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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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LAST BIRTH NEXT-TO-LAST BIRTH SECOND-FROM-LAST BIRTHNO. QUESTIONS AND FILTERS NAME ________________ NAME ________________ NAME _________________326 Is (NAME) still sick with a fever? YES . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . 1NO . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . 2DON'T KNOW . . . 8 DON'T KNOW . . . 8 DON'T KNOW . . . 8327 At any time during the illness, did YES . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . 1 YES . . . . . . . . . . . . . . 1(NAME) take any drugs for the NO . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . 2 NO . . . . . . . . . . . . . . 2illness? (GO BACK TO 303 (GO BACK TO 303 (GO TO 303 ININ NEXT COLUMN; IN NEXT COLUMN; NEXT-TO-LASTOR, IF NO MORE OR, IF NO MORE COLUMN OF NEWBIRTHS, GO TO 401) BIRTHS, GO TO 401) QUESTIONNAIRE;DON'T KNOW . . . . . 8 DON'T KNOW . . . . . 8 OR, IF NO MOREBIRTHS, GO TO 401)DON'T KNOW . . . . . 8328 What drugs did (NAME) take? ANTIMALARIAL DRUGS ANTIMALARIAL DRUGS ANTIMALARIAL DRUGSSP/FANSIDAR . . . A SP/FANSIDAR . . . A SP/FANSIDAR . . . ACHLOROQUINE . B CHLOROQUINE . B CHLOROQUINE . BAny other drugs? AMODIAQUINE . C AMODIAQUINE . C AMODIAQUINE . CQUININE . . . . . . . . D QUININE . . . . . . . . D QUININE . . . . . . . . DRECORD ALL MENTIONED. ALU, COARTEM E ALU, COARTEM E ALU, COARTEM EOTHER ANTI- OTHER ANTI- OTHER ANTI-MALARIAL MALARIAL MALARIALF F F(SPECIFY) (SPECIFY) (SPECIFY)ANTIBIOTIC DRUGS ANTIBIOTIC DRUGS ANTIBIOTIC DRUGSPILL/SYRUP . . . G PILL/SYRUP . . . G PILL/SYRUP . . . GINJECTION . . . H INJECTION . . . H INJECTION . . . HOTHER DRUGS OTHER DRUGS OTHER DRUGSASPIRIN . . . . . . . . I ASPIRIN . . . . . . . . I ASPIRIN . . . . . . . . IPANADOL, PARA- PANADOL, PARA- PANADOL, PARA-CETAMOL . . . J CETAMOL . . . J CETAMOL . . . JIBUPROFEN . . . K IBUPROFEN . . . K IBUPROFEN . . . KOTHER X OTHER X OTHER X(SPECIFY) (SPECIFY) (SPECIFY)DON'T KNOW . . . . . Z DON'T KNOW . . . . . Z DON'T KNOW . . . . . Z329 CHECK 328: YES NO YES NO YES NOANY CODE A-F CIRCLED?(GO BACK TO 303 (GO BACK TO 303 (GO TO 303 IN NEXT-IN NEXT COLUMN; IN NEXT COLUMN; TO-LAST COLUMN OFOR, IF NO MORE OR, IF NO MORE NEW QUESTIONNAIRE;BIRTHS, GO TO 401) BIRTHS, GO TO 401) OR, IF NO MOREBIRTHS, GO TO 401)330 Did you already have (NAME OF ANTIMALARIAL DRUGS ANTIMALARIAL DRUGS ANTIMALARIAL DRUGSDRUG FROM 328) at home when SP/FANSIDAR . . . A SP/FANSIDAR . . . A SP/FANSIDAR . . . Athe child became ill? CHLOROQUINE . B CHLOROQUINE . B CHLOROQUINE . BAMODIAQUINE . C AMODIAQUINE . C AMODIAQUINE . CASK SEPARATELY FOR EACH QUININE . . . . . . . . D QUININE . . . . . . . . D QUININE . . . . . . . . DOF THE DRUGS 'A' THROUGH ALU, COARTEM . E ALU, COARTEM . E ALU, COARTEM . E'F' THE CHILD IS RECORDEDAS HAVING TAKEN IN 328. OTHER ANTI- OTHER ANTI- OTHER ANTI-MALARIAL . . . F MALARIAL . . . F MALARIAL . . . FIF YES FOR ANY DRUG, CIRCLECODE FOR THAT DRUG.IF NO FOR ALL, CIRCLE 'Y'. NO DRUG AT HOME . Y NO DRUG AT HOME . Y NO DRUG AT HOME . YAppendix D |255

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