NMICS 2010 Report - Central Bureau of Statistics
NMICS 2010 Report - Central Bureau of Statistics NMICS 2010 Report - Central Bureau of Statistics
Interviewer’s ObservationsField Editor’s ObservationsSupervisor’s Observations286
NEPAL MULTIPLE INDICATOR CLUSTER SURVEY, 2010QUESTIONNAIRE FOR CHILDREN UNDER FIVEUNDER-FIVE CHILD INFORMATION PANELThis questionnaire is to be administered to all mothers or caretakers (see Household Listing Form, columnHL9) who care for a child that lives with them and is under the age of 5 years (see Household Listing Form,column HL6).A separate questionnaire should be used for each eligible child.UFUF1. Cluster number:UF3. Child’s name:Name___ ___ ___UF2. Household serial number:UF4. Child’s line number:___ ______ ___UF5. Mother’s / Caretaker’s name:NameUF7. Interviewer name and code number:UF6. Mother’s / Caretaker’s line number:UF8. Day / Month / Year of interview in BS:___ ___Name code number ___ ___ ___ ___ / ___ ___ / ___ ___ ___ ___Repeat greeting if not already read to thisrespondent:WE ARE FROM CENTRAL BUREAU OF STATISTICS (A BUREAU OFNEPAL GOVERNMENT UNDER THE NATIONAL PLANNINGCOMMISSION), IN KATHMANDU. WE ARE WORKING ON ASURVEY CONCERNED WITH FAMILY HEALTH AND EDUCATIONIN MID AND FAR WESTERN REGION OF THE COUNTRY(NMICS). I WOULD LIKE TO TALK TO YOU ABOUT THESESUBJECTS. THE INTERVIEW WILL TAKE ABOUT 25 MINUTES.ALL THE INFORMATION WE OBTAIN WILL REMAIN STRICTLYCONFIDENTIAL ACCORDING TO THE STATISTICS ACT 2015BS AND YOUR ANSWERS WILL NEVER BE SHARED WITHANYONE OTHER THAN OUR PROJECT TEAM.SHALL WE START NOW?If greeting at the beginning of the householdquestionnaire has already been read to this woman,then read the following:NOW I WOULD LIKE TO TALK TO YOU MORE ABOUT(child’s name from UF3)’S HEALTH AND OTHERTOPICS. THIS INTERVIEW WILL TAKE ABOUT 25MINUTES. AGAIN, ALL THE INFORMATION WE OBTAINWILL REMAIN STRICTLY CONFIDENTIAL AND YOURANSWERS WILL NEVER BE SHARED WITH ANYONEOTHER THAN OUR PROJECT TEAM.Yes, permission is given Go to UF12 to record the time and then begin the interview.NO, permission is not given Complete UF9. Discuss this result with your supervisor.UF9. Result of interview for children under 5Codes refer to mother/caretaker.UF10. Field edited by (Name and code number):Completed ............................................................. 01Not at home ........................................................... 02Refused ................................................................. 03Partly completed .................................................... 04Incapacitated ......................................................... 05Other (specify) ____________________ 96UF11. Data entry clerk (Name and code number):Name _______________ Code Number ___ ___Name _______________ Code Number ___ ___287
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- Page 240 and 241: Appendix F. QuestionnairesNEPAL MUL
- Page 242 and 243: HL1.LinenumberHL2.Name, last nameHL
- Page 244 and 245: EDUCATIONFor household members age
- Page 246 and 247: WATER AND SANITATIONWS1. WHAT IS TH
- Page 248 and 249: WS7D.IS THIS CONTAINER USED ONLY FO
- Page 250 and 251: HC5. Main material of the exterior
- Page 252 and 253: HC10. DO YOU OR SOMEONE LIVING IN T
- Page 254 and 255: CHILD LABOURTo be administered for
- Page 256 and 257: DE-WORMINGTo be administered only f
- Page 258 and 259: CD9. Write the name and line number
- Page 260 and 261: HH19. Record the time.Hour and minu
- Page 262 and 263: Interviewer’s ObservationsField E
- Page 264 and 265: WOMAN’S BACKGROUNDWBWB1. IN WHAT
- Page 266 and 267: DESIRE OF LAST BIRTHDBThe questionn
- Page 268 and 269: MN9. DID YOU RECEIVE ANY TETANUS IN
- Page 270 and 271: MN20. WHEN (name) WAS BORN, WAS HE/
- Page 272 and 273: CONTRACEPTIONCP1. LET'S US TALK ABO
- Page 274 and 275: UN9. Check CP2. Currently using a f
- Page 276 and 277: ATTITUDES TOWARD DOMESTIC VIOLENCED
- Page 278 and 279: HIV/AIDSHA1. NOW I WOULD LIKE TO TA
- Page 280 and 281: HA19. Check MN17: Birth delivered b
- Page 282 and 283: TA11. HAVE YOU CONSUMED ANY SMOKELE
- Page 284 and 285: LS5. HOW SATISFIED ARE YOU WITH YOU
- Page 288 and 289: UF12. Record the time.Hour and minu
- Page 290 and 291: EC6. WITHIN THE LAST SEVEN DAYS, AB
- Page 292 and 293: BREASTFEEDINGBF1. HAS (name) EVER B
- Page 294 and 295: CARE OF ILLNESSCA1. IN THE LAST TWO
- Page 296 and 297: CA9. WAS THE FAST OR DIFFICULT BREA
- Page 298 and 299: ML8. WAS (name) GIVEN ANY MEDICINE
- Page 300 and 301: IM5. HAS (name) BEEN ADMINISTERED A
- Page 302 and 303: Child Grant (only for Humla, Jumla,
- Page 304: Interviewer’s ObservationsField E
Interviewer’s ObservationsField Editor’s ObservationsSupervisor’s Observations286