When you gave birth to (NAME), who assisted in the delivery? Anyone else?
When you gave birth to (NAME), who assisted in the delivery? No one
When you gave birth to (NAME), who assisted in the delivery? Anyone else?
Where did you give birth to (NAME)?
Was it government operated or private?
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
Can you please tell me the name, the sex, and the date of birth of the youngest child living in this household.
What is your relationship with this child?
Do you have a card where (NAME)’s vaccinations are written down? If YES: May I see it?
Record vaccination dates for each dose of DTP and measles
Overall in the last 30 days, how much difficulty did [name of person] have with personal relationship or participation in the community?
In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others?
Overall in the last 30 days, how much of bodily aches or pains did [name of person] have?
In the last 30 days, how much bodily discomfort did [name of person]have?
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