PACKARD WESTERN KENYA BASELINE SURVEY 2010

Q227
Q228
Q229
Have you had any live births since the birth of (NAME OF LAST
BIRTH)
Je, Umewahi kuzaa mtoto akiwa hai tangu kuzaliwa kwa (JINA
LA MTOTO WA MWISHO)
Before the birth of (NAME OF FIRST BIRTH), did you have any
other live births
Kabla ya kuzaliwa kwa (JINA LA MTOTO WA KWANZA), uliwahi
kuzaa mtoto mwengine akiwa hai
YES………………………………
NO………………………………..
YES………………………………
NO………………………………..
COMPARE Q208 WITH NUMBER OF BIRTHS IN HISTORY ABOVE AND MARK:
NUMBERS
NUMBERS ARE
ARE SAME DIFFERENT (PROBE AND RECONCILE)
1
2
1
2
RECORD
BIRTH(S)
IN BIRTH
HISTORY
TABLE
RECORD
BIRTH(S)
IN BIRTH
HISTORY
TABLE
CHECK: FOR EACH BIRTH: YEAR OF BIRTH IS RECORDED.
FOR EACH LIVING CHILD: CURRENT AGE IS RECORDED.
FOR EACH DEAD CHILD: AGE AT DEATH IS RECORDED.
Q230
FOR AGE AT DEATH 12 MONTHS OR 1 YEAR: PROBE TO DETERMINE EXACT
NUMBER OF MONTHS.
CHECK Q221 AND ENTER THE NUMBER OF BIRTHS SINCE 2008. IF NONE, RECORD “0”.
Q231 CHECK Q230:
YES, HAS ONE OR MORE NO BIRTHS SINCE 2008
BIRTHS SINCE 2008
Q235
Q232
ENTER NAME AND LINE NUMBER
OF YOUNGEST CHILD BORN FROM Q217C AND Q218: ______________________________
NAME
[___|___]
LINE NUMBER
DEAD
LIVING
Q233
At the time you became pregnant with [NAME ABOVE], did you want
to become pregnant then, did you want to wait until later, or did you
not want to have any more children at all
Wakati ulipopata mimba ya (JINA), ulitaka upate mimba wakati huo,
ama ulitaka uipate baadaye ama hukutaka kupata watoto tena
THEN……………………………
LATER…………………………
NOT AT ALL……………………
1
2
3
Q235
Q235
Q234
Q235
Q236
How much longer would you have liked to wait
Ni kwa muda gani zaidi ungelipendelea kungoja
IF RESPONSE IS A DECIMAL FOR MONTHS & YEARS (2.5YRS),
THEN CONVERT IN MONTH AND FILL IN ONLY MONTHS.
Are you pregnant now
Je wewe ni mjamzito hivi sasa
How many months pregnant are you
Mimba yako ina miezi mingapi
RECORD IN COMPLETE MONTHS OF PREGNANCY
MONTHS………..1 [__|__]
OR
YEARS..………...2 [__|__]
OR
OTHER
(SPECIFY)__________________996
OR
DON’T KNOW……………………….998
YES………………………………
NO………………………………..
UNSURE……………………… .
MONTHS…………………..[__|__]
DON’T KNOW…………….98
1
2
8
Q243
Q243
Q237
At any time during this pregnancy, have you gone for an antenatal
check up
Tangu ulipopata mimba hii, je umeenda kupata huduma ya kina mama
waja wazito/kliniki
YES………………………………1
NO………………………………..2
Q241
Q238
From where or whom did you obtain (A CHECK UP) last time
PROBE: What is the name of this place/person And where is
it/he/she located
Uliipata wapi au kutoka kwa nani (HUDUMA HIYO) mara ya mwisho
ULIZA: Mtu huyo aitwaje na yuko wapi mahali hapo paitajwe na
pako wapi
NAME OF FACILITY_________________
_________________________________
PHYSICAL LOCATION_______________
_________________________________
LAND MARK________________________
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