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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 SKIP1001 Did s/he receive any treatment for the illness that led to death? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1008DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 10081002 Can you please list the drugs s/he was given for the ilnessthat led to death?COPY FROM PRESCRIPTION/DISCHARGE NOTESIF AVAILABLEDEATH OF A PERSON AGED 12 YEARS AND ABOVESECTION 10. TREATMENT AND HEALTH SERVICE USE FOR THE FINAL ILLNESS1003 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)1004 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. . . . . . . . . . . . . . . . . . . . . . . . . . . EHEALTH POST/SUB-HEALTH POST . . . . . . . . . . . . . . . . FMOBILE CLINIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GIF UNABLE TO DETERMINE IF A HEALTH FACILITY OTHER PUBLIC HIS PUBLIC OR PRIVATE , WRITE THE NAME OF THE PLACE(SPECIFY)PRIVATE SECTORPVT. HOSPITAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I(NAME OF PLACE)PRIVATE CLINIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . JPRIVATE DOCTOR'S OFFICE . . . . . . . . . . . . . . . . . . KOTHER PRIVATE(SPECIFY)OTHER SOURCECHARITY/FOUNDATIONS . . . . . . . . . . . . . . . . . . . .REFUGEE CAMP. . . . . . . . . . . . . . . . . . . . . . . . . . . . .OTHER(SPECIFY)LMNX1004ACHECK Q.1104:CODE C TO NOTHER CODECIRCLED CIRCLED 10081005 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 81006 Did a health care worker tell you the cause of death? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1008DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 10081007 What did the health care worker say?1008 Did s/he have any operation for the illness? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1101DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 11011009 How long before death did s/he have the operation? DAYS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 81010 On what part of the body was the operation? ABDOMEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1CHEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2HEAD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3OTHER 6(SPECIFY)DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8280 | Appendix F

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