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Date 26 January 2021


NATIONAL INSTITUTE OF STATISTICS (INS)
NATIONAL PROGRAM IN THE FIGHT AGAINST MALARIA (PNLP)

MALARIA INDICATORS SURVEY IN NIGER
WOMAN'S QUESTIONNAIRE

IDENTIFICATION

NAME OF LOCALITY ______
NAME OF HEAD OF HOUSEHOLD ______
CLUSTER NUMBER ______
CONCESSION NUMBER ______
HOUSEHOLD NUMBER ______
NAME AND LINE NUMBER OF WOMAN ______

INTERVIEWER VISITS

(Repeat up to 3 visits)

DATE ______
NAME OF INTERVIEWER ______
RESULT ______

NEXT VISIT:

DATE ______
TIME ______

FINAL VISIT

DAY ______
MONTH ______
YEAR ______
RESPONDENT NUMBER______
RESULT ______

TOTAL NUMBER OF VISITS ______

RESULT CODES:

1 COMPLETED
2 NOT HOME
3 POSTPONED
4 REFUSED
5 PARTLY COMPLETED
6 INCAPACITATED
7 OTHER (SPECIFY) ______

LANGUAGE OF QUESTIONNAIRE 01
LANGUAGE OF QUESTIONNAIRE FRENCH

INTERVIEW LANGUAGE ______
NATIVE LANGUAGE OF RESPONDENT ______
INTERPRETER (YES = 1, NO = 2) ______

CODE:

01 FRENCH
02 HAUSA
03 ZARMA
04 TAMASHEQ
05 FULFULDE
06 KANURI/TEBU
07 ARABIC
08 GOURMANCHÉ
96 OTHERS (SPECIFY) ______

TEAM NUMBER ______

TEAM LEADER

NAME ______
NUMBER ______

INTRODUCTION AND CONSENT REQUEST

Hello. My name is ______. I am working for the National Institute of Statistics (INS) in collaboration with the National Program in the Fight Against Malaria (PNLP). We are conducting a national survey on malaria in Niger. The information we collect will help the government to improve health services in general and those in the fight against malaria in particular. Your household was selected for the survey. The questions usually take about 10 to 20 minutes. All of the answers you give us will be confidential and will not be shared with anyone other than members of our survey team. You don't have to be in the survey, but we hope you will agree to answer my questions since your views are important. If I ask you any question you don't want to answer, just let me know and I will go on to the next question or you can stop the interview at any time.

In case you need more information about the survey, you may contact the person listed on the card that has already been given to your household.

Do you have any questions to ask me?
May I begin the interview now?

INTERVIEWER'S SIGNATURE: ______
DATE: ______
1 RESPONDENT AGREES TO BE INTERVIEWED (Continue to Section 1)
2 RESPONDENT DECLINES TO BE INTERVIEWED (Skip to END)

SECTION 1. SOCIODEMOGRAPHIC CHARACTERISTICS OF RESPONDENT

101. RECORD THE TIME.

HOUR ______
MINUTES ______

102. In what month and what year were you born?

MONTH ______
98 DK MONTH
YEAR ______
9998 DK YEAR

103. How old were you on your last birthday?

COMPARE AND CORRECT 102 AND/OR 103 IF INCONSISTENT.

AGE IN COMPLETE YEARS ______

104. Have you ever attended school?

1 YES
2 NO (Skip to 108)

105. What is the highest level of school you attended: primary, secondary 1st cycle, secondary 2nd cycle, or higher?

1 PRIMARY
2 SECONDARY 1ST CYCLE
3 SECONDARY 2ND CYCLE
4 HIGHER

106. What is the highest (YEAR/GRADE) you completed at that level?

IF LESS THAN ONE YEAR WAS COMPLETED AT THIS LEVEL, RECORD '00'.

(YEAR/GRADE) ______

Codes for Q. 106
(Table)
[translator's note: unable to translate "FPP" and "FPB" below]

LEVEL
YEAR/GRADE

PRIMARY GRADES
00 LESS THAN ONE YEAR
01 1ST GRADE
02 2ND GRADE
03 3RD GRADE
04 4TH GRADE
05 5TH GRADE
06 6TH GRADE
SECONDARY 1ST CYCLE GRADES
00 LESS THAN ONE YEAR
01 7TH GRADE
02 8TH GRADE
03 9TH GRADE
04 10TH GRADE
05 FPP
SECONDARY 2ND CYCLE GRADES
00 LESS THAN ONE YEAR
01 11TH GRADE
02 12TH GRADE
03 13TH GRADE
04 FPB
HIGHER
00 LESS THAN ONE YEAR
01 1ST YEAR
02 2ND YEAR
03 3RD YEAR
04 4TH YEAR
05 5TH YEAR OR HIGHER

106A. Have you had any professional or technical training?

1 YES
2 NO (Skip to 107)

106B. How many years of this professional or technical training did you complete?

NUMBER OF YEARS COMPLETED ______

107. CHECK 105:

PRIMARY, SECONDARY, OR PROFESSIONAL ______ (Continue to 108)
HIGHER ______ (Skip to 110)

108. Now I would like you to read this sentence to me.

SHOW CARD TO RESPONDENT.

IF RESPONDENT CANNOT READ THE WHOLE SENTENCE, PROBE:
Can you read part of the sentence?

1 CANNOT READ AT ALL
2 CAN ONLY READ PARTS OF THE SENTENCE
3 CAN READ ENTIRE SENTENCE
4 NO CARD IN RESPONDENT'S LANGUAGE (SPECIFY LANGUAGE) ______
5 BLIND/VISUALLY IMPAIRED

109. CHECK 108:

CODE '2', '3', OR '4' CIRCLED ______ (Continue to 110)
CODE '1' OR '5' CIRCLED ______ (Skip to 111)

110. Do you read a newspaper or magazine at least once a week, less than once a week, or not at all?

1 AT LEAST ONCE A WEEK
2 LESS THAN ONCE A WEEK
3 NOT AT ALL

111. Do you listen to the radio at least once a week, less than once a week, or not at all?

1 AT LEAST ONCE A WEEK
2 LESS THAN ONCE A WEEK (Skip to 112)
3 NOT AT ALL (Skip to 112)

111A. Do you listen to the radio every day, almost every day, about once a week, or less often?

1 EVERY DAY
2 ALMOST EVERY DAY
3 ONCE A WEEK
4 LESS OFTEN

112. Do you watch television at least once a week, less than once a week, or not at all?

1 AT LEAST ONCE A WEEK
2 LESS THAN ONCE A WEEK (Skip to 113)
3 NOT AT ALL (Skip to 113)

112A. Do you watch television every day, almost every day, about once a week, or less often?

1 EVERY DAY
2 ALMOST EVERY DAY
3 ONCE A WEEK
4 LESS OFTEN

113. Do you have a mobile phone?

1 YES
2 NO (Skip to 115)

114. Is your mobile phone a smart phone?

1 YES
2 NO

115. Have you ever used the internet from any place and on any device?

1 YES
2 NO (Skip to 118)

116. In the last 12 months, have you used the internet?

IF NECESSARY, PROBE FOR USE FROM ANY PLACE ON ANY DEVICE

1 YES
2 NO (Skip to 118)

117. In the last month, how many times did you use the internet:
almost every day, at least once a week, less than once a week, or not at all?

1 ALMOST EVERY DAY
2 AT LEAST ONCE A WEK
3 LESS THAN ONCE A WEEK
4 NOT AT ALL

SECTION 2. REPRODUCTION

201. Now I would like to ask you some questions about all the births you have had in your lifetime. Have you ever given birth?

1 YES
2 NO (Skip to 206)

202. Do you have any sons or daughters to whom you gave birth who are currently living with you?

1 YES
2 NO (Skip to 204)

203. a) How many sons live with you?
b) How many daughters live with you?

IF NONE, RECORD '00'.

a) SONS AT HOME ______
b) DAUGHTERS AT HOME ______

204. Do you have any sons or daughters to whom you gave birth who are still living but do not live with you?

1 YES
2 NO (Skip to 206)

205. a) How many sons are living but do not live with you?
b) How many daughters are living but do not live with you?

IF NONE, RECORD '00'.

a) SONS ELSEWHERE ______
b) DAUGHTERS ELSEWHERE ______

206. Have you ever given birth to a boy or girl who was born alive but who later died?

IF NO, PROBE: No baby who cried, moved, tried to breathe, or showed other signs of life for a short time?

1 YES
2 NO (Skip to 208)

207. a) How many boys died?
b) How many girls died?

IF NONE, RECORD '00'.

a) DECEASED BOYS ______
b) DECEASED GIRLS ______

208. TOTAL UP THE ANSWERS TO 203, 205, AND 207 AND RECORD THE TOTAL. IF NONE, RECORD '00'.

TOTAL BIRTHS ______

209. CHECK 208:

I would like to be sure I understood correctly: you have had a TOTAL of ______ births in your life. Is that correct?

YES ______ (Continue to 210)
NO ______ PROBE AND CORRECT 201 - 208 AS NECESSARY

210. CHECK 208:

ONE OR MORE BIRTHS ______ (Continue to 211)
NONE ______ (Skip to 224)

211. Now I would like to ask you questions about your most recent births. How many births have you had between 2016 - 2021?

TOTAL FROM 2016 - 2021 ______
00 NONE (Skip to 224)

212. Now I would like to record the names of all the births that you had between 2016 - 2021, whether still living or not, beginning with the most recent birth.

RECORD THE NAME OF ALL THE BIRTHS BETWEEN 2016 - 2021 IN 213. RECORD TWINS/TRIPLETS ON SEPARATE LINES. IF THERE ARE MORE THAN 4 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, BEGINNING ON THE SECOND LINE.

(Repeat 213 - 221 for up to 4 births)

213. What name was given to your (last/preceding) child?

RECORD THE NAME.

BIRTH HISTORY NUMBER

01 ______

214. Is (NAME) a boy or a girl?

1 BOY
2 GIRL

215. Is (NAME) a single or a multiple birth?

1 SINGLE
2 MULTIPLE

216. On what day, month and year was (NAME) born?

DAY ______
MONTH ______
YEAR ______

217. Is (NAME) still alive?

1 YES
2 NO (Go to NEXT BIRTH)

218. IF ALIVE:

How old was (NAME) on his/her last birthday?

RECORD AGE IN COMPLETED YEARS.

AGE IN YEARS ______

219. IF ALIVE:

Does (NAME) live with you?
1 YES
2 NO

220. IF ALIVE:

RECORD THE CHILD'S LINE NUMBER FROM HOUSEHOLD SCHEDULE. RECORD '00' IF CHILD IS NOT LISTED IN HOUSEHOLD.

HOUSEHOLD LINE NUMBER ______ (Go to NEXT BIRTH)

221. Were there other live births between (NAME OF PRECEDING BIRTH) and (NAME), including children who died after birth?

1 YES (ADD BIRTH)
2 NO (Go to NEXT BIRTH)

222. Have you had other live births since that of (NAME OF LAST BIRTH)?

1 YES (RECORD BIRTH(S) IN TABLE)
2 NO

223. COMPARE 211 WITH NUMBER OF BIRTHS IN BIRTH HISTORY

NUMBERS ARE SAME ______ (Continue to 224)
NUMBERS ARE DIFFERENT ______ (PROBE AND CORRECT)

224. Are you currently pregnant?

1 YES
2 NO (Skip to 301)
8 NOT SURE (Skip to 301)

225. How many weeks or months pregnant are you?

RECORD THE NUMBER OF COMPLETED WEEKS OR MONTHS.

1 WEEK ______
2 MONTH ______

SECTION 3. PREGNANCY AND INTERMITTENT PREVENTIVE TREATMENT

301. CHECK 216 AND 218:

ONE OR MORE BIRTHS IN PERIOD 0 - 35 MONTHS BEFORE SURVEY ______ (Continue to 302)

NO BIRTH IN PERIOD 0 - 35 MONTHS BEFORE SURVEY ______ (Skip to 401)

302. MARK THE NAME OF THE LAST BIRTH FROM 213, LINE 01:

LAST BIRTH:
NAME: ______

303. Now I would like to ask you some questions about your last pregnancy that resulted in a live birth.

When you were pregnant with (NAME), did you see anyone for antenatal care during this pregnancy?
1 YES
2 NO (Skip to 308)

304. Whom did you see?

Anyone else?

PROBE TO DETERMINE EACH TYPE OF PERSON AND RECORD ALL MENTIONED.

HEALTH PROFESSIONAL
A GYNECOLOGIST/DOCTOR
B MIDWIFE/NURSE
OTHER PERSONNEL
C VILLAGE MIDWIFE "MATRONE"
D TRADITIONAL BIRTH ATTENDANT
E COMMUNITY/VILLAGE HEALTH AGENT
X OTHER (SPECIFY) ______

305. Where did you receive the antenatal care for this pregnancy?

Any other place?

PROBE TO DETERMINE THE TYPE OF PLACE.
IF UNABLE TO DETERMINE IF PLACE IS PUBLIC OR PRIVATE SECTOR OR AN NGO, RECORD 'X' AND WRITE THE NAME OF THE PLACE.

HOME
A HER HOME
B OTHER HOME
PUBLIC MEDICAL SECTOR
C NATIONAL HOSPITAL
D REFERRAL MATERNITY HOSPITAL
E REGIONAL HOSPITAL CENTER/MOTHER AND CHILD HEALTH CENTER
F DISTRICT HOSPITAL
G INTEGRATED HEALTH CENTER
H NATIONAL SOCIAL SECURITY FUND (CNSS)
I VILLAGE HEALTH CENTER
J OTHER PUBLIC SECTOR (SPECIFY) ______
PRIVATE MEDICAL SECTOR
K PRIVATE HOSPITAL
L PRIVATE CLINIC
M PRIVATE MEDICAL CENTER/DOCTOR'S OFFICE/TREATMENT ROOM
N DISPENSARY
O NIGERIEN ASSOCIATION FOR FAMILY WELL-BEING (ANBEF) CLINIC/CENTER
P OTHER PRIVATE MEDICAL SECTOR (SPECIFY) ______
NGO MEDICAL SECTOR
P NGO HOSPITAL
Q NGO CLINIC
R OTHER NGO MEDICAL SECTOR (SPECIFY) ______
X OTHER (SPECIFY) ______

306. How many weeks or months pregnant were you when you received your first antenatal care for this pregnancy?

1 WEEKS ______
2 MONTHS ______
998 DK

307. During this pregnancy, how many times did you receive antenatal care?

NUMBER OF TIMES ______
98 DK

308. During this pregnancy, did you take SP/Fansidar to prevent malaria?

1 YES
2 NO (Skip to 401)
8 DK (Skip to 401)

309. During this pregnancy, how many times did you take SP/Fansidar?

NUMBER OF TIMES ______

310. Were you given the SP/Fansidar during an antenatal visit, during a different visit to a health facility, or did you get it elsewhere?

IF MORE THAN ONE SOURCE, RECORD THE FIRST SOURCE ON THE LIST.

1 ANTENATAL VISIT
2 OTHER VISIT TO HEALTH FACILITY
6 ELSEWHERE

SECTION 4. FEVER IN CHILDREN

401. CHECK 216, 217, AND 218 IN THE BIRTH HISTORY: IS THERE A SURVIVING CHILD BORN 0 - 59 MONTHS BEFORE THE SURVEY?

ONE OR MORE SURVIVING CHILDREN BORN 0 - 59 MONTHS BEFORE SURVEY ______ (Continue to 402)
NO SURVIVING CHILD BORN 0 - 59 MONTHS BEFORE SURVEY ______ (Skip to 501)

402. Now I would like to ask you some questions about the health of your children born in the last 5 years. We will talk about one child at a time, beginning with the youngest.

403. RECORD THE NAME AND BIRTH HISTORY NUMBER FROM 213 OF SURVIVING CHILDREN BORN 0 - 59 MONTHS BEFORE THE SURVEY, BEGINNING WITH THE LAST-BORN.

NAME OF CHILD ______
BIRTH HISTORY NUMBER ______

404. In the last 2 weeks, was (NAME) sick with a fever at any time?

1 YES
2 NO (Skip to 416)
8 DK (Skip to 416)

[translator's note: skip instructions are unclear]

405. At any time during his/her illness, was blood taken from (NAME)'s finger or heel?

1 YES
2 NO
8 DK

406. Did a health care provider tell you that (NAME) had malaria?

1 YES
2 NO
8 DK

407. Did you seek out any advice or treatment for the illness?

1 YES
2 NO (Skip to 412)

408. Where did you go to seek advice or treatment?
Anywhere else?

PROBE TO DETERMINE THE TYPE OF PLACE.

IF UNABLE TO DETERMINE IF PLACE IS PUBLIC SECTOR, PRIVATE SECTOR, OR AN NGO, RECORD 'X' AND WRITE THE NAME OF THE PLACE.

PUBLIC MEDICAL SECTOR
A NATIONAL HOSPITAL
B REFERRAL MATERNITY HOSPITAL
C REGIONAL HOSPITAL CENTER/MOTHER AND CHILD HEALTH CENTER
D DISTRICT HOSPITAL
E INTEGRATED HEALTH CENTER
F NATIONAL SOCIAL SECURITY FUND (CNSS)
G VILLAGE HEALTH CENTER
H COMMUNITY OUTREACH
I OTHER PUBLIC SECTOR (SPECIFY) ______
PRIVATE MEDICAL SECTOR
J PRIVATE HOSPITAL
K PRIVATE CLINIC
L PRIVATE MEDICAL CENTER/DOCTOR'S OFFICE/TREATMENT ROOM
M DISPENSARY
N NIGERIEN ASSOCIATION FOR FAMILY WELL-BEING (ANBEF) CLINIC/CENTER
O OTHER PRIVATE MEDICAL SECTOR (SPECIFY) ______
NGO MEDICAL SECTOR
P NGO HOSPITAL
Q NGO CLINIC
R OTHER NGO MEDICAL SECTOR (SPECIFY) ______

S OTHER (SPECIFY) ______
OTHER SOURCE
T SHOP
U TRADITIONAL PRACTITIONER
V ILLEGAL STREET PHARMACY/MEDICAL PEDDLER
W MARKET
X OTHER (SPECIFY) ______

409. CHECK 408:

TWO OR MORE CODES CIRCLED ______ (Continue to 410)
ONLY ONE CODE CIRCLED ______ (Skip to 411)

410. Where did you go first to ask for advice or seek a treatment?

USE LETTER CODES FROM 408.
FIRST PLACE ______

411. How many days after the beginning of the illness did you ask for advice or seek treatment for (NAME)?

IF SAME DAY, RECORD '00'.

DAYS ______

412. Did (NAME) take medication for the illness at any time during the illness?

1 YES
2 NO (Skip to 416)
8 DK (Skip to 416)

413. What medication did (NAME) take?

No other medication?

RECORD ALL MENTIONED.
IF MEDICATION IS NOT KNOWN, ASK TO SEE THE PACKAGE OR PRESCRIPTION.

ANTIMALARIALS
A ARTEMISININ COMBINATION THERAPY (ACT)
B SP/FANSIDAR
C CHLOROQUINE
D AMODIAQUINE
E QUININE TABLETS
F QUININE INJECTION/IV
G ARTESUNATE TAKEN RECTALLY
H ARTESUNATE INJECTION/IV
I OTHER ANTIMALARIAL (SPECIFY) ______
ANTIBIOTICS
J AMOXICILLIN
K COTRIMOXAZOLE
L OTHER TABLET/SYRUP
M OTHER INJECTION/IV
OTHER MEDICATION
N ASPIRIN
O PARACETAMOL/PANADOL/ACETAMINOPHEN
P IBUPROFEN
X OTHER (SPECIFY) ______
Z DK

[translator's note: skip instructions unclear]

414. CHECK 631: ARTEMISININ COMBINATION THERAPY ('A') GIVEN?

CODE 'A' CIRCLED ______ (Continue to 415)
CODE 'A' NOT CIRCLED ______ (Skip to 416)

[translator's note: '631' is wrong number; should be 413]

415. How soon after the onset of the fever did (NAME) start taking ACT?

0 SAME DAY
1 NEXT DAY
2 TWO DAYS AFTER FEVER
3 THREE OR MORE DAYS AFTER FEVER
8 DK

416. CHECK 216 AND 217 IN BIRTH HISTORY: ANY SURVIVING CHILD BORN 0 - 59 MONTHS BEFORE SURVEY?

NO OTHER SURVIVING CHILDREN BORN 0 - 59 MONTHS BEFORE SURVEY ______
OTHER SURVIVING CHILDREN BORN 0 - 59 MONTHS BEFORE SURVEY ______ (Go to 403)

SECTION 5. KNOWLEDGE OF AND BELIEFS ABOUT MALARIA

501. In the last six months, did you see or hear any messages about malaria?

1 YES
2 NO (Skip to 503)

502. Where did you see or hear these messages?

Anywhere else?

A RADIO
B TELEVISION
C POSTER/BILLBOARD
D NEWSPAPER/MAGAZINE
E FLYER/BROCHURE
F HEALTH CARE PROVIDER
G COMMUNITY HEALTH AGENT
H SOCIAL MEDIA
X OTHER (SPECIFY) ______
Z DON'T REMEMBER

503. Are there ways to prevent getting malaria?

1 YES
2 NO (Skip to 505)

504. What are some things that people can do to prevent contracting malaria?

RECORD ALL MENTIONED.

A SLEEP UNDER A MOSQUITO NET
B SLEEP UNDER AN INSECTICIDE TREATED NET
C USE REPELLENT PRODUCTS AGAINST MOSQUITOS
D TAKE PREVENTIVE MEDICINE
E SPRAY HOUSE WITH INSECTICIDE
F COVER STANDING WATER (PUDDLES OF WATER)
G KEEP SURROUNDINGS CLEAN
H PUT MOSQUITO NETS ON WINDOWS
X OTHER (SPECIFY) ______
Z DK

505. Now I am going to read some statements and I would like you to say if you agree or disagree with these statements. If you don't know, answer "I don't know".

In this community, people have malaria only during the rainy season.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

506. When a child has a fever, you always worry by thinking that it may be malaria.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

507. Having malaria is not a problem because it can easily be treated.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

508. Only weakened children can die from malaria.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

509. You can sleep under a mosquito net all night long when there are lots of mosquitos.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

510. You can sleep under a mosquito net all night long when there are few mosquitos.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

511. You do not like to sleep under a mosquito net when it is too hot out.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

512. When a child has a fever, it is best to start by giving him/her medicine that you have at home.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

513. In your community, people take their child to see a health care provider the same day or the following day that the fever starts.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

514. In your community, people who have a mosquito net usually sleep under the mosquito net every night.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

SECTION 6. KNOWLEDGE OF AND PERCEPTIONS OF SEASONAL MALARIA CHEMOPREVENTION (SMC)

601. As part of the campaign in the fight against malaria called seasonal malaria chemoprevention or SMC, children are given medication to protect them from malaria during the rainy season. In this campaign, the household is given a packet with 4 tablets: one big white tablet and 3 small yellow tablets. Now I would like to ask you some questions about seasonal malaria chemoprevention.

602. Do you know any child who has already benefited from seasonal malaria chemoprevention (SMC) treatment?

1 YES
2 NO

603. Have you seen or heard any messages on the seasonal malaria chemoprevention campaign (SMC)?

1 YES
2 NO (Skip to 606)

604. Where did you see or hear these messages on seasonal malaria chemoprevention (SMC)?

Anywhere else?

RECORD ALL MENTIONED.

A RADIO
B TELEVISION
C POSTER/BILLBOARD
D FLYER/BROCHURE
E SOCIAL ACTIVIST
F COMMUNITY OUTREACH
G HEALTH CARE PROVIDER
H SCHOOL
I WOMEN'S ASSOCIATIONS/GROUPS
J WORD OF MOUTH
K TRADITIONAL BIRTH ATTENDANT
L CHURCH/MOSQUE
X ELSEWHERE (SPECIFY) ______
Z DON'T REMEMBER

605. How many months has it been since the last time that you saw or heard these messages about seasonal malaria chemoprevention (SMC)?

IF LESS THAN ONE MONTH, RECORD '00'.

MONTHS ______
95 MORE THAN 24 MONTHS
98 NOT SURE

606. Now I am going to read some statements to you and I would like you to say whether you agree or disagree with these statements. If you do not know, answer: "I don't know".

The SMC treatment is very beneficial to children; I advise parents to give it to their children.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

607. There are not specific days during which it is required to take the SMC tablets. The important thing is that the child finishes the tablets provided.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

608. When a child has malaria, he/she can be treated with SMC.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

609. Health care personnel is always accessible and available when parents have questions and problems concerning SMC treatment.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

610. SMC treatment causes discomfort or vomiting; I will not give it to my own children.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

611. I do not trust medication such as SMC; I will not give it to my own children.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

612. I have noticed that there are fewer and fewer children suffering from malaria in my village/neighborhood since they have started using the SMC treatment.
Do you agree or disagree?

1 AGREE
2 DISAGREE
8 DK/NOT SURE

613. RECORD TIME.

HOUR ______
MINUTES ______

INTERVIEWER'S OBSERVATIONS
TO BE FILLED OUT ONCE THE INTERVIEW IS COMPLETED.

COMMENTS ABOUT THE INTERVIEW:
______

COMMENTS ABOUT PARTICULAR QUESTIONS:
______

OTHER COMMENTS:
______

TEAM LEADER'S OBSERVATION
______

REFERENCE DATES
YEAR OF SURVEY: 2021
FIVE YEARS BEFORE SURVEY: 2016
CHILDREN OVER AGE OF FIVE: 2015
CHILD UNDER AGE OF 4: 2018
CHILD UNDER AGE OF 3: 2019
CHILD UNDER AGE OF 16: 2006