18.27 19.2 19.4 19.6 BCG OPV0 OPV1 OPV2 OPV3 DPT1 DPT2 DPT3 HEPATB1 HEPATB2 HEPATB3 Measles

1 2 3 4 5 6 7 8 1 2 1 2 1 2 1 2 1 2 3 4 5 6 7 8 1 2 1 2 1 2 1 2 1 2 3 4 5 6 7 8 1 2 1 2 1 2 1 2 1 2 3 4 5 6 7 8 1 2 1 2 1 2 1 2 1 2 3 4 5 6 7 8 1 2 1 2 1 2 1 2 1 2 3 4 5 6 7 8 1 2 1 2 1 2 1 2

18.23 18.22

18.24 18.25

18.26 18.27

18.28 18.28 18.28 SECTION 18: RECENT BIRTHS CHILDREN BORN SINCE AUGUST LAST BIRTH youngest NEXT TO LAST THIRD LAST BIRTH LAST BIRTH youngest NEXT TO LAST THIRD LAST BIRTH How old was the baby when you complet ely stopped breastf eeding? Why did you not breastfeed? Have you started feeding solid foods to the baby? How old was the baby when you started solid foods? Did you give birth to any other child since August 2005? THIS QUESTION IS IF BABY HAS DIED: Did you give birth to any other child since August 2005? Do you have any child who is less than five years of age? 3RD WOMAN WITH BIRTH SINCE AUGUST 2005 4TH WOMAN WITH BIRTH SINCE AUGUST 2005 Women ID Code Child ID Code 1 2 1 2 3 1 2 1 2 3 1 2 1 2 3 1 2 1 2 3 1 2 1 2 3 1 2 1 2 3 1 2 1 2 3

19.1 19.2

19.3 19.4

19.5 19.6

SECTION 19: IMMUNIZATION AND CHILD HEALTH - for all children under 5 IF THERE IS NO MORE SPACE TO ENTER DATA IF THIS IS 8TH CHILD 19.30 Childs name and ID code [ENTER ID CODE] Mothers ID code. If mother not in household, main caregivers ID code. If caregiver not a household member, put 88 MOTHERS ID CODE CAREGIVERS ID CODE Is this child a son or daughter? What is the month of birth? What is the year of birth? Does [NAME] have an immunization card? May I see it? 1st child 2nd child 3rd child 4rt child 5th child 6th child 7th child Child ID Code NAME

19.7 BCG

19.8 OPV0

19.9 OPV1

19.10 OPV2

19.11 OPV3

19.12 DPT1

7th child 6th child 5th child 4rt child 3rd child 2nd child 1st child SECTION 19: IMMUNIZATION AND CHILD HEALTH - for all children under 5 DAY MONTH YEAR DAY MONTH YEAR DAY MONTH YEAR DAY MONTH YEAR DAY MONTH YEAR DAY MONTH YEAR Child ID Code

19.13 DPT2

19.14 DPT3

19.15 HEPATB1

19.16 HEPATB2

19.17 HEPATB3

19.18 Measles

7th child 6th child 5th child 4rt child 3rd child 2nd child 1st child SECTION 19: IMMUNIZATION AND CHILD HEALTH - for all children under 5 DAY MONTH YEAR DAY MONTH YEAR DAY MONTH YEAR DAY MONTH YEAR DAY MONTH YEAR DAY MONTH YEAR Child ID Code 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

19.19 19.20