433) Who assisted with the delivery of (NAME)?
Anyone else?
PROBE FOR THE TYPE(S) OF PERSON(S) AND RECORD ALL MENTIONED.
IF RESPONDENT SAYS NO ONE ASSISTED, PROBE TO DETERMINE WHETHER ANY ADULTS WERE PRESENT AT THE DELIVERY.
IF 'D' MENTIONED WRITE THE NAME OF THE CSBA.
NAME ______________
NAME ______________
HEALTH PERSONNEL
QUAL. DOCTOR 1
NURSE/MIDWIFE/PARAMEDIC B
FAMILY WELFARE VISITOR C
COMMUNITY SKILLED BIRTH ATTENDANT D
MA/SACMO E
HEALTH ASST. F
FAMILY WELFARE ASSISTANT G
OTHER PERSON
TRAINED TBA H
UNTRAINED TBA I
UNQUALIFIED DOCTOR J
RELATIVES K
NEIGHBORS/FRIEND L
NGO WORKER M
OTHER (SPECIFY) ___________ X
NO ONE ASSISTED Y