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UBOS
Census 2014


Republic of Uganda
National Population and Housing Census 2014
Household Questionnaire

[Tables for code list are omitted. The omitted codes indicate specific categories for result code (R1), relationship (P2), residential status (P4), ethnicity (P8), religion (P9), type of disability (P14-P17), school attendance (P18), grade completed (P19), major field of specialization (P20), activity status (P22), occupation (P23), marital status (P26) and crop codes (section 5).]

Identification particulars

[Write name in capital letters]

District: ____ Code: _ _ _
County/Municipality: ____ Code: _
Sub county/Division/Town council: ____ Code: _ _
Parish/Ward: ____ Code: _ _
LC1: ____ Code: _ _
EA: ____ Code: _ _
Enumerator's name: ____ Enumerator code: _ _ _
Enumerator's signature: ____
Date (dd/mm/yyyy): _ _/_ _/_ _ _ _
Parish supervisor's name: ____ Parish supervisor's code: _ _ _
Parish supervisor's signature: ____
Date (dd/mm/yyyy): _ _/_ _/_ _ _ _
Number of books used: Book _ of _ (exclude spoilt and unused books)

Summary information

Household number: _ _ _

Male: _ _
Female: _ _
Total: _ _

Household population (row A)

Male _ _ _
Female _ _ _
Total _ _ _

Absent household heads (row B)

Male _ _ _
Female _ _ _
Total _ _ _

De facto total household population (row A - row B)

Total number of households _ _ _
Male _ _ _
Female _ _ _
Total _ _ _

[next page]

Household number: _ _ _

Total number of household population _ _

Result code:

[] 1 Completed
[] 2 Partially completed
[] 3 Not interviewed

Form _ of _

Section 1: Particulars of household members

P0 Person number _ _

P1 ____

Please give the full names of the following:
1. The household head
2. All persons who spent the night of 27/28th August 2014 in this household including visitors
(Write the First Name and Last Name only)

P2 What is [the respondent's] relationship to the head of the household? (Refer to code list P2)

[] 10 Usual head of household - absent
[] 11 Usual head of household - present
[] 12 Spouse
[] 13 Biological Son
[] 14 Biological Daughter
[] 15 Step son
[] 16 Step daughter
[] 17 Grandson
[] 18 Grand daughter
[] 19 Parent to head or spouse
[] 20 Brother or Sister to head or spouse
[] 21 Other relative
[] 22 Non relative

P3 Is [the respondent] male or female?

[] 1 Male
[] 2 Female

P4 What is [the respondent's] residential status? (Refer to code list P4)

[] 1 Usual household member
[] 2 Regular household member
[] 3 Visitor/guest

For all persons

P5 What is [the respondent's] exact date of birth? (Write the day, month, and year) _ _/_ _/_ _ _ _

P6 What is [the respondent's] age in completed years? If age is less than one year, record 00. If 95 years and above, record 95. _ _

P7 Does [the respondent] have a birth certificate?

[] 1 Yes, long certificate
[] 2 Yes, short certificate
[] 3 No
[] 8 Don't know

P8 What is [the respondent's] ethnicity? If non Ugandan write code of country of citizenship. (Refer to code list P8) _ _ _

P9 What is [the respondent's] religion? (Refer to code list P9)

[] 10 No Religion
[] 11 Anglican
[] 12 Catholic
[] 13 Muslim
[] 14 Seventh-Day Adventist
[] 15 Orthodox
[] 16 Pentecostal/Born Again/Evangelical
[] 17 Baha'i
[] 18 Baptist
[] 19 Jews
[] 20 Presbyterian
[] 21 Mammon
[] 22 Hindus
[] 23 Buddhist
[] 24 Jehovah's Witness
[] 25 Salvation Army
[] 26 Traditional
[] 27 Others

P10 Is [the respondent's] biological mother alive?

[] 1 Yes
[] 2 No
[] 8 Don't know

P11 Is [the respondent's] biological father alive?

[] 1 Yes
[] 2 No
[] 8 Don't know

P12 In which District was [the respondent] living before moving to this District? If the person was living outside Uganda, write code of country of previous residence. (Refer to code list P12) _ _ _

P13 How many years has [the respondent] lived in this District continuously? For less than one year, record 00. For visitors, record 97 for "N/A". _ _

For persons aged 2 years and above

P14 Does [the respondent] have difficulty seeing even if he/she is wearing glasses? (Refer to code list P14-P17)

[] 1 No - no difficulty
[] 2 Yes - some difficulty
[] 3 Yes - a lot of difficulty
[] 4 Cannot do at all
[] 7 Not applicable
[] 8 Don't know

P15 Does [the respondent] have difficulty hearing even if he/she is using a hearing aid? (Refer to code list P14-P17)

[] 1 No - no difficulty
[] 2 Yes - some difficulty
[] 3 Yes - a lot of difficulty
[] 4 Cannot do at all
[] 7 Not applicable
[] 8 Don't know

P16 Does [the respondent] have difficulty walking or climbing steps? (Refer to code list P14-P17)

[] 1 No - no difficulty
[] 2 Yes - some difficulty
[] 3 Yes - a lot of difficulty
[] 4 Cannot do at all
[] 7 Not applicable
[] 8 Don't know

P17 Does [the respondent] have difficulty in remembering or concentrating? (Refer to code list P14-P17)

[] 1 No - no difficulty
[] 2 Yes - some difficulty
[] 3 Yes - a lot of difficulty
[] 4 Cannot do at all
[] 7 Not applicable
[] 8 Don't know

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For persons aged 3 years and above

P18 Did [the respondent] attend school in 2014, left school or never been to school? (Refer to code list P18)

[] 1 Attending school in 2014
[] 2 Left school in 2014
[] 3 Left school before 2014
[] 4 Never been to school
[] 7 Not applicable

P19 What is the highest grade/class of formal education that [the respondent] completed? (Refer to code list P19)

[] 01 Never been to school
[] 02 Did not complete Pre-Primary
[] 03 Completed Pre-Primary
[] 04 In P1 but did not complete/attend Pre-Primary
[] 10 Did not complete P1
[] 11 P1
[] 12 P2
[] 13 P3
[] 14 P4
[] 15 P5
[] 16 P6
[] 17 P7
[] 21 J1-J3
[] 31 S1
[] 32 S2
[] 33 S3
[] 34 S4
[] 35 S5
[] 36 S6
[] 41 Professional Certificate
[] 42 Diploma
[] 43 First Degree
[] 44 Post Graduate Certificate
[] 45 Post Graduate Diploma
[] 46 Masters Degree
[] 47 PhD
[] 96 Other
[] 97 Not applicable

For persons aged 10 years and above

P20 What is [the respondent's] field of specialization? (If no specialization, write 97) ____
_ _

P21 Can [the respondent] read and write a sentence meaningfully in any language?

[] 1 Read and write
[] 2 Read only
[] 3 Write only
[] 4 No
[] 7 N/A
[] 8 Don't know

P22 What was [the respondent's] main activity status in the last 7 days? (Refer to code list P22)

[] 10 Working for pay
[] 11 Employer
[] 12 Own account worker
[] 13 Helping without pay in household business
[] 14 Volunteer
[] 15 An apprentice (not paid)
[] 16 Looking for work
[] 17 Not working and not looking for work
[] 18 Household chores
[] 19 Full time student
[] 20 Retired/Pensioner
[] 21 Too old to work
[] 22 Too young to work
[] 96 Other
[] 97 Not applicable

P23 What was [the respondent's] main type of work (occupation) during the last 7 days? (Describe in not less than two words) ____
_ _

P24 Does [the respondent] own a mobile phone? If yes, write number of phones (handsets) owned. If none, write 0. If 6+, write 6. 7 = Not applicable (N/A.) _

P25 Does [the respondent] use internet?

[] 1 Yes
[] 2 No
[] 7 Not applicable
[] 8 Don't know

P26 What is [the respondent's] current marital status? (Refer to code list P26)

[] 1 Never married
[] 2 Currently married/cohabiting (Monogamous)
[] 3 Currently married/cohabiting (Polygamous)
[] 4 Widowed
[] 5 Separated
[] 6 Divorced
[] 7 Not applicable
[] 8 Don't know

For females (12-54 years) only

P27 How many children has [the respondent] ever borne alive? Of the total children ever borne, how many are boys and how many are girls? If the woman has never given birth, record 00 in the boxes below. 97 = N/A.

_ _ Total
_ _ Boys
_ _ Girls

P28 Of the total children ever borne, how many are alive? Among these children, how many are boys and how many are girls? If the woman has never given birth, record 00 in the boxes below. 97 = N/A.

_ _ Total
_ _ Boys
_ _ Girls

P29 Of the total children ever borne, how many are dead? Among these children, how many are boys and how many are girls? If the woman has never given birth, record 00 in the boxes below. 97 = N/A.

_ _ Total
_ _ Boys
_ _ Girls

P30 When did [the respondent] have her last live birth? If N/A, write 97 for month, 9997 for year. If "don't know" write 98 for month, 9998 for year. _ _/_ _ _ _

P31 What is the sex of the last live birth?

[] 1 Male
[] 2 Female
[] 7 Not applicable

P32 What is the survival status of the last live birth?

[] 1 Alive
[] 2 Dead
[] 7 Not applicable
[] 8 Don't know

P33 If the last child is dead, write age at death in completed months. If 60+ months, record 60. Write 97 if not applicable. _ _

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Section 2: Housing conditions

H1 What is the occupancy tenure of the dwelling unit?

[] 10 Owner occupied
[] 11 Free public
[] 12 Free private
[] 13 Subsidized public
[] 14 Subsidized private
[] 15 Rented public
[] 16 Rented private
[] 96 Other

H2 What type of dwelling unit does this household occupy?

[] 10 Detached house (single or multi-storey)
[] 11 Semi-detached house
[] 12 Flat in a black of flats
[] 13 Room or rooms of a main house
[] 14 Servants quarters
[] 15 Tenement (Muzigo)
[] 16 Garage
[] 17 Go down/Basement
[] 18 Store
[] 96 Other

H3 How many rooms were used on the census night for sleeping? If 9 or more were used, record 9. _

H4 Types of materials mainly used for construction of the roof

[] 10 Iron sheets
[] 11 Tiles
[] 12 Asbestos
[] 13 Concrete
[] 14 Tins
[] 15 Thatch
[] 96 Other

H5 Types of materials mainly used for construction of the wall

[] 10 Concrete/stones
[] 11 Cement blocks
[] 12 Burnt/stabilized bricks
[] 13 Unburnt bricks with cement
[] 14 Unburnt bricks with mud
[] 15 Wood
[] 16 Mud and pole
[] 17 Tin/iron sheets
[] 96 Other

H6 Types of materials mainly used for the floor

[] 10 Earth
[] 11 Rammed earth
[] 12 Cement screed
[] 13 Concrete
[] 14 Tiles
[] 15 Brick
[] 16 Stone
[] 17 Wood
[] 96 Other

Section 3: Community services

What is the distance from home to the nearest ____ on foot, irrespective of whether you use the service or not (Record distance in kms. If distance is given in miles, refer to code list H7-H13.)

_ _ . _H7 Public health facility

_ _ . _H8 Private health facility

_ _ . _H9 Public primary school

_ _ . _H10 Private primary school

_ _ . _H11 Public secondary school

_ _ . _H12 Private secondary school

_ _ . _H13 Police station/police post
Section 4: Household characteristics

H14 What source of energy does this household mainly use for lighting?

[] 10 Electricity - national grid (Umeme)
[] 11 Electricity - solar
[] 12 Electricity - personal generator
[] 13 Electricity - community/thermal plant
[] 14 Gas
[] 15 Liquified Petroleum Gas (LPG)
[] 16 Biogas
[] 17 Paraffin - lantern
[] 18 Paraffin - Ttadooba
[] 19 Candles
[] 20 Firewood
[] 21 Cow dung
[] 22 Grass (reeds)
[] 96 Other

H15 What source of energy does this household mainly use for cooking?

[] 10 Electricity - national grid (Umeme)
[] 11 Electricity - solar
[] 12 Electricity - personal generator
[] 13 Electricity - community/thermal plant
[] 14 Gas
[] 15 Liquefied Petroleum Gas (LPG)
[] 16 Biogas
[] 17 Paraffin - stove
[] 18 Charcoal
[] 19 Firewood
[] 20 Cow dung
[] 21 Grass (reeds)
[] 96 Other

H16 What is the household's main source of water for drinking?

[] 10 Piped water into dwelling
[] 11 Piped water to the yard
[] 12 Public taps
[] 13 Borehole in yard/plot
[] 14 Public borehole
[] 15 Protected well/spring
[] 16 Unprotected well/spring
[] 17 River/stream/lake
[] 18 Vendor
[] 19 Tanker truck
[] 20 Gravity flow scheme
[] 21 Rain water
[] 22 Bottled water
[] 96 Other

H17 What is the distance to this source of water? (Record distance in kms. If distance is given in miles, refer to code list H17. If water source is on premises, record 0.0.) _

H18 What type of toilet facility does this household mainly use?

[] 10 Flush toilet
[] 11 VIP latrine
[] 12 Covered pit latrine with a slab
[] 13 Covered pit latrine without a slab
[] 14 Uncovered pit latrine with a slab
[] 15 Uncovered pit latrine without a slab
[] 16 Ecosan (compost toilet)
[] 17 No facility, bush, polythene bags, bucket, etc
[] 96 Other

H19 Does the household share this toilet facility with other households?

[] 1 Yes
[] 2 No
[] 7 Not applicable (For "no facility, bush, Polythene bags, bucket, etc)

H20 What is the most commonly use method of solid waste disposal from the household?

[] 10 Occupants dispose solid waste in the garden, and do not burn or bury it
[] 11 Occupants burn solid waste
[] 12 Occupants bury solid waste
[] 13 Occupants dispose solid waste in a local dump supervised by urban authorities
[] 14 Occupants dispose solid waste in a local dump not supervised by urban authorities
[] 15 Solid waste collected by waste vendor
[] 16 Occupants dispose solid waste into river/sea/stream/pond
[] 96 Other arrangements

H21 What type of bathroom does this household mainly use?

[] 10 Inside, drainage provided
[] 11 Inside, no drainage provided
[] 12 Outside built, drainage provided
[] 13 Outside built, no drainage provided
[] 14 Make shift
[] 15 None
[] 96 Other

H22 What type of kitchen does this household mainly use?

[] 10 Inside, specific room
[] 11 Inside, no specific room
[] 12 Outside, built
[] 13 Make shift
[] 14 Open space

Household assets
H23 Does any member of this household own each of the following? (If yes, record the number. If 9 or more, write 9. If none, record 0.)

_ A Motor vehicle
_ B Motorcycle
_ C Bicycle
_ D Wheelchair
_ E Canoe/boat
_ F Donkey
_ G Television
_ H Radio
_ I Fixed phone
_ J Computer/laptop
_ K Generator

Information
H24 What is the household's main source of information?

[] 10 Radio
[] 11 Word of mouth
[] 12 Telephone
[] 13 Print media
[] 14 Post mail
[] 15 Hand mail
[] 16 Television
[] 17 Community meetings
[] 18 Internet
[] 19 Community announcer
[] 96 Other

Postal services
H25 Did any member of this household send/receive a letter/parcel by postal services during the last 12 months?

[] 1 Yes, once
[] 2 Yes, twice
[] 3 Yes, thrice
[] 4 Yes, 4 times and above
[] 5 No
[] 8 Don't know

Mosquito nets

H26 Does this household have any mosquito nets?

[] 1 Yes
[] 2 No

H27 If yes in H26, were the mosquito nets given free or were they bought? Record the appropriate code in the boxes below.

A Given free by government
[] 1 Yes
[] 2 No
[] 7 NA
[] 8 Don't Know

B Given free by NGO
[] 1 Yes
[] 2 No
[] 7 Not applicable
[] 8 Don't Know

C Given free by friend/relative
[] 1 Yes
[] 2 No
[] 7 Not applicable
[] 8 Don't Know

D Bought
[] 1 Yes
[] 2 No
[] 7 Not applicable
[] 8 Don't Know

Source of livelihood

H28 What was the main source of the household's livelihood in the last 12 months?

[] 10 Subsistence farming
[] 11 Commercial farming
[] 12 Employment income
[] 13 Business enterprise
[] 14 Cottage industry
[] 15 Property income
[] 16 Family/Friends/Relatives
[] 17 Institutional or program support (e.g. Red Cross, WFP, etc)
[] 18 Sale of assets
[] 96 Other

H29 Did the household receive any money or physical items from any relative/family member/friend abroad during the last 12 months?

[] 1 Yes, both goods and money
[] 2 Yes, money only
[] 3 Yes, goods only
[] 4 No
[] 8 Don't know

Remittances

H30 If yes in H29, in which countries do the relatives/family members/friends reside?

A Australia
[] 1 Yes
[] 2 No
[] 7 Not applicable

B Canada
[] 1 Yes
[] 2 No
[] 7 Not applicable

C France
[] 1 Yes
[] 2 No
[] 7 Not applicable

D Germany
[] 1 Yes
[] 2 No
[] 7 Not applicable

E India
[] 1 Yes
[] 2 No
[] 7 Not applicable

F Japan
[] 1 Yes
[] 2 No
[] 7 Not applicable

G Kenya
[] 1 Yes
[] 2 No
[] 7 Not applicable

H Libya
[] 1 Yes
[] 2 No
[] 7 Not applicable

I Saudi Arabia
[] 1 Yes
[] 2 No
[] 7 Not applicable

J South Africa
[] 1 Yes
[] 2 No
[] 7 Not applicable

K U.K.
[] 1 Yes
[] 2 No
[] 7 Not applicable

L U.S.A.
[] 1 Yes
[] 2 No
[] 7 Not applicable

M Sweden
[] 1 Yes
[] 2 No
[] 7 Not applicable

N United Arab Emirates
[] 1 Yes
[] 2 No
[] 7 Not applicable

O Yemen
[] 1 Yes
[] 2 No
[] 7 Not applicable

P South Sudan
[] 1 Yes
[] 2 No
[] 7 Not applicable

X Other country
[] 1 Yes
[] 2 No
[] 7 Not applicable

Y Don't know country of origin
[] 1 Yes
[] 2 No
[] 7 Not applicable

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H31 Does any member in this household have a functional account in the bank or any other financial institution (active in last 12 months)?

[] 1 Yes, have an account in the bank
[] 2 Yes, have an account in another financial institution
[] 3 Yes, have both in a bank and another financial institution
[] 4 No
[] 8 Don't know

H32 How many meals do household members aged 5 years and above usually eat on average per day? (Record the number of meals in the box provided) _

H33 Does every member in this household use soap to bathe?

[] 1 Yes
[] 2 No
[] 8 Don't know

H34 Did every member in this household take sugar (at least once a day) during the last week?

[] 1 Yes
[] 2 No
[] 8 Don't know

H35 Do you have salt in the house now?

[] 1 Yes
[] 2 No
[] 8 Don't know

H36 Does every member in this household have at least two sets of clothing?

[] 1 Yes
[] 2 No
[] 8 Don't know

H37 Does every member in this household have at least one pair of shoes (with exception of children aged one year or less)?

[] 1 Yes
[] 2 No
[] 8 Don't know

H38 Does every child in this household (i.e. all those under 18 years) have a separate blanket?

[] 1 Yes
[] 2 No
[] 7 Not applicable

H39 Is any member of the household involved in any household-based enterprise?

[] 1 Yes
[] 2 No

H40 What is the nature of the enterprise? (If the household has more than one enterprise, record the one considered by the family as the most important)

[] 10 Agriculture
[] 11 Trade
[] 12 Food processing
[] 13 Other manufacturing
[] 14 Services
[] 15 Hotels and restaurant
[] 16 Mining and quarrying
[] 96 Other
[] 97 No enterprise

Section 5: Agricultural module

A1 Does this household currently undertake any of the following agricultural activities?

I. Exotic/Cross breed cattle
[] 1 Yes, within EA
[] 2 Yes, outside EA but within District
[] 3 No

II. Local cattle rearing
[] 1 Yes, within EA
[] 2 Yes, outside EA but within District
[] 3 No

III. Goat rearing
[] 1 Yes, within EA
[] 2 Yes, outside EA but within District
[] 3 No

IV. Sheep rearing
[] 1 Yes, within EA
[] 2 Yes, outside EA but within District
[] 3 No

V. Piggery (pig rearing)
[] 1 Yes, within EA
[] 2 Yes, outside EA but within District
[] 3 No

VI. Poultry/bird keeping
[] 1 Yes, within EA
[] 2 Yes, outside EA but within District
[] 3 No

VII. Rabbit rearing
[] 1Yes, within EA
[] 2 Yes, outside EA but within District
[] 3 No

VIII. Apiculture (bee keeping)
[] Yes, within EA
[] 2 Yes, outside EA but within District
[] 3 No

IX. Aquaculture (fish farming)
[] Yes, within EA
[] 2 Yes, outside EA but within District
[] 3 No

X. Presence of forest/wooded land
[] Yes, within EA
[] 2 Yes, outside EA but within District
[] 3 No

XI. Crop growing
[] 1 Yes, within EA
[] 2 Yes, outside EA but within District
[] 3 No

A2 If yes in A1, how many does this household own?

_ _ _ _ _ I. Exotic/Cross breed cattle
_ _ _ _ _ II. Local cattle rearing
_ _ _ _ _ III. Goat rearing
_ _ _ _ _ IV. Sheep rearing
_ _ _ _ _ V. Piggery (pig rearing)
_ _ _ _ _ VI. Poultry/Birds keeping
_ _ _ _ _ VII. Rabbit rearing
_ _ _ _ _ VIII. Apiculture (bee keeping)
_ _ _ _ _ IX. Aquaculture (fish farming)
_ _ _ _ _ X. Presence of forest/wooded land
_ _ _ _ _ XI. Crop growing

A3 If yes in A1, what is the main purpose of production?

I. Exotic/Cross breed cattle
[] 1 Home consumption
[] 2 Sale
[] 7 Not applicable

II. Local cattle rearing
[] 1 Home consumption
[] 2 Sale
[] 7 Not applicable

III. Goat rearing
[] 1 Home consumption
[] 2 Sale
[] 7 Not applicable

IV. Sheep rearing
[] 1 Home consumption
[] 2 Sale
[] 7 Not applicable

V. Piggery (pig rearing)
[] 1 Home consumption
[] 2 Sale
[] 7 Not applicable

VI. Poultry/Birds keeping
[] 1 Home consumption
[] 2 Sale
[] 7 Not applicable

VII. Rabbit rearing
[] 1 Home consumption
[] 2 Sale
[] 7 Not applicable

VIII. Apiculture (bee keeping)
[] 1 Home consumption
[] 2 Sale
[] 7 Not applicable

IX. Aquaculture (fish farming)
[] 1 Home consumption
[] 2 Sale
[] 7 Not applicable

X. Presence of forest/wooded land
[] 1 Home consumption
[] 2 Sale
[] 7 Not applicable

XI. Crop growing
[] 1 Home consumption
[] 2 Sale
[] 7 Not applicable

A4 List the crops grown on the holding in order of importance

Crop name ____
Crop code (Refer to crop code table. If no crop grown, write 97) _ _

[If there is any "yes" in A1, ask question A5, otherwise write 97 in question A5]

A5 Which of the household members is the lead holder? (Record the person number of holder from P0. If not listed, record 00.) _ _

A6 Does the holding carry out any type of irrigation?

[] 1 Yes
[] 2 No
[] 7 Not applicable

A7 Does this household own agricultural land?

[] 1 Yes
[] 2 No

Section 6: Deaths in the household in the last 12 months

D1 Did any deaths occur in this household in the last 12 months? I mean from September 2013 up to December 2013. What about from 1st January 2014 to 27th August 2014?

[] 1 Yes
[] 2 No
[] 8 Don't know

D2 What was the name of the deceased? If no death in D1, write "Not applicable" and end interview. ____

D3 What was the sex of [the respondent]?

[] 1 Male
[] 2 Female
[] 7 Not applicable

D4 How old was [the respondent] at the time of death (in completed years)? If age is less than one year, write 00. _ _

D5 What was the cause of [the respondent's] death?

[] 1 Disease
[] 2 Accident
[] 3 Violence
[] 4 Witchcraft
[] 6 Others
[] 7 Not applicable
[] 8 Don't know

D6-D8 for females who died aged 12-54 years

D6 Was [the respondent] pregnant at the time of her death?

[] 1 Yes
[] 2 No
[] 7 Not applicable
[] 8 Don't know

D7 Did [the respondent] die while giving birth?

[] 1 Yes
[] 2 No
[] 7 Not applicable
[] 8 Don't know

D8 Did [the respondent] die within 6 weeks after delivery?

[] 1 Yes
[] 2 No
[] 7 Not applicable
[] 8 Don't know

[The tables of district of previous residence (including regions) for P12 and distance conversion for H7-13 and H17 were omitted (page 8).]