Panama 2013


Under-five child information panel: UF

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

UF3. Child's name: Name ____

UF4. Child's line number _ _

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

UF8. Day/month/year of interview
Repeat greeting if not already read to this respondent:
We are from the National Institute of Statistics and Census. We are working on a project relating to the health and education of families. I would like to talk to you about this. All the information we obtain will remain strictly confidential and your responses will not be shared with anyone other than the project team.

May I start now?

UF9. Result of interview for children under 5
Codes refer to mother/caretaker.

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 his / her birthday? If the mother/caretaker knows the exact birth date, also enter the day; otherwise, circle 98 for day. Month and year must be recorded.
AG2. How old is (name)?
Probe: How old was (name) at his / her 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 birth certificate?
If yes, ask: may I see it?
BR2. Is (name) registered in The Civil Registry?

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

BR3A. What is the main reason why (name) is not registered in the civil registry?

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:
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 public or private childhood education programme, such as a kindergarten, or COIF [Children and Family's Orientation Center a public/government institution]?

EC6. In the past week, how many hours did (name) attend?

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 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, bite, or hit other children or adults?

EC17. Does (name) get distracted easily? That is, when they start an activity they find it difficult to complete it?

Breastfeeding and dietary intake: BF

BF1. Has (name) ever been breastfed?

BF2. Is (name) still being breastfed?

BF3. 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.
Did (name) drink water alone (without additives) yesterday, during the day or at night?

BF4. Did (name) take infant formula yesterday, during the day or at night?

BF5. How many times did (name) drink infant formula?

BF6. Did (name) drink packaged milk, powdered or fresh milk (in liters, evaporated, tetrapac, etc.) yesterday, during the day or at night?

BF7. How many times did (name) drink tinned, powdered, or fresh animal milk?

BF8. Did (name) drink juice or juice drinks yesterday, during the day or at night?

BF9. Did (name) eat soup or broth yesterday, during the day or at night?

BF9A. What kind of soup or broth did (name) eat yesterday during the day or night? Was it homemade or bought at the store?

BF10. Did (name) drink or eat vitamin or mineral supplements or any medicines yesterday, during the day or night?

BF11. Did (name) drink ORS (oral rehydration solution) yesterday, during the day or night?

BF12 Any other liquids (tea, water with honey, rice water, cornstarch drink, etc.)?
(Specify) ____

BF13. Did (name) drink or eat yogurt yesterday, during the day or night?
If yes: How many times did (name) drink or eat yogurt? If 7 or more times, record '7'. If unknown, record '8'.

BF14. How many times did (name) eat or drink yogurt?

BF15. Any oatmeal, rice, corn, wheat or others cereals, porridges or cornstarch yesterday during the day or night?

BF16. Any other solid, semi-solid, or soft food that I have not mentioned? (Specify) ____

BF17. 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'.
BF18. Yesterday, during the day or night, did (name) drink anything from a bottle with a nipple?

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

[A] A liquid that comes in a special package called oral rehydration salts?

[B] Some pre-packaged serum fluid for diarrhea such as Pedialyte?

[C] Ancalmo ORS?

[D] Frutadex ORS?

[E] Vida Suero Oral ORS?

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) ____

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?

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) ____

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

CA15A. Did you wash your hands with soap and water after cleaning (name's) waste?

Immunization: IM

If an immunization (child health) card is available, copy the dates in IM3 for each type of immunization 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 it please?
IM2. Did you ever have a vaccination (child health) card for (name)?

IM3.

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

BCG (tuberculosis)

HepB at birth

DPT/Penta 1

DPT/ Penta 2

DPT/ Penta 3

DPT 5 (Diptheria, Whooping Cough, Tetanus)

Polio at birth

Polio 1

Polio 2

Polio 3

Polio (1st booster)

Polio (2nd booster)

Tetravalent

Pneumococcal 1

Pneumococcal 2

Pneumococcal 3

Rotavirus 1

Rotavirus 2

Influenza 1

Influenza 2

MMR 1

MMR Booster

HepA 1

HepA 2

Yellow fever

Vitamin A (first dose)

Vitamin A (second dose)

Tdap

IM4. Check IM3. Are all vaccines (BCG to Yellow Fever) recorded?
IM5. In addition to what is recorded on this card, did (name) receive any other vaccinations - including vaccinations received in campaigns or immunization days or child health days?

IM6. Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a campaign or immunization day or child health day?

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

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

IM10. How many times was the polio vaccine received?

IM11. Has (name) ever received a DPT vaccination - that is, an injection in the thigh to prevent him/her from getting tetanus, whooping cough, or diphtheria?
Probe by indicating that DPT vaccination is sometimes given at the same time as Polio.
IM12. How many times was the DPT vaccine received?

IM13. Has (name) ever received a Hepatitis B vaccination - that is, an injection in the thigh to prevent him/her from getting Hepatitis B?
Probe by indicating that the Hepatitis B vaccine is sometimes given at the same time as Polio and DPT vaccines.
IM14. Was the first Hepatitis B vaccine received within 24 hours after birth?

IM16. Has (name) ever received a measles injection (or an MMR or MR) - that is, a shot in the arm at the age of 9 months or older - to prevent him/her from getting measles?

IM16A. How many times did (name) get the MMR shot?

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.
IM17A. Has (name) ever received the "Pneumococcal Vaccines", that is, an injection against the pneumococcal germ or bacteria, to prevent pneumonia and meningitis?

IM17B. How many times did (name) get the Pneumococcal shot?

IM17C. Has (name) ever received the "Rotavirus vaccines", against the germ or bacteria that causes diarrhea, vomit and fever?

IM17D. How many times did (name) get the oral Rotavirus shot?

IM17E. Has (name) ever received the Influenza Vaccine, that is, a vaccine to prevent influenza or the flu?

IM17F. How many times did (name) get the Influenza shot?

IM17G. Has (name) ever received the "Injected Tetravalent Vaccines", that is, an injection to the thigh or buttock, to prevent tetanus, whooping cough, diphteria and influenza?

IM17H. How many times did (name) get the Tetravalent shot?

IM17I. Has (name) ever received the Hepatitis A vaccine, that is, a vaccine to prevent from Hepatitis A?

IM17J. How many times did (name) get the HepA shot?

IM17K. Has (name) ever received the Injectable TDAP Vaccines, that is, an injection in the thigh or buttock to prevent from Tetanus, whooping cough, Diphteria??

IM17L. How many times did (name) get the TDAP shot?

IM18. Did (name) ever get a dose of Vitamin A in the past 6 months?

IM18A. How many Vitamin A doses did (name) get in the past 6 months??

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] Week of vaccination campaign of the Americas?

[B] Special working day (at school, mall, etc.)?

[C] Lockdown campaign in area of residence due to suspected illness?

UF13. Record the time
[IPUMS Note: Table indicating number of visits to household]

Interviewer's observations: (Please write down any comments/observations about the interviews, the interviewees, etc., that facilitate subsequent processes) ________