NMICS 2010 Report - Central Bureau of Statistics

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Appendix F. QuestionnairesNEPAL MULTIPLE INDICATOR CLUSTER SURVEY, 2010HOUSEHOLD QUESTIONNAIREHOUSEHOLD INFORMATION PANELHHHH1. Cluster number: ___ ___ ___ HH2. Household serial number: ___ ___HH3. Interviewer name and code number:Name _____________________Code No___ ___HH5. Day / Month / Year of interview in BS:HH6. AREA:Municipality ....................................................... 1Village Development Committee .......................... 2HH4. Supervisor name and code number:Name_______________________Code No___ ______ ___ / ___ ___ / ___ ___ ___ ___HH7. REGION:Mid-Western Mountain ...................................... 41Mid-Western Hill ............................................... 42MID-WESTERN TERAI ......................................... 43Far-Western Mountain ..................................... 51Far-Western Hill ................................................ 52Far-Western Terai ............................................. 53WE ARE FROM CENTRAL BUREAU OF STATISTICS (A BUREAU OF NEPAL GOVERNMENT UNDER THE NATIONAL PLANNING COMMISSION), INKATHMANDU. WE ARE WORKING ON A SURVEY CONCERNED WITH FAMILY HEALTH AND EDUCATION IN MID AND FAR WESTERN REGION OFTHE COUNTRY (NMICS). I WOULD LIKE TO TALK TO YOU ABOUT THESE SUBJECTS. THE INTERVIEW WILL TAKE ABOUT 45 MINUTES. ALL THEINFORMATION WE OBTAIN WILL REMAIN STRICTLY CONFIDENTIAL ACCORDING TO THE STATISTICS ACT 2015 BS AND YOUR ANSWERS WILLNEVER BE SHARED WITH ANYONE OTHER THAN OUR PROJECT TEAM.SHALL WE START NOW? Yes, permission is given Go to HH18 to record the time and then begin the interview. No, permission is not given Complete HH9. Discuss this result with your supervisor.After all questionnaires for the household (household, women and children) have beencompleted, fill in the following information:HH8. Name of head of household:HH9. Result of household interview:__________________________________________HH10. Respondent to household questionnaire:Completed .............................................................. 01No household member or no competentrespondent at home at time of visit ................ 02Entire household absent for extendedperiod of time ................................................. 03Refused .................................................................. 04Dwelling vacant / Address not a dwelling ............... 05Dwelling destroyed ................................................. 06Dwelling not found .................................................. 07Name:Line Number:____________________________________HH11. Total number of householdmembers:___ ______ ___Other (specify) ___________________________ 96HH12. Number of womenage 15-49 years:HH14. Number of childrenunder age 5:___ ______ ___HH13. Number of individual woman’squestionnaires completed:HH15. Number of under-5 questionnairescompleted:___ ______ ___HH16. Field edited by (Name and code number):Name ______________________ Code No ___ ___HH17. Data entry clerk (Name and code number):Name _________________________ Code No ___ ___240
HH18.Record the time.Hour ........... __ __Minutes ...... __ __HOUSEHOLD LISTING FORMFIRST, PLEASE TELL ME THE NAME OF EACH PERSON WHO USUALLY LIVES HERE, STARTING WITH THE HEAD OF THE HOUSEHOLD.List the head of the household in line '01'. List all household members (HL2), their relationship to the household head (HL3), and their sex (HL4)Then ask: ARE THERE ANY OTHERS WHO LIVE HERE?If yes, complete listing for questions HL2-HL4. Then, ask questions starting with HL5-HL14 for each person in the household at a time.Use an additional questionnaire if all rows in the household listing form have been used.Forwomenage 15-49For childrenage 5-14For childrenunder age 5For children age 0-17 yearsHLHL1.LinenumberHL2.Name, last nameHL3.WHAT IS THERELATION-SHIP OF(name) TOTHE HEAD OFHOUSE-HOLD?WriteappropriatecodeHL4.IS (name)MALE ORFEMALE?1 Male2 FemaleHL5.WHAT IS (name)’SDATE OF BIRTH?98 DK 9998 DKHL6.HOW OLD IS(name)?Record incompletedyears. If ageis 95 orabove, record„95‟HL7.Circlelinenumberif woman isage15-49HL8.WHO IS THEMOTHER ORPRIMARYCARETAKEROF(name)?Recordline numberof mother/caretakerHL9.WHO IS THEMOTHER ORPRIMARYCARETAKEROF (name)?Recordline numberof mother/caretakerHL11.IS (name)’SNATURALMOTHERALIVE?1 Yes2 NoHL138 DKHL13HL12.DOES (name)’SNATURALMOTHER LIVE INTHISHOUSEHOLD?Recordline numberof mother or'00' for “No”HL13.IS(name)’SNATURALFATHERALIVE?1 Yes2 NoNext Line8 DKNext LineHL14.DOES (name)’SNATURALFATHER LIVE INTHISHOUSEHOLD?Recordline numberof father or'00' for “No”Line Name Relation* M F Month Year Age 15-49 Mother Mother Y N DK Mother Y N DK Father01 0 1 1 2 __ __ __ __ __ __ ___ ___ 01 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___02 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 02 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___03 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 03 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___04 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 04 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___05 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 05 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___06 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 06 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___07 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 07 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___08 ___ ___ 1 2 __ __ __ __ __ __ ___ ___ 08 ___ ___ ___ ___ 1 2 8 ___ ___ 1 2 8 ___ ___
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NepalMonitoring the situationof chi
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Nepal Multiple Indicator Cluster Su
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NMICS 2010, Mid- and Far Western Re
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ForewordIt is my great pleasure to
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Executive SummarySummary of finding
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I. IntroductionBackgroundThis repor
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II.Sample and Survey MethodologySam
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Mid-WesternFar WesternMid-WesternMo
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Age groupNMICS 2010, Mid- and Far W
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IV.NutritionNutritional statusChild
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PercentNMICS 2010, Mid- and Far Wes
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0-12-34-56-78-910-1112-1314-1516-17
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PercentNMICS 2010, Mid- and Far Wes
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Table CH.6: Feeding practices durin
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Cont’d Table CH.7: Oral rehydrati
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Government hospitalPrimary healthca
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Table CH.10: Solid fuel usePercenta
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Cont’d Table CH.12: Anti-malarial
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Table WS.1: Use of improved water s
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Table WS.2: Household water treatme
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Cont’d Table RH.2: Unmet need for
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Table RH.7: Assistance during deliv
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VIII.Child DevelopmentEarly childho
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Cont’d Table ED.5: Secondary scho
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Table ED.7: School attendancePercen
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Table CP.2: Child labourPercentage
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Cont’d Table CP.5: Early marriage
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Table CP.6: Trends in early marriag
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Table CP.7: Spousal age differenceP
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Cont’d Table HA.2: Knowledge abou
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Table TA.1: Ever and current use of
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Page 190 and 191: XIV. Subjective well-beingIt is wel
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Page 194 and 195: NMICS 2010, Mid- and Far Western Re
Page 196 and 197: Appendix A. Sample DesignThe major
Page 204 and 205: Appendix C. Estimates of Sampling E
Page 206 and 207: Table SE.2: Sampling errors: Total
Page 208 and 209: Table SE.3: Sampling errors: Urban
Page 210 and 211: Table SE.4: Sampling errors: Rural
Page 212 and 213: Table SE.5: Sampling errors: Mid-We
Page 218 and 219: Table SE.8: Sampling errors: Far We
Page 220 and 221: Table SE.9: Sampling errors: Far We
Page 222 and 223: Table SE.10: Sampling errors: Far W
Page 224 and 225: Appendix D. Data Quality TablesTabl
Page 234 and 235: Appendix E. MICS4 Indicators: Numer
Page 242 and 243: HL1.LinenumberHL2.Name, last nameHL
Page 244 and 245: EDUCATIONFor household members age
Page 246 and 247: WATER AND SANITATIONWS1. WHAT IS TH
Page 248 and 249: WS7D.IS THIS CONTAINER USED ONLY FO
Page 250 and 251: HC5. Main material of the exterior
Page 252 and 253: HC10. DO YOU OR SOMEONE LIVING IN T
Page 254 and 255: CHILD LABOURTo be administered for
Page 256 and 257: DE-WORMINGTo be administered only f
Page 258 and 259: CD9. Write the name and line number
Page 260 and 261: HH19. Record the time.Hour and minu
Page 262 and 263: Interviewer’s ObservationsField E
Page 264 and 265: WOMAN’S BACKGROUNDWBWB1. IN WHAT
Page 266 and 267: DESIRE OF LAST BIRTHDBThe questionn
Page 268 and 269: MN9. DID YOU RECEIVE ANY TETANUS IN
Page 270 and 271: MN20. WHEN (name) WAS BORN, WAS HE/
Page 272 and 273: CONTRACEPTIONCP1. LET'S US TALK ABO
Page 274 and 275: UN9. Check CP2. Currently using a f
Page 276 and 277: ATTITUDES TOWARD DOMESTIC VIOLENCED
Page 278 and 279: HIV/AIDSHA1. NOW I WOULD LIKE TO TA
Page 280 and 281: HA19. Check MN17: Birth delivered b
Page 282 and 283: TA11. HAVE YOU CONSUMED ANY SMOKELE
Page 284 and 285: LS5. HOW SATISFIED ARE YOU WITH YOU
Page 286 and 287: Interviewer’s ObservationsField E
Page 288 and 289: UF12. Record the time.Hour and minu
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EC6. WITHIN THE LAST SEVEN DAYS, AB
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BREASTFEEDINGBF1. HAS (name) EVER B
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CARE OF ILLNESSCA1. IN THE LAST TWO
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CA9. WAS THE FAST OR DIFFICULT BREA
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ML8. WAS (name) GIVEN ANY MEDICINE
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IM5. HAS (name) BEEN ADMINISTERED A
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Child Grant (only for Humla, Jumla,
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Interviewer’s ObservationsField E
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NMICS 2010 Report - Central Bureau of Statistics

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