12.07.2015 Views

Final Report (PDF, 2132K) - Measure DHS

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SKIP34BCsn you demorlbe how to six the so-called"home solution of mug|r0 silt and water'?DESCRIBE:i341 From whom did you get this information?CIRCLE CODE 1 FOR ALL MENTIONED.FAMILY MEMBER ..........FRIEND .................TRADITIONAL HEALER .....MEDICINE SELLER ........MARKET WOMAN ...........PHARMACIST .............NURSE ..................CLINIC/HOSPITAL ........OTHER(specify)3421Hsve you remuaed mexusl relstlons stnce thel YES (OR PREGNANT) . . . . . . . 1 Ibirth of (NAME)? NO ...................... 2 ---~344did you relume sexusl relations? NONTHS ............ i , ,344 CHECK TABLE 2.1:BORE THAN ONELIVE BIRTHSINCE JANUARY 1981 [ ]I+ONLY ONELIVE BIRTHSINCE JANUARY 1981 [ ]ITABLE3.5Now Z would like to talk s~ut the other births you hays had since JsnuRry 1981.ENTER IN TABLES 3.1 TO 3.4 NAME AND SURVIVAL STATUS FOR ALL CHILDREN BORN SINCEJANUARY 1981STARTIN5 WITH THE NEXT-TO-LAST BIRTH.RECORD TWINS IN SEPARATE COLUMNS.USE (AN) EXTRA SHEET(S) IF MORE THAN 3 BIRTHS.FOR ALL TABLES: COMPLETE QUESTIONS STARTING WITH THE NEXT-TO-LAST BIRTH.FOR TABLES 3.3 AND 3.4: ENTER NAME AND SURVIVAL STATUS BUT ASK GUESTIONS ONLY FORSURVIVING CHILDREN.17119

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