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Tanzania HIV/AIDS and Malaria Indicator Survey ... - Measure DHS

Tanzania HIV/AIDS and Malaria Indicator Survey ... - Measure DHS

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NO. QUESTIONS AND FILTERS CODING CATEGORIES SKIPNET # 4 NET # 5NET # 6124 ASK RESPONDENT TOSHOW YOU THE NET(S). OBSERVED . . . 1 OBSERVED . . . 1 OBSERVED . . . 1IF MORE THAN 3 NETS,USE ADDITIONAL NOT OBSERVED 2 NOT OBSERVED 2 NOT OBSERVED 2QUESTIONNAIRE(S).125 How many months ago did MONTHS MONTHS MONTHSyour household obtain the AGO AGO AGOmosquito net?37 OR MORE 37 OR MORE 37 OR MOREIF LESS THAN ONE MONTHS AGO 95 MONTHS AGO 95 MONTHS AGO 95MONTH, WRITE '00'.NOT SURE . . . . . 98 NOT SURE . . . . . 98 NOT SURE . . . . . 98126 Where did you get the SHOP . . . . . . . . . 01 SHOP . . . . . . . . . 01 SHOP . . . . . . . . . 01mosquito net from? MACHINGA . . . . . 02 MACHINGA . . . . . 02 MACHINGA . . . . . 02HEALTH FACILITY 03 HEALTH FACILITY 03 HEALTH FACILITY 03MARKET (SOKONI)04 MARKET (SOKONI)04 MARKET (SOKONI) 04OTHER . . . . . . . 05 OTHER . . . . . . . 05 OTHER . . . . . . . 05GIFT . . . . . . . . . 06 GIFT . . . . . . . . . 06 GIFT . . . . . . . . . 06DOES NOT KNOW 98 DOES NOT KNOW 98 DOES NOT KNOW 98126A Did you get the mosquito net YES . . . . . . . . . 1 YES . . . . . . . . . 1 YES . . . . . . . . . 1 \under the Hati Punguzoprogramme, that is a NO . . . . . . . . . 2 NO . . . . . . . . . 2 NO . . . . . . . . . 2subsidy for pregnant women<strong>and</strong> children under age five?127 OBSERVE OR ASK THE 'PERMANENT' NET 'PERMANENT' NET 'PERMANENT' NETBRAND OR TYPE OF OLYSET . . . . . 11 OLYSET . . . . . 11 OLYSET . . . . . 11MOSQUITO NET. OTHER/ OTHER/ OTHER/DK BRAND . . . . . 16 DK BRAND . . . . . 16 DK BRAND . . . . . 16(SKIP TO 131) (SKIP TO 131) (SKIP TO 131)'PRETREATED' NET 'PRETREATED' NET 'PRETREATED' NETONE PACKET . . . 21 ONE PACKET . . . 21 ONE PACKET . . . 21TWO PACKETS 22 TWO PACKETS 22 TWO PACKETS 22OTHER/ OTHER/ OTHER/DK BRAND . . . . . 26 DK BRAND . . . . . 26 DK BRAND . . . . . 26(SKIP TO 129) (SKIP TO 129) (SKIP TO 129)OTHER . . . . . . . . . 31 OTHER . . . . . . . . . 31 OTHER . . . . . . . . . 31DK TYPE/BRAND . 98 DK TYPE/BRAND . 98 DK TYPE/BRAND . 98128 When you got the net, YES . . . . . . . . . . . 1 YES . . . . . . . . . . . 1 YES . . . . . . . . . . . 1was it already treated NO . . . . . . . . . . . 2 NO . . . . . . . . . . . 2 NO . . . . . . . . . . . 2with an insecticide to NOT SURE . . . . . 8 NOT SURE . . . . . 8 NOT SURE . . . . . 8kill or repel mosquitos?129 Since you got the mosquito YES . . . . . . . . . . . 1 YES . . . . . . . . . . . 1 YES . . . . . . . . . . . 1net, was it ever soaked or NO . . . . . . . . . . . 2 NO . . . . . . . . . . . 2 NO . . . . . . . . . . . 2dipped in a liquid to repel (SKIP TO 131) (SKIP TO 131) (SKIP TO 131)mosquitos or bugs? NOT SURE . . . . . 8 NOT SURE . . . . . 8 NOT SURE . . . . . 8130 How many months ago was MONTHS MONTHS MONTHSthe net last soaked or dipped? AGO . . . AGO . . . AGO . . .IF LESS THAN 1 MONTH, 25 OR MORE 25 OR MORE 25 OR MORERECORD '00'. MONTHS AGO . . . 95 MONTHS AGO . . . 95 MONTHS AGO . . . 95NOT SURE . . . . . 98 NOT SURE . . . . . 98 NOT SURE . . . . . 98131 Did anyone sleep under YES . . . . . . . . . . . 1 YES . . . . . . . . . . . 1 YES . . . . . . . . . . . 1this mosquito net last night? NO . . . . . . . . . . . 2 NO . . . . . . . . . . . 2 NO . . . . . . . . . . . 2(SKIP TO 133) (SKIP TO 133) (SKIP TO 133)NOT SURE . . . . . 8 NOT SURE . . . . . 8 NOT SURE . . . . . 8132 Who slept under this mosquito NAME NAME NAMEnet last night?LINE LINE LINENUMBER NUMBER NUMBERRECORD THE PERSON'SNAME AND LINE NUMBER NAME NAME NAMEFROM THE HOUSEHOLDSCHEDULE LINE LINE LINENUMBER NUMBER NUMBER232 | Appendix D

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