Questionnaire Text

Questionnaire form view entire document: text image

For women age 14 or older
[Questions 19-25 were asked of women age 14 or older]

23. Is the woman's last live-born child still alive?

[] 1 Alive
[] 2 Deceased

Questionnaire instructions view entire document: text image

Questions only for women who are age 14 or older
This series of questions will only be asked of women age 14 or older. For the case of all of the females younger than 14 and all males of any age, you will annul the questions from 19 to 25 by making a diagonal line through each of the boxes.

Question 23: Is the woman's last live-born child still alive?
This question refers to the child who was born alive and who is currently alive or died after being born, even if the child only lived for seconds, minutes, or hours, or if the child died after a few days, weeks, months, or years of life. There are two alternative answers, which are alive or deceased.

Notes:
a) Remember the definition that is given for live-born children in question number 19.
b) The informant should understand clearly that this question is only for the last child who was born alive and that is referred to with question number 22.