LOCAL GOVERNMENT AREA
AGE
AGE AT DELIVERY
RELIGION
MARITAL STATUS
HUSBAND HAD ANOTHER WIFE
EDUCATION
SPOUSE'S EDUCATION
OCCUPATION
SPOUSE OCCUPATION
TYPE OF HOUSE LIVING IN
NUMBER OF PERSONS LIVING IN THE HOUSE
TOLIET FACILTY FOR HOUSEHOLD USE
MAIN SOURCE OF WATER SUPPLY
TYPE OF COOKING FUEL
MAINTAINING CLEAN ENVIRONMENT AND PERSONAL HYGIENE
CHILDREN SLEEPING UNDER MOSQUITO NETS
HOW FAR IS HOUSE TO HEALTH FACILITY
PLACE OF DELIVERY OF LAST CHILD
WHO ASSISTED IN THE DELIVERY OF YOUR LAST CHILD
WHO TAKES CARE OF LAST CHILD IN ABSENCE
SICKENESS MOST CHILDREN SUFFER IN YOUR COMMUNITY
MAJOR WATER RELATED ALIMENT THAT CHILDREN SUFFER
COST OF TREATMENT AT HEALTH FACILTY
TIME NEEDED TO OBTAIN TREATMENT FOR CHILD AT THE HEALTH FACILITY
BEHAVIOR OF HEALTH WORKERS AT HEALTH FACILITY
DESCRIPTION OF THE SERVICES PROVIDED AT THE HEALTH FACILITY
NUMBER OF TIMES LAST CHILD FALL SICK IN A MONTH
WHO TO CONSULT FOR TREATMENT OF CHILDREN
WHO DECIDES CHILD'S PLACE OF TREATMENT
WHO PAYS FOR COST OF TREAMENT
IMMUNIZATION STATUS OF LAST CHILD
KNOWLDEGE ABOUT CHILD PREVENTABLE DISEASES
CHILD EVER BORN
NUMBER OF CHILDREN ALIVER
BIRTH SPACING BETWEEN LAST CHILD AND PRESENT PREGANCY
TYPE OF DISEASES CHILD HAD IN LAST 3 MONTHS
TYPE OF HOUSEHOLD WASTE DISPOSAL PRACTICE
NUMBER OF MONTHS USED TO BREASTFEED LAST CHILD
WHEN BREASTFEEDING STARTED FOR FIRST TIME FOR LAST CHILD
DID YOUR CHILD FALL SICK AFTER THE INTRO. OF SUPPLEMARY FOODS
EVER USED ORS
CHILD MORTALITY RATE IN COMMUNITY
HOW MANY CHILDREN AGED 1-5 DIED IN COMPOUND IN LAST ONE YEAR
EVER LOST ANY CHILD(REN) AGED 1-5 YEARS
IF YES, WHAT WAS THE CAUSES OF THE DEATH
GIVE YOUR SUGGESTIONS ON HOW TO IMPROVE THE SURVIVAL CHANCES OF CHILDREN IN YOUR WARD/COMMUNITY