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]

24. If the woman's last child was born in the last five years, was a birth certificate obtained from MINSA?

[] 1 Yes
[] 2 No

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 24: If the woman's last child was born in the last five years, was a birth certificate obtained from MINSA?
You should only note "Yes" if MINSA provided a certificate at the moment of birth of the person's last live-born child.

If the informant or you are not clear to which child this refers to, verify this with question 22 in which you note the date of birth of the last son or daughter who was born alive.