Section | Section name | Contents | No of questions |
---|---|---|---|
Questions for head of household | |||
A | Household information | Village information | 6 |
B | Living household members | Gender and age of household members | 1 |
C | Transportation means | Time and costs for transport to health facility | 15 |
D | Deceased household members | Demographics and specifics of the deceased | 11 |
Questions for randomly selected household members (two per household) | |||
E | General information | Demographic and socio-economic information | 14 |
F | Face/head/neck | Health problems and care received of indicated anatomical region | 11 |
G | Chest/breast | Health problems and care received of indicated anatomical region | 10 |
H | Back | Health problems and care received of indicated anatomical region | 10 |
I | Abdomen | Health problems and care received of indicated anatomical region | 10 |
J | Groin/genitalia/buttocks | Health problems and care received of indicated anatomical region | 10 |
K | Extremities | Health problems and care received of indicated anatomical region | 12 |
L | Women’s health | Information on reproduction and menstruation | 22 |