Provide details of events that led to the injury. What was the mechanism or cause of injury?
Where did the injury occur?
Did the deceased report / experience chest pain lasting less than 24 hrs in the month preceding the death?
Did the deceased experience paralysis of any part of the body in the month preceding death?
If yes, was the paralysis accompanied or followed by sudden loss of consciousness?
Which reason best explains why you [your child] did not get all the medicines you were prescribed? 1. Could not afford 2. Could not find all medicines 3. Did not believe all the medications were needed 4. Started to feel better 5. Already had some of the medicines at home 6. Other
How would you rate the way health care in your country involves you in deciding what services it provides and where it provides them?
In general, would you say you are very satisfied, fairly satisfied, neither satisfied nor dissatisfied, fairly dissatisfied or very dissatisfied with the way health care runs in your country.
During the past year, did you provide help to a relative or friend (adult or child), because this person has a long-term physical or mental illness or disability or is getting old and weak? - Yes, for a person living in the same household - Yes, for a person living in a separate household - No
Please tell me the kind of care you provided to this person(s)? You helped with personal care, such as going to the toilet, washing, getting dressed, or eating.
Please tell me the kind of care you provided to this person(s)? You helped with medical care, like changing bandages and giving medicines.
Please tell me the kind of care you provided to this person(s)? You helped with household activities such as meal preparation, shopping, cleaning, laundry.
Please tell me the kind of care you provided to this person(s)? You watched over them since their behaviour can be upsetting or dangerous to themselves or others.
Please tell me the kind of care you provided to this person(s)? You helped them to get around outside the home.
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