29) Does your household have any mosquito nets that can be used while sleeping?
NO 2 (GO TO 33)
29A) How many mosquito nets does your family have?
30) ASK RESPONDENT TO SHOW YOU THE NET(S) IN THE HOUSEHOLD. IF MORE THAN 3 NETS, USE AN ADDITIONAL QUESTIONNAIRE.
NET #1
NOT OBSERVED 2
NET #2
NOT OBSERVED 2
NET #3
NOT OBSERVED 2
NOTE: The following questions are asked about each net in the household.
31) How long ago did your household obtain the mosquito net?
32) OBSERVE OR ASK THE BRAND OF MOSQUITO NET.
BRAND B 12 (GO TO 32C)
DK BRAND 18 (GO TO 32C)
BRAND D 22
DK BRAND 28
NOT SURE 98
32A) Since you got the mosquito net, was it ever soaked or dipped in a liquid to repel mosquitoes or bugs?
NO 2 (GO TO 32C)
NOT SURE 8
32B) How long ago was the net last soaked or dipped?
IF LESS THAN 1 MONTH , RECORD '00'.
NOT SURE 98
32C) Did anyone sleep under the mosquito net last night?
NO 2 (GO TO 32E)
NOT SURE 8
32D) Who slept under the mosquito net last night?
RECORD THE RESPECTIVE LINE NUMBER FROM THE HOUSEHOLD SCHEDULE.
LINE NO. ________
LINE NO. ________
LINE NO. ________
Malaria Questions in the DHS Woman's Questionnaire: Section 4A (PREGNANCY, POSTNATAL CARE AND BREASTFEEDING)
LINE NUMBER FROM 212
LAST BIRTH
NAME ____
NEXT-TO-LAST-BIRTH
NAME ____
421) During this pregnancy, did you take any drugs in order to prevent you from getting malaria?
NO 2 (GO TO 423)
DK 8 (GO TO 423)
422) Which drugs did you take to prevent malaria?
RECORD ALL MENTIONED.
IF TYPE OF DRUG IS NOT DETERMINED, SHOW TYPICAL ANTIMALARIAL DRUGS TO RESPONDENT.
CHLOROQUINE B
OTHER (SPECIFY) _______ X
DK Z
422A) CHECK 422: DRUGS TAKEN FOR MALARIA PREVENTION.
CODE A NOT CIRCLED ___ (GO TO 423)
422B) How many times did you take Fansidar during this pregnancy?
422C) CHECK 407: ANTENATAL CARE RECEIVED DURING THIS PREGNANCY?
OTHER ____ (GO TO 423)
422D) Did you get the Fansidar during an antenatal visit, during another visit to a health facility or from some other source?
ANOTHER FACILITY VISIT 2
OTHER SOURCE (SPECIFY) ______ 6
INSERTS FOR SECTION 4B (IMMUNIZATION, HEALTH AND NUTRITION)
LINE NUMBER FROM 212
LAST BIRTH
NAME ___
NEXT-TO-LAST BIRTH
NAME ___
466) Has (NAME) been ill with a fever at any time in the last 2 weeks?
NO 2
DK 8
467) Has (NAME) had an illness with a cough at any time in the last 2 weeks?
NO 2 (GO TO 469)
DK 8 (GO TO 469)
468) When (NAME) had an illness with a cough, did he/she breathe faster than usual with short, rapid breaths?
NO 2
DK 8
469) CHECK 466 and 467: FEVER OR COUGH?
OTHER ___ (GO TO 472B)
470) Did you seek advice or treatment for the fever/cough?
NO 2 (GO TO 472)
471) Where did you seek advice or treatment?
Anywhere else?
RECORD ALL SOURCES MENTIONED.
GOVT. HEALTH CENTER B
GOVT. HEALTH POST C
MOBILE CLINIC D
FIELD WORKER E
OTHER PUBLIC (SPECIFY) _______ F
PHARMACY H
PRIVATE DOCTOR I
MOBILE CLINIC J
FIELD WORKER K
OTHER PRIVATE (SPECIFY) _______ L
TRAD. PRACTITIONER N
NO OR DK IN 466 ___ (GO TO 472B)
472A) Does (NAME) have a fever now?
NO 2
DK 8
472B) Has (NAME) been ill with convulsions at any time during the last 2 weeks?
NO 2
DK 8
472C) CHECK 466 AND 472B: HAD FEVER OR CONVULSIONS?
OTHER ___ (GO TO 475)
473) Was (NAME) given any drugs for the (fever/convulsions)?
NO 2 (GO TO 474R)
DK 8 (GO TO 474R)
474) What drugs did (NAME) take?
RECORD ALL MENTIONED.
ASK TO SEE DRUG(S) IF TYPE OF DRUG IS NOT KNOWN. IF TYPE OF DRUG IS STILL NOT DETERMINED, SHOW TYPICAL ANTIMALARIAL DRUGS TO RESPONDENT.
CHLOROQUINE B
AMODIAQUINE C
QUININE D
PANADOL F
IBUPROFEN/ACETAMINOPHEN E
DK Z
474A) Did (NAME) get any injection or suppository for the (fever/convulsions)?
SUPPOSITORY B
NONE Y
DK Z
474B) CHECK 474: WHICH MEDICINES?
CODE A NOT CIRCLED ___ (GO TO 474F)
474C) How long after the (fever/convulsions) started did (NAME) first take Fansidar?
NEXT DAY 1
TWO DAYS AFTER THE FEVER 2
THREE OR MORE DAYS AFTER THE FEVER 3
DK 8
474D) For how many days did (NAME) take the Fansidar?
IF 7 OR MORE DAYS, RECORD '7'.
DK 8
474E) Did you have the Fansidar at home or did you get it from somewhere else?
IF MORE THAN ONE SOURCE MENTIONED, ASK:
Where did you get the Fansidar first?
OTHER SOURCE 2
DK 8
474F) CHECK 474: WHICH MEDICINES?
CODE B NOT CIRCLED ___ (GO TO 474J)
474G) How long after the (fever/convulsions) started did (NAME) first take chloroquine?
NEXT DAY 1
TWO DAYS AFTER THE FEVER 2
THREE OR MORE DAYS AFTER THE FEVER 3
DK 8
474H) For how many days did (NAME) take chloroquine?
IF 7 OR MORE DAYS, RECORD '7'.
DK 8
474I) Did you have the chloroquine at home or did you get it from somewhere else?
IF MORE THAN ONE SOURCE MENTIONED, ASK:
Where did you first get the chloroquine?
OTHER SOURCE 2
DK 8
474J) CHECK 474: WHICH MEDICINES?
CODE C NOT CIRCLED ___ (GO TO 474N)
474K) How long after the (fever/convulsions) started did (NAME) first take Amodiaquine?
NEXT DAY 1
TWO DAYS AFTER THE FEVER 2
THREE OR MORE DAYS AFTER THE FEVER 3
DK 8
474L) For how many days did (NAME) take Amodiaquine?
IF 7 OR MORE DAYS, RECORD '7'.
DK 8
474M) Did you have the Amodiaquine at home or did you get it from somewhere else?
IF MORE THAN ONE SOURCE MENTIONED, ASK:
Where did you get the Amodiaquine first?
OTHER SOURCE 2
DK 8
474N) CHECK 474: WHICH MEDICINES?
CODE D NOT CIRCLED ___ (GO TO 474R)
474O) How long after the (fever/convulsions) started did (NAME) first take Quinine?
NEXT DAY 1
TWO DAYS AFTER THE FEVER 2
THREE OR MORE DAYS AFTER THE FEVER 3
DK 8
474P) For how many days did (NAME) take Quinine?
IF 7 OR MORE DAYS, RECORD '7'.
DK 8
474Q) Did you have the Quinine at home or did you get it from somewhere else?
IF MORE THAN ONE SOURCE, ASK:
Where did you get the Quinine first?
OTHER SOURCE 2
DK 8
474R) Was anything else done about (NAME)'s (fever/convulsions)?
NO 2 (GO TO 475)
DK 8 (GO TO 475)
474S) What was done about (NAME)'s (fever/convulsions)?
GAVE TEPID SPONGING B
GAVE HERBS C
OTHER (SPECIFY) __________ X