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Afghanistan Mortality Survey 2010 - Measure DHS

Afghanistan Mortality Survey 2010 - Measure DHS

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NO. QUESTIONS AND FILTERS CODING CATEGORIES SKIP901 Was s/he vaccinated for measles? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8902 Did s/he receive any treatment for the illness that led to death? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 909DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 909903 Can you please list the drugs s/he was given for the ilnessthat led to death?COPY FROM PRESCRIPTION/DISCHARGE NOTESIF AVAILABLEDEATH OF A CHILD AGED 29 DAYS TO 11 YEARSSECTION 9. TREATMENT AND HEALTH SERVICE USE FOR THE FINAL ILLNESS904 What type of treatment did s/he receive: YES NO DK1 Oral rehydration salts and/or intravenous fluids (drip) treatment? ORS/DRIP TREATMENT . . . . . . . . . . . . . . . . . 1 2 82 Blood transfusion? BLOOD TRANSFUSION . . . . . . . . . . . . . . . . . 1 2 83 Treatment/food through a tube passed through the nose? THROUGH THE NOSE . . . . . . . . . . . . . . . . . . . 1 2 84 Any other treatment? OTHER ________________________________ 1 2 8(SPECIFY)905 Where did (NAME) receive treatment for the illness that led to his/her death? HOMERESPONDENT'S HOME . . . . . . . . . . . . . . . . . . . . . APROBE: Any where else? OTHER HOME . . . . . . . . . . . . . . . . . . . . . . . . . . . . BCIRCLE ALL PLACES MENTIONED.PUBLIC SECTORHOSPITAL (NATIONAL, REGIONAL,PROBE TO IDENTIFY THE TYPE OF HEALTH FACILITY PROVINCIAL, OR DISTRICT) . . . . . . . . . . . . . . . . . CAND CIRCLE THE APPROPRIATE CODE. CHC/POLYCLINIC . . . . . . . . . . . . . . . . . . . . . . . . . . DBASIC HEALTH CENTER . . . . . . . . . . . . . . . . . . . EIF UNABLE TO DETERMINE IF A HEALTH FACILITY HEALTH POST/SUB-HEALTH POST . . . . . . . . . . . . . . . FIS PUBLIC OR PRIVATE , WRITE THE NAME OF THE PLACEMOBILE CLINIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G(NAME OF PLACE)OTHER PUBLICH(SPECIFY)PRIVATE SECTORPVT. HOSPITAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . IPRIVATE CLINIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . JPRIVATE DOCTOR'S OFFICE . . . . . . . . . . . . . . . . . KOTHER PRIVATEL(SPECIFY)OTHER SOURCECHARITY/FOUNDATIONS . . . . . . . . . . . . . . . . . . . MREFUGEE CAMP . . . . . . . . . . . . . . . . . . . . . . . . . . NOTHER(SPECIFY)X905ACHECK Q.905:CODE C TO NOTHER CODECIRCLED CIRCLED 909906 In the month before death, how many times in total did s/hereceive treatment from this/these facilities? NUMBER OF TIMES. . . . . . . . . . . . . . . . . . . . . . . . . .DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 8907 Did a health care worker tell you the cause of death? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 909DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 909908 What did the health care worker say?909 Did s/he have any operation for the illness? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1001DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 1001910 How many days before death did s/he have the operation? DAYS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 8911 On what part of the body was the operation? ABDOMEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1CHEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2HEAD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3OTHER 6(SPECIFY)DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8260 | Appendix F

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