Survey Text

Afghanistan 2015 Cote d'Ivoire 2011 Mozambique 2011 Senegal 2016
Angola 2015 Egypt 2014 Myanmar 2015 Senegal 2017
Bangladesh 2011 Ethiopia 2011 Namibia 2013 South Africa 2016
Benin 2011 Ethiopia 2016 Nepal 2011 Tanzania 2015
Benin 2017 Ghana 2014 Nepal 2016 Togo 1998
Burkina Faso 2010 Guinea 2012 Niger 2012 Togo 2013
Burundi 2010 Guinea 2018 Nigeria 2018 Uganda 2011
Burundi 2016 Kenya 2014 Rwanda 2010 Uganda 2016
Cameroon 2011 Lesotho 2014 Rwanda 2014 Yemen 2013
Chad 1996 Liberia 2013 Senegal 2010 Zambia 2013
Chad 2014 Malawi 2016 Senegal 2012 Zambia 2018
Congo (Democratic Republic) 2013 Mali 2012 Senegal 2014 Zimbabwe 2010
Congo Brazzaville 2011 Mali 2018 Senegal 2015 Zimbabwe 2015
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Afghanistan 2015
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT. TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON)____________6

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Angola 2015
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145) I would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household?
TEST SALT FOR IODINE

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Bangladesh 2011
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140) ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE PRESENT 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) __________ 6

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Benin 2011
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Benin 2017
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145. (11) I would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household?

TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TEST (SPECIFY REASON)______________6

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Burkina Faso 2010
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Burundi 2010
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Burundi 2016
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145) I would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household? TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) 6

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Cameroon 2011
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MOSQUITO PROTECTION

201) Do the windows in the dwelling's living spaces have screens or curtains to prevent mosquitos from entering?

YES 1
NO 2

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Chad 1996
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26) RECORD THE RESULT OF THE IODIDE AND POTASSIUM IODATE TEST.

RECORD OBSERVATION.

TEST POSITIVE (IODIZED SALT) 1
TEST NEGATIVE (NON IODIZED SALT) 2
SALT IODIZED AND NON-IODIZED 3
SALT UNAVAILABLE 6
TEST INDETERMINATE 8

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Chad 2014
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123A) Ask respondent for a teaspoonful of cooking salt.
TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ________ 6

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Congo (Democratic Republic) 2013
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Congo Brazzaville 2011
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140) ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE.

IODINE PRESENT (IODATE) 1
IODINE PRESENT (IODIDE) 2
NO IODINE 3
NO SALT IN HOUSEHOLD 4
SALT NOT TESTED (SPECIFY REASON) _____ 6

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Cote d'Ivoire 2011
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Egypt 2014
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Ethiopia 2011
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Ethiopia 2016
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145. I would like to check whether the salt used in your household is iodized. May I have sample of the salt used to cook meals in your household?

TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) 6

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Ghana 2014
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Guinea 2012
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Guinea 2018
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145) I would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household?

TEST SALT FOR IODINE

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3

SALT NOT TESTED (SPECIFY REASON) 6

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Kenya 2014
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Lesotho 2014
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130) Can you please provide me with a teaspoon of cooking salt? I will conduct a test to determine the presence of iodine. Iodine prevents goiter.

ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) _______ 6

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Liberia 2013
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Malawi 2016
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145. (11) I would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household?

TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TEST (SPECIFY REASON)______________6

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Mali 2012
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Mali 2018
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145A) TEST SALT FOR IODINE

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) 6

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Mozambique 2011
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON)____6

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Myanmar 2015
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT. TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) _____ 6

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Namibia 2013
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154) ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT. EXPLAIN THAT YOU WILL TEST SALT FOR IODINE, AN IMPORTANT MICRONUTRIENT. TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) __________ 6

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Nepal 2011
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129) ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE.

NO IODINE 1
LESS THAN 15 PPM 2
GREATER THAN OR EQUAL TO 15 PPM 3
SALT NOT TESTED (SPECIFY REASON) _____________ 6

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Nepal 2016
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145. I would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household? TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ___ 6

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Niger 2012
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140) ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT USED FOR HOUSEHOLD NEEDS. TEST SALT FOR IODINE. RECORD THE PPM (PARTS PER MILLION).

NO IODINE 1
LESS THAN OR EQUAL TO 15 PPM 2
ABOVE 15 PPM 3
NO SALT IN HOUSEHOLD 4
SALT NOT TESTED___________ (SPECIFY REASON) 6

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Nigeria 2018
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145. I would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals?

TEST SALT FOR IODINE.
IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED_______ 6

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Rwanda 2010
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Rwanda 2014
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140) ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) _______________ 6

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Senegal 2010
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE AND RECORD IN PPM (PARTS PER MILLION).

0 PPM (NO IODINE) 1
LESS THAN 15 PPM 2
15 PPM OR MORE 3
NO SALT IN HOUSEHOLD 4
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Senegal 2012
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Senegal 2014
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140) ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) 6

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Senegal 2015
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140) ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT. TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ______ 6

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Senegal 2016
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145. (11) I would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household?

TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TEST (SPECIFY REASON)______________6

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Senegal 2017
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145) I would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household?
TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) _______ 6

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South Africa 2016
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145) We would like to check whether the salt used in your household is adequately iodised. May I have a sample of the salt used to cook meals in your household?
RECORD BAR CODE NUMBER FROM FIRST BAR CODE LABEL IN BOXES. PLACE THE 1ST BAR CODE LABEL ON THE SALT SAMPLE AND 2ND ON THE TRANSMITTAL FORM.

BARCODE NUMBER ____
NO SALT IN HOUSEHOLD 99994
REFUSED 99995
OTHER 99996

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Tanzania 2015
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145. (11) I would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household?

TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TEST (SPECIFY REASON)______________6

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Togo 1998
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22) MAIN MATERIAL OF WALLS
RECORD OBSERVATION

BRICK OR STONE 11
EARTH 21
BAMBOO/PLANKS/BRANCHES 31
SEMI-HARD 41
OTHER (SPECIFY) __________ 96

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Togo 2013
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SELECTION TABLE FOR CHILDREN'S WORK AND FOR DISCIPLINE OF CHILD

141) CHECK COLUMN (5) AND (7): NUMBER OF CHILDREN BETWEEN 1 AND 17 YEARS OLD LIVING IN THIS HOUSEHOLD:

TWO OR MORE (CONTINUE)
ONLY ONE (GO TO 149)
NONE (GO TO 190)

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Uganda 2011
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Uganda 2016
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145) I would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household?

TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) _____________ 6

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Yemen 2013
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140) ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT. TEST SALT FOR IODINE

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Zambia 2013
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Zambia 2018
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(145) I would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household?

TEST SALT FOR IODINE.
IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) _________________________ 6

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Zimbabwe 2010
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140. ASK RESPONDENT FOR A TEASPOONFUL OF COOKING SALT.
TEST SALT FOR IODINE. (8)

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TESTED (SPECIFY REASON) ____ 6

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Zimbabwe 2015
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145. (11) I would like to check whether the salt used in your household is iodized. May I have a sample of the salt used to cook meals in your household?

TEST SALT FOR IODINE.

IODINE PRESENT 1
NO IODINE 2
NO SALT IN HOUSEHOLD 3
SALT NOT TEST (SPECIFY REASON)______________6