Republic of Belarus, 2019

Under-five child information panel: UF

UF1. Cluster number: _ _ _

UF2. Household number: _ _

UF3. Child's name and line number:
UF4. Mother's/caretaker's name and line number:
UF5. Interviewer's name and number:
UF6. Supervisor's name and number:
UF7. Day/month/year of interview
UF8. Record the time:

Check respondent's age in HL6 in list of household members, household questionnaire:
If age 15-17, verify that adult consent for interview is obtained (HH33 or HH39) or not necessary (HL20=90). If consent is needed and not obtained, the interview must not commence and '06' should be recorded in UF17. The respondent must be at least 15 years old.


UF9. Check completed questionnaires in this household: Have you or another member of your team interviewed this respondent for another questionnaire?

UF10A. I am from (city of Minsk, region). We are conducting a survey in the Republic of Belarus about the situation of children and women. In this regard I would like to ask you a few questions. This interview will take about 15 minutes. All the information we obtain will remain strictly confidential and will be used only for statistical purposes. If you do not wish to answer a question or wish to stop the interview, please let me know. May I start now?
UF10B. Now I would like to talk to you about (child's name from UF3)'s health and well-being and other topics. This interview will take about 15 minutes. Again, all the information we obtain will remain strictly confidential and will be used only for statistical purposes. If you wish not to answer a question or wish to stop the interview, please let me know. May I start now?

UF17. Result of interview for children under 5
Child's background: UB

UB1. On what day, month and year was (name) born?

UB2. How old is (name) (in completed years)?

UB3. Check UB2: Child's age?
UB4. Check the line number of mother (caretaker) (UF4) in the under-five child information panel and the respondent to the household questionnaire (HH47):
UB5. Check ED10 in the education module in the household questionnaire: Is the child attending ECE in the current school year?
UB6. Has (name) ever attended any preschool education institutions or optional education facilities for children and youth?

UB7. At any time since September 2018, did (name) attend any preschool education institutions or optional education facilities for children and youth?

UB8A. Does (name) currently attend any preschool education institutions or optional education facilities for children and youth?
UB8B. You have mentioned that (name) has attended preschool education institutions and (or) optional education facilities for children and youth. Does (he/she) currently attend this programme?

Early childhood development: EC

EC1. How many children's books or picture books do you have for (name)?

EC2. I am interested in learning about the things that (name) plays with when (he/she) is at home.
Does (he/she) play with:

[A] Homemade toys, such as dolls, cars, or other toys made at home?

[B] Manufactured toys?

[C] Household objects, such as bowls or pots, or objects found outside, such as sticks, rocks, animal shells or leaves?

EC3. Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children.
On how many days in the past week was (name):
[A] Left alone for more than an hour?
[B] Left in the care of another child, that is, someone less than 10 years old, for more than an hour?
If 'None' record '0'. If 'Don't know' record '8'.

EC4. Check UB2: Child's age?
EC5. In the past 3 days, did you or any household member age 15 or over engage in any of the following activities with (name):

[A] Read books or looked at picture books with (name)?

[B] Told stories to (name)?

[C] Sang songs to or with (name), including lullabies?

[D] Took (name) outside the home?

[E] Played with (name)?

[F] Named, counted, or drew things for or with (name)?

EC5G. Check UB2: Child's age?
I would like to ask you some questions about the health and development of (name). Children do not all develop and learn at the same rate. For example, some walk earlier than others. These questions are related to several aspects of (name)'s development.

EC6. I would like to ask you some questions about the health and development of (name). Children do not all develop and learn at the same rate. For example, some walk earlier than others. These questions are related to several aspects of (name)?s development. Can (name) identify or name at least ten letters of the alphabet?

EC7. Can (name) read at least four simple, popular words?

EC8. Does (name) know the name and recognize the symbol of all numbers from 1 to 10?

EC9. Can (name) pick up a small object with two fingers, like a stick or a rock from the ground?

EC10. Is (name) sometimes too sick to play?

EC11. Does (name) follow simple directions on how to do something correctly?

EC12. When given something to do, is (name) able to do it independently?

EC13. Does (name) get along well with other children?

EC14. Does (name) kick, bite, or hit other children or adults?

EC15. Does (name) get distracted easily?

Child discipline: UCD

UCD1. Check UB2: Child's age?
UCD2. Adults use certain ways to teach children the right behavior or to address a behavior problem. I will read various methods that are used. Please tell me if you or any other adult in your household has used this method with (name) in the past month.

[A] Took away privileges, forbade something (name) liked or did not allow (him/her) to leave the house.

[B] Explained why (name)'s behavior was wrong.

[C] Shook (him/her).

[D] Shouted at (him/her).

[E] Gave (him/her) something else to do.

[F] Spanked, hit or slapped (him/her) on the bottom with bare hand.

[G] Hit (him/her) on the bottom or elsewhere on the body with something like a belt, hairbrush, stick or other hard object.

[H] Called (him/her) dumb, lazy or another name like that.

[I] Hit or slapped (him/her) on the face or head.

[J] Hit or slapped (him/her) on the hand, arm, or leg.

[K] Beat (him/her) up, that is hit (him/her) over and over as hard as one could.

UCD3. Check UF4: Is this respondent the mother or caretaker of any other children under age 5 or a child age 5-14 selected for the questionnaire for children age 5-17?
UCD4. Check UF4: Has this respondent already responded to the following question (UCD5 or FCD5) for another child?
UCD5. Do you believe that in order to bring up, raise, or educate a child properly, the child needs to be physically punished?

Child functioning: UCF

UCF1. Check UB2: Child's age?
UCF2. I would like to ask you some questions about difficulties (name) may have.
Does (name) wear glasses?

UCF3. Does (name) use a hearing aid?

UCF4. Does (name) use any equipment or receive assistance for walking?

UCF5. In the following questions, I will ask you to answer by selecting one of four possible answers. For each question, would you say that (name) has: 1) no difficulty, 2) some difficulty, 3) a lot of difficulty, or 4) that (he/she) cannot at all.

UCF6. Check UCF2: Child wears glasses?
UCF7A. When wearing (his/her) glasses, how difficult is it for (name) to see?
UCF7B. How difficult is it for (name) to see?

UCF8. Check UCF3: Child uses a hearing aid?
UCF9A. When using (his/her) hearing aid(s), does (name) have difficulty hearing sounds like peoples' voices or music?
UCF9B. Does (name) have difficulty hearing sounds like peoples' voices or music?

UCF10. Check UCF4: Child uses equipment or receives assistance for walking?
UCF11. Without (his/her) equipment or assistance, does (name) have difficulty walking?

UCF12. With (his/her) equipment or assistance, does (name) have difficulty walking?

UCF13. Compared with children of the same age, does (name) have difficulty walking?

UCF14. Compared with children of the same age, does (name) have difficulty picking up small objects with (his/her) hand?

UCF15. Does (name) have difficulty understanding you?

UCF16. When (name) speaks, do you have difficulty understanding (him/her)?

UCF17. Compared with children of the same age, does (name) have difficulty learning things?

UCF18. Compared with children of the same age, does (name) have difficulty playing?

UCF19. The next question has five different options for answers. I am going to read these to you after the question. Compared with children of the same age, how much does (name) kick, bite or hit other children or adults?
Would you say: not at all, less, the same, more or a lot more?

Breastfeeding and dietary intake: BD

BD1. Check UB2: Child's age?
BD2. Has (name) ever been breastfed?

BD3. Is (name) still being breastfed?

BD3A. Check UB2: Child's age?
BD4. Yesterday, during the day or night, did (name) drink anything from a bottle with a nipple?

BD5. Did (name) drink Oral Rehydration Salt solution (ORS) (for example rehydron, gastrolith, and alike) yesterday, during the day or night?

BD6. Did (name) drink or eat vitamin or mineral supplements or any medicines yesterday, during the day or night?

BD7. Now I would like to ask you about all other liquids that (name) may have had yesterday during the day or the night.
Please include liquids consumed outside of your home.
Did (name) drink (name of item) yesterday during the day or the night:

[A] Plain water?

[B] Juice or juice drinks?

[C] Clear broth?

[D] Infant formula, such as NAN, Similak, Bellakt etc.?

[D1] How many times did (name) drink infant formula?

[E] Milk from animals, such as fresh, tinned, or powdered milk, drinking yogurt?

[E1] How many times did (name) drink milk, drinking yogurt?

[X] Any other liquids?

[X1] Record all other liquids mentioned.

BD8. Now I would like to ask you about everything that (name) ate yesterday during the day or the night. I am also interested in foods consumed outside of your home.
Continue asking to find out what the child has been given and mark the codes for all the products mentioned. For each food group not mentioned by respondent ask:
Just to make sure, did (name) ate yesterday during the day or night:

[A] Thick fermented milk product?

[A1] How many times did (name) eat thick fermented milk product?

[B] Any baby food, such as FriutoNiania, Gerber or similar?

[C] Bread, rice, noodles, porridge, or other foods made from grains?

[D] Pumpkin or carrots?

[E] Products made from potatoes, turnips, celery, radish?

[F] Any dark green, leafy vegetables, such as spinach, broccoli, parsley?

[G] Ripe fruits such as apples, grapes, melon, apricots?

[H] Any other fruits or vegetables?

[I] Liver, heart or other organ meats?

[J] Any other meat, such as beef, pork, poultry or sausages made from these meats?

[K] Eggs?

[L] Fish?

[M] Beans, peas, and other legumes including any foods made from these?

[N] Cheese, cottage cheese or other food made from animal milk?

[X] Other solid, semi-solid, or soft food not mentioned above?

[X1] Record all other solid, semi-solid, or soft food that do not fit food groups above.

BD9. How many times did (name) eat any solid, semi-solid or soft foods yesterday during the day or night?

Care of illness: CA

CA1. In the last two weeks, has (name) had diarrhoea?

CA2. Check BD3: Is child still breastfeeding?
CA3A. I would like to know how much (name) was given to drink during the diarrhoea. This includes breastmilk, Oral Rehydration Salt solution (like rehydron, gastrolith, eralit and alike)?
CA3B. I would like to know how much (name) was given to drink during the diarrhoea. This includes Oral Rehydration Salt solution (like rehydron, gastrolith, eralit and alike) and other liquids given with medicine. During the time (name) had diarrhoea, was (he/she) given less than usual to drink, about the same amount, or more than usual?
If 'less', probe: Was (he/she) given much less than usual to drink, or somewhat less?
CA4. During the time (name) had diarrhoea, was (he/she) given less than usual to eat, about the same amount, more than usual, or nothing to eat?
If 'less', probe: Was (he/she) given much less than usual to eat or somewhat less?
CA5. Did you seek any advice or treatment for the diarrhoea from any source?

CA6. Where did you seek advice or treatment?
Probe: Anywhere else? Record all providers mentioned, but do not prompt with any suggestions. Probe to identify each type of provider. If unable to determine if public or private sector, write the name of the place and then temporarily record 'W'.
(Name of place) ____

CA7. During the time (name) had diarrhoea, was (he/she) given:

[A] A ORS fluid made from a special packet [for example, rehydron, hastrolit, erealit and alike]?

[B] A pre-packaged ORS fluid [as already prepared fluid]?

[C] Zinc tablets or syrup?

[D] Homemade fluid?

CA8. Check CA7[A] and CA7[B]: Was child given any ORS fluid made from a special packet or pre-packaged ORS fluid?
CA9. Where did you get the (ORS mentioned in CA7[A] and/or CA7[B])?
Probe to identify the type of source. If 'Already had at home', probe to learn if the source is known. If unable to determine whether public or private, write the name of the place and then temporarily record 'W'.
(Name of place) ____

CA10. Check CA7[C]: Was child given any zinc?
CA11. Where did you get the zinc?
Probe to identify the type of source. If 'Already had at home', probe to learn if the source is known. If unable to determine whether public or private, write the name of the place and then temporarily record 'W'.
(Name of place) ____

CA12. Was anything else given to treat the diarrhoea?

CA13. What else was given to treat the diarrhoea?
Probe: Anything else? Record all treatments given. Write brand name(s) of all medicines mentioned.
(Name of medicine) ____

CA14. At any time in the last two weeks, has (name) been ill with a fever?

CA16. At any time in the last two weeks, has (name) had an illness with a cough?

CA17. At any time in the last two weeks, has (name) had fast, short, rapid breaths or difficulty breathing?

CA18. Was the fast or difficult breathing due to a problem in the chest (thachea, bronchi, lungs) or a blocked or runny nose?

CA19. Check CA14: Did child have fever?
CA20. Did you seek any advice or treatment for the illness from any source?

CA21. From where did you seek advice or treatment?
Probe "Anywhere else?". Record all providers mentioned, but do not prompt with any suggestions. Probe to identify the type of each provider. If unable to determine if public or private sector, write the name of the place and then temporarily record 'W'.
(Name of place) ____

CA22. At any time during the illness, was (name) given any medicine for the illness?

CA23. What medicine was (name) given?
Probe: Any other medicine? Record all medicines given. If unable to determine type of medicine, write the brand name and then temporarily record 'W'.
(Name of medicine) ____
(Name of medicine) ____

CA24. Check CA23: Antibiotics mentioned
CA25. Where did you get the (name of medicine from CA23, codes L to O)?
Probe to identify the type of source. If 'Already had at home', probe to learn if the source is known. If unable to determine whether public or private, write the name of the place and then temporarily record 'W'.
(Name of place) ____

CA30. Check UB2: Child's age?
CA31. The last time (name) passed stools, what was done to dispose of the stools?

UF11. Record the time.
Check columns HL10 and HL20 in list of household members, household questionnaire: Is the respondent the mother or caretaker of another child age 0-4 living in this household?
Interviewer's observations ________

Supervisor's observations ________