PACKARD WESTERN KENYA BASELINE SURVEY 2010

BIRTH HISTORY
You told me that you have had a total of ______________births (check Q209). Now I would like to record the names of all your live births, whether still alive or not, starting with the first one you had.
Umeniambia ulizaa jumla ya watoto _______. Sasa ningetaka kurekodi majina yote ya watoto uliowazaa wakiwa hai, hata kama hivi sasa wako hai ama wameaga, kuanzia wa kwanza
RECORD NAMES OF ALL THE BIRTHS in Q209 in Q218. RECORD TWINS AND TRIPLETS ON SEPARATE LINES. IF THERE ARE MORE THAN 18 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE.
CIRCLE ALL CHILDREN BORN IN 2008 OR LATER.
(Q218)
(Q219) (Q220)
(Q222) (Q223)
(Q224)
(Q225)
(Q21
7C)
Line
no.
What name was given to your
(first/next) baby
Mtoto wa kwanza aliitwa nani
(anayefuata)
Were any of
these births
twins/triplets
Is
(NAME)
a boy or
a girl
Is
(NAME)
still
alive
IF ALIVE:
How old was
(NAME) at his/her
last birthday
IF ALIVE:
Is (NAME) living
with you
01 NAME:
_____________________________
02 NAME:
__________________________
03 NAME:
_____________________________
04 NAME:
_____________________________
je, kunao
mapacha ama
watatu
SING………1
MULT……..2
SING………1
MULT……..2
SING………1
MULT……..2
SING………1
MULT……..2
Ama
Je
(JINA)
ni
Mvulana
msichana
BOY…1
GIRL...2
BOY…1
GIRL...2
BOY…1
GIRL...2
BOY…1
GIRL...2
(Q221)
In what month and
year was (NAME)
born PROBE:
What is her/his
birthday (other
probes: what
season was it)
Ni mwezi gani na
mwaka gani
(JINA) alizaliwa
ULIZA:
Siku yake ya
kuzaliwa ni ipi
ULIZA:
Alizaliwa msimu
upi
MONTH [__|__]
DK……..98
YEAR
[__|__][__|__]
DK….9998
MONTH [__|__]
DK……..98
YEAR
[__|__][__|__]
DK….9998
MONTH [__|__]
DK……..98
YEAR
[__|__][__|__]
DK….9998
MONTH [__|__]
DK……..98
YEAR
[__|__][__|__]
DK….9998
(JINA)
yuko
hai
YES….1
NO……2
Q225
YES….1
NO……2
Q225
YES….1
NO……2
Q225
YES….1
NO……2
Q225
KAMA YUKO HAI:
(JINA) alifikisha
miaka mingapi
tarehe ya mwisho
kuadhimisha siku
yake ya kuzaliwa
RECORD AGE IN
COMPLETED
YEARS; IF LESS
THAN ONE YEAR,
RECORD “00”.
AGE IN YEARS
[__|__]
AGE IN YEARS
[__|__]
AGE IN YEARS
[__|__]
AGE IN YEARS
[__|__]
KAMA YUKO
HAI:
Je, (JINA)
anaishi pamoja
na wewe
YES….1
NO……2
All Skip
To Q226
YES….1
NO……2
All Skip
To Q226
YES….1
NO……2
All Skip
To Q226
YES….1
NO……2
All Skip
To Q226
IF DEAD:
How old was (NAME) when
she/he died
IF LESS THAN 2 YEARS,
PROBE:
How many months old was
(NAME)
KAMA AMEAGA:
(JINA) alikuwa na miaka
mingapi alipoaga dunia
KAMA ANA MWAKA 2
ULIZA ZAIDI:
(JINA) alikuwa na miezi
mingapi
IF LESS THAN 1 MONTH
OLD, RECORD DAYS; IF
LESS THAN 2 YEARS,
RECORD MONTHS
DAYS…….1 [__|__]
MONTHS…2 [__|__]
YEARS…….3 [__|__]
DK………….998
DAYS…….1 [__|__]
MONTHS…2 [__|__]
YEARS…….3 [__|__]
DK………….998
DAYS…….1 [__|__]
MONTHS…2 [__|__]
YEARS…….3 [__|__]
DK………….998
DAYS…….1 [__|__]
MONTHS…2 [__|__]
YEARS…….3 [__|__]
DK………….998
(Q226)
Were there any other
live births between
(NAME OF
PREVIOUS BIRTH)
and (NAME),
including any children
who died after birth
Ulizaa mtoto yeyote
hai kati ya
(ALIYE ZALIWA
AWALI)
Na
(JINA)
Nijulishe hata kama
aliaga dunia baada ya
kuzaliwa
YES...1
ADD BIRTH
NO….2
NEXT BIRTH
YES...1
ADD BIRTH
NO….2
NEXT BIRTH
YES...1
ADD BIRTH
NO….2
NEXT BIRTH
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