Serbia 2019

Under-five child information panel: UF

UF1. Cluster number: _ _ _

UF2. Household number: _ _

UF3. Child's name and line number:
UF4. Mother's/caregiver'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 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. Hello, my name is (your name). We are from Statistical Office of the Republic of Serbia. We are conducting a survey about the situation of children, women, families and households. I would like to talk to you about (child's name from UF3)'s health and well-being. This interview will take about 15 minutes. All the information we obtain will remain strictly confidential and anonymous. If you wish not 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 in more detail. This interview will take about 15 minutes. Again, all the information we obtain will remain strictly confidential and anonymous. 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
Under-five's background: UB

UB0. Before I begin the interview, could you please bring (name)'s Birth Certificate, Vaccination card, hospital release form and any immunisation record from a private health provider? We will need to refer to those documents.

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

UB2. How old is (name)?

UB3. Check UB2: Child's age?
UB4. Check the respondent's line number (UF4) in under-five child information panel and the respondent to the household questionnaire (HH47): Is this respondent also the respondent to the household questionnaire?
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 early childhood education programme, such as kindergarten?

UB7. At any time since September 2019, did (he/she) attend early childhood education programme, such as kindergarten?

UB8A. Does (name) currently attend an early childhood education programme, such as kindergarten?
UB8B. You have mentioned that (name) has attended an early childhood education programme this school year. Does (he/she) currently attend this programme?

UB8C. What type of facility does (name) attend?

UB8D. There are several possible reasons for a child not to attend a kindergarten. Now, I will read to you some of these reasons and would like to ask you to tell me if any of these was at least in part, a reason for (name) not to attend a kindergarten:

[A] (Name) will not learn anything important in kindergarten.

[B] Children in the kindergarten that (name) was supposed to attend do not receive enough individual attention because the groups are too large in relation to the number of staff.

[C] (Name) will receive inadequate treatment (ethnicity reasons, does not speak the language, etc.).

[D] (Name) is cared for at home.

[E] (Name) often gets sick in kindergarten.

[F] (Name) was not admitted to the facility because both parents are unemployed and do not qualify.

[G] The facility (name) was supposed to attend did not have space at the time (name) was supposed to enroll.

[H] There is no facility in the proximity of home.

[I] Kindergarten costs are too high.

[J] Other expenses relate to kindergarten, such as transportation, clothing, food are too high.

UB9. Is (name) covered by any health insurance?

UB10. What type of health insurance is (name) covered by?

BR1. Does (name) have a birth certificate?

BR2. Has (name)'s birth been registered in the birth register?

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

Birth Grant: BG

BG0. Are you aware of birth grant?

BG1. Did you apply for the birth grant for (name)?

BG2. Did you receive the birth grant?

BG2A. Check UB1: On what day, month and year was the child born?
If the day of child's birth is unknown: record '1' only if the child was born in January, February, March, April, Mau or June 2018, otherwise record '2'.
BG2B. Did you receive a new resolution for birth grant in line with new Law on financial support to the family with children that has been applied from 1st of July 2018?

BG3. What is the main reason you did not apply for the birth grant?

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 rag dolls, rag balls, or other toys made at home?

[B] Toys from a shop or manufactured toys?

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

EC3. Sometimes adults taking care of children have to leave the house to go shopping, 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)?

EC5A. 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] Prepared food for or with (name)?

[B] Cleaned the room for or with (name)?

EC5G. Check UB2: Child's age?
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 behaviour 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 behaviour was wrong.

[C] Shook (him/her).

[D] Shouted, yelled at or screamed 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, head or ears.

[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 caregiver 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 or contact lenses?

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 or contact lenses?
UCF7A. When wearing (his/her) glasses or contact lenses, does (name) have difficulty seeing?
UCF7B. Does (name) have difficulty seeing?

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 such as Orosal or Rehidran 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 soup?

[D] Infant formula, (Bebelac, Aptamil, Impamil, Hipp, Nestly and alike)?

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

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

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

[P] Tea?

[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. Please include foods consumed outside of your home.
Think about when (name) woke up yesterday. Did (he/she) eat anything at that time?
If 'Yes' ask: Please tell me everything (name) ate at that time. Probe: Anything else?
Record answers using the food groups below.
What did (name) do after that? Did (he/she) eat anything at that time?
Repeat this string of questions, recording in the food groups, until the respondent tells you that the child went to sleep until the next morning. For each food group not mentioned after completing the above ask: Just to make sure, did (name) eat (food group items) yesterday during the day or the night.

[A] Yogurt made from animal milk?

[A1] How many times did (name) eat yogurt?

[B] Any baby food (Baby King, Milupa, Hipp, Nestle alike)?

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

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

[E] White potatoes, parsnips, turnips or any other foods made from roots that are white inside?

[F] Spinach, Swiss chard, kale, broccoli or any other dark green, leafy vegetables?

[G] Fresh or dried apricots, ripe cantaloupe that is orange inside or raw sour cherries?

[H] Other fruits or vegetables such as bananas, apples, grapes, tomato, zucchini, cauliflower?

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

[J] Any other meat, such as veal/young beef, pork, lamb, goat, chicken, or turkey or sausages made from these meats?

[K] Eggs?

[L] Fish?

[M] Beans, peas, lentils or nuts (walnuts and almonds), including any foods made from these?

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

[X] Other solid, semi-solid, or soft food?

[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?

Immunisation: IM

IM1. Check UB2: Child's age?
IM2. Do you have a vaccination card, immunisation records from a private health provider, maternity hospital discharge list or any other document where (name)'s vaccinations are written down?

IM3. Did you ever have a vaccination card or immunisation records from a private health provider for (name)?

IM4. Check IM2:
IM5. May I see the card(s) and/or other document?

IM6.

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

BCG

OPV1

OPV2

OPV3

OPV R1

IPV1

IPV2

IPV3

IPV R1

DTP1

DTP2

DTP3

DTP R1

HepB1

HepB2

HepB3

Hem. Inf B 1

Hem. Inf B 2

Hem. Inf B 3

Hem. Inf B R1

MMR

Pneumococcal (Conjugate) 1

Pneumococcal (Conjugate) 2

Pneumococcal (Conjugate) 3

Pneumococcal (Conjugate) R1

IM7. Check IM6: Are all vaccines (BCG to PCV R1) recorded?

IM9. In addition to what is recorded on the document(s) you have shown me, did (name) receive any other vaccinations?

IM10. Go back to IM6 and probe for these vaccinations.
Record '66' in the corresponding day column for each vaccine received. For vaccinations not received record '00'.
When finished, go to end of module. (Go to IM28)

IM11. Has (name) ever received any vaccinations to prevent (him/her) from getting diseases?

IM14. Has (name) ever received a BCG vaccination against tuberculosis - that is, an injection in the left arm or shoulder that usually causes a scar?

IM15A. Did (name) receive a Hepatitis B vaccination - that is an injection on the outside of the thigh to prevent Hepatitis B disease?

IM15B. Was the first Hepatitis b vaccine received in maternity hospital within 24 hours after birth?

IM15C. How many times (name) received the hepatitis B vaccine?

IM20. Has (name) ever received a Pentavalent vaccination - that is, an injection in the thigh to prevent (him/her) from getting tetanus, whooping cough, diphtheria, polio, and Haemophilus influenzae type B?
Probe by indicating that Pentavalent vaccine is usually given at the suggestion of paediatrician or parent's request.
IM21. How many times was the combined Pentavalent vaccine received?

IM21A. Check IM21: How many times is combined pentavalent vaccine received?
IM21B. Has (name) ever received an:
[A] Oral Polio Vaccine (OPV) - vaccination drops in the mouth to protect him/her from polio?

[B] Inactivated Polio Vaccine (IPV) - that is, an injection in the thigh or shoulder to protect him/her from polio?

IM21C. Check IM21B: Has child ever received oral or inactivated polio vaccine?
IM21D. How many times (name) received polio vaccine?
Ensure that the response here refers to the total number of polio vaccines, including both oral and inactivated polio vaccines.
IM21E. Has (name) ever received a DTP vaccination, that is, an injection in the thigh or the upper arm to prevent him/her from getting tetanus, whooping cough, or diphtheria?
Probe by indicating that DTP vaccination is almost always given at the same time as polio.
IM21F. How many times (name) received the DTP vaccine?

IM21G. Has (name) ever received a Hib vaccination - that is, an injection in the thigh to prevent him/her from getting meningitis / pneumonia or any other disease caused by bacteria haemophilus influenzae type b?
Probe by indicating that the Hib vaccine is almost always given at the same time as polio and DTP vaccines.
IM21H. How many times (name) received the Hib vaccine?

IM22. Has (name) ever received a Pneumococcal Conjugate vaccination - that is, an injection to prevent (him/her) from getting pneumococcal disease, including ear infections and meningitis caused by pneumococcus?
Probe by indicating that Pneumococcal Conjugate vaccination is sometimes given at the same time as the combined Pentavalent vaccination.
IM23. How many times was the Pneumococcal vaccine received?

IM26. Has (name) ever received a MMR vaccine - that is, a shot in the upper arm (at the age of 12 months or older) to prevent (him/her) from getting measles, mumps and rubella?

IM28. Issue a questionnaire form for vaccination records at health facility for this child. Complete the Information Panel on that Questionnaire

UF11. Record the time.
UF13. Language of the Interview.
UF14. Native language of the Respondent.
UF15. Was a translator used for any parts of this questionnaire?
UF16. Tell the respondent that you will need to measure the weight and height of the child before you leave the household and a colleague will come to lead the measurement. Issue the anthropometry module form for this child and complete the Information Panel on that Form.
Check columns HL10 and HL20 in list of household members, household questionnaire: Is the respondent the mother or caregiver of another child age 0-4 living in this household?
Interviewer's observations ________

Supervisor's observations ________

Anthropometry module information panel: AN

AN1. Cluster number: _ _ _

AN2. Household number _ _

AN3. Child's name and line number:
AN4. Child's age from UB2:
AN5. Mother's/caregiver's name and line number:
AN6. Interviewer's name and number
Anthropometry

AN7. Measurer's name and number:
AN8. Record the result of weight measurement as read out by the Measurer:
Read the record back to the Measurer and also ensure that he/she verifies your record.
AN9. Was the child undressed to the minimum?
AN10. Check AN4: Child's age?
AN11A. The child is less than 2 years old and should be measured lying down. Record the result of length measurement as read out by the Measurer:
Read the record back to the Measurer and also ensure that he/she verifies your record.
AN11B. The child is at least 2 years old and should be measured standing up. Record the result of height measurement as read out by the Measurer:
Read the record back to the Measurer and also ensure that he/she verifies your record.
AN12. How was the child actually measured? Lying down or standing up?
AN13. Today's date: Day/month/year:
AN14. Is there another child under age 5 in the household who has not yet been measured?

AN15. Thank the respondent for his/her cooperation and inform your supervisor that the measurer and you have completed all the measurements in this household.

Interviewer's observations for anthropometry module ________

Measurer's observations for anthropometry module ________

Supervisor's observations for anthropometry module ________

Under-Five Child Information Panel: HF

This form must be appended to the questionnaire for children under five for each child age 0-2 years.

Read the following text to the mother or caregiver:
As you know, as part of this survey we are collecting immunisation data for all children age 0-2 years. Besides vaccination cards kept at home, immunisation data is collected from records that are kept at health facilities. Immunisation data collected from health facility records is particularly important for supplementing data from vaccination cards kept at home and will help prepare more precise estimates of immunisation coverage. I have here a consent form that I would ask you to sign if you consent to the collection of (name)?s vaccination records from the health facility. Again, all the information we collect will remain strictly confidential and anonymous. Do you have any questions? Do you grant consent for us to collect (name)?s vaccination records from the health facility?

HF0. Results of request for consent to collect vaccination records from the health facility:
HF1. Cluster number: _ _ _

HF2. Household number _ _

HF3. Child's name and line number:
HF4. Mother's/caregiver's name and line number:
HF5. Name and number of field staff recording at facility:
HF6. Interviewer's name and number
HF7. Day/month/year of facility visit:
HF8. Record the time.
H97. Child's day, month and year of birth: Copy from UB2 in the under-five's background module of the questionnaire for children under five
HF10. Record the name of health facility:
HF15. Results of health facility visit:
Immunization: HF

HF11. Record day, month and year of birth as written on vaccination record/card:
HF12.

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

BCG

OPV1

OPV2

OPV3

OPV R1

IPV1

IPV2

IPV3

IPV R1

DTP1

DTP2

DTP3

DTP R1

HepB1

HepB2

HepB3

Hem. Inf B 1

Hem. Inf B 2

Hem. Inf B 3

Hem. Inf B R1

MMR

Pneumococcal (Conjugate) 1

Pneumococcal (Conjugate) 2

Pneumococcal (Conjugate) 3

Pneumococcal (Conjugate) R1

HF13. For each vaccination not recorded enter '00' in day column.

HF14. Record the time.
Data collector's observations ________

Supervisor's observations ________

For the purpose of the 2019 Serbia Multiple Indicator Cluster Survey (MICS) that is conducted by the Statistical Office of the Republic of Serbia in accordance with the Contract with the UNICEF Serbia Country Office, contracted on 1 February 2018, contract number '03 broj 404-110', the following consent is given:
Consent:
I, the below undersigned mother/caregiver, give consent for information related to vaccinations received by child ____ (name and surname from HF3) to be copied at the Health Facility ____ (name of Health Facility from HF10).
Mother's care/caregiver's signature: ____
Personal No of mother/caregiver: ____
Reg. No: ____
Issuing authority: ____
Date: ____