Survey Text

Afghanistan 2015 Ethiopia 2000 Malawi 2000 Rwanda 2010
Angola 2015 Ethiopia 2005 Malawi 2004 Rwanda 2014
Bangladesh 1994 Ethiopia 2011 Malawi 2010 Senegal 1986
Bangladesh 1997 Ethiopia 2016 Malawi 2016 Senegal 1992
Bangladesh 2000 Ethiopia 2019 Mali 1987 Senegal 1997
Bangladesh 2004 Ghana 1988 Mali 1995 Senegal 2005
Bangladesh 2007 Ghana 1993 Mali 2001 Senegal 2010
Bangladesh 2011 Ghana 1998 Mali 2006 Senegal 2012
Bangladesh 2014 Ghana 2003 Mali 2012 Senegal 2014
Benin 1996 Ghana 2008 Mali 2018 Senegal 2015
Benin 2001 Ghana 2014 Morocco 1987 Senegal 2016
Benin 2006 Ghana 2016 Morocco 1992 Senegal 2017
Benin 2011 Guinea 1999 Morocco 2003 South Africa 2016
Benin 2017 Guinea 2005 Mozambique 1997 Sudan 1989
Burkina Faso 1993 Guinea 2012 Mozambique 2003 Tanzania 1991
Burkina Faso 1998 Guinea 2018 Mozambique 2011 Tanzania 1996
Burkina Faso 2003 India 1992 Myanmar 2015 Tanzania 1999
Burkina Faso 2010 India 1998 Namibia 1992 Tanzania 2004
Burundi 1987 India 2005 Namibia 2000 Tanzania 2010
Burundi 2016 India 2015 Namibia 2006 Tanzania 2015
Cameroon 1991 Jordan 1990 Namibia 2013 Togo 1988
Cameroon 1998 Jordan 1997 Nepal 1996 Togo 1998
Cameroon 2004 Jordan 2002 Nepal 2001 Togo 2013
Cameroon 2011 Jordan 2007 Nepal 2006 Tunisia 1988
Cameroon 2018 Jordan 2009 Nepal 2011 Uganda 1988
Central African Republic 1995 Jordan 2012 Nepal 2016 Uganda 1995
Chad 1996 Jordan 2017 Niger 1992 Uganda 2001
Chad 2004 Kenya 1989 Niger 1998 Uganda 2006
Chad 2014 Kenya 1993 Niger 2006 Uganda 2011
Congo (Democratic Republic) 2007 Kenya 1998 Niger 2012 Uganda 2016
Congo (Democratic Republic) 2013 Kenya 2003 Nigeria 1990 Yemen 1991
Congo Brazzaville 2005 Kenya 2008 Nigeria 1999 Yemen 2013
Congo Brazzaville 2011 Kenya 2014 Nigeria 2003 Zambia 1992
Cote d'Ivoire 1994 Lesotho 2004 Nigeria 2008 Zambia 1996
Cote d'Ivoire 1998 Lesotho 2009 Nigeria 2013 Zambia 2001
Cote d'Ivoire 2011 Lesotho 2014 Nigeria 2018 Zambia 2007
Egypt 1988 Liberia 1986 Pakistan 1991 Zambia 2013
Egypt 1992 Liberia 2007 Pakistan 2006 Zambia 2018
Egypt 1995 Liberia 2013 Pakistan 2012 Zimbabwe 1988
Egypt 2000 Madagascar 1992 Pakistan 2017 Zimbabwe 1994
Egypt 2005 Madagascar 1997 Rwanda 1992 Zimbabwe 1999
Egypt 2008 Madagascar 2003 Rwanda 2000 Zimbabwe 2005
Egypt 2014 Madagascar 2008 Rwanda 2005 Zimbabwe 2010
Eswatini (Swaziland) 2006 Malawi 1992 Rwanda 2008 Zimbabwe 2015
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Afghanistan 2015
Survey form view entire document:  text 
402. CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1389 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)

403. BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY

BIRTH HISTORY NUMBER____

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Angola 2015

No questionnaire text is available for this sample.


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Bangladesh 1994

No questionnaire text is available for this sample.


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Bangladesh 1997

No questionnaire text is available for this sample.


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Bangladesh 2000

No questionnaire text is available for this sample.


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Bangladesh 2004

No questionnaire text is available for this sample.


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Bangladesh 2007
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2002 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES). Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)

403) LINE NUMBER FROM 212

LAST BIRTH LINE NUMBER____

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Bangladesh 2011

No questionnaire text is available for this sample.


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Bangladesh 2014

No questionnaire text is available for this sample.


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Benin 1996
Survey form view entire document:  text 
402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992. IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2. BIRTHS, USE ADDITIONAL QUESTIONNAIRES.)

Now I would like to ask you some more questions about the health of all your children born in the past three years. (We will talk about one child at a time.)


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Benin 2001
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402) ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1996. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN TWO BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRE).

Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately).

403) LINE NUMBER FROM 212

LINE NUMBER _____

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Benin 2006
Survey form view entire document:  text 
402) ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).

Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately).

403) LINE NUMBER FROM 212

LINE NUMBER ________

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Benin 2011
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2006 OR LATER. ASK THE QUESTIONS ABOUT ALL THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

Now I would like to ask some questions about your children born in the last 5 years. (We will talk about each separately).

403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY

BIRTH HISTORY NUMBER_________

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Benin 2017
Survey form view entire document:  text 
402) Check 215: Record the birth history number in 403 and the name and the survival state from 404 for each birth in 2012-2017. Ask the questions about all these births. Begin with the last birth. (If there are more than 2 births, use last column of additional questionnaire(s)).

Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately).


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Burkina Faso 1993
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402. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS FOR EACH BIRTH SINCE JANUARY 1987 IN THE REPRODUCTION TABLE. ASK THE QUESTIONS FOR ALL BIRTHS BEGINNING WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES.)

Now I would like to ask you some questions about the health of all your children born in the last five years. We will only talk about one child at a time.

LINE NUMBER FROM 212:

LINE NO. _____

FROM 212 AND 216:

NAME _____
LIVING ____
DEAD ____

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Burkina Faso 1998
Survey form view entire document:  text 
402. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS FOR EACH BIRTH SINCE JANUARY 1993 IN THE REPRODUCTION TABLE. ASK THE QUESTIONS FOR ALL BIRTHS BEGINNING WITH THE LAST BIRTH. IF THERE ARE MORE THAN 3 BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES.

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Burkina Faso 2003
Survey form view entire document:  text 
402. ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS FOR EACH BIRTH SINCE 1998. ASK THE QUESTIONS FOR ALL BIRTHS. BEGIN WITH THE LAST BIRTH. IF THERE ARE MORE THAN 2 BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES.

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Burkina Faso 2010
Survey form view entire document:  text 
211) NOW I WOULD LIKE TO RECORD THE NAMES OF ALL YOUR BIRTHS, WHETHER STILL ALIVE OR NOT, STARTING WITH THE FIRST ONE YOU HAD.

RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE ROWS. (IF THERE ARE MORE THAN 12 BIRTHS, USE ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).


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Burundi 1987
Survey form view entire document:  text 
402) INTERVIEWER: ENTER THE LINE NUMBER, THE NAME, AND THE SURVIVAL STATUS OF EACH BIRTH SINCE JAN 1982 IN TABLE 3, STARTING WITH THE LAST BIRTH. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS, EVEN IF DECEASED.

NAME ______
LINE NUMBER_______
ALIVE
DEAD

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Burundi 2016
Survey form view entire document:  text 
403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY

BIRTH HISTORY NUMBER____

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Cameroon 1991
Survey form view entire document:  text 
402 ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1985* IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).

Now I would like to ask you some more questions about the health of all your children in the past five years. (We will talk about one child at a time.)

LINE NUMBER FROM Q. 212

_____________

FROM Q. 212 AND Q. 216

NAME ___________
ALIVE (GO TO 403)
DEAD (GO TO 403)

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Cameroon 1998
Survey form view entire document:  text 
402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992. IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2. BIRTHS, USE ADDITIONAL QUESTIONNAIRES.)

Now I would like to ask you some more questions about the health of all your children born in the past three years. (We will talk about one child at a time.)


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Cameroon 2004
Survey form view entire document:  text 
211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.

RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.


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Cameroon 2011
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

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Cameroon 2018

No questionnaire text is available for this sample.


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Central African Republic 1995
Survey form view entire document:  text 
211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had. RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.

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Chad 1996
Survey form view entire document:  text 
403. LINE NUMBER FROM QUESTION 212

LINE NUMBER OF LAST BIRTH ___

LINE NUMBER OF NEXT-TO-LAST BIRTH ___

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Chad 2004
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1102) LINE NO. FROM Q. 212

__ __

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Chad 2014
Survey form view entire document:  text 
502) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY

LAST BIRTH
BIRTH HISTORY NUMBER__ __
NEXT-TO-LAST BIRTH
BIRTH HISTORY NUMBER __ __
SECOND-FROM-LAST BIRTH
BIRTH HISTORY NUMBER __ __

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Congo (Democratic Republic) 2007
Survey form view entire document:  text 
211 Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).

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Congo (Democratic Republic) 2013
Survey form view entire document:  text 
211) NOW I WOULD LIKE TO RECORD THE NAMES OF ALL YOUR BIRTHS, WHETHER STILL ALIVE OR NOT, STARTING WITH THE FIRST ONE YOU HAD.

RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE ROWS. (IF THERE ARE MORE THAN 12 BIRTHS, USE ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).


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Congo Brazzaville 2005

No questionnaire text is available for this sample.


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Congo Brazzaville 2011

No questionnaire text is available for this sample.


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Cote d'Ivoire 1994
Survey form view entire document:  text 
402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992. IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2. BIRTHS, USE ADDITIONAL QUESTIONNAIRES.)

Now I would like to ask you some more questions about the health of all your children born in the past three years. (We will talk about one child at a time.)


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Cote d'Ivoire 1998
Survey form view entire document:  text 
402) RECORD THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1993 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE THE ADDITIONAL QUESTIONNAIRE).

Now I would like to ask you some more questions about the health of all your children born in the last 5 years. (We will talk about one child at a time.)


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Cote d'Ivoire 2011
Survey form view entire document:  text 
215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Egypt 1988
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401. CHECK 214:

ONE OR MORE LIVE BIRTHS SINCE JANUARY 1982 (GO TO 402)
NO LIVE BIRTHS SINCE JANUARY 1982 (GO TO 427)

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Egypt 1992
Survey form view entire document:  text 
211. Now I would like to talk to you about all of your births, whether still alive or not, starting with the first one you had.

RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES. COMPLETE QUESTIONS 213-220 AS APPROPRIATE FOR EACH BIRTH. AFTER COMPLETING ALL BIRTHS, GO TO 221.


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Egypt 1995
Survey form view entire document:  text 
211. Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.

RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES AND MARK WITH A BRACKET. COMPLETE 213-221 FOR EACH BIRTH. USE ADDITIONAL FORMS IF THERE ARE MORE THAN TEN BIRTHS. AFTER COMPLETING ALL BIRTHS, GO TO 222.


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Egypt 2000
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211) NOW I WOULD LIKE TO RECORD THE NAMES OF ALL YOUR BIRTHS, WHETHER STILL ALIVE OR NOT, STARTING WITH THE FIRST ONE YOU HAD.

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Egypt 2005
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208 SUM ANSWERS TO 203, 205, AND 207, AND ENTER TOTAL. IF NONE, RECORD '00'.

TOTAL _______

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Egypt 2008
Survey form view entire document:  text 
211. Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.

RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES AND MARK WITH A BRACKET.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE).


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Egypt 2014
Survey form view entire document:  text 
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)

403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY

BIRTH HISTORY NUMBER_____

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Eswatini (Swaziland) 2006

No questionnaire text is available for this sample.


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Ethiopia 2000
Survey form view entire document:  text 
211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.

RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.


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Ethiopia 2005
Survey form view entire document:  text 
211 Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).

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Ethiopia 2011
Survey form view entire document:  text 
211) NOW I WOULD LIKE TO RECORD THE NAMES OF ALL YOUR BIRTHS, WHETHER STILL ALIVE OR NOT, STARTING WITH THE FIRST ONE YOU HAD.

RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE ROWS. (IF THERE ARE MORE THAN 12 BIRTHS, USE ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).


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Ethiopia 2016

No questionnaire text is available for this sample.


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Ethiopia 2019

No questionnaire text is available for this sample.


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Ghana 1988

No questionnaire text is available for this sample.


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Ghana 1993
Survey form view entire document:  text 
402. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1990 IN THE TABLE.

ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS USE ADDITIONAL FORMS).

Now I would like to ask you some more questions about the health of all of your children born in the past three years. (We will talk about one child at a time).


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Ghana 1998
Survey form view entire document:  text 
402. ENTER THE PREGNANCY LINE NUMBER, NAME (IF LIVE BIRTH), AND SURVIVAL STATUS (IF LIVE BIRTH) OF EACH PREGNANCY SINCE JANUARY 1993 IN THE TABLE.

ASK THE QUESTIONS ABOUT ALL OF THESE PREGNANCIES. BEGIN WITH THE LAST PREGNANCY.

(IF THERE ARE MORE THAN 3 PREGNANCIES, USE ADDITIONAL QUESTIONNAIRES).

Now I would like to ask you some questions about all your pregnancies in the last five years. We will talk about each separately.


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Ghana 2003
Survey form view entire document:  text 
211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.

RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.


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Ghana 2008
Survey form view entire document:  text 
211 Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).

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Ghana 2014

No questionnaire text is available for this sample.


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Ghana 2016
Survey form view entire document:  text 
SECTION 4. FEVER IN CHILDREN

401. CHECK 213: RECORD THE BIRTH HISTORY NUMBER IN 402 AND THE NAME AND SURVIVAL STATUS IN 403 FOR EACH BIRTH IN 2011-2016. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE MOST RECENT BIRTH IF THERE ARE MORE THAN 2 BIRTHS, USE ADDITIONAL QUESTIONNAIRE(S).

Now I would like to ask some questions about the health of your children born since January 2011. (We will talk about each separately.)


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Guinea 1999
Survey form view entire document:  text 
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately).

403) LINE NUMBER FROM 212:

LINE NUMBER: ___

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Guinea 2005
Survey form view entire document:  text 
402 CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

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Guinea 2012
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2007 OR LATER. ASK THE QUESTIONS ABOUT ALL THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately).


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Guinea 2018

No questionnaire text is available for this sample.


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India 1992
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210 CHECK 208:

ONE OR MORE BIRTHS (GO TO 211)
NO BIRTHS (GO TO 223)

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India 1998
Survey form view entire document:  text 
402. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF LAST TWO BIRTHS SINCE JANUARY 1995 IN THE TABLE. ASK THE QUESTIONS ABOUT THESE TWO BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, RECORD ONLY LAST TWO BIRTHS.)

Now I would like to ask you some questions about the health of your children born since January 1995. (We will talk about one child at a time.)

LINE NUMBER FROM QUESTION 212:

LINE NO. ______

FROM QUESTIONS 212 AND 216:

NAME _______
ALIVE (GO TO 403)
DEAD (GO TO 403)

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India 2005
Survey form view entire document:  text 
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)

403 LINE NUMBER FROM 212

LINE NO. _________

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India 2015

No questionnaire text is available for this sample.


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Jordan 1990

No questionnaire text is available for this sample.


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Jordan 1997
Survey form view entire document:  text 
502. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 2 BIRTHS, USE ADDITIONAL QUESTIONNAIRES).

Now I would like to ask you some more questions about the health of all your children born in the past five years. (We will talk about one child at a time.)


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Jordan 2002

No questionnaire text is available for this sample.


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Jordan 2007

No questionnaire text is available for this sample.


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Jordan 2009
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, AND SURVIVAL STATUS OF EACH BIRTH IN 2004 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)


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Jordan 2012

No questionnaire text is available for this sample.


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Jordan 2017

No questionnaire text is available for this sample.


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Kenya 1989

No questionnaire text is available for this sample.


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Kenya 1993

No questionnaire text is available for this sample.


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Kenya 1998

No questionnaire text is available for this sample.


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Kenya 2003
Survey form view entire document:  text 
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately).

403) LINE NUMBER FROM 212:

LINE NUMBER___

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Kenya 2008
Survey form view entire document:  text 
402 CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

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Kenya 2014

No questionnaire text is available for this sample.


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Lesotho 2004
Survey form view entire document:  text 
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately).

403) LINE NUMBER FROM 212:

LINE NUMBER: ___

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Lesotho 2009

No questionnaire text is available for this sample.


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Lesotho 2014
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2009 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.

(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRE(S)).

Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)


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Liberia 1986

No questionnaire text is available for this sample.


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Liberia 2007
Survey form view entire document:  text 
402 CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

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Liberia 2013
Survey form view entire document:  text 
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)

403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY

BIRTH HISTORY NUMBER_____

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Madagascar 1992
Survey form view entire document:  text 
[REPEAT QUESTIONS 402-440 FOR EACH SEPARATE BIRTH]

402. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS FOR EACH BIRTH SINCE JANUARY 1987 IN THE REPRODUCTION TABLE. ASK THE QUESTIONS FOR ALL BIRTHS BEGINNING WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL QUESTIONNAIRE.)

Now I would like to ask you some questions about the health of all your children born in the last five years. We will only talk about one child at a time.

LINE NUMBER FROM 212:

LINE NO. ___

FROM 212 AND 216:

NAME ____
LIVING ____
DEAD ____

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Madagascar 1997
Survey form view entire document:  text 
402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992. IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2. BIRTHS, USE ADDITIONAL QUESTIONNAIRES.)

Now I would like to ask you some more questions about the health of all your children born in the past three years. (We will talk about one child at a time.)


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Madagascar 2003
Survey form view entire document:  text 
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).

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Madagascar 2008
Survey form view entire document:  text 
402 CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

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Malawi 1992
Survey form view entire document:  text 
LINE NUMBER FROM Q. 212

LINE NUMBER_____

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Malawi 2000
Survey form view entire document:  text 
211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had. RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.

212) What name was given to your (first/next) baby?

NAME___

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Malawi 2004
Survey form view entire document:  text 
209) CHECK 208:
Just to make sure that I have this right: you have had in TOTAL ___ births during your life. Is that correct?

YES (GO TO 210)
NO (PROBE AND CORRECT 201-208 AS NECESSARY)

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Malawi 2010
Survey form view entire document:  text 
211 Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).

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Malawi 2016

No questionnaire text is available for this sample.


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Mali 1987
Survey form view entire document:  text 
401. CHECK 216:

ONE OF MORE BIRTHS SINCE MARCH 1982. WRITE THE LINE NUMBER, THE NAME AND THE SURVIAL STATE OF EACH BIRTH SINCE MARCH 1982 IN TABLE 3 BEGINNING WITH THE LAST BIRTH.

REPEAT SECTION 4 FOR THE FOUR MOST RECENT BIRTHS SINCE MARCH 1982
NO LIVE BIRTH SINCE MARCH 1982 (GO TO SECTION 5)

LINE NUMBER ____
NAME____
LIVING____
DEAD____

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Mali 1995
Survey form view entire document:  text 
211. Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212.
RECORD TWINS AND TRIPLETS ON SEPARATE LINES.

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Mali 2001
Survey form view entire document:  text 
211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.

RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.


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Mali 2006
Survey form view entire document:  text 
212 What name was given to your (first/next) baby?

NAME ___________

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Mali 2012
Survey form view entire document:  text 
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)

403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY

BIRTH HISTORY NUMBER_____

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Mali 2018

No questionnaire text is available for this sample.


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Morocco 1987

No questionnaire text is available for this sample.


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Morocco 1992

No questionnaire text is available for this sample.


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Morocco 2003

No questionnaire text is available for this sample.


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Mozambique 1997
Survey form view entire document:  text 
402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1994 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL THESE LIVING BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE ADDITIONAL QUESTIONNAIRES)

Now I would like to ask you some more questions about the health of all your living children born in the past three years. (We will talk about each child separately).

403. LINE NUMBER FROM 212:

LINE NUMBER______

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Mozambique 2003
Survey form view entire document:  text 
402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1998 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL QUESTIONNAIRES)

Now I would like to ask you some more questions about the health of all your children born in the past five years. (We will talk about one child at a time).

403. LINE NUMBER FROM QUESTION 212:

LINE NUMBER______
NAME_______

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Mozambique 2011
Survey form view entire document:  text 
402. CHECK 215: ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH IN 2006 OR LATER IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OR ADDITIONAL QUESTIONNAIRES)

Now I would like to ask you some more questions about the health of all your children born in the past five years. We will talk about one child at a time.

403. LINE NUMBER FROM Q. 212 IN BIRTH HISTORY.

BIRTH HISTORY NUMBER______

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Myanmar 2015
Survey form view entire document:  text 
212) What name was given to your (first/next) baby?
RECORD NAME___
BIRTH HISTORY NUMBER

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Namibia 1992
Survey form view entire document:  text 
402 ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1985* IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).

Now I would like to ask you some more questions about the health of all your children in the past five years. (We will talk about one child at a time.)

LINE NUMBER FROM Q. 212

_____________

FROM Q. 212 AND Q. 216

NAME ___________
ALIVE (GO TO 403)
DEAD (GO TO 403)

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Namibia 2000
Survey form view entire document:  text 
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).

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Namibia 2006
Survey form view entire document:  text 
402 CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

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Namibia 2013
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

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Nepal 1996
Survey form view entire document:  text 
402. ENTER THE NAME, LINE NUMBER, AND SURVIVAL STATUS OF EACH BIRTH SINCE BAISAKH 2049 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE ADDITIONAL QUESTIONNARES).

Now I would like to ask you some questions about the health of all your children born in the last three years. We will talk about one child at a time.


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Nepal 2001

No questionnaire text is available for this sample.


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Nepal 2006
Survey form view entire document:  text 
402. CHECK 221: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2057 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)

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Nepal 2011

No questionnaire text is available for this sample.


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Nepal 2016

No questionnaire text is available for this sample.


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Niger 1992
Survey form view entire document:  text 
402) ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1987 IN THE TABLE.

ASK THE QUESTIONS OF ALL THESE BIRTHS, BEGINNING WITH THE LAST BIRTH.

Now I would like to ask you some more questions about the health of all of the children you have had in the past 5 years. We will talk about one child at a time.

LINE NUMBER FROM QUESTION 212: ___

FROM QUESTION 212 AND QUESTION 216:

NAME: ___
LIVING: ___ (GO TO 403)
DECEASED: ___ (GO TO 403)

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Niger 1998
Survey form view entire document:  text 
403. LINE NUMBER FROM QUESTION 212

LINE NUMBER OF LAST BIRTH ___

LINE NUMBER OF NEXT-TO-LAST BIRTH ___

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Niger 2006
Survey form view entire document:  text 
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)

403 LINE NUMBER FROM 212

LINE NO. _________

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Niger 2012
Survey form view entire document:  text 
125. (6) Who sprayed the dwelling?

GOVERNMENT WORKER/PROGRAM A
PRIVATE COMPANY B
NONGOVERNMENTAL ORGANIZATION (NGO) C
OTHER (SPECIFY)__ X
DON'T KNOW Z

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Nigeria 1990
Survey form view entire document:  text 
211 Now I would like to talk about of all your births, whether still alive or not, starting with the first one you had.

RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.


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Nigeria 1999
Survey form view entire document:  text 
402. ENTER THE NAME, LINE NUMBER, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1996 IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.

Now I would like to ask you some questions about the health of all your children born in the last three years. (We will talk about one child at a time.)

403. LINE NUMBER FROM Q212

LINE NUMBER _____

404. FROM Q212 AND Q216

NAME _______
ALIVE (GO TO 405)
DEAD (GO TO 405)

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Nigeria 2003
Survey form view entire document:  text 
211) Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.

RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.


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Nigeria 2008
Survey form view entire document:  text 
211 Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).

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Nigeria 2013
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2008 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES.

Now I would like to ask some questions about your children born in the last five years. (we will talk about each separately).

403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY

BIRTH HISTORY NUMBER ______

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Nigeria 2018

No questionnaire text is available for this sample.


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Pakistan 1991

No questionnaire text is available for this sample.


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Pakistan 2006

No questionnaire text is available for this sample.


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Pakistan 2012

No questionnaire text is available for this sample.


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Pakistan 2017

No questionnaire text is available for this sample.


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Rwanda 1992
Survey form view entire document:  text 
402 ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1985* IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).

Now I would like to ask you some more questions about the health of all your children in the past five years. (We will talk about one child at a time.)

LINE NUMBER FROM Q. 212

_____________

FROM Q. 212 AND Q. 216

NAME ___________
ALIVE (GO TO 403)
DEAD (GO TO 403)

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Rwanda 2000
Survey form view entire document:  text 
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).

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Rwanda 2005
Survey form view entire document:  text 
402 CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2001 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

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Rwanda 2008

No questionnaire text is available for this sample.


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Rwanda 2010
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

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Rwanda 2014

No questionnaire text is available for this sample.


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Senegal 1986
Survey form view entire document:  text 
401. CHECK 217:

ONE OR MORE LIVE BIRTHS SINCE APRIL 1981: WRITE THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE APRIL 1981 IN TABLE 3 BEGINNING WITH THE LAST BIRTH.

NO BIRTHS SINCE APRIL 1981 (GO TO 501)

NAME ____
LIVING ____
DEAD ____

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Senegal 1992
Survey form view entire document:  text 
402 ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1985* IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).

Now I would like to ask you some more questions about the health of all your children in the past five years. (We will talk about one child at a time.)

LINE NUMBER FROM Q. 212

_____________

FROM Q. 212 AND Q. 216

NAME ___________
ALIVE (GO TO 403)
DEAD (GO TO 403)

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Senegal 1997
Survey form view entire document:  text 
402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992. IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2. BIRTHS, USE ADDITIONAL QUESTIONNAIRES.)

Now I would like to ask you some more questions about the health of all your children born in the past three years. (We will talk about one child at a time.)


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Senegal 2005
Survey form view entire document:  text 
Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately).

403) LINE NUMBER FROM 212:

LINE NUMBER: ___

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Senegal 2010
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

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Senegal 2012
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

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Senegal 2014
Survey form view entire document:  text 
403. BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY.

LAST BIRTH
BIRTH HISTORY NUMBER __ __
NEXT-TO-LAST BIRTH
BIRTH HISTORY NUMBER __ __

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Senegal 2015

No questionnaire text is available for this sample.


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Senegal 2016

No questionnaire text is available for this sample.


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Senegal 2017

No questionnaire text is available for this sample.


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South Africa 2016

No questionnaire text is available for this sample.


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Sudan 1989
Survey form view entire document:  text 
402 ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JAN. 1984 IN THE TABLE. BEGIN WITH THE LAST BIRTH. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS.

LINE NUMBER FROM Q.212

LINE NUMBER ________

FROM Q.212
FROM Q.215

NAME _________________
ALIVE (GO TO 403)
DEAD (GO TO 403)

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Tanzania 1991
Survey form view entire document:  text 
402 ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1985* IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).

Now I would like to ask you some more questions about the health of all your children in the past five years. (We will talk about one child at a time.)

LINE NUMBER FROM Q. 212

_____________

FROM Q. 212 AND Q. 216

NAME ___________
ALIVE (GO TO 403)
DEAD (GO TO 403)

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Tanzania 1996
Survey form view entire document:  text 
402. ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1991 IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 2 BIRTHS, USE ADDITIONAL FORMS).

Now I would like to ask you some more questions about the health of children you had in the past five years. We will talk about one child at a time.


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Tanzania 1999
Survey form view entire document:  text 
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).

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Tanzania 2004
Survey form view entire document:  text 
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).

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Tanzania 2010
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

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Tanzania 2015

No questionnaire text is available for this sample.


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Togo 1988
Survey form view entire document:  text 
SECTION 4. HEALTH AND BREASTFEEDING OF CHILDREN UNDER 5 YEARS

401) INTERVIEWER: CHECK 214:

ONE OR MORE LIVE BIRTHS SINE JANUARY 1983
NO LIVE BIRTHS SINCE JANUARY 1983 (GO TO SECTION 5)

INTERVIEWER: ENTER THE LINE NUMBER, THE NAME, AND THE SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1983 IN TABLE 3, STARTING WITH THE LAST BIRTH.

LINE NUMBER___________

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Togo 1998
Survey form view entire document:  text 
403. LINE NUMBER FROM QUESTION 212

LINE NUMBER OF LAST BIRTH ___

LINE NUMBER OF NEXT-TO-LAST BIRTH ___

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Togo 2013
Survey form view entire document:  text 
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)

403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY

BIRTH HISTORY NUMBER_____

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Tunisia 1988

No questionnaire text is available for this sample.


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Uganda 1988
Survey form view entire document:  text 
402) ENTER THE NAME, LINE NUMBER, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1983 IN THE TABLE. BEGIN WITH THE LAST BIRTH. ASK THE QUESTIONS ABOUT ALL OF THE BIRTHS.

LINE NUMBER FROM QUESTION 212

NAME ______________
ALIVE
DEAD

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Uganda 1995
Survey form view entire document:  text 
402) ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1991 IN THE TABLE. ASK QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF MORE THAN 2 BIRTHS, USE ADDITIONAL FORMS).

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Uganda 2001
Survey form view entire document:  text 
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).

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Uganda 2006
Survey form view entire document:  text 
211 Now I would like to record the names of all your births, whether still alive or not, starting with the first one you had.
RECORD NAMES OF ALL THE BIRTHS IN 212. RECORD TWINS AND TRIPLETS ON SEPARATE LINES.
(IF THERE ARE MORE THAN 12 BIRTHS, USE AN ADDITIONAL QUESTIONNAIRE, STARTING WITH THE SECOND ROW).

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Uganda 2011
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2005 (1) OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

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Uganda 2016

No questionnaire text is available for this sample.


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Yemen 1991

No questionnaire text is available for this sample.


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Yemen 2013
Survey form view entire document:  text 
402) CHECK 215: ENTER IN THE TABLE THE BIRTH HISTORY NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2008 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).
Now I would like to ask some questions about your children born in the last five years. We will talk about each separately.

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Zambia 1992
Survey form view entire document:  text 
402 ENTER THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1985* IN THE TABLE.
ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS, USE ADDITIONAL FORMS).

Now I would like to ask you some more questions about the health of all your children in the past five years. (We will talk about one child at a time.)

LINE NUMBER FROM Q. 212

_____________

FROM Q. 212 AND Q. 216

NAME ___________
ALIVE (GO TO 403)
DEAD (GO TO 403)

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Zambia 1996
Survey form view entire document:  text 
402. ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1992. IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2. BIRTHS, USE ADDITIONAL QUESTIONNAIRES.)

Now I would like to ask you some more questions about the health of all your children born in the past three years. (We will talk about one child at a time.)


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Zambia 2001
Survey form view entire document:  text 
402. ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1996 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).

Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately)

403. LINE NUMBER FROM 212

LINE NUMBER _____

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Zambia 2007
Survey form view entire document:  text 
402. CHECK 215: ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2002 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)

403. LINE NUMBER FROM 212

LINE NO. _____

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Zambia 2013
Survey form view entire document:  text 
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)

403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY

BIRTH HISTORY NUMBER_____

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Zambia 2018

No questionnaire text is available for this sample.


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Zimbabwe 1988
Survey form view entire document:  text 
211. Now I would like to talk to you about all of your births, whether still alive or not, starting with the first one you had.

RECORD NAMES OF ALL BIRTHS IN 212. RECORD TWINS ON SEPARATE LINES AND MARK WITH A BRACKET.


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Zimbabwe 1994
Survey form view entire document:  text 
402) ENTER THE LINE NUMBER, NAME AND SURVIVAL STATUS OF EACH BIRTH SINCE JANUARY 1991* IN THE TABLE. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 2 BIRTHS, USE ADDITIONAL QUESTIONNAIRES).

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Zimbabwe 1999
Survey form view entire document:  text 
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 1995 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.
(IF THERE ARE MORE THAN 2 BIRTHS, USE THE LAST COLUMN OF ADDITIONAL QUESTIONNAIRES).

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Zimbabwe 2005
Survey form view entire document:  text 
402) ENTER IN THE TABLE THE LINE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH IN 2000 OR LATER. ASK THE QUESTIONS ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH.

(IF THERE ARE MORE THAN 3 BIRTHS, USE LAST 2 COLUMNS OF ADDITIONAL QUESTIONNAIRES).

Now I would like to ask you some questions about the health of all your children born in the last five years. (We will talk about each separately.)


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Zimbabwe 2010
Survey form view entire document:  text 
Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)

403) BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY

BIRTH HISTORY NUMBER_____

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Zimbabwe 2015

No questionnaire text is available for this sample.