PACKARD WESTERN KENYA BASELINE SURVEY 2010

Q406
Q407
Why didn’t you deliver in a health facility
Mbona hukuzalia kenye kituo cha Afya
CIRCLE ALL MENTIONED.
Were you provided with any information or counseling
about family planning/contraceptive methods from a health
or family planning worker either before you delivered or
after
Je, ulipata ushauri wowote ama mafunzo kuhusu mpango
wa uzazi au njia ya kuzuia mimba kutoka kwa mhudumu
wa afya au mfanyi kazi wa upangaji wa uzazi kabla ya
kuzaa ama baadaye
COSTS TOO MUCH………………………..
FACILITY NOT OPEN……………………
DIDN’T HAVE TIME/LABOUR PAINS
CAME EARLY…….………………………....
DON’T TRUST THE STAFF………………
NOT NECESSARY…………………………
TRADITION………..………………………
TOO FAR……………………………………
NO TRANSPORT AVAILABLE……………
NO ONE AVAILABLE TO ACCOMPANY
HER ……………………………………….
POOR QUALITY SERVICES………………
DO NOT OFFER SERVICES REQUIRED…
PROVIDERS OFTEN AWAY………………
DOES NOT ACCEPT INSURANCE………..
NO FEMALE PROVIDER……………………
PARTNER/FAMILY WON’T ALLOW……….
HUSBAND/SPOUSE NOT AT HOME………
DIDN’T HAVE MONEY………………………
POOR PROVIDER ATTITUDE………………
POOR FACILITY ENVIRONMENT………….
FEAR OF HIV TESTING …………………….
OTHER_____________________________
(SPECIFY)
YES, BEFORE DELIVERY…………………
YES, AFTER DELIVERY……………………
YES, AT BOTH TIMES………………………
NO, NOT AT ALL……………………………
DON’T KNOW/REMEMBER………….……
1
2
3
4
8
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
X
ALL SKIP
TO KQ15
Now I would like to ask you some questions about the health status of your youngest born child, specifically about whether or not he or she has
received any immunizations.
Sasa nataka kukuuliza maswali kuhusu afya ya mtoto wako wa mwisho, hasa ikiwa alipata chanjo za kinga.
KQ15
KQ16
CHECK Q402 FOR YOUNGEST CHILD’S NAME:
Which vaccinations did [NAME] receive
Ni chanjo zipi ambazo [JINA] amepata
CIRCLE ALL MENTIONED.
ASK TO SEE THE CHILD’S HEALTH CARD TO
VERIFY VACCINATION RECORD.
Did [NAME] ever receive the Polio vaccine, that is,
drops in the mouth; including vaccine received in a
Ministry of Health Polio campaign
BCG………………………………………………………
BIRTH POLIO…………………………………………
PENTA/DPT - 1st DOSE……………………………
PENTA/DPT – 2 nd DOSE……………………………
PENTA/DPT – 3 rd DOSE………………………………
OPV – 1…………………………………………………...
OPV – 2…………………………………………………...
OPV – 3…………………………………………………...
INJECTION AGAINST MEASLES……………............
OTHER____________________________________
(SPECIFY)
NONE……………………………………………………...
DON’T KNOW…………………………………………….
YES . . . . ………………………………….. . . . . . . . . . .
NO . . . . . . . . . . . . . . . …………………………………..
DON’T KNOW . . . . . . …………………………………..
A
B
C
D
E
F
G
H
I
X
Y
Z
1
2
8
Q408
KQ19
KQ19
KQ17
KQ18
Je, [JINA] alipata chanjo ya pepo punda (polio),
yaani matone kuwekwa mdomoni: ukijumulisha na
kampeni zozote za polio za Wizara ya Afya
Was the first polio vaccine received in the first two
weeks after birth or later
Je, alipokea chanjo ya pepo punda (polio) ya
kwanza kati ya wiki mbili baada ya kuzaliwa ama
baadaye
How many times was the polio vaccine received
IF MORE THAN 7, RECORD ‘7’.
Je, alipokea chanjo za polio mara ngapi
FIRST 2 WEEKS . . . . . 1
LATER . . . . . . . . . . . . . 2
DON’T KNOW. . . . . . …8
NUMBER OF TIMES . . . . . . . . ……………………….
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