Afghanistan Mortality Survey 2010 - Measure DHS

SECTION 3. HOUSEHOLD DEATHSNO. QUESTIONS AND FILTERS CODING CATEGORIES SKIP301A Now I would like to ask you a few more questions about yourYES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 301Chousehold. Has any usual resident of your household died since 1NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Hammal 1384?DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8301B Was there any birth since 1 Hammal 1384 where the baby showedYES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1signs of life at birth (such as crying, breathing, or movement) butNO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2died soon after?DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8301C Was there any pregnancy since 1 Hammal 1384 that ended in aYES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1stillbirth- that is, where the baby never showed any signs of lifeNO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2(such as crying, breathing, or movement)?DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8CHECK Q.301A, 301B, and 301C:IF ALL NO OR DON'T KNOWIF ANY YES CODE '2' OR '8' CIRCLED 401CODE '1' CIRCLED302ASK Qs.304-308 AS APPROPRIATE FOR EACH PERSON WHO DIED. IF THERE WERE MORE THAN 3 DEATHS, USE ADDITIONALQUESTIONNAIRE(S).303 COLUMN NO. 1 2 3304What was the name of the person whodied most recently (before him/her)?305 How old was (NAME) when he/she died? DAYS . . . 1 DAYS . . . 1 DAYS . . . 1IF '1' YEAR PROBE: MONTHS . 2 MONTHS . 2 MONTHS . 2How many months old was (NAME)when he/she died?IF '1' MONTH PROBE:How many days old was (NAME) whenhe/she died?IF STILLBIRTH CIRCLE '1' ANDRECORD AGE IN DAYS AS '00'.RECORD DAYS IF LESS THAN 1MONTH; MONTHS IF LESS THAN 1YEAR, AND COMPLETED YEARS IF 1YEAR OR MOREYEARS . . 3 YEARS . . 3 YEARS . . 3306 Was (NAME) male or female? MALE . . . . . . . . . . . . . . 1 MALE . . . . . . . . . . . . . . . 1 MALE . . . . . . . . . . . . . . 1FEMALE . . . . . . . . 2 FEMALE . . . . . . . . 2 FEMALE . . . . . . . 2307 CHECK Q.305:WHICH VERBAL AUTOPSY0 - 28 DAYS . . . . . . 1 0 - 28 DAYS . . . . . . 1 0 - 28 DAYS . . . . . 1QUESTIONNAIRE SHOULD BEADMINISTERED. 29 DAYS TO 11 . . . . 2 29 DAYS TO 11 . . . . 2 . . . 2YRSYRS29 DAYS TO 11 YRS. . . . 3 12 YRS AND . . . . 3 . . . 3ABOVE12 YRS AND ABOVE308 NAME AND LINE NUMBER OF THE LINE LINE LINEMOTHER FROM Q.101 AND Q.102 . NUMBER NUMBER NUMBERIF SHE IS NOT LISTED IN THEHOUSEHOLD, RECORD '00'.(NAME) (NAME) (NAME)309 Has any other member of yourYES . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . 1household died since 1 Hammal 1384?GO TO Q.304 IN GO TO Q.304 IN GO TO Q.304 ONNEXT COLUMN NEXT COLUMN NEW QUEST.NO . . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . . . . 2DK . . . . . . . . . . . . . . . . 8 DK . . . . . . . . . . . . . . . . . 8 DK . . . . . . . . . . . . . . . . . 8TICK HERE IF ADDITIONAL QUESTIONNAIRES USED12 YRS ANDABOVE310 CHECK Q304 AND SUM ALL PERSONS LISTED HERE AND ONCONTINUATION SHEET, IF ANY.TOTAL NUMBER OF PERSONS IN HOUSEHOLD WHO DIEDSINCE 1 HAMMAL 1384. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .311 CHECK Q.310:IF 1 OR MORE DEATHS IF NO DEATHS 401READ TO THE RESPONDENT: After this interview we would like to get more information on the circumstances surrounding this/these death(s) sothat the government can provide health services to help reduce these deaths.Appendix F |207