Anambra State Post-Campaign Net Tracking Survey
Anambra State Post-Campaign Net Tracking Survey
Anambra State Post-Campaign Net Tracking Survey
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ID number<br />
Use this section for net 4-6 and additional sheet if more than 6 nets<br />
Complete all questions about each net (Q74 to Q92) before going to the next net.<br />
No Question Mosquito net 4 Mosquito net 5 Mosquito net 6<br />
Could you show me<br />
Q74 the nets in the<br />
Observed 1 Observed 1 Observed 1<br />
household?<br />
Not observed 0 Not observed 0 Not observed 0<br />
Q75<br />
Q76<br />
Q77<br />
Q78<br />
Q79<br />
Q80<br />
Q81<br />
Q82<br />
Observe the net and<br />
net label (if any) and<br />
identify the brand of<br />
the net<br />
>> if net is not<br />
observed show net<br />
pictures and probe<br />
>>Observe or ask<br />
the shape of net<br />
What is the shape of<br />
the net?<br />
>>Observe or ask<br />
the colour of net<br />
What is the colour of<br />
the net?<br />
When you got this net<br />
was it already treated<br />
at the factory with an<br />
insecticide (chemical)<br />
to kill or repel<br />
mosquitoes?<br />
When you got the net<br />
was there a packet of<br />
insecticide in the<br />
packaging?<br />
Since you got the net<br />
was it ever soaked or<br />
dipped in a chemical<br />
to kill or repel<br />
mosquitoes?<br />
If yes, how long ago<br />
was the last time it<br />
was dipped or<br />
soaked?<br />
How long ago did you<br />
obtain this net?<br />
>> enter “00” for<br />
months if less than<br />
one month<br />
Perma<strong>Net</strong> 1 Perma<strong>Net</strong> 1 Perma<strong>Net</strong> 1<br />
Olyset 2 Olyset 2 Olyset 2<br />
Duranet 3 Duranet 3 Duranet 3<br />
Interceptor 4 Interceptor 4 Interceptor 4<br />
Icon Life 5 Icon Life 5 Icon Life 5<br />
Taylor made 6 Taylor made 6 Taylor made 6<br />
Unbranded (no label) 7 Unbranded (no label) 7 Unbranded (no label) 7<br />
Other 8 Other 8 Other 8<br />
Specify<br />
Specify<br />
Specify<br />
Specify<br />
No or DNK����Q82<br />
Rectangular 1 Rectangular 1 Rectangular 1<br />
Conical 2 Conical 2 Conical 2<br />
White 1 White 1 White 1<br />
Green 2 Green 2 Green 2<br />
Blue 3 Blue 3 Blue 3<br />
Other 4 Other 4 Other 4<br />
Specify<br />
Specify<br />
Yes 1 Yes 1 Yes 1<br />
No 0 No 0 No 0<br />
Don’t know 9 Don’t know 9 Don’t know 9<br />
Yes 1 Yes 1 Yes 1<br />
No 0 No 0 No 0<br />
Don’t know 9 Don’t know 9 Don’t know 9<br />
Yes 1 Yes 1 Yes 1<br />
No 0 No 0 No 0<br />
Don’t know 9 Don’t know 9 Don’t know 9<br />
No or DNK����Q82<br />
No or DNK����Q82<br />
Months if less than 1 year Months if less than 1 year Months if less than 1 year<br />
More than 1 year 1 More than 1 year 1 More than 1 year 1<br />
Don’t remember 9 Don’t remember 9 Don’t remember 9<br />
Months if less than 2 years Months if less than 2 years Months if less than 2 years<br />
Years if more than 2 years Years if more than 2 years Years if more than 2 years<br />
Don’t remember 98 Don’t remember 98 Don’t remember 98<br />
<strong>Anambra</strong> <strong>State</strong> <strong>Post</strong>-<strong>Campaign</strong> <strong>Net</strong> <strong>Tracking</strong> <strong>Survey</strong> Page 14 of 18