Survey Text

Afghanistan 2015 Ethiopia 2011 Mali 2012 Senegal 2015
Angola 2015 Ethiopia 2016 Mali 2018 Senegal 2016
Bangladesh 2007 Ghana 2008 Mozambique 2011 Senegal 2017
Bangladesh 2011 Ghana 2014 Myanmar 2015 South Africa 2016
Benin 2006 Guinea 2012 Namibia 2006 Tanzania 1999
Benin 2011 Guinea 2018 Namibia 2013 Tanzania 2010
Benin 2017 India 2005 Nepal 2006 Tanzania 2015
Burkina Faso 2010 India 2015 Nepal 2011 Togo 2013
Burundi 2010 Jordan 2007 Nepal 2016 Uganda 2006
Burundi 2016 Jordan 2012 Niger 2012 Uganda 2011
Cameroon 2011 Jordan 2017 Nigeria 2008 Uganda 2016
Cameroon 2018 Kenya 2008 Nigeria 2013 Yemen 2013
Chad 2014 Kenya 2014 Nigeria 2018 Zambia 2007
Congo (Democratic Republic) 2013 Lesotho 2009 Pakistan 2006 Zambia 2013
Congo Brazzaville 2011 Lesotho 2014 Pakistan 2012 Zambia 2018
Cote d'Ivoire 2011 Liberia 2007 Pakistan 2017 Zimbabwe 2005
Egypt 2005 Liberia 2013 Rwanda 2010 Zimbabwe 2010
Egypt 2008 Madagascar 2008 Rwanda 2014 Zimbabwe 2015
Egypt 2014 Malawi 2010 Senegal 2010
Eswatini (Swaziland) 2006 Malawi 2016 Senegal 2012
Ethiopia 2005 Mali 2006 Senegal 2014
top
Afghanistan 2015
Survey form view entire document:  text 
420. How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO____

top
Angola 2015
Survey form view entire document:  text 
420) CHECK 419:

ONLY ONE: How many years ago did you receive that tetanus injection?
YEARS AGO ___
MORE THAN ONE: How many years ago did you receive that tetanus injection prior to this pregnancy?
YEARS AGO ___

top
Bangladesh 2007
Survey form view entire document:  text 
420) How many years ago did you receive that tetanus injection?

YEARS AGO____

top
Bangladesh 2011
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy? (ONLY FOR MOST RECENT BIRTH)

YEARS AGO __________

top
Benin 2006
Survey form view entire document:  text 
416C) When was the last injection?
IF LESS THAN ONE YEAR, RECORD '00'.
[FOR LAST BIRTH ONLY]

NUMBER OF YEARS ________
DON'T KNOW 98

top
Benin 2011
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Benin 2017
Survey form view entire document:  text 
419. How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO __ __

top
Burkina Faso 2010
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Burundi 2010
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Burundi 2016
Survey form view entire document:  text 
419) CHECK 418:

ONLY ONCE: How many years ago did you receive this tetanus injection before this pregnancy?
MORE THAN ONCE: How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO___

top
Cameroon 2011
Survey form view entire document:  text 
420) In what month of what year did you receive this (last) tetanus injection?

MONTH: ___
DK MONTH 98
YEAR: ___ (GO TO 421)
DK YEAR 9998

top
Cameroon 2018
Survey form view entire document:  text 
419. CHECK 418:

ONLY ONE:
a) How many years ago did you receive that tetanus injection?
YEARS AGO__________
MORE THAN ONE:
b) How many years ago did you receive the last tetanus injection prior to this pregnancy?
YEARS AGO__________

top
Chad 2014
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO __ __

top
Congo (Democratic Republic) 2013
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Congo Brazzaville 2011
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO __________

top
Cote d'Ivoire 2011
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Egypt 2005
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO ______

top
Egypt 2008
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO ______

top
Egypt 2014
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Eswatini (Swaziland) 2006
Survey form view entire document:  text 
420) How many years ago did you receive that tetanus injection?

YEARS AGO______

top
Ethiopia 2005
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO ______

top
Ethiopia 2011
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Ethiopia 2016
Survey form view entire document:  text 
419. CHECK 418:

ONLY ONE: How many years ago did you receive that tetanus injection?

MORE THAN ONE: How many years ago did you receive the last tetanus injection prior to this pregnancy?

YEARS AGO ___

top
Ghana 2008
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO ______

top
Ghana 2014
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Guinea 2012
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Guinea 2018
Survey form view entire document:  text 
419) CHECK 418:

ONLY ONCE
a) How many years ago did you receive this tetanus injection?

YEARS AGO___

MORE THAN ONCE
b) How many years ago did you last receive this tetanus injection?

YEARS AGO___

top
India 2005
Survey form view entire document:  text 
421. How many years ago did you receive the last tetanus injection before this pregnancy?
[ASK FOR LAST BIRTH ONLY]

YEARS AGO ______

top
India 2015
Survey form view entire document:  text 
427. How many years ago did you receive the last tetanus injection before this pregnancy?
[ASK FOR MOST RECENT BIRTH ONLY]

YEARS AGO __ __

top
Jordan 2007
Survey form view entire document:  text 
420) How many years ago did you receive that tetanus injection? (ASK ONLY FOR MOST RECENT BIRTH IN THE LAST FIVE YEARS)

YEARS AGO _______

top
Jordan 2012
Survey form view entire document:  text 
420. How many years ago did you receive that tetanus injection?

YEARS AGO ___

top
Jordan 2017
Survey form view entire document:  text 
419) CHECK 418:

ONLY ONE TIME

a) How many years ago did you receive that tetanus injection?
YEARS AGO ____

MORE THAN ONE TIME

b) How many years ago did you receive the last tetanus injection prior to this pregnancy?
YEARS AGO ____

top
Kenya 2008
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO ______

top
Kenya 2014
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Lesotho 2009
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO __________

top
Lesotho 2014
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[FOR MOST RECENT BIRTH ONLY]

YEARS AGO ____

top
Liberia 2007
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO ______

top
Liberia 2013
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Madagascar 2008
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO ______

top
Malawi 2010
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO ______

top
Malawi 2016
Survey form view entire document:  text 
419. How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO __ __

top
Mali 2006
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO ______

top
Mali 2012
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Mali 2018
Survey form view entire document:  text 
419) CHECK 418:

ONLY ONCE:

How many years ago did you receive the last tetanus injection?

YEARS AGO

MORE THAN ONCE:

b) How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO

top
Mozambique 2011
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Myanmar 2015
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO___

top
Namibia 2006
Survey form view entire document:  text 
419 In what month and year did you receive the last tetanus injection before this pregnancy?

MONTH _______
DK MONTH 98
YEAR ________ (GO TO 421)
DK YEAR 9998

top
Namibia 2013
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Nepal 2006
Survey form view entire document:  text 
1005B.
(1) COPY VACCINATION DATE FOR EACH VACCINE FROM THE CARD(S).
(2) WRITE '44' IN 'DAY' COLUMN IF CARD SHOWS THAT A VACCINATION WAS GIVEN, BUT NO DATE IS RECORDED.

TT1
DAY __ MONTH __ YEAR __ (GO TO 10053)
TT2
DAY __ MONTH __ YEAR __ (GO TO 10053)
TT3
DAY __ MONTH __ YEAR __ (GO TO 10053)
TT4
DAY __ MONTH __ YEAR __ (GO TO 10053)
TT5
DAY __ MONTH __ YEAR __ (GO TO 10053)

top
Nepal 2011
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO __________

top
Nepal 2016
Survey form view entire document:  text 
419. CHECK 418:
ONLY ONE: How many years ago did you receive that tetanus injection?
MORE THAN ONE: How many years ago did you receive the last tetanus injection prior to this pregnancy?

YEARS AGO ___

top
Niger 2012
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Nigeria 2008
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO ______

top
Nigeria 2013
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Nigeria 2018
Survey form view entire document:  text 
419. CHECK 418:

ONLY ONE
a) How many years ago did you receive that tetanus injection?

YEARS AGO ____

MORE THAN ONE TIME
b) How many years ago did you receive the last tetanus injection prior to this pregnancy?

YEARS AGO _____

top
Pakistan 2006
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO ______

top
Pakistan 2012
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Pakistan 2017
Survey form view entire document:  text 
419) CHECK 418:

ONLY ONE: a) How many years ago did you receive that tetanus injection?

MORE THAN ONE: b) How many years ago did you receive that last tetanus injection prior to this pregnancy?
YEARS AGO ______

top
Rwanda 2010
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Rwanda 2014
Survey form view entire document:  text 
419. How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO __ __

top
Senegal 2010
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Senegal 2012
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Senegal 2014
Survey form view entire document:  text 
419. How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO __ __

top
Senegal 2015
Survey form view entire document:  text 
419. How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO __ __

top
Senegal 2016
Survey form view entire document:  text 
419. How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO __ __

top
Senegal 2017
Survey form view entire document:  text 
419) CHECK 418:

ONLY ONCE: A) How many years ago did you receive the last tetanus injection?

MORE THAN ONCE: b) How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO ____

top
South Africa 2016
Survey form view entire document:  text 
419) CHECK 418:

a) ONLY ONE TIME: How many years ago did you receive that tetanus injection?
b) MORE THAN ONE TIME: How many years ago did you receive the last tetanus injection before this pregnancy?
YEARS AGO ____

top
Tanzania 1999
Survey form view entire document:  text 
483. When did you receive the last dose?

YEARS AGO___
DOES NOT KNOW 98

top
Tanzania 2010
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Tanzania 2015
Survey form view entire document:  text 
419. How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO __ __

top
Togo 2013
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Uganda 2006
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO ______

top
Uganda 2011
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Uganda 2016
Survey form view entire document:  text 
419) CHECK 418:

ONLY ONE
a) How many years ago did you receive that tetanus injection?

MORE THAN ONE
b) How many years ago did you receive the last tetanus injection prior to this pregnancy?

YEARS AGO _____

top
Yemen 2013
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO____
DON'T KNOW 98

top
Zambia 2007
Survey form view entire document:  text 
419 In what month and year did you receive the last tetanus injection before this pregnancy?

MONTH _______
DK MONTH 98
YEAR ________ (GO TO 421)
DK YEAR 9998

top
Zambia 2013
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Zambia 2018
Survey form view entire document:  text 
(419) CHECK 418:

ONLY ONE TIME:
How many years ago did you receive that tetanus injection?

MORE THAN ONE TIME: How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO _____

top
Zimbabwe 2005
Survey form view entire document:  text 
420 How many years ago did you receive that tetanus injection?

YEARS AGO ______

top
Zimbabwe 2010
Survey form view entire document:  text 
420) How many years ago did you receive the last tetanus injection before this pregnancy?
[Most recent birth within the last five years]

YEARS AGO____

top
Zimbabwe 2015
Survey form view entire document:  text 
419. How many years ago did you receive the last tetanus injection before this pregnancy?

YEARS AGO __ __