Survey Text

Bangladesh 2011 Ethiopia 2005 Madagascar 2003 Rwanda 2008
Benin 2001 Ethiopia 2011 Madagascar 2008 Rwanda 2010
Benin 2011 Ethiopia 2016 Malawi 2004 Rwanda 2014
Benin 2017 Ghana 2003 Malawi 2010 Senegal 2005
Burkina Faso 2003 Ghana 2008 Malawi 2016 Senegal 2010
Burkina Faso 2010 Ghana 2014 Mali 2001 Senegal 2017
Burundi 2016 Guinea 2005 Mali 2006 South Africa 2016
Cameroon 2004 Guinea 2012 Mali 2012 Tanzania 2004
Cameroon 2011 Guinea 2018 Mali 2018 Tanzania 2010
Cameroon 2018 India 2005 Mozambique 2011 Tanzania 2015
Congo (Democratic Republic) 2007 India 2015 Myanmar 2015 Uganda 2001
Congo (Democratic Republic) 2013 Jordan 2002 Namibia 2013 Uganda 2006
Congo Brazzaville 2005 Jordan 2007 Nepal 2006 Uganda 2011
Congo Brazzaville 2011 Jordan 2009 Nepal 2011 Uganda 2016
Cote d'Ivoire 2011 Jordan 2012 Nepal 2016 Yemen 2013
Egypt 2000 Jordan 2017 Niger 2006 Zambia 2018
Egypt 2005 Lesotho 2004 Niger 2012 Zimbabwe 2005
Egypt 2014 Lesotho 2009 Nigeria 2018 Zimbabwe 2010
Eswatini (Swaziland) 2006 Lesotho 2014 Rwanda 2005 Zimbabwe 2015
top
Bangladesh 2011
Survey form view entire document:  text 
222) RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET

G/DL _______.______
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Benin 2001
Survey form view entire document:  text 
47) HEMOGLOBIN LEVEL (G/DL):

___

top
Benin 2011
Survey form view entire document:  text 
240. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (11)

G/DL ____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Benin 2017

No questionnaire text is available for this sample.


top
Burkina Faso 2003
Survey form view entire document:  text 
47) HEMOGLOBIN LEVEL (G/DL):

___

top
Burkina Faso 2010
Survey form view entire document:  text 
240. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (11)

G/DL ____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Burundi 2016

No questionnaire text is available for this sample.


top
Cameroon 2004
Survey form view entire document:  text 
47) HEMOGLOBIN LEVEL (G/DL):

___

top
Cameroon 2011
Survey form view entire document:  text 
512) RESULT CODE FOR ANEMIA TEST.

MEASURED 1
ABSENT 2
REFUSED 3
OTHER 6

top
Cameroon 2018

No questionnaire text is available for this sample.


top
Congo (Democratic Republic) 2007
Survey form view entire document:  text 
527 RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (9).

G/DL ________

top
Congo (Democratic Republic) 2013
Survey form view entire document:  text 
240. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (11)

G/DL ____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Congo Brazzaville 2005
Survey form view entire document:  text 
47) HEMOGLOBIN LEVEL:

(G/DL) _____.___

top
Congo Brazzaville 2011

No questionnaire text is available for this sample.


top
Cote d'Ivoire 2011
Survey form view entire document:  text 
IDENTIFICATION

PLACE NAME_________
NAME OF HEAD OF HOUSEHOLD__________
CLUSTER NUMBER_____
STRUCTURE NUMBER________
HOUSEHOLD NUMBER________
REGION_______

713) RESULT CODE FOR ANEMIA TEST

MEASURED 1
ABSENT 2
REFUSED 3
OTHER 6

top
Egypt 2000
Survey form view entire document:  text 
063) HEMOGLOBIN (G/DL)

______

top
Egypt 2005
Survey form view entire document:  text 
HEMOGLOBIN MEASUREMENT OF CHILDREN AGE 0- 5 YEARS

LINE NO. FROM 201 __ __

209) NAME
CHECK COLUMN (202):

_________________________

top
Egypt 2014
Survey form view entire document:  text 
240. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (11)

G/DL ____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Eswatini (Swaziland) 2006
Survey form view entire document:  text 
535) RECORD HEMOGLOBIN LEVEL HERE AND IN ANAEMIA PAMPHLET.

G/DL______

top
Ethiopia 2005
Survey form view entire document:  text 
527 RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (9).

G/DL ________

top
Ethiopia 2011
Survey form view entire document:  text 
MINIMUM HEMOGLOBIN LEVELS FOR ANEMIA

CHECK THE COVER PAGE OF THE HOUSEHOLD QUESTIONNAIRE FOR THE ALTITUDE MEASUREMENT OF THE HOUSEHOLD. ADJUST THE CUTOFF POINT OF THE READING FROM THE HEMOCUE MACHINE BASED ON THE ALTITUDE MEASUREMENT.

HEMOGLOBIN ADJUSTMENTS FOR ALTITUDE:

ALTITUDE: LESS THAN 1000 M
SEVERE: LESS THAN 7.0 g/dl
MODERATE: 7.0-9.9
MILD (NON-PREGNANT): 10.0-11.9
MILD (PREGNANT): 10.0-10.9
NOT ANEMIC (NON-PREGNANT): 12.0 OR GREATER
NOT ANEMIC (PREGNANT): 11.0 OR GREATER
ALTITUDE: 1000 M - 1499 M
SEVERE: LESS THAN 7.2 g/dl
MODERATE: 7.2-10.1
MILD (NON-PREGNANT): 10.2-12.1
MILD (PREGNANT): 10.2-11.1
NOT ANEMIC (NON-PREGNANT): 12.2 OR GREATER
NOT ANEMIC (PREGNANT): 11.2 OR GREATER
ALTITUDE: 1500 M - 1999 M
SEVERE: LESS THAN 7.5 g/dl
MODERATE: 7.5-10.4
MILD (NON-PREGNANT): 10.5-12.4
MILD (PREGNANT): 10.5-11.4
NOT ANEMIC (NON-PREGNANT): 12.5 OR GREATER
NOT ANEMIC (PREGNANT): 11.5 OR GREATER
ALTITUDE: 2000 M - 2499 M
SEVERE: LESS THAN 7.8 g/dl
MODERATE: 7.8-10.7
MILD (NON-PREGNANT): 10.8-12.7
MILD (PREGNANT): 10.8-11.7
NOT ANEMIC (NON-PREGNANT): 12.8 OR GREATER
NOT ANEMIC (PREGNANT): 11.8 OR GREATER
ALTITUDE: 2500 M - 2999 M
SEVERE: LESS THAN 8.3 g/dl
MODERATE: 8.3-11.2
MILD (NON-PREGNANT): 11.3-13.2
MILD (PREGNANT): 11.3-12.2
NOT ANEMIC (NON-PREGNANT): 13.3 OR GREATER
NOT ANEMIC (PREGNANT): 12.3 OR GREATER
ALTITUDE: 3000 M - 3499 M
SEVERE: LESS THAN 8.9 g/dl
MODERATE: 8.9-11.8
MILD (NON-PREGNANT): 11.9-13.8
MILD (PREGNANT): 11.9-12.8
NOT ANEMIC (NON-PREGNANT): 13.9 OR GREATER
NOT ANEMIC (PREGNANT): 12.9 OR GREATER
ALTITUDE: 3500 M - 3999 M
SEVERE: LESS THAN 9.7 g/dl
MODERATE: 9.7-12.6
MILD (NON-PREGNANT): 12.7-14.6
MILD (PREGNANT): 12.7-13.6
NOT ANEMIC (NON-PREGNANT): 14.7 OR GREATER
NOT ANEMIC (PREGNANT): 13.7 OR GREATER

top
Ethiopia 2016
Survey form view entire document:  text 
231. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET.

G/DL ___
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Ghana 2003
Survey form view entire document:  text 
47) HEMOGLOBIN LEVEL (G/DL):

___

top
Ghana 2008
Survey form view entire document:  text 
527 RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (9).

G/DL ________

top
Ghana 2014
Survey form view entire document:  text 
212) RECORD HEMOGLOBIN LEVEL HERE AND IN THE ANEMIA AND HEIGHT/WEIGHT BROCHURE AND IN THE ANEMIA AND MALARIA BROCHURE.

G/DL __._
NOT PRESENT 99.4
REFUSED 99.5
OTHER 99.6

top
Guinea 2005
Survey form view entire document:  text 
47. HEMOGLOBIN LEVEL (G/DL):

G/DL ______

top
Guinea 2012
Survey form view entire document:  text 
240. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (11)

G/DL ____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Guinea 2018
Survey form view entire document:  text 
331) Record hemoglobin level here and in anemia pamphlet

G/DL
ABSENT 994
REFUSED 995
OTHER 996

top
India 2005
Survey form view entire document:  text 
SECTION 4. PREGNANCY AND POSTNATAL CARE

401 CHECK 224:

ONE OR MORE BIRTHS IN 2001 (1) OR LATER (GO TO 402)
NO BIRTHS IN 2001 (1) OR LATER (GO TO 576)

top
India 2015
Survey form view entire document:  text 
368) RECORD HAEMOGLOBIN LEVEL HERE AND IN ANAEMIA PAMPHLET.

G/DL____
REFUSED 995
OTHER 996
NOT TESTED 998

top
Jordan 2002

No questionnaire text is available for this sample.


top
Jordan 2007

No questionnaire text is available for this sample.


top
Jordan 2009
Survey form view entire document:  text 
226) RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET

G/DL .___._

top
Jordan 2012
Survey form view entire document:  text 
212. RECORD HEMOGLOBIN LEVEL HERE AND IN THE ANEMIA PAMPHLET

G/DL ___.__

NOT PRESENT 994
REFUSED 995
OTHER 996

top
Jordan 2017
Survey form view entire document:  text 
231) RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET.

G/DL ___._
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Lesotho 2004
Survey form view entire document:  text 
47) HEMOGLOBIN LEVEL (G/DL):

___

top
Lesotho 2009

No questionnaire text is available for this sample.


top
Lesotho 2014
Survey form view entire document:  text 
240) RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET

G/DL____

REFUSED 995
OTHER 996

top
Madagascar 2003
Survey form view entire document:  text 
116. RECORD LEVEL OF HEMOGLOBIN

HEMOGLOBIN LEVEL _______

NOT MEASURED 996 (GO TO 121)
(SPECIFY) _______

top
Madagascar 2008
Survey form view entire document:  text 
527 RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (9).

G/DL ________

top
Malawi 2004
Survey form view entire document:  text 
1107. HEMOGLOBIN LEVEL (G/DL):

LEVEL___.___

top
Malawi 2010
Survey form view entire document:  text 
527. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET

G/DL ___.___
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Malawi 2016
Survey form view entire document:  text 
113. RECORD HEMOGLOBIN LEVEL HERE AND IN THE ANEMIA PAMPHLET.

G/DL ___
REFUSED 995
OTHER 996

top
Mali 2001
Survey form view entire document:  text 
47. HEMOGLOBIN LEVEL (G/DL):

G/DL _____

top
Mali 2006
Survey form view entire document:  text 
47. HEMOGLOBIN LEVEL (G/DL)

___

top
Mali 2012
Survey form view entire document:  text 
240. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (11)

G/DL ____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Mali 2018

No questionnaire text is available for this sample.


top
Mozambique 2011
Survey form view entire document:  text 
213. RECORD THE HEMOGLOBIN LEVEL HERE AND IN THE ANEMIA PAMPHLET

G/DL____.__

top
Myanmar 2015
Survey form view entire document:  text 
212) RECORD HEMOGLOBIN LEVEL HERE AND IN THE ANEMIA PAMPHLET.

G/DL____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Namibia 2013
Survey form view entire document:  text 
240. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (11)

G/DL ____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Nepal 2006
Survey form view entire document:  text 
227. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET.

G/DL ___. ___

top
Nepal 2011
Survey form view entire document:  text 
212) RECORD HEMOGLOBIN LEVEL HERE AND IN THE ANEMIA PAMPHLET.

G/DL ____.__
NOT PRESENT 994
REFUSED 995
OTHER 996

213) GO BACK TO 203 IN NEXT COLUMN OF THIS QUESTIONNAIRE OR IN THE FIRST COLUMN OF THE NEXT PAGE; IF NO MORE CHILDREN, GO TO 214.


top
Nepal 2016
Survey form view entire document:  text 
113. RECORD HEMOGLOBIN LEVEL HERE AND IN THE ANEMIA.

G/DL __. __
REFUSED 995
OTHER 996

top
Niger 2006
Survey form view entire document:  text 
527 RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (9).

G/DL ________

top
Niger 2012
Survey form view entire document:  text 
240. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (11)

G/DL ____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Nigeria 2018
Survey form view entire document:  text 
231. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET.

Woman 1

G/DL _____
NOT PRESENT 994
REFUSED 995
OTHER 996

Woman 2

G/DL _____
NOT PRESENT 994
REFUSED 995

OTHER 996

Woman 3

G/DL _____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Rwanda 2005
Survey form view entire document:  text 
542 RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (9).

G/DL ________

top
Rwanda 2008
Survey form view entire document:  text 
138) HEMOGLOBIN LEVEL (G/DL) ______ . ____

top
Rwanda 2010
Survey form view entire document:  text 
240. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (11)

G/DL ____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Rwanda 2014
Survey form view entire document:  text 
211) RECORD HEMOGLOBIN LEVEL HERE AND IN THE ANEMIA PAMPHLET.

G/DL_____.___
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Senegal 2005
Survey form view entire document:  text 
47) HEMOGLOBIN LEVEL (G/DL):

___

top
Senegal 2010
Survey form view entire document:  text 
240. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (11)

G/DL ____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Senegal 2017
Survey form view entire document:  text 
231) RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET

G/DL
ABSENT 994
REFUSED 995
OTHER 996

top
South Africa 2016

No questionnaire text is available for this sample.


top
Tanzania 2004
Survey form view entire document:  text 
47) HEMOGLOBIN LEVEL (G/DL):

G/DL_____

top
Tanzania 2010
Survey form view entire document:  text 
240. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (11)

G/DL ____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Tanzania 2015
Survey form view entire document:  text 
113. RECORD HEMOGLOBIN LEVEL HERE AND IN THE ANEMIA PAMPHLET.

G/DL ____.__
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Uganda 2001
Survey form view entire document:  text 
47) HEMOGLOBIN LEVEL (G/DL):

___

top
Uganda 2006
Survey form view entire document:  text 
527) RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (9).

G/DL ________

top
Uganda 2011
Survey form view entire document:  text 
238) RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPLET

G/DL __ __ . __
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Uganda 2016
Survey form view entire document:  text 
231) RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET.

G/DL_____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Yemen 2013
Survey form view entire document:  text 
227) RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET

G/DL ____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Zambia 2018
Survey form view entire document:  text 
241. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET.

G/DL___.___
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Zimbabwe 2005
Survey form view entire document:  text 
1321) RECORD HEMOGLOBIN LEVEL

G/DL ___

top
Zimbabwe 2010
Survey form view entire document:  text 
240. RECORD HEMOGLOBIN LEVEL HERE AND IN ANEMIA PAMPHLET (11)

G/DL ____
NOT PRESENT 994
REFUSED 995
OTHER 996

top
Zimbabwe 2015
Survey form view entire document:  text 
119. RECORD HEMOGLOBIN LEVEL HERE AND IN THE ANEMIA PAMPHLET.

G/DL ___
NOT PRESENT 994
REFUSED 995
OTHER 996