Questionnaire Text

Questionnaire form view entire document:  text  image

For women aged twelve (12) to fifty four (54) years


Last birth

P27 When did name bear her last child? (Record month and year) month ___ year ___

P28 What is the sex of the last child? (Write code: Male=1, Female=2) ___

P29 Is the last child still alive? (Write code: Yes=1, No=2) ___

P30 If dead, write age at death in complete months? (If age is more than 59 months, write 60) ___

Questionnaire instructions view entire document:  text  image

Child Birth History
170. Questions P23 to P30, apply to All Women Aged 12 - 54 Years.
171. An answer is required of all women in this age category irrespective of whether or not they are married, whether or not they are still attending school, and whether or not they may have produced children.
172. If the person is male or is a girl aged 0-11 years, or a woman aged 55 years or more write "N/A" for Question P23 and leave the rest of the column blank.
173. We are concerned with the number of children a woman has borne alive. A child born alive is one who cries after being born, breathes or shows any evidence of life such as beating of the heart, pulsation of the umbilical cord or definite movement of voluntary muscles. Do not include stillbirths - that is children who are delivered when they were already dead.
174. Remember to use a two-digit code for all the questions in this section except P28 and P29 which require a one-digit code.
175. It is important that you speak to the woman herself. Some women may not be willing to give information about the exact numbers of children they have produced, if they know that some of them do not belong to their current husband and they are living somewhere else. The female herself will know about the children she has borne and will be able to answer the question more accurately than anyone else.
176. Ask questions P23 - P26 separately for male and female children.


Question P30: Age at Death of last born Child
If dead ask, "What was the age at death?
190. If the last-born child of the woman is not alive, ask for the age at death in months of the child. Record the age in months using a two-digit code. For Instance if the child passed away when he or she was aged 4 months, record 04.
191. If the age at death is more than 59 months, record 60.