State
State name
District
District name
PSU code
Tehsil code
Serial number of village
Serial number of household
Serial number of eligible women
Serial number of husband
Number of eligible women interviewed
Number of husband interviewed
Line number of respondent of household schedule
Case Identification
Line number of women in household
Place of residence
Religion of Household Head
Caste or tribe of household head
Source of drinking water
Type of house
Type of tiolet facility
Source of lighting
Type of fuel for cooking
Household owing fan
Household owing Radio-Transistor
Household owing Sewing machine
Household owing Television
Household owing Telephone
Household owing Bicycle
Household owing Motor cycle-scooter
Household owing car-jeep
Household owing Tractor
Household standard of living index
Date of interview: CMC
Line number of eligible women
Line number of Husband
Age in completed years
Age 3 category
Age 6 category
Can raed and write
Year of Schooling
Can read and write (husband)
Year of Schooling of husband
Age at consummation of marriage
Age at consummation of marriage in two category
Marital Duration
Marital Duration in four category
Live births
Child living with women
Son at home
Daughter at home
Child living elsewhere
Sons elsewhere
Daughters elsewhere
Child who have died
Sons who have died
Daughters who have died
Number of still birth (excluding last pregnancy)
Number of induced abortion (excluding last pregnancy)
Number of spontaneous abortion (excluding last pregnancy)
Number of still birth within reference period
Number of induced abortion within reference period
Number of spontaneous abortion within reference period
Son ever born: Surviving
Daughter ever born: Surviving
Son ever born: Died
Daughter ever born: Died
Son ever born
Daughter ever born
Children ever born: Total
Children ever born: Surviving
Index to birth
Child is twin
Sex of child
Month of birth
Year of birth
CMC of birth
Child is alive
Unit code of child death
Age at death
Age in month at the time of death
Age in month
Age of mother at child birth
Year of last pregnancy
Out come of last pregnancy
Government /municipal hospital
Government dispensary
UHC/UHP/UFWC
CHC/rural hospital
Primary health centre
Sub centre
NGO/Trust hospital
Government ISM hospital/clinic
Private ISM hospital/clinic
Private hospital/clinic
Home
Other
Abortion performed (by person)
Reason for induced abortion
Month of pregnancy end
Did go for sonography/amniocentesis
Any health problem after abortion (within 6 weeks)
Excessive bleeding
High fever
Foul smelling discharge
Pain in lower abdomen
Convulsion
Severe headache
Seek advice for health problem
Chemist/medical shop
Consult any one for health problem
Went for antenatall care
Received antenatall check-up from Government /municipal hospital
Received antenatall check-up from Government dispensary
Received antenatall check-up from UHC/UHP/UFWC
Received antenatall check-up from CHC/rural hospital
Received antenatall check-up from Primary health centre
Received antenatall check-up from Sub centre
Received antenatall check-up from NGO/Trust hospital
Received antenatall check-up from Government ISM hospital/clinic
Received antenatall check-up from Private ISM hospital/clinic
Received antenatall check-up from Private hospital/clinic
Received antenatall check-up by Doctor
Received antenatall check-up by ANM/nurse/mid-wife/LHV
Received antenatall check-up by other health professional
Received antenatall check-up by trained dai
Received antenatall check-up by untrained dai
Month in first visit for antenatall check-up
Number of visits
Antenatall visit by health worker
First visit made by health worker (month)
Number of visits by health worker
Number of ANC visits
Time of the first antenatal check-up
Weight measured
Height measured
Blood pressure checked
Blood test
Urine test
Abdomen examined
Internal exam
Breast exam
X-ray
Sonogram or ultrasound
Amniocentesis
Diet
Danger signs of pregnancy
Delivery care
Breast feeding
Newborn care
Family planning
Not necessary
Not customary
Cost too much
Too far/no transport
Poor quality service
No time to go
Family did not allow
Lack of knowledge
Other reason
Given iron folic tablets during pregnancy
Consumed tablets per day
Consumed IFA tablets during pregnancy (Number)
consumed IFA syrup (Bottles)
Received iron folic tablets from Government /Municipal hospital
Received iron folic tablets from Government dispensary
Received iron folic tablets from UHC/UHP/UFWC
Received iron folic tablets from CHC/Rural hospital
Received iron folic tablets from Primary health centre
Received iron folic tablets from Sub centre
Received iron folic tablets from NGO/Trust hospital/Clinic
Received iron folic tablets from Government ISM hospital/clinic
Received iron folic tablets from Private ISM hospital/clinic
Received iron folic tablets from Private hospital/clinic
Received iron folic tablets from Chemist/Pharmacy
Received iron folic tablets by Health woreker at home
Given tetanus injection during pregnancy
Number of times given tetanus injections
Swelling of hands and feet during pregnancy
Paleness during pregnancy
Visual disturbances during pregnancy
Excessive bleeding during pregnancy
Convulsions during pregnancy
Weak or no movement of foetus during pregnancy
Abnormal position of foetus during pregnancy
Other problems during pregnancy
Consult or seek treatment for pregnancy complications
Received treatment for pregnancy complication from Government /Municipal hospital
Received treatment for pregnancy complication from Government dispensary
Received treatment for pregnancy complication from UHC/UHP/UFWC
Received treatment for pregnancy complication from CHC/Rural hospital
Received treatment for pregnancy complication from Primary health centre
Received treatment for pregnancy complication from Sub centre
Received treatment for pregnancy complication from NGO/Trust hospital/Clinic
Received treatment for pregnancy complication from Government ISM hospital/clinic
Received treatment for pregnancy complication from Private ISM hospital/clinic
Received treatment for pregnancy complication from Private hospital/clinic
Received treatment for pregnancy complication
Were advised by doctor/health worker to go to health facility for delivery
Place of delivery
Main reason did not go to health facility for delivery
Delivery conducted by
Was delivery normal
Was delivery caesarian or assisted
Delivery :premature labour
Delivery: excessive bleeding
Delivery: prolonged (12+hours)
Delivery: obstructed labour
Delivery: breech presentation
Delivery: other
Post delivery complication: high fever
Post delivery complication: lower abdominal pain
Post delivery complication: foul smelling vaginal discharge
Post delivery complication: excessive bleeding
Post delivery complication: convulsion
Post delivery complication: severe headache
Post delivery complication: Other
Consult or seek treatment for post delivery complications
Received treatment for post delivery complication from Government /Municipal hospital
Received treatment for post delivery complication from Government dispensary
Received treatment for post delivery complication from UHC/UHP/UFWC
Received treatment for post delivery complication from CHC/Rural hospital
Received treatment for post delivery complication from Primary health centre
Received treatment for post delivery complication from Sub centre
Received treatment for post delivery complication from NGO/Trust hospital/Clinic
Received treatment for post delivery complication from Government ISM hospital/clinic
Received treatment for post delivery complication from Private ISM hospital/clinic
Received treatment for post delivery complication from Private hospital/clinic
Received treatment for post delivery complication
Did ANM visit within 2 weeks of delivery
Number of visits made by ANM within 6 weeks of delivery
Times breastfeeding
Squeeze milk from breast
Currently breastfeeding
Duration of breastfeeding
Aware of Diarrhea: give ORS
Aware of Diarrhea: salt and sugar solution
Aware of Diarrhea: continue normal food
Aware of Diarrhea: continue breastfeeding
Aware of Diarrhea: give plenty of fluids
Aware of Diarrhea: other
Aware of Diarrhea: do not know
Advised of Diarrhea by ANM/health worker
Had diarrhea during last two weeks
Continue breastfeeding with diarrhea
Drinking pattern with diarrhea
Eating pattern with diarrhea
Given ORS
Diarrhea: seek treatment
Diarrhea: Government /Municipal hospital
Diarrhea: Government dispensary
Diarrhea: UHC/UHP/UFWC
Diarrhea: CHC/Rural hospital
Diarrhea: Primary health centre
Diarrhea: Sub centre
Diarrhea: NGO/Trust hospital/Clinic
Diarrhea: Government ISM hospital/clinic
Diarrhea: Private ISM hospital/clinic
Diarrhea: Private hospital/clinic
Diarrhea: Home remedy
Diarrhea: Other
Diarrhea: Seek treatment or advised by
Aware of danger signs of pneumonia
Pneumonia: Difficulty in breathing
Pneumonia: Chest indrawing
Pneumonia: Not able to drink or take a feed
Pneumonia: Excessively drowsy and difficult to keep awake
Pneumonia: Pain in chest and productive cough
Pneumonia: Condition gets worse than before
Pneumonia: Wheezing/Whistling
Pneumonia: Rapid breathing
Danger signs of pneumonia informed by ANM/health worker
Had pneumonia during last two weeks
Pneumonia: seek treatment
Pneumonia: Government /Municipal hospital
Pneumonia: Government dispensary
Pneumonia: UHC/UHP/UFWC
Pneumonia: CHC/Rural hospital
Pneumonia: Primary health centre
Pneumonia: Sub centre
Pneumonia: NGO/Trust hospital/Clinic
Pneumonia: Government ISM hospital/clinic
Pneumonia: Private ISM hospital/clinic
Pneumonia: Private hospital/clinic
Pneumonia: Home remedy"
Pneumonia: Other
Pneumonia: seek treatment or advised by
Index of child
Last child
Sex of the child
Month of birth of child
Year of birth of child
Has health card
Received POLIO 0
Received BCG
Received DPT
Number of DPTinjections
Received POLIO (Excluding Polio '0' & Pulse polio)
Number of drops of POLIO (Excluding Polio '0' & Pulse polio)
Received MEASLES
Received HEPATITIS B
Were advised by doctor/health worker to give vaccines
Place where last vaccinations given
Main reason for not given vaccines
Vitamin A given to prevent night blindness
Number of Vitamin A doses
Iron folic tablets/liquid given to prevent Anemia
Number of Iron folic tablets
Number of bottles of Iron folic liquid (in ml)
Last but one child
Aware of family planning methods: Female sterilization
Aware of family planning methods: Tubectomy
Aware of family planning methods: Laparoscope
Aware of family planning methods: Male sterilization
Aware of family planning methods: Vasectomy
Aware of family planning methods: NSV
Aware of family planning methods: IUD
Aware of family planning methods: Pills
Aware of family planning methods: Pills (Daily)
Aware of family planning methods: Pills (Weekly)
Aware of family planning methods: Condom
Aware of family planning methods: Sponge (Today)
Aware of family planning methods: Injectbale
Aware of family planning methods: Norplant
Aware of family planning methods: Contraceptive herbs
Aware of family planning methods: Rhythm/periodic abstinence
Aware of family planning methods: Withdrawal
Aware of family planning methods: ISM contraceptives
Currently pregnant
Currently using any family planning method
Current use by method type
Duration of use
Source of contraception
Informed of any other methods
Who inserted IUD/loop
Difficult to get condoms/pills
Told about side effects
Follow up for current method
Problems with current method
Problem related to use of current method: Weakness/inability to work
Problem related to use of current method: Bodyache/backache
Problem related to use of current method: Cramps
Problem related to use of current method: Weight gain
Problem related to use of current method: Dizziness
Problem related to use of current method: Nausea/vomiting
Problem related to use of current method: Breast tenderness
Problem related to use of current method: Irregular periods
Problem related to use of current method: Excessive bleedings
Problem related to use of current method: Spotting
Problem related to use of current method: White discharge
Problem related to use of current method: Other
Talk to someone about problems
Went: Government /Municipal hospital
Went: Government dispensary
Went: UHC/UHP/UFWC
Went: CHC/Rural hospital
Went: Primary health centre
Went: Sub centre
Went: Out reach/ MCP clinic in village
Went: NGO/Trust hospital/Clinic
Went: Government ISM hospital/clinic
Went: Private ISM hospital/clinic
Went: Private hospital/clinic
Went: Chemist/medical shop
Home remedy
Went: Other
Spoken with health personnel
Satisfaction with current method
Ever used
Used by method type
Main reason discontinued a method
Currently menstruating
Advised to adopt FP method by health worker/ANM
Advised by method type
Intention to use
Time to use
Preferred future method
Desire for next child
Desire for next child (Sex)
Waiting time for next child
Main reason not using a method
Visited by FP/health worker
Visited by Doctor
Visited by ANM/LHV
Visited by Health worker (male)
Discussed with FP worker - family planning
Discussed with FP worker - breastfeeding
Discussed with FP worker - supplementary feeding
Discussed with FP worker - immunization
Discussed with FP worker - nutrition
Discussed with FP worker - disease prevention
Discussed with FP worker - treat. of health prob.
Discussed with FP worker - antenatall care
Discussed with FP worker - delivery care
Discussed with FP worker - postpartum care
Discussed with FP worker - child care
Discussed with FP worker - sanitation/cleanliness
Discussed with FP worker - oral rehydration
Discussed with FP worker - other
Received pill supply
Received condom supply
Follow-up for sterilization
Follow-up for IUD insertion
Family planning advice
Other family planning service
Received immunization
Received antenatall care
Received delivery care
Received postpartum care
Received disease prevention
Received medical treatment for self
Received treatment for sick child
Received other service
Spend enough time with respondent
Talk to respondent nicely
Visited health facility
Type of health facility
Discussed family planning during health facility visit
Discussed breastfeeding during health facility visit
Discussed supplementary feeding during health facility visit
Discussed immunization during health facility visit
Discussed nutrition during health facility visit
Discussed disease prevention during health facility visit
Discussed treatment of health problem during health facility
Discussed antenatall care during health facility visit
Discussed delivery care during health facility visit
Discussed postpartum care during health facility visit
Discussed child care during health facility visit
Discussed sanitation/cleanliness during health facility visit
Discussed oral rehydration during health facility visit
Discussed other during health facility visit
Went for pill supply
Went for condom supply
Went for follow-up for sterilization
Went for follow-up for IUD insertion
Went for family planning advice
Went for other family planning service
Went for immunization
Went for delivery care
Went for postpartum care
Went for disease prevention
Went for medical treatment for self
Went for treatment for sick child
Went for other
The convenience of the health facility location
Length of time spend towards waiting
Personal manner (courtesy, respect, sensitivity, friendliness) of the physician
The technical skills and quality (thoroughness, carefulness, competence) of the physician
Personal manner (courtesy, respect, sensitivity, friendliness) of nurse/ANM
The technical skills and quality (thoroughness, carefulness, competence) of nurse/ANM
Personal manner (courtesy, respect, sensitivity, friendliness) of other staff
The technical skills and quality (thoroughness, carefulness, competence) of other staff
The explanation of what was done to her
Medical, surgical and diagnostic equipment
General comfort
Main reason for not visiting Govt. health facility
Had mensutruation problem during last three months
Currently mensutruating
Mensuturation problem: No periods
Mensuturation problem: Painful periods
Mensuturation problem: Frequent or short periods
Mensuturation problem: Delayed periods
Mensuturation problem: Prolonged bleeding
Mensuturation problem: Excessive bleeding
Mensuturation problem: Continuous bleeding
Mensuturation problem: Scanty bleeding
Mensuturation problem: Inter -menstrual bleeding
Duration of Mensuturation problem
Seek treatment for mensuturation problem
Went: NGO/Trust hospital
Spoken to Doctor
Spoken to ANM/Nurse/LHV
Spoken to Trained dai
Spoken to Untrained dai
Spoken to Relative/Friends
Spoken to Chemist/medical shop
Spoken to Other
Ever heard of RTI/STI
RTI/STI: radio
RTI/STI: television
RTI/STI: newspapers/books/magazines
RTI/STI: slogans/pamphlets/posters/wall hoarding
RTI/STI: doctor
RTI/STI: health workers
RTI/STI: schools/teachers
RTI/STI: community meetings
RTI/STI: Relatives/Friends
RTI/STI: other
RTI/STI transmitted: Homosexual intercourse
RTI/STI transmitted: Heterosexual intercourse
RTI/STI transmitted: Lack of personal hygiene
RTI/STI transmitted: Other
RTI/STI transmitted: Do not know
RTI/STI curable
Infections RTI/STI: Itching over vulva
Infections RTI/STI: Boils/Ulcers/Warts around vulva
Infections RTI/STI: Pain in lower abdomen not related to menses
Infections RTI/STI: Low backache
Infections RTI/STI :Pain during sexual Intercourse
Infections RTI/STI :Bleeding after sexual Intercourse
Infections RTI/STI :Swelling in the groin
Infections RTI/STI :Frequent/painful passage of urine
Infections RTI/STI :Fever
Infections RTI/STI :Some mass coming out of vagina
Infections RTI/STI :Any involuntary escape of urine while coughing or sneezing
Infections RTI/STI :Swelling/lump in breast
Seek treatment for RTI/STI problem
Went: Chemist/Medical shop
Abnormal vaginal discharge during last three months
Wet or stain under clothes
Color of discharge
Texture of discharge
Odour of discharge
Duration of discharge
Seek treatment for discharge
Went: out reach/ MCP clinic in village
Vaginal discharge: seek treatment or advised by
Ever heard of HIV/AIDS
HIV/AIDS: radio
HIV/AIDS: television
HIV/AIDS: newspapers/books/magazines
HIV/AIDS: slogans/pamphlets/posters/wall hoarding
HIV/AIDS: doctor
HIV/AIDS: health workers
HIV/AIDS: schools/teachers
HIV/AIDS: community meetings
HIV/AIDS: Relatives/Friends
HIV/AIDS: other
HIV/AIDS transmitted: Homosexual intercourse
HIV/AIDS transmitted: Heterosexual intercourse
HIV/AIDS transmitted: Needles/blades/skin puncture
HIV/AIDS transmitted: Mother to child
HIV/AIDS transmitted: Transfusion of infected blood
HIV/AIDS transmitted: other
HIV/AIDS transmitted: Do not know
HIV/AIDS: avoid hand shaking
HIV/AIDS: avoid hugging
HIV/AIDS: avoid kissing
HIV/AIDS: avoid sharing clothes
HIV/AIDS: avoid sharing utensils
HIV/AIDS: avoid stepping in urine/stool
HIV/AIDS: avoid mosquito, flea or bedbugs bites
HIV/AIDS: only one sex partner
HIV/AIDS: use condoms during sex
HIV/AIDS: avoid blood transfusions
HIV/AIDS: avoid unsterilized needles and syringes
HIV/AIDS: avoid pregnancy when having HIV
HIV/AIDS: avoid other
HIV/AIDS: avoid - do not know
HIV/AIDS : CURABLE
District in the phase
Sample weight: District