Household Information
[11] Were there any deaths occurred during the last 12 months in your household?
[] 1 Yes
Number: ____
[] 2 No [If no, go to number 13]
Household information
Question 11: Was there any death of members in the family in last 12 months?
[] 1 Yes
[] 2 No [go to question 13]
As the family that whether there was death (by any reason) of any family members in the past 365 days from the date of enumeration. If "Yes", then circle the reference 1 "Yes" and specify the total number of death. Then go the question number 12, and ask the details of the dead persons. If there was not death of family members, circle the reference 2 "No" and jump to the question number 13, without asking question number 12.
- Such death of family members could be in home or hospital or in other places and due to disease, illness, accident, disaster or other reason.
- If any newborn dies after a short or very short period of their birth, such case should be considered as a death of family members and necessary information should be taken of that child.
- Similarly, women of fertility age, pregnant, or new mothers could die due to different reason - such as unable to deliver, without proper care during the new mother period, or tetanus after the birth of a child, or other pregnancy reason while the child is inside the womb. But, if there is a stillbirth, then in such situation no information should be taken about the death of such child.
If there is death of family members of any age in the last one year, circle the reference 1 "yes" and go to the question 12. Ask the number of deaths in the family and write the information separately of all the dead persons.