Demographic and Health Survey 2006-07 Pakistan pdf

Pakistan Demographic and Health Survey 2006-07 Pakistan Demographic and Health Survey 2006-07 National Institute of Population Studies Islamabad, Pakistan Macro International Inc Calverton, Maryland USA June 2008 NIPS This report summarizes the findings of the 2006-07 Pakistan Demographic and Health Survey (PDHS) carried out by the National Institute of Population Studies The Government of Pakistan provided financial assistance in terms of in-kind contribution of government staff time, office space, and logistical support Macro International provided financial and technical assistance for the survey through the MEASURE DHS programme, which is funded by the U.S Agency for International Development (USAID) and is designed to assist developing countries to collect data on fertility, family planning, and maternal and child health Additional support for the PDHS was received from the United Nations Population Fund (UNFPA)/Pakistan and from UNICEF/Pakistan The opinions expressed in this report are those of the authors and not necessarily reflect the views of the donor organisations Additional information about the survey may be obtained from the National Institute of Population Studies (NIPS), Block 12-A, Capital Inn Building, G-8 Markaz, P.O Box 2197, Islamabad, Pakistan (Telephone: 92-51-926-0102 or 926-0380; Fax: 92-51-926-0071; Internet:: www.nips.org.pk) Information about the DHS programme may be obtained from MEASURE DHS, Macro International Inc., 11785 Beltsville Drive, Suite 300, Calverton, MD 20705, U.S.A (Telephone: 1-301-572-0200; Fax: 1-301-572-0999; E-mail: reports@macrointernational.com; Internet: measuredhs.com) Suggested citation: National Institute of Population Studies (NIPS) [Pakistan], and Macro International Inc 2008 Pakistan Demographic and Health Survey 2006-07 Islamabad, Pakistan: National Institute of Population Studies and Macro International Inc CONTENTS Page TABLES AND FIGURES ix FOREWORD xv ACKNOWLEDGMENTS xvii SUMMARY OF FINDINGS xix MAP OF PAKISTAN xxvi CHAPTER INTRODUCTION Shahid Munir and Khalid Mehmood 1.1 1.2 1.3 1.4 CHAPTER Geography, Climate, and History Economy and Population Organization and Implementation of the 2006-07 PDHS 1.3.1 Objectives of the Survey 1.3.2 Institutional Framework 1.3.3 Sample Design 1.3.4 Questionnaires 1.3.5 Training of Field Staff 1.3.6 Field Supervision and Monitoring 1.3.7 Fieldwork and Data Processing 1.3.8 Field Problems Response Rates HOUSEHOLD POPULATION AND HOUSING CHARACTERISTICS Aysha Sheraz and Zafar Zahir 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 CHAPTER Household Population by Age and Sex 11 Household Composition 14 Education of the Household Population 16 2.3.1 Educational Attainment of Household Population 16 2.3.2 School Attendance Ratios 18 Housing Characteristics 21 Household Possessions 24 Socioeconomic Status Index 25 Availability of Services in Rural Areas 26 Registration with the National Database and Registration Authority 27 CHARACTERISTICS OF RESPONDENTS Zahir Hussain and Zafar Iqbal Qamar 3.1 3.2 3.3 Characteristics of Survey Respondents 29 Educational Attainment and Literacy 30 Employment 33 3.3.1 Employment Status 33 Contents | iii 3.4 CHAPTER 3.3.2 Occupation 36 3.3.3 Type of Earnings 37 3.3.4 Employment before and after Marriage 37 Knowledge and Attitudes Concerning Tuberculosis 39 FERTILITY Syed Mubashir Ali and Ali Anwar Buriro 4.1 4.2 4.3 4.4 4.5 4.6 CHAPTER Current Fertility 41 Fertility Trends 44 Children Ever Born and Children Surviving 46 Birth Intervals 48 Age at First Birth 49 Teenage Fertility 51 FAMILY PLANNING Iqbal Ahmad and Mumtaz Eskar 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 5.13 CHAPTER Knowledge of Contraceptive Methods 53 Ever Use of Family Planning Methods 55 Current Use of Contraceptive Methods 56 Differentials in Contraceptive Use by Background Characteristics 58 Use of Social Marketing Contraceptive Brands 60 Timing of Sterilization 61 Source of Contraception 62 Cost of Contraceptive Methods 63 Informed Choice 64 Future Use of Contraception 65 Reasons for Not Intending to Use 65 Exposure to Family Planning Messages 66 Contact of Nonusers with Family Planning Providers 68 OTHER DETERMINANTS OF FERTILITY Mehboob Sultan and Mubashir Baqai 6.1 6.2 6.3 6.4 6.5 CHAPTER Marital Status 69 Polygyny 70 Consanguinity 70 Age at First Marriage 72 Postpartum Amenorrhoea, Abstinence, and Insusceptibility 73 FERTILITY PREFERENCES Syed Mubashir Ali and Faateh ud din Ahmad 7.1 7.2 7.3 7.4 iv Ň Contents Desire for More Children 77 Need for Family Planning 81 Ideal Number of Children 83 Wanted and Unwanted Fertility 86 CHAPTER INFANT AND CHILD MORTALITY Zulfiqar A Bhutta, Anne Cross, Farrukh Raza, and Zafar Zahir 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9 CHAPTER Data Quality 89 Levels and Trends in Infant and Child Mortality 90 Socioeconomic Differentials in Infant and Child Mortality 91 Demographic Differentials in Infant and Child Mortality 92 Perinatal Mortality 93 High-risk Fertility Behaviour 95 Causes of Death of Children Under Five 96 8.7.1 Methodology 96 8.7.2 Results 97 Causes of Stillbirths 100 Implications of the Findings 100 REPRODUCTIVE HEALTH Rabia Zafar and Anne Cross 9.1 9.2 9.3 CHAPTER 10 Prenatal Care 101 9.1.1 Number and Timing of Prenatal Visits 103 9.1.2 Components of Prenatal Care 104 9.1.3 Reasons for Not Receiving Prenatal Checkups 106 9.1.4 Tetanus Toxoid Vaccinations 107 9.1.5 Complications during Pregnancy 108 Delivery Care 111 9.2.1 Preparedness for Delivery 111 9.2.2 Place of Delivery 112 9.2.3 Reasons for Not Delivering in a Facility 114 9.2.4 Use of Home Delivery Kits 115 9.2.5 Assistance during Delivery 116 Postnatal Care 118 9.3.1 Timing of First Postnatal Checkups 118 9.3.2 Complications during Delivery and the Postnatal Period 120 9.3.3 Fistula 121 CHILD HEALTH Arshad Mahmood and Mehboob Sultan 10.1 10.2 10.3 Birth Weight 123 Child Immunization 124 10.2.1 Vaccination Coverage 125 10.2.2 Differentials in Vaccination Coverage 126 10.2.3 Trends in Vaccination Coverage 128 Childhood Diseases 129 10.3.1 Prevalence and Treatment of ARI 129 10.3.2 Prevalence and Treatment of Fever 131 10.3.3 Prevalence of Diarrhoea 133 10.3.4 Treatment of Diarrhoea 134 10.3.5 Feeding Practices during Diarrhoea 136 Contents | v CHAPTER 11 NUTRITION Syed Mubashir Ali and Mehboob Sultan 11.1 11.2 CHAPTER 12 12.1 12.2 12.3 12.4 CHAPTER 13 Breastfeeding and Supplementation 139 11.1.1 Initiation of Breastfeeding 139 11.1.2 Breastfeeding Patterns 141 11.1.3 Complementary Feeding 144 Micronutrient Intake 144 11.2.1 Micronutrient Intake among Children 145 11.2.2 Micronutrient Intake among Women 145 MALARIA Mehboob Sultan and Syed Mubashir Ali Household Ownership of Mosquito Nets 147 Use of Mosquito Nets and Other Repellents 148 Malaria Prevalence and Treatment during Pregnancy 151 Malaria Case Management among Children 151 KNOWLEDGE OF HIV/AIDS AND OTHER SEXUALLY TRANSMITTED INFECTIONS Faateh ud din Ahmad and Adnan Ahmad Khan 13.1 13.2 13.3 13.4 13.5 13.6 13.7 CHAPTER 14 Knowledge of AIDS 155 Knowledge of Ways to Avoid Contracting HIV/AIDS 157 Comprehensive Knowledge of HIV/AIDS Transmission 159 Knowledge of Mother-to-Child Transmission 160 Attitudes towards People Living with HIV/AIDS 162 Knowledge of Sexually Transmitted Infections 163 Safe Injection Practices 164 ADULT AND MATERNAL MORTALITY Farid Midhet and Sadiqua N.Jafarey, Dr Azra Ahsan, Aysha Sheraz 14.1 14.2 14.3 14.4 14.5 14.6 14.7 Introduction 167 Methods of Data Collection 169 14.2.1 Development and Validation of the VA Questionnaire 169 14.2.2 Implementation of VAs in Sample Households 170 14.2.3 Review of VA Questionnaires and Assignment of Causes of Death 171 Adult Mortality Rates 172 Response to the Verbal Autopsy 174 Causes of Death Among Women Age 12-49 175 Pregnancy-Related Mortality and Maternal Mortality 177 Discussion 180 REFERENCES 183 APPENDIX A vi Ň Contents ADDITIONAL TABLES 189 APPENDIX B SAMPLING IMPLEMENTATION 185 APPENDIX C ESTIMATES OF SAMPLING ERRORS 197 APPENDIX D DATA QUALITY TABLES 209 APPENDIX E PERSONS INVOLVED IN THE 2006-07 PAKISTAN DEMOGRAPHIC AND HEALTH SURVEY 215 APPENDIX F QUESTIONNAIRES 221 Contents | vii c Focus on the time around her death: i) What were her last symptoms and signs? ii) Where did she die? iii) Who was her last healthcare provider (by profession or designation)? iv) What was the probable cause of death as perceived by respondent as explained by healthcare provider v What other factors might have been responsible for her death (e.g., lack of proper and timely care; lack of resources; delay in making the decision to take the woman to hospital; lack of transport; delay in getting to a hospital; lack of facilities and/or healthcare provider at hospital; etc.) Appendix F | 343 d Relation of dead to pregnancy, childbirth or postpartum complications: i) Was she pregnant at the time of death, or had recently delivered or aborted? ii) Was the death related with pregnancy, childbirth or postpartum complications (in what way)? iii) Please provide information about the result and outcome of pregnancy (induced abortion, natural abortion, stillbirth, live birth, live or not live born baby, etc.)? 344 | Appendix F SECTION SYMPTOMS IDENTIFICATION NO 501 502 QUESTIONS AND FILTERS Where did (NAME) die? CODING CATEGORIES HOSPITAL/CLINIC HUSBAND'S HOME HER PARENTS' HOME IN -TRANSIT OTHER (SPECIFY) DON'T KNOW SKIP 505 What was the name of the hospital / clinic where she died? (NAME) 503 504 Did anyone at the hospital / clinic tell you why she died? YES NO DON'T KNOW 505 What were the reasons given by the hospital / clinic as to why she died? Any other reason? 505 What you think is the main cause of her death? 506 Did (NAME) have any chronic disease? (Probe for each disease condition) Y N DK High blood pressure or hypertension? HIGH BLOOD PRESSURE Diabetes or high blood sugar? SUGAR/DIABETES Epilepsy? EPILEPSY Tuberculosis or TB? TB Heart disease? HEART DISEASE Blood disease? BLOOD DISEASE 8 Asthma? SEVERE ANEMIA Jaundice? JAUNDICE Hepatitis? HEPATITIS HIV/AIDS? HIV/AIDS Cancer? SPECIFY TYPE: CANCER Any other chronic disease? SPECIFY: 507 ASTHMA Severe anemia? OTHER DISEASE Was she ever hospitalized? I mean did she ever stay in the hospital overnight? YES NO DON'T KNOW 511 Appendix F | 345 NO 508 QUESTIONS AND FILTERS CODING CATEGORIES DAYS IF < 24 HOURS, WRITE '00' DAYS IF < MONTH, WRITE DAYS IF < YEARS, WRITE MONTHS IF TWO OR MORE YEARS, WRITE YEARS 509 SKIP How long before she died was she last hospitalized? MONTHS YEARS DON’T KNOW 998 Why was she last hospitalized? Any other reason? 510 Did she have any operation before she died? YES NO DON'T KNOW Now I would like to ask about the major symptoms that she might have had during her last illness INTERVIEWER: PROBE TO GET AN ESTIMATE OF HOW LONG EACH SYMPTOM LASTED FROM WHEN IT FIRST APPEARED UNTIL IT STOPPED, EVEN IF IT STOPPED BEFORE SHE DIED 511 511A Did she have fever? YES NO DON'T KNOW How many days or months did the fever last? DAYS IF < 24 HRS WRITE '00' DAYS IF < MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS MONTHS DON'T KNOW 998 511B Was the fever continuous or on and off? CONTINUOUS ON AND OFF DON'T KNOW 512 Was she breathless doing light work? YES NO DON'T KNOW 512A Was she breathless when she was lying down or when she was asleep? YES NO DON'T KNOW 513 Did she have rapid heart beat palpitations)? ( YES NO DON'T KNOW 514 Did she have wheezing? YES NO DON'T KNOW 515 346 | Appendix F 512 Did she have a cough? YES NO DON'T KNOW 516 NO 515A QUESTIONS AND FILTERS CODING CATEGORIES SKIP For how long did she have a cough? DAYS IF < 24 HRS WRITE '00' DAYS IF < MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS MONTHS DON'T KNOW 998 515B Did the cough produce sputum? YES NO DON'T KNOW 515C Did she cough blood? YES NO DON'T KNOW 516 Did she have chest pain? YES NO DON'T KNOW 516A 517 How many days or months did she have chest pain? DAYS IF < 24 HRS WRITE '00' DAYS IF < MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS MONTHS DON'T KNOW 998 516B Was the chest pain mild, moderate or severe? MILD MODERATE SEVERE DON'T KNOW 516C Did the chest pain start suddenly or gradually? SUDDENLY GRADUALLY DON'T KNOW 516D Was the pain at or near the center of the chest? NEAR STERNUM SOMEWHERE ELSE/ALL OVER DON'T KNOW 517 Did she have diarrhea (loose motions)? YES NO DON'T KNOW 517A 517B How many times a day did she have loose motions? TIMES DON'T KNOW 98 517B Was there blood in the stools? YES NO DON'T KNOW 518 Did she have poor appetite or loss of apetite ? YES NO DON'T KNOW 518A For how long did she have poor appetite? DAYS IF < 24 HRS WRITE '00' DAYS IF < MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS 519 519 Did she have pain in swallowing? MONTHS DON'T KNOW YES NO DON'T KNOW 998 Appendix F | 347 NO QUESTIONS AND FILTERS CODING CATEGORIES SKIP 520 Did she have difficulty in swallowing? YES NO DON'T KNOW 521 Did she have headache? YES NO DON'T KNOW 521A How many days or months did she have headache? DAYS IF < 24 HRS WRITE '00' DAYS IF < MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS 522 522A Did she pass blood in her urine? For how many days or months did she pass blood in her urine? IF < 24 HRS WRITE '00' DAYS IF < MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS 523 523A Did she have pain while urinating? For how many days or months did she have pain when urinating? MONTHS DON'T KNOW YES NO DON'T KNOW DAYS MONTHS 998 523 DON'T KNOW YES NO DON'T KNOW DAYS 998 524 MONTHS IF < 24 HRS WRITE '00' DAYS IF < MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS DON'T KNOW 524 Was she unable to pass urine? YES NO DON'T KNOW 525 Did she urinate many times in a day? YES NO DON'T KNOW 526 Did she have any type of pain anywhere in the body ? YES NO DON'T KNOW 527 Did she have abdominal pain? YES NO DON'T KNOW 527A How long did the abdominal pain last? DAYS IF < 24 HRS WRITE '00' DAYS IF < MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS 527B 348 | Appendix F 522 Was the abdominal pain mild, moderate or severe? MONTHS DON'T KNOW MILD MODERATE SEVERE DON'T KNOW 998 528 NO QUESTIONS AND FILTERS CODING CATEGORIES SKIP 527C Was the abdominal pain in her upper belly, lower belly, or all over her belly? UPPER ABDOMEN LOWER ABDOMEN ALL OVER THE ABDOMEN DON'T KNOW 528 Did she have abdominal distension? YES NO DON'T KNOW 528A How many days or months was her abdomen distended? DAYS IF < 24 HRS WRITE '00' DAYS IF < MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS 528B 529 Did the distension come rapidly within days or slowly over several weeks? MONTHS DON'T KNOW 998 RAPIDLY, WITHIN FEW DAYS SLOWLY, OVER WEEKS DON'T KNOW 529 Did she have a mass in her abdomen? YES NO DON'T KNOW 530 Did she have vomiting? YES NO DON'T KNOW 530A 531 For how many days or months did she have vomiting? DAYS IF < 24 HRS WRITE '00' DAYS IF < MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS MONTHS DON'T KNOW 998 530B Did she vomit blood? YES NO DON'T KNOW 531 Did she become mentally confuse? YES NO DON'T KNOW 532 Did she loose consciousness ? YES NO DON'T KNOW 532A 533 For how long she remained unconscious? DAYS IF < 24 HRS WRITE '00' DAYS IF < MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS MONTHS DON'T KNOW 998 532B Did she become unconscious suddenly or gradually? SUDDENLY GRADUALLY DON'T KNOW 533 Did she become paralyze before her death? YES NO DON'T KNOW 534 Appendix F | 349 NO 533A QUESTIONS AND FILTERS CODING CATEGORIES SKIP How long did the paralysis last? DAYS IF < 24 HRS WRITE '00' DAYS IF < MONTH WRITE DAYS IF > MONTH WRITE MONTHS IF ONE OR MORE YEAR WRITE YEARS MONTHS LASTED TILL DEATH 997 DON'T KNOW 998 533B Was the paralysis on only one side of her body or both sides? ONE SIDE ONLY BOTH SIDES DON'T KNOW 534 Did she have stiffness in her whole body? YES NO DON'T KNOW 535 Did she have neck pain? YES NO DON'T KNOW 536 Did she have fits or convulsions? YES NO DON'T KNOW 536A For how many days or months did she have fits? DAYS IF < 24 HRS WRITE '00' DAYS IF < MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS 536B When the fits were most frequent, how many times a day did she have fits? MONTHS DON'T KNOW 998 TIMES DON'T KNOW 98 537 Did she have an ulcer or swelling in the breast? YES NO DON'T KNOW 538 Did she have vaginal bleeding when she was not having her menstrual period? YES NO DON'T KNOW 538A For how many days or months did she have bleeding? DAYS IF < 24 HRS WRITE '00' DAYS IF < 1- MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS MONTHS DON'T KNOW 998 538B Did the bleeding persist until she died? YES NO DON'T KNOW 539 Did she have abnormal vaginal discharge? YES NO DON'T KNOW 540 350 | Appendix F 537 Did she have swelling on her ankles? YES NO DON'T KNOW 539 NO 541 541A QUESTIONS AND FILTERS Did she have swelling or puffiness on her hands and/or face ? For how many days or months did she have swelling on her hands and/or face ? CODING CATEGORIES YES NO DON'T KNOW 542 MONTHS IF < 24 HRS WRITE '00' DAYS IF < 1- MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS DAYS SKIP DON'T KNOW 998 542 Did she lose weight? YES NO DON'T KNOW 543 Did she have sores in her mouth? YES NO DON'T KNOW 544 Did she look pale? YES NO DON'T KNOW 545 Did she have any skin disease? YES NO DON'T KNOW 546 Were her eyes yellowish in color due to jaundice? YES NO DON'T KNOW 546A 547 For how many days or months did she have yellow eyes? DAYS IF < 24 HRS WRITE '00' DAYS IF < 1- MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS MONTHS DON'T KNOW 998 547 Did she ever complain of having blurred vision? YES NO DON'T KNOW 548 Did she have difficulty in opening her mouth? YES NO DON'T KNOW 549 Did she have difficulty in passing stools? YES NO DON'T KNOW 550 Did she feel dizzy? YES NO DON'T KNOW 551 Did she have general weakness or fatigue? YES NO DON'T KNOW 551A 552 For how many days or months did she have Weakness? DAYS IF < 24 HRS WRITE '00' DAYS IF < 1- MONTH WRITE DAYS IF ONE OR MORE MONTH WRITE MONTHS MONTHS DON'T KNOW 998 Appendix F | 351 NO 552 QUESTIONS AND FILTERS Did she have any ulcers on her body? CODING CATEGORIES YES NO DON'T KNOW 553 Was there any other symptom that we did not mention? SKIP PLEASE WRITE IN URDU OR ENGLISH _ 554 Did people think she had an evil eye or shadow? YES NO DON'T KNOW 555 Was a Faith Healer called to or she was taken give amulets or spiritual healing? YES NO DON'T KNOW 556 352 | Appendix F Give Details: 601 SECTION DECEASED ILLNESS HISTORY 601 CHECK 511: YES NO / DON’T KNOW 614 FEVER SECTION 602 How long before she died did the fever start? HOURS 603 DAYS IF < DAY WRITE HOURS IF < WEEK WRITE DAYS IF < MONTH WRITE WEEKS IF ONE OR MORE MONTH WRITE MONTHS WEEKS MONTHS DON’T KNOW 998 How long did it last? HOURS IF < DAY WRITE HOURS IF < WEEK WRITE DAYS IF < MONTH WRITE WEEKS IF ONE OR MORE MONTH WRITE MONTHS DAYS WEEKS MONTHS DON’T KNOW 998 604 Was the fever very high? YES NO DON’T KNOW 605 Did she have fever with chills? YES NO DON’T KNOW 606 Was she prescribed anti-malarial tablets for the episodes of fever and chills? YES NO DON’T KNOW 607 Did her colour change during her last illness? YES NO DON’T KNOW 607A What was the colour? PALLOR JAUNDICED BLUE 608 Had she been vomiting during her last illness? YES NO DON’T KNOW 608 608A 610 How long before she died did the vomiting start? HOURS IF < DAY WRITE HOURS IF < WEEK WRITE DAYS IF < MONTH WRITE WEEKS IF ONE OR MORE MONTH WRITE MONTHS DAYS WEEKS MONTHS DON’T KNOW 998 Appendix F | 353 609 Did she ever vomit pure blood? YES NO DON’T KNOW 610 Did she have any difficulty with urination? YES NO DON’T KNOW 610A 611 Record all that apply Y N DK ASK EACH CONDITION (ONE BY ONE): 611 612 UNABLE TO PASS URINE TOO FREQUENT URINATION PAINFUL URINATION BACK PAIN WITH FEVER BLOOD IN URINE OTHER _ (SPECIFY) How long before/after childbirth, miscarriage or abortion did the fever start? 2 2 2 8 8 8 BEFORE CHILD BIRTH / ABORTION AFTER CHILD BIRTH / ABORTION DON’T KNOW / REMEMBER NOT APPLICABLE When did the fever start? 613 Did she have convulsions with fever? 614 WEEKS 613 DAYS IF < DAY WRITE HOURS IF < WEEK WRITE DAYS IF < MONTH WRITE WEEKS IF ONE OR MORE MONTH WRITE MONTHS HOURS 1 1 1 MONTHS DON’T KNOW 998 CHECK 515: YES YES NO DON’T KNOW NO/ DON’T KNOW 621 COUGH SECTION 615 How long before she died did the cough start? HOURS 616 354 | Appendix F Was there any sputum when she coughed? DAYS IF < DAY WRITE HOURS IF < WEEK WRITE DAYS IF < MONTH WRITE WEEKS IF ONE OR MORE MONTH WRITE MONTHS WEEKS MONTHS DON’T KNOW 998 YES NO DON’T KNOW 617 Was there blood in it? YES NO DON’T KNOW 617A Give Details: 618 Did she lose weight during this illness? YES NO DON’T KNOW 619 Did she have any fever? YES NO DON’T KNOW MILD MODERATE HIGH DON’T KNOW YES NO DON’T KNOW 618 619A 620 620A How much fever? Was she short of breath? 621 For how long? HOURS DAYS WEEKS IF < DAY WRITE HOURS IF < WEEK WRITE DAYS IF ONE OR MORE WEEK WRITE WEEKS DON’T KNOW 621 620 998 CHECK 526: YES NO / DON’T KNOW 632 PAIN SECTION 622 What kind of pain? CONTINOUS INTERMITTENT VERY INTENSE INCREASING IN SEVERITY OTHER (SPECIFY) 623 What was / were the site (s) of the pain? HEAD ABDOMEN CHEST BREAST LEGS ALL OVER OTHERS A B C D E F G (SPECIFY) Appendix F | 355 624 How long before she died did the pain start? HOURS 625 DAYS IF < DAY WRITE HOURS IF < WEEK WRITE DAYS IF < MONTH WRITE WEEKS IF ONE OR MORE MONTH WRITE MONTHS WEEKS MONTHS DON’T KNOW 998 How long did it last? HOURS IF < DAY WRITE HOURS IF < WEEK WRITE DAYS IF < MONTH WRITE WEEKS IF ONE OR MORE MONTH WRITE MONTHS DAYS WEEKS MONTHS DON’T KNOW 998 626 If it was in abdomen, which specific side? 627 Was there any pain in the lower abdomen? YES NO DON’T KNOW 628 Was the pain accompanied by fever? YES NO DON’T KNOW 629 Was the fever mild, moderate or high? MILD MODERATE HIGH DON’T KNOW 630 Was the pain accompanied by vomiting? YES NO DON’T KNOW 631 When did the pain start? BEFORE LABOUR AT TIME OF LABOUR DAY AFTER DELIVERY DAYS AFTER DELIVERY DAYS AFTER DELIVERY > DAYS AFTER DELIVERY DON’T KNOW / DON’T REMEMBER NOT APPLICABLE 356 | Appendix F 630 632 CHECK 536: YES NO/ DON’T KNOW 639 CONVULSION SECTION 633 Did she have a history of convulsions or epilepsy? YES NO DON’T KNOW 634 Did she have convulsions in her last illness? YES NO DON’T KNOW 634A 635 For how long before death? HOURS IF < DAY WRITE HOURS IF < WEEK WRITE DAYS IF < MONTH WRITE WEEKS IF ONE OR MORE MONTH WRITE MONTHS DAYS WEEKS DON’T KNOW 998 635 Did she have high blood pressure before she died? YES NO DON’T KNOW 636 Did she have severe headache before she died? YES NO DON’T KNOW 637 Did she have change in her vision before she died? YES NO DON’T KNOW 638 What was her state of consciousness before she died? I mean, was she conscious, semi-conscious or unconscious? (Explain) 639 CHECK 540 & 541: YES NO / DON’T KNOW 701 SWELLING SECTION 640 Where was the site of swelling? (Ask for each) YES ABDOMEN FACE LEGS AND FEET WHOLE BODY 641 NO DK 8 8 How long before she died did she have this swelling? HOURS IF < DAY WRITE HOURS IF < WEEK WRITE DAYS IF < MONTH WRITE WEEKS IF ONE OR MORE MONTH WRITE MONTHS DAYS WEEKS MONTHS DON’T KNOW 998 Appendix F | 357 ... Population Studies (NIPS) [Pakistan] , and Macro International Inc 2008 Pakistan Demographic and Health Survey 2006-07 Islamabad, Pakistan: National Institute of Population Studies and Macro International... FINDINGS The 2006-07 Pakistan Demographic and Health Survey (PDHS) is the largest householdbased survey ever conducted in Pakistan Teams visited 972 sample points across Pakistan and collected... Munir and Khalid Mehmood Pakistan? ??s first Demographic and Health Survey was undertaken in 1990-91 Since then, other surveys focusing on fertility and family planning, reproductive health, and status