BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...
BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ... BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...
APPENDIX 1 STANDARD FORM OF QUESTIONNAIRE FOR DEATHS OF THE INTER-AMERICAN INVESTIGATION OF MORTALITY IN CHILDHOOD
362 Patternsof Mortality in Childhood INTERoAMERICAN INVESTIGATION OF MORTALITY IN CHILDHOOD Confidential Death -page I 1. Name of child 2. Serial no. 3. Date of 4. Date of 5. Sex T6. Age at birth death death -yrs. -mos. -days-hre. 7. Address Sector or division HOUSING 8. Neighbor, 9. Type of 10.Number of l.Water: Pipect water Other IiTollet: Flush Other None hood - housing - rooms _ Inside r3Outside " 0 03E 0 13 13. HOUSEHOLD ROSTER Education Length of residence Relation Date of A Ind. Nam Nad. toAe Date of e Maria Total Last In Last 5 years head birth* sttus years..TypeTYear, rnity Urban Rural z 3 4 5 6 9 10 Zl *Enter date of birth for children under 6 years. 14. OCCUPATION In.Currently Time in Ind. Name eply Occupation Kind of business no. employed occupation 15. DEATHS IN HOUSEHOLD IN PAST YEAR Name of deceased Age Sex Date Home Hosp. Name of hospital Other 16. PREGNANCY HISTORY OF MOTHER O)rder Date Live births pregnancy Abortion? Stillbirth? aend Name of child Sex Living now? Age at death I 2 3 4 5 6 7 -8 9 to 17. Preanant now? Yes 0' No E3I Unknown 0] 19. Source of Ind information: Name. no. 18. Rn~marks: Date Interviewer
- Page 329 and 330: 310 Patterns of Mortalityin Childho
- Page 331 and 332: 312 Patternsof Mortality in Childho
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- Page 335 and 336: 310' Pattern8 of Mortality in Child
- Page 337 and 338: 318 Pattern8.ofMortalityin Childhoo
- Page 339 and 340: 320 PatterisoflMortality in Childho
- Page 341 and 342: 322 Potterne of Mortality,in Childh
- Page 343 and 344: 324 Pattems of Mortality in Childho
- Page 345 and 346: 326 Patternsof Mortality in Childho
- Page 347 and 348: 328 . Pattern ofMortality in Childh
- Page 349 and 350: 330 Pattern of, Mortality in Childh
- Page 351 and 352: 332 Patternsof Mortality,in Childho
- Page 353 and 354: 334 Patterna of Moitalityin Childho
- Page 355 and 356: 33V_ Patternm.ofMortality iMChildho
- Page 357 and 358: 138, .Patter8 of Mortality in Child
- Page 359 and 360: 340, Patternsof Mortalityin Childho
- Page 361 and 362: 3421. Patterp of.MortalityImnuntano
- Page 363 and 364: 344 Pattern of.Mortality in Childho
- Page 365 and 366: 346 Patternsof Mortalityin Childhoo
- Page 367 and 368: 348 Patterna,Oe4MortalityinChildhoo
- Page 369 and 370: 350 Patternaof Mortalityin Childhoo
- Page 371 and 372: 352 Paternsof Mortalityin Childhood
- Page 373 and 374: 354 . patteens of Mortality*in Chil
- Page 375 and 376: 356' Pattirn 'ofMortality in Childh
- Page 377 and 378: APPENDICES
- Page 382 and 383: Appendix 1 363 Confidential INTER-A
- Page 384 and 385: Appendix 1 365 INTER-AMERICAN INVES
- Page 386 and 387: o- ~-: ' 4vApendix'1 367 Confidenti
- Page 388 and 389: Appendiz 1 369 Confidential INTER-A
- Page 390 and 391: APPENDIX 2 UNDERLYING AND ASSOCIATE
- Page 392 and 393: Appendix 2 373 DEATH RATES Chaco Pr
- Page 394 and 395: Appendix 2 375 DEATH RATES Resisten
- Page 396 and 397: Appendix 8 377 DEATH RATES Rural De
- Page 398 and 399: DEATH RATES San Juan Province-ARGEN
- Page 400 and 401: Appendii 2 381 DEATH RATES City of
- Page 402 and 403: 4ppendiz2 383 DEATH RATES Suburban
- Page 404 and 405: Appendiz 2 385 DEATH RATES Rural De
- Page 406 and 407: ppendix 2 087 DEATH-RATES La Paz-BO
- Page 408 and 409: Appendix 8 389 DEATH RATES Viacha-B
- Page 410 and 411: Appendix 2 391 DEATH RATES Recife-B
- Page 412 and 413: Appendix 9 393 DEATH RATES City of
- Page 414 and 415: dppendix 8 395 DEATH RATES Franca,
- Page 416 and 417: Appendix'$ :397 DEATH RATES Ribeiri
- Page 418 and 419: Appendix B 399 Cause DEATH RATES S
- Page 420 and 421: Appendix . 401 DEATH RATES Sherbroo
- Page 422 and 423: Appendiz 8 403 DEATH RATES Santiago
- Page 424 and 425: Appendix 9 405 nfective and parasit
- Page 426 and 427: Appendiz 2 407 DEATH RATES Cali-COL
- Page 428 and 429: Appendix 2 409 DEATH RATES Cartagen
APPENDIX 1<br />
STANDARD FORM OF QUESTIONNAIRE FOR DEATHS<br />
OF THE INTER-AMERICAN INVESTIGATION OF MORTALITY IN CHILDHOOD
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