MICS Guinea-Bissau 2014


Under-five child information panel: UF

This questionnaire is to be administered to all mothers or guardians (see List of Household Members, column HL15) who care for children under 5 years of age who live with them (see List of Household Members, column HL7B).
A separate questionnaire should be used for each eligible child.

UF1. DR number: _ _ _

UF2. Household number: _ _

UF3. Child's name: Name ____

UF4. Child's line number _ _

UF5. Mother's name/guardian:
UF6. Mother's line number/guardian: _ _

UF7. Name and number of the interviewer:
UF8. Day/month/year of interview
If you have not yet introduced yourself, introduce yourself to the interviewee:
We are part of INE. We are working on a survey on health, family and education. I would like to talk to you about these matters. The interview will last approximately 30 minutes. All the information you provide us is strictly trustworthy and anonymous.
If greeting was already made during the interview for the household questionnaire, women or men questionnaire, to this interviewee, read the following sentence:
Now I would like to talk to about the health and well-being of (child's name from UF3)'s. This interview will last 30 minutes. All the information you provide is strictly trustoworthy and anonymous.

Can I start?

UF9. Result of interview for children under 5
Codes refer to mother/guardian (or tutor).

UF10. Field editor's name and number: Name ____ _ _

UF11. Typing agent's name and number: Name ____ _ _

UF12. Record the time.
Age: AG

AG1. Now I would like to ask you some questions about the development and health of (name).
On what day, month and year was (name) born?
Probe: What is your birthday? If the mother/guardian knows the exact birth date, write the day; otherwise, circle 98 for day. Month and year must be recorded.
AG2. How old is (name)?
Probe: How old was (name) at your last birthday? Record age in completed years. Record '0' if less than 1 year. Compare and correct AG1 and/or AG2 if inconsistent.
Birth Registration: BR

BR1. Does (name) have a personal ballot or a birth certificate?
If yes, ask: may I see it?
BR2. Has (name)'s birth been registered with the civil registry?

BR3. Do you know how to register (name)'s birth?

Early childhood development: EC

EC1. How many children's books and drawing books (illustrated) do you have for (name)?

EC2. I am interested in learning about the things that (name) plays with when he/she is at home.
He/she plays with:
If the respondent says "yes" to the categories above, then probe to learn specifically what the child plays with to ascertain the response.




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):
If 'none' enter '0'. If 'don't know' enter '8'.

[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?

EC4. Check AG2: Age of child.
EC5. Does (name) attend any organized learning or early childhood education programme, such as a public or private facility, including kindergarten or community child care?

EC7. In the past 3 days, did you or any household member age 15 or over engage in any of the following activities with (name):
If yes, ask: Who engaged in this activity with (name)?
Circle all the answers that apply.







EC8. 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?

EC9. Can (name) read at least four simple, popular words?

EC10. Does (name) know the name and recognize the symbol of all numbers from 1 to 10?

EC11. Can (name) pick up a small object with two fingers, like a stick or a rock from the ground?

EC12. Is (name) sometimes too sick to play?

EC13. Does (name) follow simple directions on how to do something correctly?

EC14. When given something to do, is (name) able to do it independently?

EC15. Does (name) get along well with other children?

EC16. Does (name) kick, hit, or bite other children or adults?

EC17. Does (name) get distracted easily?

Breastfeeding and dietary intake: BD

BD1. Check AG2: Age of child.
BD2. Has (name) ever been breastfed?

BD3. Is (name) still being breastfed?

BD4. Yesterday, during the day or night, did (name) drink anything from a baby bottle?

BD5. During the day, night or yesterday did (name) drink or eat vitamin or mineral supplements or any medicines?

BD6. During the day, night or yesterday did (name) drink a saline (oral rehydration solution)?

BD7. Now I would like to ask you about (other) liquids that (name) may have had yesterday during the day or the night. I am interested to know whether (name) had the item even if combined with other foods.
Please include liquids consumed outside of your home.
During the day, night or yesterday did (name) drink (name of item):

[A] Plain water?

[B] Juice or other fruit-based drinks?

[C] White vegetable or meat broth

[D] Milk such as tinned, powdered, or fresh animal milk?

[E] Infant formula sold in stores?

[F] Any other liquids?
(Specify) ____

BD8. Now I would like to ask you about (other) foods that (name) may have had yesterday during the day or the night. Again, I am interested to know whether (name) had the item even if combined with other foods. Please include foods consumed outside of your home.
Did (name) eat (name of food) yesterday during the day or the night:


[A] Yogurt?
If yes: How many times did (name) drink or eat yogurt? If 7 or more times, record '7'. If unknown, record '8'.

[B] Any dairy food (cerelac, papa, etc.)?

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

[D] Pumpkin, carrots, sweet potatoes that are yellow or orange inside?

[E] Potatoes, yams, cassava, or any other foods made from roots?

[F] Cabbage, no matter any dark green leafy vegetables?

[G] Ripe mangoes, papaya, ripe cashews?

[H] Any other fruits or vegetables?

[I] Liver, kidney, heart or other organ meats?

[J] Any meat, such as beef, pork, chicken, duck?

[K] Eggs?

[L] Fresh or dried fish or shellfish?

[M] Any foods made from beans, peas, lentils, or nuts?

[N] Cheese or other food made from milk?

[O] Any other solid, semi-solid, or soft food that I have not mentioned? (Specify) ____

BD9. Check BD8 (Categories "A" through "O").
BD10. Probe to determine whether the child ate any solid, semi-solid or soft foods yesterday during the day or night.
BD11. How many times did (name) eat any solid, semi-solid or soft foods yesterday during the day or night?
If 7 or more times, record '7'.
Immunization: IM

If there is a vaccine card available, copy the dates in IM3 for each type of vaccine and Vitamin A recorded on the card. IM6-IM17 will only be asked if a card is not available.

IM1. Do you have a card where (name)'s vaccinations are written down?
If yes: May I see the card please?
IM2. Did you ever have a vaccination card for (name)?

IM3.

(a) Copy dates for each vaccination from the card or token.
(b) Write '44' in day column if card shows that vaccination was given but no date recorded.

BCG

Polio at birth

Polio 1

Polio 2

Polio 3

Penta 1

Penta 2

Penta 3

Measles

Yellow fever

Vitamin A (first dose)

Vitamin A (second dose)

IM4. Check IM3. Are all vaccines (BCG to Yellow Fever) and vitamins recorded?
IM5. In addition to what is recorded on this card, did (name) receive any other vaccinations - including vaccinations received during the vaccination campaigns?

IM6. Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in the national vaccination campaign?

IM7. Has (name) ever received a BCG vaccination against tuberculosis - that is, an injection in the arm that usually causes a scar?

IM8. Has (name) ever received any vaccination drops in the mouth to protect him/her from polio?

IM9. Was the first polio vaccine received in the first two weeks after birth?

IM10. How many times was the polio vaccine received?

IM11A. Has (name) ever received a Pentavalent vaccination, i.e. an injection given in the left arm to prevent him/her from getting tetanus, whooping cough, diphtheria, hepatitis B and haemophilus influenza type B?
Probe by indicating that Penta vaccination is administered many times at the same time as Polio.
IM12A. How many times was the Penta vaccine received?

IM16. Has (name) ever received a measles injection - that is, a shot in the back at the age of 9 months or older to avoid getting measles?

IM17. Has (name) ever received the yellow fever vaccination - that is, a shot in the arm at the age of 9 months or older - to prevent him/her from getting yellow fever?
Probe by indicating that the Yellow Fever vaccine is sometimes given at the same time as the measles vaccine.
IM19. Please tell me if (name) has participated in any of the following campaigns, national immunization days and/or vitamin a or child health days:
[A] December 2012, Measles vaccination campaign and vitamin A and mebendazole

[B] May 2013, Antipolio vaccination campaign and vitamin A and mebendazole

[C] November 2013, Antipolio vaccination campaign and vitamin A and mebendazole

Care of illness: CA

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

CA2. I would like to know how much (name) was given to drink during the diarrhoea (including breastmilk).
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?
CA3. 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?
CA3A. Did you seek any advice or treatment for the diarrhoea?

CA3B. From where did you seek advice or treatment?
Probe: Anywhere else? Circle all providers mentioned, but do not prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place.
(Name of place) ____

CA4. During the time (name) had diarrhoea, was (name) given to drink:

[A] A fluid made from a special packet called (SORO ORAL)?

CA4A. Check CA4: ORS.
CA4B. Where did you get the ORS?
Probe to identify the type of source. If unable to determine whether public or private, write the name of the place.
(Name of place) ____

CA4C. During the time (name) had diarrhoea, was (name) given:

[A] Zinc tablets?

[B] Zinc syrup?

CA4D. Check CA4C: Did you get the zinc?
CA4E. Where did you get the zinc?
Probe to identify the type of source. If unable to determine whether public or private, write the name of the place.
(Name of place) ____

CA4F. During the time (name) had diarrhoea, was (name) given to drink any of the following:
Read each item clearly to the respondent and mark the answer.
[A] A government recommended household liquid (water, salt and sugar)?

CA5. Was anything (else) given to treat the diarrhoea

CA6. What (else) was given to treat the diarrhoea?
Probe: Anything else? Record all treatments given. Write brand name(s) of all medicines mentioned.
(Name) ____

CA6A. In the last two weeks, has (name) been ill with a fever at any time?

CA6B. At any time during the illness, did (name) have blood taken from his/her finger or heel for testing?

CA7. At any time in the last two weeks, has (name) had an illness with a cough?

CA8. When (name) had an illness with a cough, did he/she breathe faster than usual with short, rapid breaths or have difficulty breathing?

CA9. Was the fast or difficult breathing due to a problem in the chest or a blocked or runny nose?

CA9A. Check CA6A: Had fever?
CA10. Did you seek any advice or treatment for the illness from any source?

CA11. From where did you seek advice or treatment?
Probe: Anywhere else? Circle all providers mentioned, but do not prompt with any suggestions. Probe to identify each type of source. If unable to determine if public or private sector, write the name of the place.
(Name of place) ____

CA12. At any time during the illness, was (name) given any medicine for the illness?

CA13. What medicine was (name) given?
Probe: Any other medicine? Circle all medicines given. Write brand name(s) of all medicines mentioned.
(Names of medicines) ____

CA13A. Check CA13: Antibiotic mentioned (code I or J)?
CA13B. Where did you get the (name of medicine from CA13)?
Probe to identify the type of source. If unable to determine whether public or private, write the name of the place.
(Name of place) ____

CA13C. Check CA13: Anti-malarial mentioned (codes A - H)?
CA13D. Where did you get the (name of medicine from CA13)?
Probe to identify the type of source. If unable to determine whether public or private, write the name of the place.
(Name of place) ____

CA13E. How long after the fever started did (name) first take (name of anti-malarial from CA13)?
If multiple anti-malarials mentioned in CA13, name all anti-malarial medicines mentioned.

CA14. Check AG2: Age of child.
CA15. The last time (name) passed stools, what was done to dispose of the stools?

UF13. Record the time
UF14. Check List of Household Members, columns HL7B and HL15.
Is the respondent the mother or caretaker of another child age 0-4 living in this household?
Anthropometry: AN

After questionnaires for all children are complete, the measurer weighs and measures each child.
Record weight and length/height below, taking care to record the measurements on the correct questionnaire for each child. Check the child's name and line number in the List of Household Members before recording measurements.

AN1. Measurer's name and number:
AN2. Result of height / length and weight measurement:
AN3. Child's weight:
AN3A. Was the child undressed to the minimum?
AN3B. Check age of child in AG2:
AN4. Child's length or height:
AN4A. Was the child measured lying down or standing?
AN6. Is there another child in the household who is eligible for measurement?
Interviewer's observations ________

Field editor's observations ________

Supervisor's observations ________

Measurer's observations ________