Bangladesh 1993-1994 Demographic and Health ... - Measure DHS

SECTION 4A.PREGNANCY AND BREASTFEEDiNG402CHECK 215:ONE OR MORE BIRTHS SINCE I---1 NO BIRTHS r~BAISHAK 1397 (APRIL 1990)L~ SINCE BAISHAK 1397 ~ (SKIP TO 501)v ~ENTER THE LiNE NUMBER, NAME, AND SURVIVAL STATUS OF EACH BIRTH SINCE BAiSHAK 1397 OR APRIL 1990 IN THE TABLE.ASK THE OUESTIONB ABOUT ALL OF THESE BIRTHS. BEGIN WITH THE LAST BIRTH. (IF THERE ARE MORE THAN 3 BIRTHS,USE ADDITIONAL FORMS).Now ! would like to ask you some more questions about the health of art your children(We will talk about one child at a time.)born in the past 3 years.LINE NUMBERFRUM O. 212FROM O. 212NAMELAST BIRTRNEXT-TO-LAST BIRTHNAMESECORD-FROM'LAST BIRTHNAME403AND O. 216At the tilde you becadnepregnant with (RARE), didyou want to becomepregnant then, did youwant to wait untiL tateror did you want no (more)children at aLL?ALIVE E~ DEAD [~v I ~ l l l vTHEN ..................... 1LATER .................... 2NO MORE .................. 3ALIVE [~ DEAD E~THEN ..................... 1LATER .................... 2NO MORE .................. 3ALIVE [~ DEAD [~v ~ v ~THEN ..................... 1LATER .................... 2NO MORE .................. 3405 When you were pregnantwith (NAME), did you seeanyone for antenatal carefor this pregnancy?**IF YES, Which did you see?Anyone else?RECORD ALL PERSONS SEEN.HEALTH PROFESSIORALDOCTOR .................. AHEALTH PROFESSIONALDOCTOR .................. AHEALTH PROFESSIONALDOCTOR .................. ANURSE/NiDWI FE ........... B NURSE/MIDWIFE ........... B NURSE/MIDWIFE ........... BFAMILY WELFARE ViSITOR..COTHER PERSORTRAINED (TRADITIONAL)FAMILY WELFARE ViSiTOR..COTHER PERSONTRAINED (TRADiTiONAL)FAMILY WELFARE VIS|TOR.,COTHER PERSONTRAINED (TRADITIONAL)BIRTH ATTENDANT ........ D BIRTH ATTENDANT ........ D BIRTH ATTENDANT ........ DTRADITIONAL BIRTHATTENDANT .............. ETRADiTiONAL BIRTHATTENDANT .............. ETRADITIONAL BIRTHATTENDANT .............. EOTHERF OTHERF OTHERF(SPECIFY) (SPECIFY) (SPECIFY)NO ONE .................... ~ flO ONE .................... ~ flO ONE .................... G(SKIP TO 409)4 l (SKIP TO 409)I (SKIP TO 409)i°1didwere you when you firstMONTHS .............. MONTHS .............. MONTHS ...........saw so.one for an antenatalcheck on this pregnancy? DK ...................... 98 DK ...................... 98 DK ...............you have during NO. OF VISITS ....... NO. OF VISITS ....... NO. Of VISITS .......this pregnancy?DK ...................... 98 OK ...................... 98 OK ...................... 98 Jwith (NAME) were you given YES ...................... 1YES ...................... 1an injection in the arm***to prevent the baby from NO ....................... 2 NO ....................... 2] I NO ....................... 2getting tetanus, that is, (SKIP TO 411)4~ (SKIP TO 411)= | (SKIP TO 411)=convulsions after birth? DK ................... ,83 DE ........................ = DE ........................ m410 IDuring this pregnancy [] [~ ~]how many times did you get TIMES .................. TIMES .................. TIMES ..................this injection?DK ....................... 8 OK ....................... 8 DK ....................... 8 |411 Where did you givebirth to (NAME)?*HONEYOUR HOME .............. 11OTHER HOME ............. 12PUBLIC SECTORGVT. HOSPITAL .......... 21THANA HEALTH COMPLEX,.,22PRIVATE SECTORPVT. HOSPITAL/CLINIC, , ,31OTHER 41(SPECIFY)HOMEYOUR HOME .............. 11OTHER HOME ............. 12PUBLIC SECTORGVT. HOSPITAL .......... 21THANA HEALTH COMPLEX...22PRIVATE SECTORPVT. HOSPITAL/CLINIC...31OTHER 41(SPECIFY)HOREYOUR HOHE .............. 11OTHER HOME ............. 12PUBLIC SECTORGVT. HOSPITAL .......... 21THANA HEALTH COHPLEX...22PRIVATE SEETO~PVT. HOSPITAL/CLINIC...31OTHER 41(SPECIFY)202 2o