Questionnaire Text

Afghanistan 2010 Georgia 2018 Mali 2009 Serbia 2014
Afghanistan 2022 Ghana 2006 Mali 2015 Serbia (Roma) 2014
Albania 2005 Ghana (Accra) 2010 Mauritania 2007 Serbia 2019
Algeria 2012 Ghana 2011 Mauritania 2011 Serbia (Roma) 2019
Algeria 2018 Ghana 2017 Mauritania 2015 Sierra Leone 2005
Argentina 2011 Guinea 2016 Mexico 2015 Sierra Leone 2010
Argentina 2019 Guinea Bissau 2006 Moldova 2012 Somalia 2006
Bangladesh 2006 Guinea Bissau 2014 Mongolia 2005 Somalia (Northeast Zone) 2011
Bangladesh 2012 Guinea Bissau 2018 Mongolia 2010 Somalia (Somaliland) 2011
Bangladesh 2019 Guyana 2006 Mongolia (Khuvsgul Aimag) 2012 South Sudan 2010
Barbados 2012 Guyana 2014 Mongolia (Nalaikh) 2012 Sudan 2010
Belarus 2005 Guyana 2019 Mongolia 2013 Sudan 2014
Belarus 2012 Honduras 2019 Mongolia (Khuvsgul Aimag) 2016 Suriname 2006
Belarus 2019 Indonesia (Papua) 2011 Mongolia (Nalaikh) 2016 Suriname 2010
Belize 2006 Indonesia (West Papua) 2011 Mongolia 2018 Suriname 2018
Belize 2011 Iraq 2006 Montenegro 2005 Syria 2006
Belize 2015 Iraq 2011 Montenegro 2013 Tajikistan 2005
Benin 2014 Iraq 2018 Montenegro (Roma) 2013 Thailand 2005
Bhutan 2010 Jamaica 2005 Montenegro 2018 Thailand 2012
Bosnia and Herzegovina 2006 Jamaica 2011 Montenegro (Roma) 2018 Thailand 2015
Bosnia and Herzegovina 2011 Kazakhstan 2006 Mozambique 2008 Thailand (Bangkok) 2015
Bosnia and Herzegovina (Roma) 2011 Kazakhstan 2010 Nepal 2010 Thailand (14 Provinces) 2016
Burkina Faso 2006 Kazakhstan 2015 Nepal 2014 Thailand 2019
Burundi 2005 Kenya (Mombasa informal settlements) 2009 Nepal 2019 Thailand (17 Provinces) 2019
Cameroon 2006 Kenya (Nyanza Province) 2011 Nigeria 2007 Thailand 2022
Cameroon 2014 Kenya (Bungoma) 2013 Nigeria 2011 Togo 2006
Central African Republic 2006 Kenya (Kakamega) 2013 Nigeria 2016 Togo 2010
Central African Republic 2010 Kenya (Turkana County) 2013 Nigeria 2021 Togo 2017
Central African Republic 2018 Kiribati 2018 Pakistan (Balochistan) 2010 Tonga 2019
Chad 2010 Kosovo 2013 Pakistan (Punjab) 2011 Trinidad and Tobago 2006
Chad 2019 Kosovo (Roma) 2013 Pakistan (Punjab) 2014 Trinidad and Tobago 2011
Congo 2014 Kosovo 2019 Pakistan (Sindh) 2014 Tunisia 2011
Congo Democratic Republic 2010 Kosovo (Roma) 2019 Pakistan (Gilgit-Baltistan) 2016 Tunisia 2018
Congo Democratic Republic 2017 Kyrgyzstan 2005 Pakistan (Khyber Pakhtunkhwa) 2016 Turkmenistan 2006
Costa Rica 2011 Kyrgyzstan 2014 Pakistan (Punjab) 2017 Turkmenistan 2015
Costa Rica 2018 Kyrgyzstan 2018 Pakistan (Sindh) 2018 Turkmenistan 2019
Cote D'Ivoire 2006 Laos 2006 Pakistan (Balochistan) 2019 Turks and Caicos 2019
Cote D'Ivoire 2016 Laos 2011 Pakistan (Khyber Pakhtunkhwa) 2019 Tuvalu 2019
Cuba 2010 Laos 2017 Palestine 2010 Ukraine 2005
Cuba 2014 Lebanon 2005 Palestine 2014 Ukraine 2012
Cuba 2019 Lebanon 2011 Palestine 2019 Uruguay 2012
Djibouti 2006 Lesotho 2018 Panama 2013 Uzbekistan 2006
Dominican Republic 2014 Macedonia 2005 Paraguay 2016 Uzbekistan 2021
Dominican Republic 2019 Macedonia 2011 Qatar 2012 Vanuatu 2007
El Salvador 2014 Macedonia (Roma) 2011 Saint Lucia 2012 Vietnam 2006
Eswatini (Swaziland) 2010 Macedonia 2018 Samoa 2019 Vietnam 2010
Eswatini (Swaziland) 2014 Macedonia (Roma) 2018 Sao Tome and Principe 2014 Vietnam 2013
Fiji 2021 Madagascar 2012 Sao Tome and Principe 2019 Vietnam 2020
Gambia 2005 Madagascar 2018 Senegal (Dakar City) 2015 Yemen 2006
Gambia 2010 Malawi 2006 Serbia 2005 Zimbabwe 2009
Gambia 2018 Malawi 2013 Serbia 2010 Zimbabwe 2014
Georgia 2005 Malawi 2019 Serbia (Roma) 2010 Zimbabwe 2019
top
Afghanistan 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Afghanistan 2022
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Albania 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Algeria 2012
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Algeria 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Argentina 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Argentina 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Bangladesh 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Bangladesh 2012
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Bangladesh 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Barbados 2012
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Belarus 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Belarus 2012
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Belarus 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Belize 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Belize 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Belize 2015
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Benin 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Bhutan 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Bosnia and Herzegovina 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Bosnia and Herzegovina 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Bosnia and Herzegovina (Roma) 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Burkina Faso 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Burundi 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Cameroon 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Cameroon 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Central African Republic 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Central African Republic 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Central African Republic 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Chad 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Chad 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Congo 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Congo Democratic Republic 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Congo Democratic Republic 2017
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Costa Rica 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Costa Rica 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Cote D'Ivoire 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Cote D'Ivoire 2016
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Cuba 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Cuba 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Cuba 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Djibouti 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Dominican Republic 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Dominican Republic 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
El Salvador 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Eswatini (Swaziland) 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Eswatini (Swaziland) 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Fiji 2021
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Gambia 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Gambia 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Gambia 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Georgia 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Georgia 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Ghana 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Ghana (Accra) 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Ghana 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Ghana 2017
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Guinea 2016
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Guinea Bissau 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Guinea Bissau 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Guinea Bissau 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Guyana 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Guyana 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Guyana 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Honduras 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Indonesia (Papua) 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Indonesia (West Papua) 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Iraq 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Iraq 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Iraq 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Jamaica 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Jamaica 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Kazakhstan 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Kazakhstan 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Kazakhstan 2015
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Kenya (Mombasa informal settlements) 2009
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Kenya (Nyanza Province) 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Kenya (Bungoma) 2013
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Kenya (Kakamega) 2013
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Kenya (Turkana County) 2013
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Kiribati 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Kosovo 2013
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Kosovo (Roma) 2013
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Kosovo 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Kosovo (Roma) 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Kyrgyzstan 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Kyrgyzstan 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Kyrgyzstan 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Laos 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Laos 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Laos 2017
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Lebanon 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Lebanon 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Lesotho 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Macedonia 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Macedonia 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Macedonia (Roma) 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Macedonia 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Macedonia (Roma) 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Madagascar 2012
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Madagascar 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Malawi 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Malawi 2013
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Malawi 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Mali 2009
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Mali 2015
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Mauritania 2007
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Mauritania 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Mauritania 2015
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Mexico 2015
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Moldova 2012
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Mongolia 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Mongolia 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Mongolia (Khuvsgul Aimag) 2012
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Mongolia (Nalaikh) 2012
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Mongolia 2013
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Mongolia (Khuvsgul Aimag) 2016
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Mongolia (Nalaikh) 2016
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Mongolia 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Montenegro 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Montenegro 2013
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Montenegro (Roma) 2013
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Montenegro 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Montenegro (Roma) 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Mozambique 2008
Survey form view entire document:  text  image
CM11. Of these (total number) births you have had, when did you deliver the last one (even if he or she has died)?
If day is not known, enter '98' in space for day.
Date of last birth:
Day/Month/Year _ _ / _ _ / _ _ _ _

top
Nepal 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Nepal 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Nepal 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Nigeria 2007
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Nigeria 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Nigeria 2016
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Nigeria 2021
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Pakistan (Balochistan) 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Pakistan (Punjab) 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Pakistan (Punjab) 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Pakistan (Sindh) 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Pakistan (Gilgit-Baltistan) 2016
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Pakistan (Khyber Pakhtunkhwa) 2016
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Pakistan (Punjab) 2017
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Pakistan (Sindh) 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Pakistan (Balochistan) 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Pakistan (Khyber Pakhtunkhwa) 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Palestine 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Palestine 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Palestine 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Panama 2013
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Paraguay 2016
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Qatar 2012
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Saint Lucia 2012
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Samoa 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Sao Tome and Principe 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Sao Tome and Principe 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Senegal (Dakar City) 2015
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Serbia 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Serbia 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Serbia (Roma) 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Serbia 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Serbia (Roma) 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Serbia 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Serbia (Roma) 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Sierra Leone 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Sierra Leone 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Somalia 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Somalia (Northeast Zone) 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Somalia (Somaliland) 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
South Sudan 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Sudan 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Sudan 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Suriname 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Suriname 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Suriname 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Syria 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Tajikistan 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Thailand 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Thailand 2012
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Thailand 2015
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Thailand (Bangkok) 2015
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Thailand (14 Provinces) 2016
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Thailand 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Thailand (17 Provinces) 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Thailand 2022

No questionnaire text is available for this sample.


top
Togo 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Togo 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Togo 2017
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Tonga 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Trinidad and Tobago 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Trinidad and Tobago 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Tunisia 2011
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Tunisia 2018
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Turkmenistan 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Turkmenistan 2015
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Turkmenistan 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Turks and Caicos 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Tuvalu 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Ukraine 2005
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Ukraine 2012
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Uruguay 2012
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Uzbekistan 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Uzbekistan 2021
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Vanuatu 2007
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Vietnam 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Vietnam 2010
Survey form view entire document:  text  image
CM13. Check CM12 [or BH4 in the birth history module]: Last birth occurred within the last 2 years, that is, since (day and month of interview) in [2010]
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Record/ask for the name of the last-born child and continue with the next module)
Name of last-born child ____

If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.

top
Vietnam 2013
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Vietnam 2020
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years

top
Yemen 2006
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Zimbabwe 2009
Survey form view entire document:  text  image
CM12. Check CM11: Did the woman's last birth occur within the last 2 years, that is, since (day and month of interview in [2003]
If child has died, take special care when referring to this child by name in the following modules
[] No live birth in last 2 years (Go to marriage/union module)
[] Yes, live birth in last 2 years (Continue with CM13]
Name of Child ____

top
Zimbabwe 2014
Survey form view entire document:  text  image
[If the sample does not have a birth history module:]
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011(if the month of interview and the month of birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years).
[If the sample has a birth history module:]
CM13. Check BH4 in birth history module: Last birth occurred within the last 2 years, that is, since (month of interview) in 2011 (if the month of the interview and the month of the birth are the same, and the year of birth is 2011, consider this as a birth within the last 2 years)
[] No live birth in last 2 years. (Go to illness symptoms module)
[] One or more live births in last 2 years. (Ask for / record the name of the last-born child.)
Name of last-born child ____
If child has died, take special care when referring to this child by name in the following modules.
Continue with next module.

top
Zimbabwe 2019
Survey form view entire document:  text  image
CM17. Check BH4: Last birth occurred within the last 2 years, that is, since (month of interview) in (year of interview minus 2)?
If the month of interview and the month of birth are the same, and the year of birth is (year of interview minus 2), consider this as a birth within the last 2 years.
[] 0 No live births in the last 2 years (Go to next module)
[] 1 One or more live births in the last 2 years