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Bangladesh 2014

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LAST BIRTH NEXT-TO-LAST BIRTH SECOND-FROM-LAST BIRTH<br />

NO. QUESTIONS AND FILTERS NAME _______________________ NAME ____________________ NAME ____________________<br />

435G CHECK 212:<br />

CHILD NOT<br />

FIRST BIRTH<br />

CHILD FIRST<br />

BIRTH<br />

435i<br />

435H Did you have caesarean section YES . . . . . . . . . . . . . . . . . . . 1<br />

before this birth? NO . . . . . . . . . . . . . . . . . . . 2<br />

435i Did you or any of your family member YES . . . . . . . . . . . . . . . . . . . 1<br />

ever used a mobile phone to get health<br />

services or advice for you or (NAME) NO . . . . . . . . . . . . . . . . . . . 2<br />

during pregnancy or delivery?<br />

(SKIP TO 435iv)<br />

435ii What was the reason the mobile phone TO ASK WHAT TO DO A<br />

was used?<br />

TO CONTACT<br />

SERVICE PROVIDER B<br />

Any other reason?<br />

TO ARRANGE<br />

TRANSPORT . . . . . . . . . . C<br />

CIRCLE ALL MENTIONED.<br />

TO ARRANGE FOR MONEY D<br />

TO ARRANGE<br />

OF DELIVERY . . . . . . E<br />

OTHER<br />

(SPECIFY)<br />

435iii Who did you call? HEALTH PERSONNEL/<br />

QUAL. DOCTOR . . . . . . . A<br />

Any other person?<br />

NURSE/MIDWIFE/<br />

PARAMEDIC . . . . . . . B<br />

FAMILY WELFARE<br />

CIRCLE ALL MENTIONED. VISITOR . . . . . . . . . . C<br />

COMMUNITY<br />

SKILLED BIRTH<br />

ATTENDANT . . . . . . . D<br />

MA/SACMO . . . . . . . . . . E<br />

COMMUNITY HEALTH<br />

CARE PROVIDER F<br />

HEALTH ASST. .......... G<br />

FAMILY WELFARE<br />

ASSISTANT . . . . . . . H<br />

NGO WORKER<br />

. . . . . . . I<br />

OTHER PERSON<br />

TRAINED TBA . . . . . . . J<br />

UNTRAINED TBA . . . . . K<br />

UNQUALIFIED<br />

DOCTOR . . . . . . . . . . L<br />

RELATIVES . . . . . . . . . . M<br />

NEIGHBORS/<br />

FRIENDS . . . . . . . . . . N<br />

OTHER<br />

(SPECIFY)<br />

X<br />

X<br />

435iv<br />

How much did you pay in total for your<br />

last delivery?<br />

IF MORE THAN 999995, WRITE<br />

999995<br />

DON'T KNOW<br />

Taka<br />

. . . .<br />

999998<br />

NOTHING . . . . . . . . .<br />

(SKIP TO 435AA)<br />

000000<br />

435v Where did you get the money for<br />

FAMILY FUND . . . . . . . . . . A<br />

(NAME'S) delivery?<br />

BORROWED . . . . . . . . . . B<br />

SOLD ASSETS/<br />

Any other source?<br />

MORTGAGE . . . . . . . . . . C<br />

GIFT FROM FAMILY D<br />

CIRCLE ALL MENTIONED.<br />

GIFT FROM NEIGHBOR/<br />

FRIEND . . . . . . . . . . . . . . E<br />

VOUCHER<br />

INSURANCE<br />

. . . . . . . . . . . .<br />

. . . . . . . . . .<br />

F<br />

G<br />

OTHER<br />

X<br />

(SPECIFY)<br />

Appendix E •<br />

277

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