| # |
Name |
Label |
Type |
Format |
Valid |
Invalid |
Question |
| 1 |
IM1 |
Vaccination card for child |
Discrete |
numeric 1.0 |
3187
|
22
|
Is there a vaccination card for (name)? |
| 2 |
IM2D |
Day of BCG immunization |
Continuous |
numeric 2.0 |
2426
|
783
|
|
| 3 |
IM2M |
Month of BCG immunization |
Continuous |
numeric 2.0 |
2150
|
1059
|
|
| 4 |
IM2Y |
Year of BCG immunization |
Continuous |
numeric 4.0 |
2150
|
1059
|
|
| 5 |
IM3BD |
Day of OPV1 immunization |
Continuous |
numeric 2.0 |
2426
|
783
|
|
| 6 |
IM3BM |
Month of OPV1 immunization |
Continuous |
numeric 2.0 |
2393
|
816
|
|
| 7 |
IM3BY |
Year of OPV1 immunization |
Continuous |
numeric 4.0 |
2393
|
816
|
|
| 8 |
IM3CD |
Day of OPV2 immunization |
Continuous |
numeric 2.0 |
2426
|
783
|
|
| 9 |
IM3CM |
Month of OPV2 immunization |
Continuous |
numeric 2.0 |
2380
|
829
|
|
| 10 |
IM3CY |
Year of OPV2 immunization |
Continuous |
numeric 4.0 |
2380
|
829
|
|
| 11 |
IM3DD |
Day of OPV3 immunization |
Continuous |
numeric 2.0 |
2426
|
783
|
|
| 12 |
IM3DM |
Month of OPV3 immunization |
Continuous |
numeric 2.0 |
2357
|
852
|
|
| 13 |
IM3DY |
Year of OPV3 immunization |
Continuous |
numeric 4.0 |
2357
|
852
|
|
| 14 |
IM4AD |
Day of DPT1 immunization |
Continuous |
numeric 2.0 |
2426
|
783
|
|
| 15 |
IM4AM |
Month of DPT1 immunization |
Continuous |
numeric 2.0 |
2388
|
821
|
|
| 16 |
IM4AY |
Year of DPT1 immunization |
Continuous |
numeric 4.0 |
2388
|
821
|
|
| 17 |
IM4BD |
Day of DPT2 immunization |
Continuous |
numeric 2.0 |
2426
|
783
|
|
| 18 |
IM4BM |
Month of DPT2 immunization |
Continuous |
numeric 2.0 |
2372
|
837
|
|
| 19 |
IM4BY |
Year of DPT2 immunization |
Continuous |
numeric 4.0 |
2372
|
837
|
|
| # |
Name |
Label |
Type |
Format |
Valid |
Invalid |
Question |
| 20 |
IM4CD |
Day of DPT3 immunization |
Continuous |
numeric 2.0 |
2426
|
783
|
|
| 21 |
IM4CM |
Month of DPT3 immunization |
Continuous |
numeric 2.0 |
2352
|
857
|
|
| 22 |
IM4CY |
Year of DPT3 immunization |
Continuous |
numeric 4.0 |
2352
|
857
|
|
| 23 |
IM5AD |
Day of HepB1 or DPTHepB1 immunization |
Continuous |
numeric 2.0 |
2426
|
783
|
|
| 24 |
IM5AM |
Month of HepB1 or DPThepB1 immunization |
Continuous |
numeric 2.0 |
2215
|
994
|
|
| 25 |
IM5AY |
Year of HepB1 or DPTHepB1 immunization |
Continuous |
numeric 4.0 |
2215
|
994
|
|
| 26 |
IM5BD |
Day HepB2 or DPTHepB2 immunization |
Continuous |
numeric 2.0 |
2426
|
783
|
|
| 27 |
IM5BM |
Month of HepB2 or DPTHepB2 imunization |
Continuous |
numeric 2.0 |
2224
|
985
|
|
| 28 |
IM5BY |
Year of HepB2 or DPTHepB2 immunization |
Continuous |
numeric 4.0 |
2224
|
985
|
|
| 29 |
IM5CD |
Day of DPTHepB3 or HepB3 immunization |
Continuous |
numeric 2.0 |
2426
|
783
|
|
| 30 |
IM5CM |
Month of DPTHepB3 or HepB3 ummunization |
Continuous |
numeric 2.0 |
2162
|
1047
|
|
| 31 |
IM5CY |
Year of DPTHepB3 or HepB3 immunization |
Continuous |
numeric 4.0 |
2162
|
1047
|
|
| 32 |
IM6D |
Day measles or MMR immunization |
Continuous |
numeric 2.0 |
2426
|
783
|
|
| 33 |
IM6M |
Month Measles or MMR immunization |
Continuous |
numeric 2.0 |
2179
|
1030
|
|
| 34 |
IM6Y |
Year of Measles or MMR immunization |
Continuous |
numeric 4.0 |
2179
|
1030
|
|
| 35 |
IM6AD |
Day of HIB1 immunization |
Continuous |
numeric 2.0 |
1666
|
1543
|
|
| 36 |
IM6AM |
Month of HIB1 immunization |
Continuous |
numeric 2.0 |
1665
|
1544
|
|
| 37 |
IM6AY |
Year of HIB1 immunization |
Continuous |
numeric 4.0 |
1665
|
1544
|
|
| 38 |
IM6BD |
Day of HIB2 immunization |
Continuous |
numeric 2.0 |
1666
|
1543
|
|
| 39 |
IM6BM |
Month of HIB2 immunization |
Continuous |
numeric 2.0 |
1666
|
1543
|
|
| # |
Name |
Label |
Type |
Format |
Valid |
Invalid |
Question |
| 40 |
IM6BY |
Year of HIB2 immunization |
Continuous |
numeric 4.0 |
1666
|
1543
|
|
| 41 |
IM6CD |
Day of HIB3 immunization |
Continuous |
numeric 2.0 |
1666
|
1543
|
|
| 42 |
IM6CM |
Month of HIB3 immunization |
Continuous |
numeric 2.0 |
1665
|
1544
|
|
| 43 |
IM6CY |
Year of HIB3 immunization |
Continuous |
numeric 4.0 |
1665
|
1544
|
|
| 44 |
IM9 |
Child received any other vaccinations |
Discrete |
numeric 1.0 |
2426
|
783
|
In addition to the vaccinations and vitamin A capsules shown on this card, did (name) receive any other vaccinations - including
vaccinations received in campaigns or immunization days?
|
| 45 |
IM10 |
Child ever received any vaccinations |
Discrete |
numeric 1.0 |
761
|
2448
|
Has (name) ever received any vaccinations to prevent him/her from getting diseases, including vaccinations received in a campaign
or immunization day?
|
| 46 |
IM11 |
Child ever given BCG vaccination |
Discrete |
numeric 1.0 |
683
|
2526
|
Has (name) ever been given a BCG vaccination against tuberculosis - that is, an injection in the arm or shoulder that caused
a scar?
|
| 47 |
IM12 |
Child ever given Polio vaccination |
Discrete |
numeric 1.0 |
683
|
2526
|
Has (name) ever been given any "vaccination drops in the mouth" to protect him/her from getting diseases - that is, polio? |
| 48 |
IM13 |
Polio first given just after birth or later |
Continuous |
numeric 1.0 |
0
|
3209
|
How old was he/she when the first dose was given - just after birth (within two weeks) or later? |
| 49 |
IM14 |
Times child given Polio vaccination |
Continuous |
numeric 2.0 |
604
|
2605
|
How many times has he/she been given these drops? |
| 50 |
IM15 |
Child ever given DPT vaccination |
Discrete |
numeric 1.0 |
683
|
2526
|
Has (name) ever been given "DPT vaccination injections" - that is, an injection in the thigh or buttocks - to prevent him/her
from getting tetanus, whooping cough, diphtheria? (sometimes given at the same time as polio)
|
| 51 |
IM16 |
Times child given DPT vaccination |
Continuous |
numeric 2.0 |
579
|
2630
|
How many times? |
| 52 |
IM17 |
Child ever given Measles or MMR vaccination |
Discrete |
numeric 1.0 |
683
|
2526
|
Has (name) ever been given "Measles vaccination injections" or MMR - that is, a shot in the arm at the age of 9 months or
older - to prevent him/her from getting measles?
|
| 53 |
IM21 |
Child ever given Hepatitis B vaccination |
Discrete |
numeric 1.0 |
327
|
2882
|
Has (name) ever been given hepatitis b vaccination injections - that is, a shot in the thigh or shoulder upon birth or later
to prevent him/her from getting hepatitis b (the first dose is given immediately upon births at the same time when bcg is
given, and the other two are given at the same time when DTP and polio vaccination injections are given)
|
| 54 |
IM22 |
Times child given Hepatitis B vaccination |
Continuous |
numeric 2.0 |
327
|
2882
|
How many times? |