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Palestinian Family Survey 2010 Final Report - Palestinian Central ...

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PCBS: <strong>Palestinian</strong> <strong>Family</strong> <strong>Survey</strong>, <strong>2010</strong>IM31. Copy dates for each vaccination from the card.2. Write ‘44’ in day column if card shows that vaccination was given but no date recordedVaccine Day Month YearBCGIPV1IPV2HBV1PIM1AHBV2HBV3OPV1OPV2OPV3DPT1DPT2DPT3MeaslesMMR1MMR2Hib1Hib2Hib3If answer in IM1……………………..1 (go to IM8)If answer in IM1…………………..…2 or 3 (continue)IM6 For children who do not have a card or has a Yes 1card but the card was not seen. Was (name)given any vaccine to immunize him/herNo 2against illnesses?Don’t know 8Please tell me if (name) has received any of the following vaccinations:IM7 BCG vaccination againstYes 1tuberculosis, that is an injection inthe shoulder that usually causes aNo 2scarIM8 Has (name) ever received any“vaccination drops in the mouth”to protect him/her from gettingdiseases – that is, polio?IM9 Was the first polio vaccine receivedin the first month after birth orlater?Don’t know 8Yes 1No 2Don’t know 8First month 1Later 2IM18IM11IM10 How many times was the poliovaccine received?IM11 Has (name) ever received a DPTvaccination – that is, an injection inthe thigh or buttocks – to preventhim/her from getting tetanus,whooping cough, diphtheria?IM12 How many times was a DPT vaccinereceived?IM13 Has (name) ever been given aHepatitis B vaccination – that is, aninjection in the thigh or buttocks– to prevent him/her from gettingHepatitis?is sometimes given at the sametime as Polio and DPT vaccinesNumber of timesYes 1No 2IM13Don’t know 8 IM13Number of timesYes 1No 2 IM16Don’t know 8 IM16252

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