Vietnam Population and AIDS Indicator Survey 2005 ... - Measure DHS
Vietnam Population and AIDS Indicator Survey 2005 ... - Measure DHS
Vietnam Population and AIDS Indicator Survey 2005 ... - Measure DHS
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Introduction <strong>and</strong> consent<br />
Section 1. respondent’s background<br />
Informed consent<br />
Hello. My name is _______________________________ <strong>and</strong> I am working with the Department of<br />
<strong>Population</strong> <strong>and</strong> Labour Statistics <strong>and</strong> the National Institute of Hygiene <strong>and</strong> Epidemiology. We are<br />
conducting a national health survey. We would very much appreciate your participation in this survey.<br />
I would like to ask you about some important health issues. This information will help the government<br />
to plan health services. The survey usually takes around 20 minutes to complete.<br />
Whatever information you provide will be kept strictly confidential <strong>and</strong> will not be shown to other<br />
persons.<br />
Participation in this survey is voluntary <strong>and</strong> you can choose not to answer any individual question or<br />
all of the questions. However, we hope that you will participate in this survey since your views are<br />
important.<br />
At this time, do you want to ask me anything about the survey<br />
May I begin the interview now<br />
Signature of interviewer: _________________________________ Date: ____________________<br />
respondent agrees to be 1 espondent does not agree to be interviewed 2<br />
end interviewed<br />
no Questions <strong>and</strong> filters Coding categories skip<br />
101 Record the time hour..............................................................<br />
minutes .......................................................<br />
102 In what month <strong>and</strong> year were you<br />
born<br />
month ..........................................................<br />
don’t know month.......................................... 98<br />
year .................................................. 1 9<br />
don’t know year......................................... 9998<br />
103 How old were you at your last<br />
birthday<br />
Compare <strong>and</strong> correct 102 <strong>and</strong>/or<br />
103 if inconsistent<br />
Age in completed years.....................<br />
104 Have you ever attended school yes ............................................................................. 1<br />
no ............................................................................... 2 107<br />
105 What is the highest level of school<br />
you attended: primary, lower<br />
secondary, upper secondary or<br />
higher<br />
106 What is the highest<br />
(grade/form/year) you completed<br />
primary................................................................... 1<br />
lower secondary.............................................. 2<br />
upper secondary ............................................... 3<br />
higher...................................................................... 4<br />
Grade………………………………………..<br />
grades = 0,1,2,...,12 (Level 1-3)<br />
years = 0,1,2,3,4,5 + ( Level 4)<br />
don't know = 98<br />
1<br />
138 | Appendix D