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Download - Yemen Humanitarian Response | YEMEN

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Childno. (asabove)1.Child’sgender1 = male2 = femaleChild’s age(in months)C030 C031 C032 C033 C034 C035Symptoms similar toCough orFever in measles in past month Did the childdifficultythe past (skin rash + fever + sleep underbreathing intwo cough or throat mosquito netthe past twoweeks infection orlast night?weeks1 = yes conjunctivitis)1 = yes1 = yes2 = no 1 = yes2 = no2 = no2 = noDiarrheawithin thepast twoweeks1 = yes2 = noIs the child currentlyregistered at anutrition center?1 = SFP2 = TFC/SC3 = OTP4 = other5 = not registered2.3.4.5.6.7.75

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