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

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PCBS: Palestinian Family Survey, 2010IM14 Was the first Hepatitis B vaccinereceived within 24 hours after birth,or later?IM15 How many times was a hepatitis Bvaccine received?IM16 Has (name) ever received a Measlesinjection?IM18 Has (name) received a Vitamin A\Dsyrup within one year after birth?PIM1 What is the reason for not receivingvitamin A\D?PIM2 Has (name) received an iron syrupconstantly after 6 months and for 1year?PIM3 What is the reason for notreceiving iron syrup constantly?Probe: If there is more than onechoiceSection 3: Care of illnessesCA1 In the last two weeks, has (name)had diarrhoea?PCA1 For how many days did thisdiarrhoea last?If less than 1 day, record 00Within 24 hours 1Later 2Number of timesYes 1No 2Don’t know 8Yes 1 PIM2No 2Don’t know 8 PIM2Mother does not know where to get it 1No one told her of its importance 2Mother is busy 3Not important 4Other / Specify ________________ 6Don’t know 8Yes 1 CA1No 2Don’t know 8 CA1Mother is busy 1It does not taste good 2Desired side effects 3No need 4Not available constantly in the clinic 5Don’t know about it 6No one told me about it 7Don’t know 8Other / Specify ________________ 9Yes 1No 2Don’t know 8DaysDon’t know…………..98PCA2 Was there blood in the stool? Yes 1PCA6CA2 I would like to know how muchfluids (name) was given during thediarrhea episode. Did he/she takeless than usual, the same as usual ormore than usual?If less than usual, probe:Did he/she take very much or a littleless than usual?CA3 During the time (name) haddiarrhoea, was he/she given lessthan usual to eat, about the sameamount, more than usual, ornothing to eat?If “less”, probe:Was he/she given muchless than usual to eat or somewhatless?No 2Don’t know 8Very much less than usual 1A little less than usual 2The usual quantity 3More than usual 4Did not take fluids at all 5Don’t know 8Very much less than usual 1A little less than usual 2The usual quantity 3More than usual 4Stopped feeding 5Never gave food 6Don’t know 8253
PCBS: Palestinian Family Survey, 2010CA4 During the episode of diarrhoea,was (name) given to drink any of thefollowing:CA5 Was the child given anything to treatdiarrhea?CA6 What (else) was given to treat thediarrhoea?Probe:Anything else?PCA5A During diarrhoea ,From where did youseek advice or consultation?Probe: If there more than one choicePCA5 Why did not you take the advice ofor consult anybody regarding thediarrhea?1.Yes2. NoPCA6 Did (name) have fever at any timeduring the past two weeks?CA7 At any time in the last two weeks, has(name) had an illness with a cough?CA8 When (name) had an illness with acough, did he/she breathe faster thanusual with short, rapid breaths or havedifficulty breathing?CA9 Was the fast or difficult breathing dueto a problem in the chest or a blockedor runny nose?CA10 Did you seek the advice or consultanybody regarding the fever or cough?YES NO Don’t knowA. ORS 1 2 3C. Home made salt and sugar solution 1 2 3Yes 1No 2Don’t know 8A. ORS AG. Home made salt and sugar solution GH. Antibiotic (capsules/syrup) HL. Antibiotic(Injection) LN. Unknown injection NO. Intravenous OQ. Home remedy / Herbal medicine QX. Other (specify) XPCA5A1. physician /nurse 12. Pharmacist 23.relatives/ friends 3PCA64.Traditional healer 45. Other (specify) 56.No one 6A. The case was mild 1 2B. Have previous experience 1 2C. Mother was busy 1 2D. Father was busy 1 2E. Nobody to take the child 1 2F. Service is not available / place is distant 1 2G. Couldn’t pay costs / bad economiccondition1 2X. Other (specify): ______________ 1 2Yes 1No 2Don’t know 8Yes 1No 2 PBR1Don’t know 8SECTION 4Yes 1No 2Don’t know 8PBR1Chest problem 1Nose congestion 2 PBR1Both 3Other (specify) _____________ 6 PBR1Don’t know 8Yes 1No 2 CA12Don’t know 8 CA12254
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Palestinian Family Survey 2010 Final Report - Palestinian Central ...

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