Survey Text

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

No questionnaire text is available for this sample.


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Bangladesh 2007
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236) When did the last such pregnancy that terminated before 2002 end?

MONTH____
YEAR____

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Bangladesh 2011
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237) When did the last such pregnancy that terminated before 2006 end?

MONTH ___________
YEAR ____________

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Bangladesh 2014
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237. When did the last such pregnancy that terminated before 2009 end?

MONTH ____
YEAR _____

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Benin 2006
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236 When did the last such pregnancy that terminated before 2001 (1) end?

MONTH _________
YEAR ________

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Benin 2011
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237) When did the last such pregnancy that terminated before 2006 end?

MONTH_______
YEAR_______

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Benin 2017
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238) When did the last such pregnancy that terminated before 2012 end?

Month
Year

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Burkina Faso 2003
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236. When did the last such pregnancy that terminated before January 1998 end?

MONTH _____
YEAR _____

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Burkina Faso 2010
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237) When did the last such pregnancy that terminated before 2005 (1) end?

MONTH_____
YEAR_____

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Burundi 2010
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237) When did the last such pregnancy that terminated before 2005 (1) end?

MONTH_____
YEAR_____

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Burundi 2016
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237) When did the last such pregnancy that terminated before 2011 end?

MONTH___
YEAR_____

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Cameroon 2011
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237) When did the last such pregnancy that terminated before 2005 (1) end?

MONTH_____
YEAR_____

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Cameroon 2018
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238. When did the last such pregnancy that terminated before 2013 end?

MONTH_______
YEAR_______

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Chad 2014
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237) When did the last such pregnancy that terminated before 2009 end?

MONTH __ __
YEAR __ __ __ __

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Congo (Democratic Republic) 2007
Survey form view entire document:  text 
236 When did the last such pregnancy that terminated before 2001 (1) end?

MONTH _________
YEAR ________

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Cote d'Ivoire 2011
Survey form view entire document:  text 
237) When did the last such pregnancy that terminated before 2005 (1) end?

MONTH_____
YEAR_____

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Egypt 2000
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230) Unfortunately many women have pregnancies that do not end in a live birth. Sometimes a baby is stillborn, 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 STILLBIRTHS, MISCARRIAGES, OR ABORTIONS BACK TO JANUARY 1995.
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. ("S" FOR STILLBIRTH, "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: THE DURATION OF THE PREGNANCY SHOULD BE RECORDED IN COMPLETED MONTHS. 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 stillbirth 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 AND PRIOR BIRTH:
Did you have any pregnancy that ended in a stillbirth between (NAME OF 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 stillbirth 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 stillbirth? 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 stillbirth? IF YES: When did the last stillbirth 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
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232) RECORD IN THE BOXES AT THE BOTTOM OF THE CALENDAR THE OUTCOME AND MONTH AND YEAR THAT THE PREGNANCY TERMINATED FOR THE LAST PREGNANCY THAT ENDED IN A
STILL BIRTH, MISCARRIAGE, OR ABORTION PRIOR TO JANAURY 2000.

IF NONE RECODE '0' IN OUTCOME.

233) When did your last menstrual period start?

(DATE, IF GIVEN) _____________
DAYS AGO 1 __ __
WEEKS AGO 2 __ __
MONTHS AGO 3 __ __
YEARS AGO 4 __ __
IN MENOPAUSE/ HAS HAD HYSTERECTOMY 994
BEFORE LAST BIRTH 995
NEVER MENSTRUATED 996

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Egypt 2008
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232. RECORD IN THE BOXES AT THE BOTTOM OF THE CALENDAR THE OUTCOME AND MONTH AND YEAR THAT THE PREGNANCY TERMINATED FOR THE LAST PREGNANCY THAT ENDED IN A STILL BIRTH, MISCARRIAGE, OR ABORTION PRIOR TO JANAURY 2003.
IF NONE RECODE '0' IN OUTCOME.

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Egypt 2014
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231. Did you have any (other) pregnancies before January 2009 that did not result in a live birth (pregnancy that ended in a stillbirth, miscarriage, or abortion)?

YES 1
NO 2

232. RECORD IN THE BOXES AT THE BOTTOM OF THE CALENDAR THE OUTCOME ("M", "A" OR "S") AND MONTH AND YEAR THAT THE PREGNANCY TERMINATED FOR THE LAST PREGNANCY THAT ENDED IN A STILLBIRTH, MISCARRIAGE, OR ABORTION PRIOR TO JANUARY 2009.
IF NONE RECODE '0' IN OUTCOME.


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Eswatini (Swaziland) 2006

No questionnaire text is available for this sample.


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Ghana 2003
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236) When did the last such pregnancy that terminated before 1995 end?

MONTH: ___

YEAR: ___

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Ghana 2008
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236 When did the last such pregnancy that terminated before 2001 (1) end?

MONTH _________
YEAR ________

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Ghana 2014
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237) When did the last such pregnancy that terminated before 2009 end?

MONTH _____
YEAR _____

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Guinea 2005
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236 When did the last such pregnancy that terminated before 2001 (1) end?

MONTH _________
YEAR ________

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Guinea 2012
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237) When did the last such pregnancy that terminated before 2007 end?

MONTH_________
YEAR_______

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Guinea 2018
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238) When did the last such pregnancy that terminated before 2013 end?

MONTH__
YEAR__

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India 2005
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236 When did the last such pregnancy that terminated before 2001 (1) end?

MONTH _________
YEAR ________

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India 2015
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247. When did the last such pregnancy that terminated before January 2011 end?

MONTH __ __
YEAR __ __ __ __

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Jordan 2002
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236. When did the last such pregnancy that terminated before 1997 end?

MONTH_____
YEAR________

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Jordan 2007
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230) When did the last such pregnancy end?

MONTH __
YEAR____

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Jordan 2009
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236) When did the last such pregnancy that terminated before 2004 end?

MONTH __
YEAR ____

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Jordan 2012
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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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Jordan 2017
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238) When did the last such pregnancy that terminated before 2012 end?

MONTH __
YEAR _____

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Kenya 2003
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236. When did the last such pregnancy that ended before 1998 end?

MONTH ____
YEAR ____

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Kenya 2008
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236. When did the last such pregnancy that terminated before 2003 end?

MONTH ____
YEAR ____

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Kenya 2014
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231) When did the last such pregnancy end?

MONTH____
YEAR______

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Lesotho 2009
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236 When did the last such pregnancy that terminated before 2004 end?

MONTH ___ ___
YEAR ___ ___ ___ ___

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Lesotho 2014
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237) When did the last such pregnancy that terminated before 2009 end?

MONTH ____
YEAR ____

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Liberia 2013
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237) When did the last such pregnancy that terminated before 2005 (1) end?

MONTH_____
YEAR_____

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Madagascar 2003
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236) When did the last such pregnancy that terminated before 1995 end?

MONTH: ___

YEAR: ___

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Madagascar 2008
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236 When did the last such pregnancy that terminated before 2001 (1) end?

MONTH _________
YEAR ________

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Malawi 2000
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235. 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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Malawi 2004
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236) When did the last such pregnancy that terminated before 1995 end?

MONTH___
YEAR___

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Malawi 2010
Survey form view entire document:  text 
236 When did the last such pregnancy that terminated before 2001 (1) end?

MONTH _________
YEAR ________

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Malawi 2016
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238. When did the last such pregnancy that terminated before 2010 end?

MONTH __ __
YEAR __ __ __ __

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Mali 2001
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236. INDICATE THE MONTH AND YEAR THAT THE LAST NON-LIVE PREGNANCY ENDED BEFORE JANUARY 1996.

MONTH ____
YEAR ____

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Mali 2006
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236 When did the last such pregnancy that terminated before 2001 (1) end?

MONTH _________
YEAR ________

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Mali 2012
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237) When did the last pregnancy of this type that terminated before 2007 end?

MONTH_____
YEAR______

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Mali 2018

No questionnaire text is available for this sample.


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Morocco 2003
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236. When did the last such pregnancy that terminated before January 1998 end?

MONTH ____
YEAR _____

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Mozambique 2003
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236. In what year and month did the last such pregnancy that terminated before 1998 end?

MONTH_____
YEAR_____

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Mozambique 2011
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237. In what year and month did the last such pregnancy that terminated before 2006 end?

MONTH_____
YEAR_____

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Myanmar 2015
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237) When did the last such pregnancy that terminated before 2010 end?

MONTH___
YEAR___

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Namibia 2006
Survey form view entire document:  text 
236 When did the last such pregnancy that terminated before 2001 (1) end?

MONTH _________
YEAR ________

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Namibia 2013
Survey form view entire document:  text 
237) When did the last such pregnancy that terminated before 2005 (1) end?

MONTH_____
YEAR_____

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Niger 2006
Survey form view entire document:  text 
236 When did the last such pregnancy that terminated before 2001 (1) end?

MONTH _________
YEAR ________

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Niger 2012
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237) When did the last such pregnancy that terminated before 2007 end?

MONTH _________
YEAR _________

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Nigeria 2008
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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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Nigeria 2013
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237) When did the last pregnancy that terminated before 2008 end?

MONTH_____
YEAR________

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Nigeria 2018
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238. When did the last pregnancy that terminated before 2013 end?

MONTH _____
YEAR_____

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Pakistan 2012

No questionnaire text is available for this sample.


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Pakistan 2017
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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
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235. IN THE BOXES ON THE BOTTOM OF THE CALENDAR, RECORD THE MONTH AND YEAR OF THE END OF THE LAST PREGNANCY BEFORE JANUARY 1995 THAT DID NOT END IN A LIVE BIRTH

INSTRUCTIONS: ONLY ONE CODE SHOULD APPEAR IN ANY BOX.

BIRTHS AND PREGNANCIES

B BIRTHS
P PREGNANCIES
T TERMINATIONS

END OF LAST PREGNANCY THAT DID NOT END IN A LIVE BIRTH BEFORE JANUARY 1994:
IF THERE WAS NO SUCH PREGNANCY, RECORD '00' FOR THE MONTH AND '0000' FOR THE YEAR

MONTH_____
YEAR

1999

12 DECEMBER 01
11 NOVEMBER 02
10 OCTOBER 03
09 SEPTEMBER 04
08 AUGUST 05
07 JULY 06
06 JUNE 07
05 MAY 08
04 APRIL 09
03 MARCH 10
02 FEBRUARY 11
01 JANUARY 12

1998

12 DECEMBER 13_ _
11 NOVEMBER 14_ _
10 OCTOBER 15_ _
09 SEPTEMBER 16_ _
08 AUGUST 17_ _
07 JULY 18_ _
06 JUNE 19_ _
05 MAY 20_ _
04 APRIL 21_ _
03 MARCH 22_ _
02 FEBRUARY 23_ _
01 JANUARY 24_ _

1997

12 DECEMBER 25_ _
11 NOVEMBER 26_ _
10 OCTOBER 27_ _
09 SEPTEMBER 28_ _
08 AUGUST 29_ _
07 JULY 30_ _
06 JUNE 31_ _
05 MAY 32_ _
04 APRIL 33_ _
03 MARCH 34_ _
02 FEBRUARY 35_ _
01 JANUARY 36_ _

1996

12 DECEMBER 37_ _
11 NOVEMBER 38_ _
10 OCTOBER 39_ _
09 SEPTEMBER 40_ _
08 AUGUST 41_ _
07 JULY 42_ _
06 JUNE 43_ _
05 MAY 44_ _
04 APRIL 45_ _
03 MARCH 46_ _
02 FEBRUARY 47_ _
01 JANUARY 48_ _

1995

12 DECEMBER 49_ _
11 NOVEMBER 50_ _
10 OCTOBER 51_ _
09 SEPTEMBER, 52_ _
08 AUGUST 53_ _
07 JULY 54_ _
06 JUNE 55_ _
05 MAY 56_ _
04 APRIL 57_ _
03 MARCH 58 _ _
02 FEBRUARY 59 _ _
01 JANUARY 60 _ _

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Rwanda 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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Rwanda 2010
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237) When did the last such pregnancy that terminated before 2005 (1) end?

MONTH_____
YEAR_____

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Rwanda 2014
Survey form view entire document:  text 
237) When did the last such pregnancy that terminated before 2009 end?

MONTH____
YEAR____

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Senegal 2005
Survey form view entire document:  text 
236) When did the last such pregnancy that terminated before 1995 end?

MONTH: ___

YEAR: ___

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Senegal 2010
Survey form view entire document:  text 
237) When did the last such pregnancy that terminated before 2005 (1) end?

MONTH_____
YEAR_____

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Senegal 2012
Survey form view entire document:  text 
237) When did the last such pregnancy that terminated before 2005 (1) end?

MONTH_____
YEAR_____

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Senegal 2014
Survey form view entire document:  text 
238. When did the last such pregnancy that terminated before 2010 end?

MONTH __ __
YEAR __ __ __ __

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Senegal 2015
Survey form view entire document:  text 
238. When did the last such pregnancy that terminated before 2010 end?

MONTH __ __
YEAR __ __ __ __

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Senegal 2016
Survey form view entire document:  text 
238) When did the last such pregnancy that terminated before 2010 end?

MONTH ____
YEAR ____

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Senegal 2017
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238) When did the last such pregnancy that terminated before 2012 end?

MONTH ____
YEAR ____

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South Africa 2016

No questionnaire text is available for this sample.


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Tanzania 2004
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236) When did the last such pregnancy that terminated before 1995 end?

MONTH___
YEAR___

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Tanzania 2010
Survey form view entire document:  text 
237) When did the last such pregnancy that terminated before 2005 (1) end?

MONTH_____
YEAR_____

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Tanzania 2015
Survey form view entire document:  text 
238. When did the last such pregnancy that terminated before 2010 end?

MONTH __ __
YEAR __ __ __ __

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Togo 2013
Survey form view entire document:  text 
237) When did the last such pregnancy that terminated before 2008 end?

MONTH________
YEAR_____

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Uganda 2001
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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 
236 When did the last such pregnancy that terminated before 2001 (1) end?

MONTH _________
YEAR ________

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Uganda 2011
Survey form view entire document:  text 
237) When did the last such pregnancy that terminated before 2005 (1) end?

MONTH_____
YEAR_____

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Uganda 2016
Survey form view entire document:  text 
231) When did the last such pregnancy end?

MONTH ____
YEAR ____

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Yemen 2013
Survey form view entire document:  text 
237) When did the last pregnancy that terminated before 2008 end?

MONTH ____
YEAR ____

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Zambia 2007
Survey form view entire document:  text 
236. When did the last such pregnancy that terminated before 2002 end?

MONTH ____
YEAR ____

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Zambia 2013
Survey form view entire document:  text 
237) When did the last such pregnancy that terminated before 2008 end?

MONTH_______________
YEAR_______________

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Zambia 2018
Survey form view entire document:  text 
(238) When did the last such pregnancy that terminated before 2013 end?

MONTH _____
YEAR _____

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Zimbabwe 1999
Survey form view entire document:  text 
230) When did the last such pregnancy end?

MONTH___
YEAR___

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Zimbabwe 2005
Survey form view entire document:  text 
230 When did the last such pregnancy end?

MONTH _________
YEAR ________

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Zimbabwe 2010
Survey form view entire document:  text 
237) When did the last such pregnancy that terminated before 2005 (1) end?

MONTH_____
YEAR_____

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Zimbabwe 2015
Survey form view entire document:  text 
238. When did the last such pregnancy that terminated before 2010 end?

MONTH __ __
YEAR __ __ __ __