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Swaziland 2007 - (NERCHA), the Info Centre - National Emergency ...

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LAST BIRTH NEXT-TO- SECOND-FROM-LAST BIRTHLAST BIRTHNO. QUESTIONS AND FILTERS NAME ________________ NAME NAME ________________425 During this pregnancy, did you YES . . . . . . . . . . . . . . 1take any drugs to prevent youfrom getting malaria? NO . . . . . . . . . . . . . . 2(SKIP TO 429)DON'T KNOW . . . . . 8426 What drugs did you take? SP/FANSIDAR . . . ACHLOROQUINE . . . BRECORD ALL MENTIONED.IF TYPE OF DRUG IS NOT OTHER XDETERMINED, SHOW(SPECIFY)DRUGS TO RESPONDENT DON'T KNOW . . . . . . Z427 CHECK 426: CODE 'B' CODECIRCLED B' NOTCIRCLEDDRUGS TAKEN FOR MALARIAPREVENTION. (SKIP TO 429)428 How many times did you takeChloroquine during this TIMES . . . . .pregnancy?429 When (NAME) was born, was VERY LARGE . . . . . 1 VERY LARGE . . . . . 1 VERY LARGE . . . . . 1he/she very large, larger than LARGER THAN LARGER THAN LARGER THANaverage, average, smaller than AVERAGE . . . . . 2 AVERAGE . . . . . 2 AVERAGE . . . . . 2average, or very small? AVERAGE . . . . . . . . 3 AVERAGE . . . . . . . . 3 AVERAGE . . . . . . . . 3SMALLER THAN SMALLER THAN SMALLER THANAVERAGE . . . . . 4 AVERAGE . . . . . 4 AVERAGE . . . . . 4VERY SMALL . . . . . 5 VERY SMALL . . . . . 5 VERY SMALL . . . . . 5DON'T KNOW . . . . . 8 DON'T KNOW . . . . . 8 DON'T KNOW . . . . . 8430 Was (NAME) weighed at birth? YES . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . 1NO . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . 2(SKIP TO 432) (SKIP TO 432) (SKIP TO 432)DON'T KNOW . . . . . 8 DON'T KNOW . . . . . 8 DON'T KNOW . . . . . 8431 How much did (NAME) weigh? KG FROM CARD KG FROM CARD KG FROM CARD1. 1 . 1 .RECORD WEIGHT IN KG FROM RECALL KG FROM RECALL KG FROM RECALLKILOGRAMS FROM HEALTHCARD, IF AVAILABLE. 2 . 2 . 2 .DON'T KNOW . 99.998 DON'T KNOW . 99.998 DON'T KNOW . 99.998432 Who assisted with the delivery DOCTOR . . . . . . . . A DOCTOR . . . . . . . . A DOCTOR . . . . . . . . Aof (NAME)? NURSE/MIDWIFE. . . B NURSE/MIDWIFE. . . B NURSE/MIDWIFE. . . BNURSING ASST. . . . C NURSING ASST. . . . C NURSING ASST. . . . CAnyone else? TRADITIONAL BIRTH TRADITIONAL BIRTH TRADITIONAL BIRTHATTENDANT/RHM . . D ATTENDANT/RHM . . D ATTENDANT/RHM . . DPROBE FOR THE TYPE OF RELATIVE/FRIEND . . E RELATIVE/FRIEND . . E RELATIVE/FRIEND . . EPERSON AND RECORD ALL TRADITIONAL TRADITIONAL TRADITIONALPERSONS ASSISTING. HEALER . . . . . . . . F HEALER . . . . . . . . F HEALER . . . . . . . . FIF RESPONDENT SAYS NO ONE OTHER X OTHER X OTHER XASSISTED, PROBE TO (SPECIFY) (SPECIFY) (SPECIFY)DETERMINE WHETHER ANY NO ONE . . . . . . . . . . Y NO ONE . . . . . . . . . . Y NO ONE . . . . . . . . . . YADULTS WERE PRESENT ATTHE DELIVERY.386 | Appendix F

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