Malawi 2015-16

SECTION 6. CHILD HEALTH AND NUTRITION
LAST BIRTH
NEXT-TO-LAST BIRTH
NO.
615
QUESTIONS AND FILTERS NAME NAME
Was (NAME) given any of the following at
any time since (NAME) started having the
diarrhea:
YES NO DK YES NO DK
a) A fluid made from a special packet a) FLUID FROM a) FLUID FROM
called THANZI-ORS?
ORS
ORS
PACKET . . 1 2 8 PACKET . . 1 2 8
b) A homemade fluid such as
b) HOMEMADE c) HOMEMADE
THOBWA?
FLUID . . . . . 1 2 8 FLUID . . . . . 1 2 8
c) Zinc tablets or syrup?
c) ZINC . . . . . . . . 1 2 8 d) ZINC . . . . . . . . 1 2 8
616
CHECK 615:
ANY 'YES'
ALL 'NO'
OR 'DK'
a) Was anything b) Was anything YES . . . . . . . . . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . . . . . . . . . 1
else given to given to treat the NO . . . . . . . . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . . . . . . . . . 2
treat the
diarrhea?
(SKIP TO 618) (SKIP TO 618)
diarrhea?
DON'T KNOW . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . 8
617 CHECK 615:
PILL OR SYRUP PILL OR SYRUP
ANTIBIOTIC . . . . . . . . . . . . . A ANTIBIOTIC . . . . . . . . . . . . . A
ANY 'YES' ALL 'NO' ANTIMOTILITY . . . . . . . . . . B ANTIMOTILITY . . . . . . . . . . B
OR 'DK' OTHER (NOT ANTIBIOTIC OTHER (NOT ANTIBIOTIC
a) What else was b) What was given
OR ANTIMOTILITY) . . . . . C OR ANTIMOTILITY) . . . . . C
given to treat the to treat the
UNKNOWN PILL
UNKNOWN PILL
diarrhea?
diarrhea?
OR SYRUP . . . . . . . . . . D OR SYRUP . . . . . . . . . . D
Anything else?
Anything else?
RECORD ALL TREATMENTS GIVEN.
INJECTION
INJECTION
ANTIBIOTIC . . . . . . . . . . . . . E ANTIBIOTIC . . . . . . . . . . . . . E
NON-ANTIBIOTIC . . . . . . . . F NON-ANTIBIOTIC . . . . . . . . F
UNKNOWN
UNKNOWN
INJECTION . . . . . . . . . . G INJECTION . . . . . . . . . . G
(IV) INTRAVENOUS . . . . . . . . . . H (IV) INTRAVENOUS . . . . . . . . . . H
HOME REMEDY/
HOME REMEDY/
HERBAL MEDICINE . . . . . . . . I HERBAL MEDICINE . . . . . . . . I
OTHER X OTHER X
(SPECIFY)
(SPECIFY)
618 Has (NAME) been ill with a fever at any YES . . . . . . . . . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . . . . . . . . . 1
time in the last 2 weeks?
NO . . . . . . . . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . . . . . . . . . 2
(SKIP TO 620) (SKIP TO 620)
DON'T KNOW . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . 8
619 At any time during the illness, did (NAME) YES . . . . . . . . . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . . . . . . . . . 1
have blood taken from (NAME)'s finger or NO . . . . . . . . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . . . . . . . . . 2
heel for testing?
DON'T KNOW . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . 8
620 Has (NAME) had an illness with a cough YES . . . . . . . . . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . . . . . . . . . 1
at any time in the last 2 weeks?
NO . . . . . . . . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . . . . . . . . . 2
DON'T KNOW . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . 8
621 Has (NAME) had fast, short, rapid breaths YES . . . . . . . . . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . . . . . . . . . 1
or difficulty breathing at any time in the NO . . . . . . . . . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . . . . . . . . . 2
last 2 weeks?
(SKIP TO 623) (SKIP TO 623)
DON'T KNOW . . . . . . . . . . . . . 8 DON'T KNOW . . . . . . . . . . . . . 8
592 • Appendix F