Survey Text

Afghanistan 2015 Egypt 2014 Malawi 2000 Rwanda 2010
Angola 2015 Eswatini (Swaziland) 2006 Malawi 2004 Rwanda 2014
Bangladesh 1994 Ethiopia 2005 Malawi 2010 Senegal 2005
Bangladesh 1997 Ethiopia 2011 Malawi 2016 Senegal 2010
Bangladesh 2000 Ethiopia 2016 Mali 2001 Senegal 2012
Bangladesh 2004 Ghana 2003 Mali 2006 Senegal 2014
Bangladesh 2007 Ghana 2008 Mali 2012 Senegal 2015
Bangladesh 2011 Ghana 2014 Mali 2018 Senegal 2016
Bangladesh 2014 Guinea 2005 Morocco 1992 Senegal 2017
Benin 2001 Guinea 2012 Morocco 2003 South Africa 2016
Benin 2006 Guinea 2018 Mozambique 2003 Tanzania 2004
Benin 2011 India 2005 Mozambique 2011 Tanzania 2010
Benin 2017 India 2015 Myanmar 2015 Tanzania 2015
Burkina Faso 2003 Jordan 1990 Namibia 2006 Togo 2013
Burkina Faso 2010 Jordan 1997 Namibia 2013 Uganda 2001
Burundi 2010 Jordan 2002 Nepal 2001 Uganda 2006
Burundi 2016 Jordan 2007 Nepal 2006 Uganda 2011
Cameroon 2004 Jordan 2009 Nepal 2011 Uganda 2016
Cameroon 2011 Jordan 2012 Nepal 2016 Yemen 2013
Cameroon 2018 Jordan 2017 Niger 2006 Zambia 2001
Congo (Democratic Republic) 2007 Kenya 1998 Niger 2012 Zambia 2007
Congo Brazzaville 2005 Kenya 2003 Nigeria 2008 Zambia 2013
Congo Brazzaville 2011 Kenya 2008 Nigeria 2013 Zambia 2018
Egypt 1992 Kenya 2014 Nigeria 2018 Zimbabwe 1994
Egypt 1995 Lesotho 2009 Pakistan 2006 Zimbabwe 1999
Egypt 2000 Lesotho 2014 Pakistan 2012 Zimbabwe 2005
Egypt 2003 Liberia 2013 Pakistan 2017 Zimbabwe 2010
Egypt 2005 Madagascar 2003 Rwanda 2000 Zimbabwe 2015
Egypt 2008 Madagascar 2008 Rwanda 2005
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Afghanistan 2015

No questionnaire text is available for this sample.


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Angola 2015

No questionnaire text is available for this sample.


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Bangladesh 1994
Survey form view entire document:  text 
429. CHECK 216:

CHILD ALIVE?

ALIVE (GO TO 430)
DEAD (GO TO 431)

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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
Survey form view entire document:  text 
225) FOR EACH LIVE BIRTH SINCE JANUARY 1995, ENTER 'B' IN THE MONTH OF BIRTH IN COLUMN 1 OF THE CALENDAR. FOR EACH BIRTH, ASK THE NUMBER OF MONTHS THE PREGNANCY LASTED AND RECORD 'P' IN EACH OF THE PRECEDING MONTHS ACCORDING TO THE DURATION OF PREGNANCY. (NOTE: THE NUMBER OF 'P's MUST BE ONE LESS THAN THE NUMBER OF MONTHS THAT THE PREGNANCY LASTED.) WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE.

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Bangladesh 2007
Survey form view entire document:  text 
215) In what month and year was (NAME) born? PROBE: What is his/her birthday?

MONTH____
YEAR____

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Bangladesh 2011

No questionnaire text is available for this sample.


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Bangladesh 2014
Survey form view entire document:  text 
225. (C) FOR EACH BIRTH SINCE JANUARY 2009, ENTER 'B' IN THE MONTH OF BIRTH IN THE CALENDAR. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE. FOR EACH BIRTH, ASK THE NUMBER OF MONTHS THE PREGNANCY LASTED AND RECORD 'P' IN EACH OF THE PRECEDING MONTHS ACCORDING TO THE DURATION OF PREGNANCY. (NOTE: THE NUMBER OF 'P's MUST BE ONE LESS THAN THE NUMBER OF MONTHS THAT THE PREGNANCY LASTED.)

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Benin 2001
Survey form view entire document:  text 
215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Benin 2006
Survey form view entire document:  text 
215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Benin 2011

No questionnaire text is available for this sample.


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Benin 2017

No questionnaire text is available for this sample.


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Burkina Faso 2003
Survey form view entire document:  text 
215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Burkina Faso 2010
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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Burundi 2010
Survey form view entire document:  text 
235) ASK THE DATE AND THE DURATION OF PREGNANCY FOR EACH EARLIER NON-LIVE BIRTH PREGNANCY BACK TO JANUARY 2005. (1)

C
ENTER 'T' IN THE CALENDAR IN THE MONTH THAT EACH PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS.


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Burundi 2016
Survey form view entire document:  text 
215) In what month and year was (name) born? PROBE: What is his/her birthday?

MONTH___
YEAR_____

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Cameroon 2004
Survey form view entire document:  text 
215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Cameroon 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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Cameroon 2018

No questionnaire text is available for this sample.


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Congo (Democratic Republic) 2007
Survey form view entire document:  text 
215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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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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Egypt 1992
Survey form view entire document:  text 
233) ASK FOR DATES AND DURATIONS OF ANY OTHER PREGNANCIES BACK TO JANUARY 1985.* ENTER "T" IN COLUMN 1 OF CALENDAR IN MONTH PREGNANCY TERMINATED, AND "P" IN EACH PRECEDING MONTH PREGNANT.

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Egypt 1995
Survey form view entire document:  text 
232) CHECK 231:

LAST PREGNANCY ENDED SINCE JANUARY 1989*
LAST PREGNANCY ENDED BEFORE JANUARY 1989* (GO TO 236)

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Egypt 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.

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Egypt 2003
Survey form view entire document:  text 
230. Unfortunately many women have pregnancies that do not end in a live birth. Sometimes a baby is still born, that is, the baby is born who does not breathe or show any life. Other times women have a miscarriage or abortion early during a pregnancy. It is very important in our study to know about such pregnancies so health programs can be developed for women.

USING THE INFORMATION IN THE CALENDAR, PROBE TO DETERMINE IF THE WOMAN HAD ANY STILL BIRTHS, MISCARRIAGES, OR ABORTIONS BACK TO JANUARY 1998. IF THE WOMAN REPORTS A PREGNANCY THAT DID NOT END IN A LIVE BIRTH, ASK ABOUT THE MONTH AND YEAR IN WHICH
THE PREGNANCY ENDED. RECORD THE APPROPRIATE CODE FOR THE PREGNANCY OUTCOME ON THAT DATE IN COLUMN 2 IN THE CALENDAR: ("B" FOR STILL BIRTH, "M" FOR MISCARRIAGE AND "A" FOR ABORTION). THEN ASK ABOUT THE NUMBER OF MONTHS THE PREGNANCY LASTED AND RECORD "P" IN EACH OF THE PRECEDING MONTHS ACCORDING TO THE DURATION OF THE PREGNANCY. (NOTE: SINCE THE OUTCOME OF THE PREGNANCY IS RECORDED IN THE MONTH THAT PREGNANCY ENDED, THE NUMBER OF P'S MUST BE ONE LESS THAN THE NUMBER OF MONTHS THAT THE PREGNANCY LASTED.)

ILLUSTRATIVE QUESTIONS:

TO IDENTIFY NON-LIVE BIRTH PREGNANCIES, ASK:

INTERVAL BETWEEN CURRENT PREGNANCY AND PRIOR BIRTH (LAST BIRTH): Did you have any pregnancy that ended in a still birth after the birth of (NAME OF LAST BIRTH) and before your current pregnancy? Or any pregnancy that ended in a miscarriage or abortion?

INTERVAL BETWEEN LAST BIRTH AND PRIOR BIRTH: Did you have any pregnancy that ended in a still birth between (NAME OF NEXT TO LAST BIRTH) and (NAME OF PRIOR BIRTH)? Or any pregnancy that ended in a miscarriage or abortion?

INTERVAL BETWEEN NEXT-TO-LAST BIRTH AND PRIOR BIRTH: Did you have any pregnancy that ended in a still birth between (NAME OF NEXT TO LAST BIRTH) and (NAME OF PRIOR BIRTH)? Or any pregnancy that ended in a miscarriage or abortion?

WOMEN WITH NO LIVE BIRTHS BUT WITH CURRENT PREGNANCY: Before your current pregnancy, did you ever have any other pregnancy that ended in a still birth? Or any other pregnancy that ended in a miscarriage or abortion?

WOMEN WITH NO LIVE BIRTHS AND NOT CURRENTLY PREGNANT: Have you ever had a still birth? IF YES: When did the last still birth occur? Have you ever had a miscarriage or abortion? IF YES: When did the last miscarriage or abortion occur?

FOR EACH PREGNANCY TERMINATION, ASK: How many months pregnant were you when the pregnancy ended?


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Egypt 2005
Survey form view entire document:  text 
219 IF ALIVE:
RECORD HOUSEHOLD NUMBER OF CHILD (RECORD '00' IF CHILD MOT LISTED IN HOUSEHOLD).

LINE NUMBER _________ (NEXT BIRTH)

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Egypt 2008
Survey form view entire document:  text 
215. In what month and year was (NAME) born?
PROBE: What is his/her birthday?
In what season was (NAME) born?

MONTH __________
YEAR __________
OR SEASON _______

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Egypt 2014

No questionnaire text is available for this sample.


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Eswatini (Swaziland) 2006

No questionnaire text is available for this sample.


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Ethiopia 2005
Survey form view entire document:  text 
215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Ethiopia 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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Ethiopia 2016
Survey form view entire document:  text 
215. On what day, month, and year was (NAME) born?

DAY ___
MONTH ___
YEAR ___

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Ghana 2003
Survey form view entire document:  text 
215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Ghana 2008
Survey form view entire document:  text 
215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Ghana 2014
Survey form view entire document:  text 
235) ASK THE DATE AND THE DURATION OF PREGNANCY FOR EACH EARLIER NON-LIVE BIRTH PREGNANCY BACK TO JANUARY 2009.

ENTER 'T' IN THE CALENDAR IN THE MONTH THAT EACH PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS.


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Guinea 2005
Survey form view entire document:  text 
234 ASK THE DATE AND THE DURATION OF PREGNANCY FOR EACH EARLIER NON-LIVE BIRTH PREGNANCY BACK TO JANUARY 2001. (1)
ENTER 'T' IN THE CALENDAR IN THE MONTH THAT EACH PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS.

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Guinea 2012
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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Guinea 2018

No questionnaire text is available for this sample.


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India 2005
Survey form view entire document:  text 
234 ASK THE DATE AND THE DURATION OF PREGNANCY FOR EACH EARLIER NON-LIVE BIRTH PREGNANCY BACK TO JANUARY 2001. (1)
ENTER 'T' IN THE CALENDAR IN THE MONTH THAT EACH PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS.

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India 2015

No questionnaire text is available for this sample.


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Jordan 1990
Survey form view entire document:  text 
224) AT THE BOTTOM OF THE CALENDAR, ENTER THE NAME AND BIRTH DATE OF THE LAST CHILD BORN PRIOR TO JANUARY 1985*, IF APPLICABLE.

*For fieldwork beginning in 1991, 1992, or 1993, the year should be changed to 1986, 1987, or 1988, respectively.


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Jordan 1997
Survey form view entire document:  text 
315. In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH_____
YEAR_____

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Jordan 2002

No questionnaire text is available for this sample.


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Jordan 2007
Survey form view entire document:  text 
225) FOR EACH BIRTH SINCE JANUARY 2002, ENTER 'B' IN THE MONTH OF BIRTH IN COLUMN 1 OF THE CALENDAR. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE. FOR EACH BIRTH, ASK THE NUMBER OF MONTHS THE PREGNANCY LASTED AND RECORD 'P' IN EACH OF THE PRECEDING MONTHS ACCORDING TO THE DURATION OF PREGNANCY. (NOTE: THE NUMBER OF 'P'S MUST BE ONE LESS THAN THE NUMBER OF MONTHS THAT THE PREGNANCY LASTED.)

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Jordan 2009
Survey form view entire document:  text 
215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH __
YEAR ____

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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 1998
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.

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

NAME __________

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Kenya 2003
Survey form view entire document:  text 
234. ASK THE DATE AND THE DURATION OF PREGNANCY FOR EACH EARLIER PREGNANCY THAT DID NOT END IN A LIVE BIRTH BACK TO JANUARY 1998.

ENTER 'T' IN COLUMN 1 OF CALENDAR IN THE MONTH THAT EACH PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS.


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Kenya 2008
Survey form view entire document:  text 
219 IF ALIVE:
RECORD HOUSEHOLD NUMBER OF CHILD (RECORD '00' IF CHILD MOT LISTED IN HOUSEHOLD).

LINE NUMBER _________ (NEXT BIRTH)

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Kenya 2014
Survey form view entire document:  text 
219) IF ALIVE: RECORD HOUSEHOLD LINE NUMBER OF CHILD (RECORD '00' IF CHILD NOT LISTED IN HOUSEHOLD)

HOUSEHOLD LINE NUMBER ______ (GO TO NEXT BIRTH)

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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 
216) Is (NAME) still alive?

YES 1
NO 2 (GO TO 220)

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Liberia 2013

No questionnaire text is available for this sample.


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Madagascar 2003
Survey form view entire document:  text 
215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Madagascar 2008
Survey form view entire document:  text 
234 ASK THE DATE AND THE DURATION OF PREGNANCY FOR EACH EARLIER NON-LIVE BIRTH PREGNANCY BACK TO JANUARY 2001. (1)
ENTER 'T' IN THE CALENDAR IN THE MONTH THAT EACH PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS.

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Malawi 2000
Survey form view entire document:  text 
234. ASK THE DATE AND THE DURATION OF PREGNANCY FOR EACH EARLIER NON-LIVE BIRTH PREGNANCY BACK TO JANUARY 1995.
ENTER 'T' IN THE CALENDAR IN THE MONTH THAT EACH PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS.

234A. Did you have any pregnancies that terminated before 1995 which did not result in a live birth?

YES 1
NO 2 (GO TO 236)

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Malawi 2004
Survey form view entire document:  text 
234) ASK THE DATE AND THE DURATION OF PREGNANCY FOR EACH EARLIER NON-LIVE BIRTH PREGNANCY BACK TO JANUARY 1995. ENTER 'T' IN COLUMN 1 OF CALENDAR IN THE MONTH THAT EACH PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS.

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Malawi 2010
Survey form view entire document:  text 
234 ASK THE DATE AND THE DURATION OF PREGNANCY FOR EACH EARLIER NON-LIVE BIRTH PREGNANCY BACK TO JANUARY 2001. (1)
ENTER 'T' IN THE CALENDAR IN THE MONTH THAT EACH PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS.

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Malawi 2016
Survey form view entire document:  text 
225. FOR EACH BIRTH IN 2010-2015. ENTER 'B' IN THE MONTH OF BIRTH IN THE CALENDAR. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE. FOR EACH BIRTH, ASK THE NUMBER OF COMPLETED MONTHS THE PREGNANCY LASTED AND RECORD 'P' IN EACH OF THE PRECEDING MONTHS ACCORDING TO THE DURATION OF PREGNANCY. (NOTE: THE NUMBER OF 'P's MUST BE ONE LESS THAN THE NUMBER OF MONTHS THAT THE PREGNANCY LASTED. )

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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 
215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Mali 2012

No questionnaire text is available for this sample.


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Mali 2018

No questionnaire text is available for this sample.


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Morocco 1992
Survey form view entire document:  text 
334) ASK THE DATES AND DURATION OF THE OTHER PREGNANCIES OF THIS TYPE UP TO JANUARY 1986. RECORD "F" IN COLUMN 1 OF CALENDAR FOR THE MONTH WHEN THE PREGNANCY ENDED, AND "G" FOR THE MONTHS OF PREGNANCY.

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Morocco 2003

No questionnaire text is available for this sample.


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Mozambique 2003
Survey form view entire document:  text 
215. In what month and year was (NAME) born?

MONTH____
YEAR____

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Mozambique 2011
Survey form view entire document:  text 
219) IF ALIVE:
RECORD HOUSEHOLD LINE NUMBER OF CHILD

RECORD '00' IF CHILD NOT LISTED IN HOUSEHOLD

HOUSEHOLD LINE NUMBER_____ (GO TO 221)

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Myanmar 2015
Survey form view entire document:  text 
234) Since January 2010, have you had any other pregnancies that did not result in a live birth?

YES 1
NO 2 (SKIP TO 236)

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Namibia 2006
Survey form view entire document:  text 
215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Namibia 2013
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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Nepal 2001

No questionnaire text is available for this sample.


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Nepal 2006
Survey form view entire document:  text 
221. In what month and year was name born?

MONTH ___
YEAR ____

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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 2006
Survey form view entire document:  text 
215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Niger 2012
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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Nigeria 2008
Survey form view entire document:  text 
219 IF ALIVE:
RECORD HOUSEHOLD NUMBER OF CHILD (RECORD '00' IF CHILD MOT LISTED IN HOUSEHOLD).

LINE NUMBER _________ (NEXT BIRTH)

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Nigeria 2013

No questionnaire text is available for this sample.


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Nigeria 2018

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
Survey form view entire document:  text 
225) FOR EACH BIRTH IN 2012-2018, ENTER 'B' IN THE MONTH OF BIRTH IN THE CALENDAR. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE. FOR EACH BIRTH, ASK THE NUMBER OF COMPLETED MONTHS THE PREGNANCY LASTED AND RECORD 'P' IN EACH OF THE PRECEDING MONTHS ACCORDING TO THE DURATION OF PREGNANCY. (NOTE: THE NUMBER OF 'P'S MUST BE ONE LESS THAN THE NUMBER OF MONTHS THAT THE PREGNANCY LASTED.)

CHECK 220AC FOR EACH PREGNANCY THAT DID NOT END IN A LIVE BIRTH. CHECK 220AD. IF YES (CODE '1' CIRCLED), ENTER 'A' FOR ABORTION OR 'C' (IF CODE '2' CIRCLED) FOR MISCARRIAGE OR 'S' FOR STILLBIRTH, IN CALENDAR IN THE MONTH THAT THE PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS OF PREGNANCY.

IF THERE ARE MORE THAN FOUR PREGNANCIES THAT DID NOT END IN A LIVE BIRTH, USE AN ADDITIONAL QUESTIONAIRRE STARTING ON THE SECOND LINE.


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Rwanda 2000
Survey form view entire document:  text 
215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Rwanda 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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Rwanda 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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Rwanda 2014
Survey form view entire document:  text 
225. FOR EACH BIRTH IN 2010-2015. ENTER 'B' IN THE MONTH OF BIRTH IN THE CALENDAR. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE. FOR EACH BIRTH, ASK THE NUMBER OF COMPLETED MONTHS THE PREGNANCY LASTED AND RECORD 'P' IN EACH OF THE PRECEDING MONTHS ACCORDING TO THE DURATION OF PREGNANCY. (NOTE: THE NUMBER OF 'P's MUST BE ONE LESS THAN THE NUMBER OF MONTHS THAT THE PREGNANCY LASTED. )

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Senegal 2005

No questionnaire text is available for this sample.


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Senegal 2010
Survey form view entire document:  text 
235) ASK THE DATE AND THE DURATION OF PREGNANCY FOR EACH EARLIER NON-LIVE BIRTH PREGNANCY BACK TO JANUARY 2005. (1)

C
ENTER 'T' IN THE CALENDAR IN THE MONTH THAT EACH PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS.


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Senegal 2012
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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Senegal 2014

No questionnaire text is available for this sample.


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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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Tanzania 2004
Survey form view entire document:  text 
215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH___
YEAR___

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Tanzania 2010
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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Tanzania 2015
Survey form view entire document:  text 
225) FOR EACH BIRTH IN 2010-2016, ENTER 'B' IN THE MONTH OF BIRTH IN THE CALENDAR. WRITE THE NAME OF THE CHILD TO THE LEFT OF THE 'B' CODE. FOR EACH BIRTH, ASK THE NUMBER OF COMPLETED MONTHS THE PREGNANCY LASTED AND RECORD 'P' IN EACH OF THE PRECEDING MONTHS ACCORDING TO THE DURATION OF PREGNANCY. (NOTE: THE NUMBER OF 'P's MUST BE ONE LESS THAN THE NUMBER OF MONTHS THAT THE PREGNANCY LASTED.)

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Togo 2013

No questionnaire text is available for this sample.


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Uganda 2001
Survey form view entire document:  text 
236 FILL IN THE MONTH AND YEAR OF TERMINATION OF THE LAST NON-LIVE BIRTH PREGNANCY PRIOR TO JANUARY 1995.

MONTH __________
YEAR _____

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Uganda 2006
Survey form view entire document:  text 
215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Uganda 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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Uganda 2016

No questionnaire text is available for this sample.


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Yemen 2013
Survey form view entire document:  text 
235) ASK THE DATE AND THE DURATION OF PREGNANCY FOR EACH EARLIER NON-LIVE BIRTH PREGNANCY BACK TO JANUARY 2008
ENTER 'T' IN THE CALENDAR IN THE MONTH THAT EACH PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS FOR EACH PREGNANCY THAT MISCARRIED, WAS ABORTED, OR END IN STILLBIRTH.

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Zambia 2001
Survey form view entire document:  text 
215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH: ___
YEAR: ___

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Zambia 2007
Survey form view entire document:  text 
215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Zambia 2013

No questionnaire text is available for this sample.


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Zambia 2018

No questionnaire text is available for this sample.


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Zimbabwe 1994
Survey form view entire document:  text 
215) In what month and year was (NAME) born?
PROBE: What is his/her birthday? Or: In what season was he/she born?

MONTH ______
YEAR _____

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Zimbabwe 1999
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215) In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH___
YEAR___

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Zimbabwe 2005
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215 In what month and year was (NAME) born?
PROBE: What is his/her birthday?

MONTH _________
YEAR _______

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Zimbabwe 2010
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215) IN WHAT MONTH AND YEAR WAS (NAME) BORN?
PROBE: WHEN IS HIS/HER BIRTHDAY?

MONTH____
YEAR_____

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Zimbabwe 2015
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236. FOR EACH PREGNANCY THAT DID NOT END IN A LIVE BIRTH IN 2010-2015 OR LATER, ENTER 'T' IN THE CALENDAR IN THE MONTH THAT THE PREGNANCY TERMINATED AND 'P' FOR THE REMAINING NUMBER OF COMPLETED MONTHS OF PREGNANCY.
IF THERE ARE MORE THAN FOUR PREGNANCIES THAT DID NOT END IN A LIVE BIRTH, USE AN ADDITIONAL QUESTIONNAIRE STARTING ON THE SECOND LINE.