
MENTIONED. ATTENDANT . . D ATTENDANT . . D ATTENDANT . . D
RELATIVE/FRIEND . E RELATIVE/FRIEND E RELATIVE/FRIEND E
IF RESPONDENT SAYS NO ONE OTHER OTHER OTHER
ASSISTED, PROBE TO X X X
DETERMINE WHETHER ANY (SPECIFY) (SPECIFY) (SPECIFY)
ADULTS WERE PRESENT AT NO ONE . . . . . . . . . . . Y NO ONE . . . . . . . . . . Y NO ONE . . . . . . . . . . Y
THE DELIVERY.