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NMICS 2010 Report - Central Bureau of Statistics

NMICS 2010 Report - Central Bureau of Statistics

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MALARIAML1. IN THE LAST TWO WEEKS, HAS (name) BEENILL WITH A FEVER AT ANY TIME?ML2. AT ANY TIME DURING THE ILLNESS, DID(name) HAVE BLOOD TAKEN FROM HIS/HERFINGER OR HEEL FOR TESTING?Yes .............................................................. 1No ................................................................ 2DK................................................................ 8Yes .............................................................. 1No ................................................................ 2DK................................................................ 8ML2NextModule8NextModuleML3. DID YOU SEEK ANY ADVICE OR TREATMENTFOR THE ILLNESS FROM ANY SOURCE?ML4. WAS (name) TAKEN TO A HEALTH FACILITYDURING THIS ILLNESS?ML5. WAS (name) GIVEN ANY MEDICINE FORFEVER OR MALARIA AT THE HEALTH FACILITY?ML6. WHAT MEDICINE WAS (name) GIVEN?Probe:ANY OTHER MEDICINE?Circle all medicines mentioned. Writebrand name(s) <strong>of</strong> all medicines, if given.(Name <strong>of</strong> medicine)ML7. WAS (name) GIVEN ANY MEDICINE FOR THEFEVER OR MALARIA BEFORE BEING TAKEN TOTHE HEALTH FACILITY?Yes .............................................................. 1No ................................................................ 2DK................................................................ 8Yes .............................................................. 1No ................................................................ 2DK................................................................ 8Yes .............................................................. 1No ................................................................ 2DK................................................................ 8Anti-malarialsSP / Fansidar .......................................... AChloroquine ............................................ BAmodiaquine........................................... CQuinine ................................................... DCombination with Artemisinin ................. EOther anti-malarial(specify) __________________ HAntibiotic drugsPill / Syrup ................................................ IInjection ................................................... JOther medicationsParacetamol/ Panadol /Acetaminophen . PAspirin ..................................................... QIbupr<strong>of</strong>en ................................................ ROther (specify) _________________ XDK................................................................ ZYes .............................................................. 1No ................................................................ 2DK................................................................ 82ML88ML82ML88ML82ML78ML71ML92ML108ML10297

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