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Afghanistan Mortality Survey 2010 - Measure DHS

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MINISTRY OF PUBLIC HEALTHAFGHANISTAN MORTALITY SURVEYGEOGRAPHIC INFORMATION SHEETIDENTIFICATION18 March <strong>2010</strong>VILLAGE/NEIGHBORHOOD/MAHALACLUSTER NUMBER/SAHA SHOMOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .NAME OF RESPONDENTCLUSTER INFORMATIONNO.QUESTIONS AND FILTERSCODING CATEGORIES101 Is there cell phone signal in the center of the cluster?YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2102 Is the main road into the cluster paved?YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2103 Is there a police station/police post in the cluster?YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2104 What is the largest medical facility in the cluster?HOSPITAL (NATIONAL, REGIONALPROVINCIAL OR DISTRICT . . . . . . . 01CIRCLE ONLY ONE.CHC/POLYCLINIC . . . . . . . . . . . . . . . . . 02BASIC HEALTH CENTER . . . . . . . . . . . 03HEALTH POST/SUB HEALTH POST . . . 04MOBILE CLINIC . . . . . . . . . . . . . . . . . . . 05PRIVATE HOSPITAL . . . . . . . . . . . . . . . 06PRIVATE CLINIC . . . . . . . . . . . . . . . . . . . 07PRIVATE DOCTOR'S OFFICE . . . . . . . 08CHARITY FOUNDATIONS . . . . . . . . . . . 09REFUGEE CAMP . . . . . . . . . . . . . . . . . . . 10TRADITIONAL PRACTITIONER . . . . . . . 11OTHER 16(SPECIFY)NO MEDICAL FACILITY . . . . . . . . . . . . . 12105 How frequent is public transport/common transport AT LEAST ONCE A DAY . . . . . . . . . . . . . 1to and from cluster? SEVERAL DAYS A WEEK . . . . . . . . . . . 2SEVERAL DAYS A MONTH . . . . . . . . . 3CERTAIN MONTHS OF THE YEAR/SEASONAL . . . . . . . . . . . . . . . . . . . . . . . 4NO SCHEDULE . . . . . . . . . . . . . . . . . . . . . 5NO PUBLIC TRANSPORT . . . . . . . . . . . 6106 What is the highest level of school in the cluster? PRIMARY . . . . . . . . . . . . . . . . . . . . . . . . . 1SECONDARY . . . . . . . . . . . . . . . . . . . . . 2CIRCLE ONLY ONE.COLLEGE/UNIVERSITY . . . . . . . . . . . . . 3MADRASSA . . . . . . . . . . . . . . . . . . . . . 4NO SCHOOL . . . . . . . . . . . . . . . . . . . . . . . 5107 Are the following available in the cluster today: YES NOa) Petrol for vehicles?PETROL 1 2b) Fresh meat? FRESH MEAT 1 2c) Fresh fruits/vegetables? FRUIT/VEGETABLE 1 2d) Flour for bread?FLOUR 1 2e) Rice?RICE 1 2f) Firewood/cooking fuel? FIREWOOD/COOKING FUEL 1 2DATE COMPLETED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .DAYMONTHYEARNAME OF LISTER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LISTERNUMBERAppendix F |285

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