Questionnaire Text

Albania 2005	Djibouti 2006	Laos 2006	Suriname 2006
Bangladesh 2006	Gambia 2005	Lebanon 2005	Syria 2006
Belize 2006	Ghana 2006	Malawi 2006	Thailand 2005
Burkina Faso 2006	Guinea Bissau 2006	Mauritania 2007	Togo 2006
Burundi 2005	Guyana 2006	Mozambique 2008	Trinidad and Tobago 2006
Cameroon 2006	Iraq 2006	Nigeria 2007	Vanuatu 2007
Central African Republic 2006	Jamaica 2005	Sierra Leone 2005	Yemen 2006
Cote D'Ivoire 2006	Kyrgyzstan 2005	Somalia 2006	Zimbabwe 2009

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Albania 2005

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Bangladesh 2006

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Belize 2006

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Burkina Faso 2006

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Burundi 2005

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Cameroon 2006

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Central African Republic 2006

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Cote D'Ivoire 2006

Survey form view entire document: text image

TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Djibouti 2006

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Gambia 2005

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Ghana 2006

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Guinea Bissau 2006

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Guyana 2006

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Iraq 2006

Survey form view entire document: text image

TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Jamaica 2005

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Kyrgyzstan 2005

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Laos 2006

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Lebanon 2005

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Malawi 2006

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Mauritania 2007

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Mozambique 2008

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Nigeria 2007

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Sierra Leone 2005

Survey form view entire document: text image

TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Somalia 2006

Survey form view entire document: text image

TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Suriname 2006

Survey form view entire document: text image

TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Syria 2006

Survey form view entire document: text image

TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Thailand 2005

Survey form view entire document: text image

TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Togo 2006

Survey form view entire document: text image

TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Trinidad and Tobago 2006

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Vanuatu 2007

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Yemen 2006

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)

top

Zimbabwe 2009

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TT7. In what month and year did you receive the last tetanus injection before that last pregnancy?

_ _ Month
[] 98 DK month
_ _ _ _ Year (Go to next module)
[] 9998 DK year (Go to TT8)