Zambia Demographic and Health Survey 2001-2002 - Measure DHS

LAST BIRTHNEXT-TO-LAST BIRTH474B CHECK 474:CHLOROQUINE?NAMECODE “A" CODE “A"CIRCLED NOT CIRCLED(CHLOROQUINE)+)), +)),/))- /))-* ?? (SKIP TO 474F)NAMECODE “A" CODE “A"CIRCLED NOT CIRCLED(CHLOROQUINE)+)), +)),/))- /))-* ?? (SKIP TO 474F)474CHow long after the(fever/convulsions/fits) started did(NAME) first take Chloroquine?SAME DAY .................. 0NEXT DAY .................. 1TWO DAYS AFTER THE FEVER . 2THREE OR MORE DAYSAFTER THE FEVER .......... 3DON’T KNOW ................ 8SAME DAY .................. 0NEXT DAY .................. 1TWO DAYS AFTER THE FEVER . 2THREE OR MORE DAYSFTER THE FEVER ........... 3DON’T KNOW ................ 8474DFor how many days did (NAME) takethe Chloroquine?IF 7 OR MORE DAYS, RECORD ‘7'.+)))),DAYS ..................*!!!!*.))))-DON’T KNOW ............... 8+)))),DAYS ..................*!!!!*.))))-DON’T KNOW ............... 8474EDid you have the chloroquine at homeor you got it from somewhere else?AT HOME ................... 1OTHER SOURCE .............. 2DON’T KNOW ................ 8AT HOME ................... 1OTHER SOURCE .............. 2DON’T KNOW ................ 8474F CHECK 474:FANSIDAR?CODE “B" CODE “B"CIRCLED NOT CIRCLED(FANSIDAR)+)), +)),/))- /))-* ?? (SKIP TO 474J)CODE “B" CODE “B"CIRCLED NOT CIRCLED(FANSIDAR)+)), +)),/))- /))-* ?? (SKIP TO 474J)474GHow long after the(fever/convulsions/fits) started did(NAME) first take Fansidar?SAME DAY .................. 0NEXT DAY .................. 1TWO DAYS AFTER THE FEVER . 2THREE OR MORE DAYSAFTER THE FEVER .......... 3DON’T KNOW ................ 8SAME DAY .................. 0NEXT DAY .................. 1TWO DAYS AFTER THE FEVER . 2THREE OR MORE DAYSAFTER THE FEVER .......... 3DON’T KNOW ................ 8474HFor how many days did (NAME) takeFansidar?IF 7 OR MORE DAYS, RECORD ‘7'.+)))),DAYS ..................*!!!!*.))))-DON’T KNOW ............... 8+)))),DAYS ..................*!!!!*.))))-DON’T KNOW ............... 8474IDid you have the Fansidar at home oryou got it from somewhere else?AT HOME ................... 1OTHER SOURCE .............. 2AT HOME ................... 1OTHER SOURCE .............. 2IF MORE THAN ONE SOURCEMENTIONED, ASK WHERE DID YOU GETTHE FANSIDAR FIRST.DON’T KNOW ................ 8DON’T KNOW ................ 8474J CHECK 474:QUININE?CODE “C" CODE “C"CIRCLED NOT CIRCLED(QUININE)+)), +)),/))- /))-* ?? (SKIP TO 474N)CODE “C" CODE “C"CIRCLED NOT CIRCLED(QUININE)+)), +)),/))- /))-* ?? (SKIP TO 474N)27