260
26. Maternal and child health
INTERVIEWER: ASK THESE QUESTIONS SEPARATELY TO EVERY WOMAN FOUND ELIGIBLE IN MODULE 25.47 EVER MARRIED AND 49 YEARS OR LESS
26.1 26.2
26.3 26.4
26.5 26.6
26.7 26.8
26.9 26.10
26.11 26.12
26.13 26.14
Have you ever Did you give
What was the month Did you
How many Did you see any of the following persons for
Who Where
no. given birth?
birth in the last and year of the last
see anyone times did
ante-natal care care during your last pregnancy? assisted
did this 5 years?
birth you had? for
you receive A
A A
A Someone
with the delivery
I mean, even a child even if the child died?
ante-natal ante-natal
doctor midwife
traditional Commu-
else delivery
take that ever cried or
CHECK MODULE 3
care during care during
or nurse birth
nity of your
place? breathed or showed
FOR ANY
your last your last
attendant Health
last
COPY LINE NO.
any signs of life,
CHILDREN
pregnancy? pregnancy?
Worker child?
AND NAME FOR
but lived only hours
UNDER-5 FOR ELIGIBLE WOMEN
or minutes?
THIS WOMAN EVER-MARRIED
If 26.3=2 or 26.4=2, end the interview
WOMEN, AGED 49
with this woman by completing 25.3 and
RECORD MONTH AND
If No
OR LESS
continue with 25.1 for the next woman
YEAR IN SHAMSI
go to 26.13
FROM MODULE 25
1 = Yes 1 = Yes
CALENDAR
1 = Yes 98 =
For codes For codes
SEE 25.47
2 = No 2 = No
M M
Y Y
Y Y
2 = No Dont know
see below see below 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2 1 2
1 2
Codes for 26.13 Delivery assistance Codes for 26.14 Place of delivery
1 = Doctor 4 = Community Health Worker
1 = At home or relativesneighbours home 4 = Private health facility
2 = Midwife or nurse 5 = Someone else
2 = Public hospital 5 = Other
3 = Traditional birth attendant 6 = No one
3 = Other public health facility Line
Name
261
26. Maternal and child health continued
26.1 26.15
26.16 26.17
26.18 26.19
26.20 26.21
26.22 26.23
Did you Why did
How long after birth did In the first
How many days did Have you
How old was Are you still
How old no.
ever you not
you first put your last-born three days
you feed the baby only started feeding
the child when breastfeeding
was the breastfed
breastfeed to the breast?
after breastmilk before
solid foods you started
this child? baby when
your the child?
delivery, giving other liquids?
to the child? solid foods?
you last-born
Complete was the
If baby still drinks only If Yes or Child died,
completely child?
25.3 for this IF LESS THAN 1 HOUR,
child given breastmilk, write 997
complete 25.3 for stopped
woman and RECORD ‘00 HOURS.
anything to If baby died before beginning
this woman breast-
go to 25.1 IF LESS THAN 24 HOURS,
drink other other liquids, write 998
and go to 25.1 for feeding?
If Yes for next
RECORD HOURS. than
In these cases, complete If No
the next woman COPY
go to 26.17 woman
OTHERWISE, RECORD breastmilk?
25.3 for this woman go to 26.22
1 = Yes LINE
1 = Yes For codes,
DAYS 1 = Yes
and go to 25.1 for 1 = Yes
RECORD IN 2 = No
RECORD IN NO.
2 = No see below
2 = No the next woman
2 = No MONTHS
3 = Child died MONTHS
1 2 Hours
Days 1 2
Days …………………
1 2 1 2 3
1 2 Hours
Days 1 2
Days …………………
1 2 1 2 3
1 2 Hours
Days 1 2
Days …………………
1 2 1 2 3
1 2 Hours
Days 1 2
Days …………………
1 2 1 2 3
1 2 Hours
Days 1 2
Days …………………
1 2 1 2 3
1 2 Hours
Days 1 2
Days …………………
1 2 1 2 3
1 2 Hours
Days 1 2
Days …………………
1 2 1 2 3
1 2 Hours
Days 1 2
Days …………………
1 2 1 2 3
Codes for 26.16 Reason for not breastfeeding WHEN YOU FINISHED MODULE 26 FOR A WOMAN, GO TO QUESTION 25.3 AND FILL IN THE
1 = Baby died 5 = Did not want to
RESULT OF THE INTERVIEW WITH HER AND CONTINUE WITH QUESTION 25.1 FOR 2 = Baby too sick
6 = Had to work THE NEXT WOMAN 14 YEARS OR OLDER.
3 = Did not have milk 7 = Other reason
IF THIS WOMAN IS THE LAST WOMAN 14 YEARS OR OLDER IN THE HOUSEHOLD, FILL IN 4 = Mother too sick
QUESTION 25.3 FOR HER, THANK YOUR RESPONDENTS AND CONTACT YOUR SUPERVISOR. Line
262
ANNEX III.2 ALCS MALE SHURA QUESTIONNAIRE
Male Shura questionnaire
1. Community identification
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