220 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011

MONITORING THE SITUATION OF CHILDREN AND WOMEN

6. Report editors:
Mr. Do Anh Kiem, Deputy Director, SESD, GSO
Mr. Nguyen The Quan, Deputy Director, SESD, GSO
Ms. Sigrid Breddy, Monitoring and Evaluation Specialist, UNICEF
Ms. Michele Schmit, Monitoring and Evaluation Offcer, UNICEF
Mr. Alexandru Nartea, Consultant, UNICEF
Ms. Sarah Bales, Consultant, MOH
Mr. Dong Ba Huong, Director, Population and Labour Statistics Department, GSO
Ms. Nguyen Bich Ngoc, Database Management Expert, UNICEF
Mr. Tran Chien Thang, Programme Associate, UNFPA
Mr. Le Danh Tuyen, Deputy Director, National Institute of Nutrition
7. GSO Supervisors:
Mr. Nguyen Phong, Director, SESD, GSO
Mr. Nguyen Dinh Chung, Deputy Director, SESD, GSO
Mr. Do Anh Kiem, Deputy Director, SESD, GSO
Mr. Nguyen The Quan, Deputy Director, SESD, GSO
Mr. Vo Thanh Son, Statistician
Ms. Nguyen Thi Loan, Statistician
Mr. Pham Xuan Luong, Statistician
Mr. Than Viet Dung, Statistician
Ms. Vu Thi Thu Thuy, Statistician
Ms. Ho Thi Kim Nhung, Statistician
Ms.To Thuy Hanh, Statistician
Ms. Lo Thi Duc, Statistician
Ms. Nguyen Thi Hon, Statistician
Ms. Nguyen Thanh Tu, Statistician
Ms. Nguyen Thanh Ngoc, Statistician
Mr. Nguyen Quoc Hung, Statistician
Mr. Cao Thanh Son, Statistician
Mr. Nguyen Phuong Anh, Statistician
221 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
Mr. Nguyen Quang Phuong, Statistician
Ms. Nguyen Thi Viet Nga, Statistician
Mr. Ngo Doan Thang, Statistician
8. Independent supervisors:
Ms. Nguyen Bich Ngoc, Database Management Expert, UNICEF
Mr. AlexandruNartea, Consultant, UNICEF
Mr. Nguyen Xuan Hong, Monitoring and Evaluation Specialist, UNFPA
Mr. Tran Thanh Do, Expert, National Institute of Nutrition
Mr. Nguyen Huu Chinh, Nutrition Expert, National Institute of Nutrition
222
223 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
APPENDIX C. Estimates of Sampling Errors
The sample of respondents selected in the Viet Nam Multiple Indicator Cluster Survey is
only one of the samples that could have been selected from the same population, using the
same design and size. Each of these samples would yield results that differ somewhat from
the results of the actual sample selected. Sampling errors are a measure of the variability
between the estimates from all possible samples. The extent of variability is not known
exactly, but can be estimated statistically from the survey data.
The following sampling error measures are presented in this appendix for each of
the selected indicators:
Standard error (se): Sampling errors are usually measured in terms of standard
errors for particular indicators (means, proportions etc). Standard error is the
square root of the variance of the estimate. The Taylor linearization method is
used for the estimation of standard errors.
Coeffcient of variation (se/r) is the ratio of the standard error to the value of the
indicator, and is a measure of the relative sampling error.
Design effect (deff) is the ratio of the actual variance of an indicator, under the
sampling method used in the survey, to the variance calculated under the
assumption of simple random sampling. The square root of the design effect
(deft) is used to show the effciency of the sample design in relation to the
precision. A deft value of 1.0 indicates that the sample design is as effcient as
a simple random sample, while a deft value above 1.0 indicates the increase in
the standard error due to the use of a more complex sample design.
Confdence limits are calculated to show the interval within which the true
value for the population can be reasonably assumed to fall, with a specifed level
of confdence. For any given statistic calculated from the survey, the value of that
statistic will fall within a range of plus or minus two times the standard error
(r + 2.se or r 2.se) of the statistic in 95 percent of all possible samples of
identical size and design.
For the calculation of sampling errors from MICS data, SPSS Version 18 Complex Samples
module has been used. The results are shown in the tables that follow. In addition to the
sampling error measures described above, the tables also include weighted and unweighted
counts of denominators for each indicator.
Sampling errors are calculated for indicators of primary interest, for the national level, for
the regions, and for urban and rural areas. Three of the selected indicators are based on
households, 8 are based on household members, 13 are based on women, and 15 are
based on children under 5. All indicators presented here are in the form of proportions.
Table SE.1 shows the list of indicators for which sampling errors are calculated, including
the base population (denominator) for each indicator. Tables SE.2 to SE.10 show the
calculated sampling errors for selected domains.
224 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
Table SE.1: Indicators selected for sampling error calculations
List of indicators selected for sampling error calculations, and base populations (denominators) for each indicator, Viet
Nam, 20102011
MICS4 Indicator Base Population
HOUSEHOLDS
2.16 Iodised salt consumption All households in which salt was tested or with no salt
4.5 Place for handwashing All households
4.6 Availability of soap All households
HOUSEHOLD MEMBERS
4.1 Use of improved drinking water sources All household members
-
Use of improved sanitation facilities (shared and
not shared)
All household members
7.5 Secondary school net attendance ratio (adjusted) Children of secondary school age
8.2 Child labour Children aged 5-14 years
9.18
Prevalence of children with at least one parent
dead
Children aged 0-17 years
8.5 Violent discipline Children aged 2-14 years
4.2 Water treatment
All households members in households using unimproved
drinking water sources
7.2 School readiness Children attending the frst grade of primary school
7.3 Net intake rate in primary education Children of school-entry age
7.4 Primary school net attendance ratio (adjusted) Children of primary school age
7.7 Primary completion rate Children of primary school completion age
7.8 Transition rate to secondary school
Children who are attending the frst grade of secondary
school
8.15 Childrens living arrangements Children aged 0-17 years
WOMEN
5.3 Contraceptive prevalence
Women aged 15-49 years who are currently married or
in union
5.5a
Antenatal care coverage - at least once by skilled
personnel
Women aged 15-49 years with a live birth in the 2 years
preceding the survey
5.7 Skilled attendant at delivery
Women aged 15-49 years with a live birth in the 2 years
preceding the survey
5.8 Institutional deliveries
Women aged 15-49 years with a live birth in the 2 years
preceding the survey
5.9 Caesarean section
Women aged 15-49 years with a live birth in the 2 years
preceding the survey
8.7 Marriage before age 18 Women aged 20-49 years
8.9 Polygyny
Women aged 15-49 years who are currently married or
in union
9.2
Comprehensive knowledge about HIV prevention
among young people
Women aged 15-24 years
9.3 Knowledge of mother- to-child transmission of HIV Women aged 15-49 years
9.4 Accepting attitudes towards people living with HIV Women aged 15-49 years who have heard of HIV
9.6
Women who have been tested for HIV and know
the results
Women aged 15-49 years
5.6 Content of antenatal care
Women aged 15-49 years with a live birth in the 2 years
preceding the survey
2.19 Infants weighed at birth Last live births in the 2 years preceding the survey
2.4 Children ever breastfed
Women aged 15-49 years with a live birth in the 2 years
preceding the survey
2.5 Early initiation of breastfeeding
Women aged 15-49 years with a live birth in the 2 years
preceding the survey
9.1 Comprehensive knowledge about HIV prevention Women aged 15-49 years
225 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
UNDER-5s
2.1a Underweight prevalence Children under age 5
2.2a Stunting prevalence Children under age 5
2.3a Wasting prevalence Children under age 5
2.6 Exclusive breastfeeding under 6 months Total number of infants under 6 months of age
2.14 Age-appropriate breastfeeding Children aged 0-23 months
- Tuberculosis immunization coverage Children aged 12-23 months
- Received polio immunization Children aged 12-23 months
- Received DPT immunization Children aged 12-23 months
- Received measles immunization Children aged 12-23 months
- Diarrhoea in the previous 2 weeks Children under age 5
- Fever in last two weeks Children under age 5
3.8 Oral rehydration therapy with continued feeding
Children under age 5 with diarrhoea in the previous 2
weeks
3.10 Antibiotic treatment of suspected pneumonia
Children under age 5 with suspected pneumonia in the
previous 2 weeks
3.15
Children under age 5 sleeping under insecticide-
treated nets (ITNs)
Children under age 5
3.18 Anti-malarial treatment of children under age 5
Children under age 5 reported to have had fever in the
previous 2 weeks
6.1 Support for learning Children aged 36-59 months
6.7 Attendance to early childhood education Children aged 36-59 months
8.1 Birth registration Children under age 5
2.9 Predominant breastfeeding under 6 months Children under 6 months
2.7 Continued breastfeeding at 1 year Children aged 12-15 months
2.8 Continued breastfeeding at 2 years Children aged 20-23 months
2.13 Minimum meal frequency Children aged 6-23 months
2.15 Milk feeding frequency for non-breastfed children Non breast-fed children aged 6-23 months
2.11 Bottle feeding Children aged 0-23 months
2.17 Vitamin A supplementation (children under age 5) Children aged 6-59 months
- Fully immunized children Children aged 12-23 months
- Acute respiratory infection in last two weeks Children under age 5
3.9 Care-seeking for suspected pneumonia
Children under age 5 with suspected pneumonia in the
previosu 2 weeks
6.2 Fathers support for learning Children aged 36-59 months
6.3 Learning materials: childrens books Children under age 5
6.4 Learning materials: playthings Children under age 5
6.5 Inadequate care Children under age 5
6.6 Early child development Index Children aged 36-59 months
4.4 Safe disposal of childs faeces Children aged 0-2
226 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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227 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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228 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
T
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229 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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230 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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231 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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232 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
T
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233 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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234 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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MONITORING THE SITUATION OF CHILDREN AND WOMEN
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6
237 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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238 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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239 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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MONITORING THE SITUATION OF CHILDREN AND WOMEN
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241 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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242 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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3
243 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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244 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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245 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
T
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246 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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248 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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249 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
T
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251 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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252 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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253 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
APPENDIX D. Data Quality Tables
Table DQ.1: Age distribution of household population
Single-year age distribution of household population by sex,Viet Nam, 20102011
Sex
Male Female
Number Percent Number Percent
Age
0 307 1.4 356 1.6
1 399 1.9 371 1.7
2 441 2.0 349 1.6
3 374 1.7 383 1.7
4 346 1.6 342 1.5
5 400 1.9 365 1.6
6 395 1.8 357 1.6
7 423 2.0 356 1.6
8 373 1.7 335 1.5
9 337 1.6 365 1.6
10 400 1.9 356 1.6
11 373 1.7 331 1.5
12 361 1.7 344 1.5
13 412 1.9 386 1.7
14 438 2.0 405 1.8
15 412 1.9 358 1.6
16 397 1.8 405 1.8
17 414 1.9 428 1.9
18 353 1.6 333 1.5
19 305 1.4 251 1.1
20 347 1.6 352 1.6
21 295 1.4 280 1.2
22 311 1.4 337 1.5
23 354 1.6 369 1.6
24 275 1.3 325 1.4
25 354 1.6 364 1.6
26 379 1.8 362 1.6
27 320 1.5 354 1.6
28 363 1.7 397 1.8
29 330 1.5 337 1.5
30 297 1.4 372 1.7
31 300 1.4 332 1.5
32 368 1.7 332 1.5
33 344 1.6 395 1.8
34 340 1.6 356 1.6
35 341 1.6 351 1.6
36 357 1.7 319 1.4
37 359 1.7 331 1.5
38 372 1.7 320 1.4
39 325 1.5 324 1.4
40 317 1.5 362 1.6
41 290 1.3 317 1.4
42 361 1.7 300 1.3
43 264 1.2 264 1.2
44 313 1.5 358 1.6
45 314 1.5 369 1.6
46 339 1.6 313 1.4
47 349 1.6 301 1.3
254 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
Table DQ.1: Age distribution of household population
Single-year age distribution of household population by sex,Viet Nam, 20102011
Sex
Male Female
Number Percent Number Percent
48 301 1.4 266 1.2
49 215 1.0 199 0.9
50 302 1.4 384 1.7
51 204 0.9 308 1.4
52 265 1.2 326 1.5
53 264 1.2 262 1.2
54 210 1.0 242 1.1
55 204 0.9 236 1.1
56 222 1.0 249 1.1
57 157 0.7 186 0.8
58 177 0.8 219 1.0
59 116 0.5 141 0.6
60 171 0.8 204 0.9
61 140 0.6 168 0.7
62 118 0.5 178 0.8
63 136 0.6 129 0.6
64 98 0.5 115 0.5
65 95 0.4 103 0.5
66 85 0.4 83 0.4
67 70 0.3 107 0.5
68 89 0.4 112 0.5
69 67 0.3 83 0.4
70 75 0.3 142 0.6
71 87 0.4 91 0.4
72 62 0.3 110 0.5
73 82 0.4 94 0.4
74 69 0.3 93 0.4
75 44 0.2 87 0.4
76 59 0.3 79 0.4
77 43 0.2 79 0.4
78 38 0.2 60 0.3
79 38 0.2 57 0.3
80+ 320 1.5 576 2.6
DK/missing 0 0.0 0 0.0
Total 21559 100.0 22439 100.0
255 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
Table DQ.2: Age distribution of eligible and interviewed women
Household population of women age 10-54, interviewed women age 15-49, and percentage of eligible women who
were interviewed, by fve-year age groups, Viet Nam, 20102011
Household
population of
women age 10-54
Interviewed women age 15-49
Percentage of
eligible women
interviewed
(Completion rate)
Number Number Percent
Age
10-14 1821 . . .
15-19 1776 1656 14.6 93.3
20-24 1663 1563 13.8 94.0
25-29 1814 1754 15.5 96.7
30-34 1786 1763 15.6 98.7
35-39 1646 1608 14.2 97.7
40-44 1603 1571 13.9 98.0
45-49 1447 1407 12.4 97.2
50-54 1522 . . .
Total (15-49) 11735 11322 100.0 96.5
Table DQ.3: Age distribution of under-5s in household and under-5 questionnaires
Household population of children age 0-7, children age 0-4 whose mothers/caretakers were interviewed, and
percentage of under-5 children whose mothers/caretakers were interviewed, by single ages, Viet Nam, 20102011
Household
population of
children 0-7 years
Interviewed under-5 children
Percentage of
eligible under-
5s interviewed
(Completion rate)
Number Number Percent
Age
0 663 650 18.0 98.1
1 770 755 20.8 98.1
2 790 780 21.5 98.8
3 757 753 20.8 99.5
4 689 685 18.9 99.5
5 765 . . .
6 752 . . .
7 779 . . .
Total (0-4) 3668 3624 100.0 98.8
256 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
Table DQ.4: Completeness of reporting
Percentage of observations that are missing information for selected questions and indicators, Viet Nam, 2010
2011
Percent with missing/incomplete
information*
Number of cases
Salt testing 0.2 11614
Starting time of interview 0.2 11614
Ending time of interview 0.2 11614
Woman's date of birth: Only month 4.0 11663
Woman's date of birth: Both month and year 0.0 11663
Date of frst birth: Only month 0.8 8304
Date of frst birth: Both month and year 0.0 8304
Completed years since frst birth 0.0 1
Date of last birth: Only month 0.1 8304
Date of last birth: Both month and year 0.2 8304
Date of frst marriage/union: Only month 5.0 8814
Date of frst marriage/union: Both month and year 1.9 8814
Age at frst marriage/union 0.0 8814
Age at frst intercourse 0.0 1024
Time since last intercourse 0.0 1024
Starting time of interview 0.2 11663
Ending time of interview 0.3 11663
Date of birth: Only month 0.1 3678
Date of birth: Both month and year 0.0 3678
Anthropometric measurements: Weight 1.9 3678
Anthropometric measurements: Height 2.5 3678
Anthropometric measurements: Both weight and
height
1.8 3678
Starting time of interview 0.3 3678
Ending time of interview 0.4 3678

257 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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MONITORING THE SITUATION OF CHILDREN AND WOMEN
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259 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
Table DQ.6: Heaping in anthropometric measurements
Distribution of weight and height/length measurements by digits reported for decimals, Viet Nam, 20102011
Weight Height
Number Percent Number Percent
Digits 0 451 12.5 794 22.0
1 341 9.5 331 9.2
2 380 10.5 396 11.0
3 367 10.2 339 9.4
4 307 8.5 320 8.9
5 420 11.7 468 13.0
6 317 8.8 258 7.2
7 341 9.5 241 6.7
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9 312 8.7 209 5.8
0 or 5 871 24.2 1262 35.0
Total 3605 100.0 3607 100.0
260 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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261 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
T
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3
262 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
Table DQ.9: Observation of under-5s birth certifcates
Percent distribution of children under 5 by presence of birth certifcates,and percentage of birth calendar seen,
Viet Nam, 20102011
Child
does not
have birth
certifcate
Child has birth certifcate
Missing/DK Total
Percent of birth
certifcates
seen by the
interviewer (1)/
(1+2)*100
Number
of children
under
age 5
Seen by the
interviewer
(1)
Not seen
by the
interviewer
(2)
Region
Red River Delta 1.8 69.4 28.7 0.0 100.0 70.7 543
Northern Midland and
Mountain areas
8.4 59.6 32.0 0.0 100.0 65.0 712
North Central area and
Central Coastal area
5.3 65.9 28.5 0.4 100.0 69.8 548
Central Highlands 8.9 65.6 25.3 0.1 100.0 72.2 727
South East 4.6 73.7 21.7 0.0 100.0 77.3 581
Mekong River Delta 10.2 63.3 26.5 0.0 100.0 70.5 567
Area
Urban 3.5 70.1 26.2 0.1 100.0 72.8 1409
Rural 8.8 63.4 27.8 0.0 100.0 69.5 2269
Child's
age
0 18.1 59.3 22.3 0.3 100.0 72.6 663
1 6.8 66.3 26.9 0.0 100.0 71.1 765
2 4.4 68.7 26.8 0.0 100.0 71.9 787
3 3.4 67.9 28.7 0.0 100.0 70.3 770
4 2.3 66.7 30.9 0.1 100.0 68.3 693
Total 6.8 66.0 27.2 0.1 100.0 70.8 3678
263 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
T
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264 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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265 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
Table DQ.12: Selection of children age 2-14 years for the child discipline module
Percent of households with at least two children age 2-14 years where correct selection of one child for the child
discipline module was performed, Viet Nam, 20102011
Percent of households
where correct selection
was performed
Number of households
with 2 or more children
age 2-14 years
Region
Red River Delta 96.6 409
Northern Midland and Mountain areas 97.8 507
North Central area and Central Coastal
area
95.8 425
Central Highlands 95.6 680
South East 94.9 391
Mekong River Delta 98.5 480
Area
Urban 96.1 984
Rural 96.8 1908
Number of households by
number of children 2-14
2 96.8 2279
3 95.2 461
4 96.1 152
Total 96.5 2892
266 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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267 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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268
269 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A
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270 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
M
I
C
S
4

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271 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
M
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C
S
4

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m
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272 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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273 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
M
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4

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p
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n
274 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
M
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C
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4

I
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3
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1
275 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
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276 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
M
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277 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MONITORING THE SITUATION OF CHILDREN AND WOMEN
M
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278
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A1 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
APPENDIX F. Questionnaires
See the Questionnaires in separate fle
HOUSEHOLD QUESTIONNAIRE
VIET NAM
HOUSEHOLD INFORMATION PANEL HH
HHA. Province/ City name and number: HHB. District name and number:
Name __________________________ ___ ___ Name ___________________________ ___ ___
HHC. Commune/ Ward name and number: ___________________________ ___ ___
HH1. EA name and number: HH2. Household number:
Name __________________________ ___ __ ___ ___
HH3. Interviewer name and number: HH4. Team leader name and number:
Name __________________________ ___ ___ Name __________________________ ___ ___
HH5. Day / Month / Year of interview: ___ ___ / ___ ___ / ___ ___ ___ ___
HH6. Area:
Urban....................................................................1
Rural.....................................................................2
HH7. Region:
Red River Delta .................................................................. 1
Northern Midlands and Mountain area ............................... 2
North Central and Central Coastal area ............................. 3
Central Highlands ............................................................... 4
South East .......................................................................... 5
Mekong River Delta ............................................................ 6
WE ARE FROM GENERAL STATISTICS OFFICE. WE ARE WORKING ON A SURVEY CONCERNED WITH FAMILY HEALTH AND
EDUCATION. I WOULD LIKE TO TALK TO YOU ABOUT THESE SUBJECTS. THE INTERVIEW WILL TAKE ABOUT 40 MINUTES. ALL THE
INFORMATION WE OBTAIN WILL REMAIN STRICTLY CONFIDENTIAL AND YOUR ANSWERS WILL NEVER BE SHARED WITH ANYONE
OTHER THAN OUR PROJECT TEAM.
MAY I START NOW?
Yes, permission is given Go to HH18 to record the time and then begin the interview.
NO, PERMISSION IS NOT GIVEN COMPLETE HH9. DISCUSS THIS RESULT WITH YOUR TEAM LEADER.
After all questionnaires for the household have been completed, fll in the following information:
HH8. Name of head of household: __________________________________________
HH9. Result of household interview:
Completed ......................................................................... 01
No household member or no competent
respondent at home at time of visit ........................... 02
Entire household absent for extended
period of time ............................................................ 03
Refused ............................................................................. 04
Dwelling vacant / Address not a dwelling .......................... 05
Dwelling destroyed ............................................................ 06
Dwelling not found ............................................................. 07

Other (specify) ________________________________ 96
HH10. Respondent to household questionnaire:

Name:____________________________________
Line Number: ___ ___
HH11. Total number of household
members: ___ ___
HH12. Number of women
age 15-49 years: ___ ___
HH13. Number of womans
questionnaires completed: ___ ___
HH14. Number of children
under age 5: ___ ___
HH15. Number of under-5 questionnaires
completed: ___ ___
HH16. Field edited by (Name and number):
Name
HH17. Data entry clerk (Name and number):
Name
A2
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
























































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MONITORING THE SITUATION OF CHILDREN AND WOMEN
A3 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
























































H
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A6
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
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_
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A7 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
WATER AND SANITATION WS
WS1. WHAT IS THE MAIN SOURCE OF DRINKING WATER
FOR MEMBERS OF YOUR HOUSEHOLD?
Piped water
Piped into dwelling ................................................. 11
Piped into compound, yard or plot ......................... 12
Piped to neighbour ................................................ 13
Public tap / standpipe ............................................ 14
Tube Well, Borehole ................................................... 21
Dug well
Protected well ........................................................ 31
Unprotected well .................................................... 32
Water from spring
Protected spring .................................................... 41
Unprotected spring ................................................ 42
Rainwater collection ................................................... 51
Tanker-truck ................................................................ 61
Cart with small tank / drum ......................................... 71
Surface water (river, stream, dam, lake,
pond, canal, irrigation channel) ............................. 81
Bottled water............................................................... 91
Other (specify) ______________________________ 96
11WS6
12WS6
13WS6
14WS3
21WS3
31WS3
32WS3
41WS3
42WS3
51WS3
61WS3
71WS3
81WS3
96WS3
WS2. WHAT IS THE MAIN SOURCE OF WATER USED BY
YOUR HOUSEHOLD FOR OTHER PURPOSES SUCH
AS COOKING AND HANDWASHING?
Piped water
Piped into dwelling ................................................. 11
Piped into compound, yard or plot ......................... 12
Piped to neighbour ................................................ 13
Public tap / standpipe ............................................ 14
Tube Well, Borehole ................................................... 21
Dug well
Protected well ........................................................ 31
Unprotected well .................................................... 32
Water from spring
Protected spring .................................................... 41
Unprotected spring ................................................ 42
Rainwater collection ................................................... 51
Tanker-truck ................................................................ 61
Cart with small tank / drum ......................................... 71
Surface water (river, stream, dam, lake,
pond, canal, irrigation channel) ............................. 81
Other (specify) ______________________________ 96
11WS6
12WS6
13WS6
WS3. WHERE IS THAT WATER SOURCE LOCATED?
In own dwelling ............................................................. 1
In own yard / plot .......................................................... 2
Elsewhere ..................................................................... 3
1WS6
2WS6
WS4. HOW LONG DOES IT TAKE TO GO THERE, GET
WATER, AND COME BACK?
Number of minutes ........................................... __ __ __
DK............................................................................. 998
WS5. WHO USUALLY GOES TO THIS SOURCE TO
COLLECT THE WATER FOR YOUR HOUSEHOLD?
Probe:
IS THIS PERSON UNDER AGE 15?
WHAT SEX?
Adult woman (age 15+ years) ...................................... 1
Adult man (age 15+ years) ........................................... 2
Female child (under 15)................................................ 3
Male child (under 15) .................................................... 4
DK................................................................................. 8
WS6. DO YOU DO ANYTHING TO THE WATER TO MAKE IT
SAFER TO DRINK?
Yes ................................................................................ 1
No 2
DK................................................................................. 8
2WS8
8WS8
A8
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
WS7. WHAT DO YOU USUALLY DO TO MAKE THE WATER
SAFER TO DRINK?
Probe:
ANYTHING ELSE?
Record all items mentioned.
Boil................................................................................ A
Add bleach / chlorine ....................................................B
Strain it through a cloth.................................................C
Use water flter (ceramic, sand, composite, etc.).....D
Solar disinfection ..........................................................E
Let it stand and settle ................................................... F
Other (specify) ______________________________ X
DK................................................................................. Z
WS8. WHAT KIND OF TOILET FACILITY DO MEMBERS OF
YOUR HOUSEHOLD USUALLY USE?
If fush or pour fush, probe:
WHERE DOES IT FLUSH TO?
If necessary, ask permission to observe
the facility.
Flush / Pour fush
Flush to piped sewer system ................................. 11
Flush to septic tank ................................................ 12
Flush to pit (latrine) ................................................ 13
Flush to somewhere else ....................................... 14
Flush to unknown place / Not sure /
DK where .......................................................... 15
Pit latrine
Ventilated Improved Pit latrine (VIP) ..................... 21
Pit latrine with slab ................................................. 22
Pit latrine without slab / Open pit ........................... 23
Composting toilet ........................................................ 31
Bucket......................................................................... 41
Hanging toilet, Hanging latrine ................................... 51
No facility, Bush, Field ................................................ 95
Other (specify) _____________________________ 96
95Next
Module
WS9. DO YOU SHARE THIS FACILITY WITH OTHERS WHO
ARE NOT MEMBERS OF YOUR HOUSEHOLD?
Yes ................................................................................ 1
No 2
2Next
Module
WS10. DO YOU SHARE THIS FACILITY ONLY WITH
MEMBERS OF OTHER HOUSEHOLDS THAT YOU
KNOW, OR IS THE FACILITY OPEN TO THE USE OF
THE GENERAL PUBLIC?
Other households only (not public) ............................... 1
Public facility ................................................................. 2 2Next
Module
WS11. HOW MANY HOUSEHOLDS IN TOTAL USE
THIS TOILET FACILITY, INCLUDING YOUR OWN
HOUSEHOLD?
Number of households (if less than 10) ................. 0 __
Ten or more households ............................................. 10
DK............................................................................... 98

MONITORING THE SITUATION OF CHILDREN AND WOMEN
A9 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
HOUSEHOLD CHARACTERISTICS HC
HC1A. WHAT IS THE RELIGION OF THE HEAD OF THIS
HOUSEHOLD?
Buddhism...................................................................... 1
Muslim ......................................................................... 2
Cao Dai......................................................................... 3
Hoa Hao ....................................................................... 4
Christian Catholic ......................................................... 5
Christian Protestant ...................................................... 9
Other religion (specify) _______________________ 6
No religion .................................................................... 7
HC1C. TO WHAT ETHNIC GROUP DOES THE HEAD OF
THIS HOUSEHOLD BELONG?
Kinh ............................................................................ 01
Tay ............................................................................. 02
Thai............................................................................. 03
Muong......................................................................... 04
Khmer ......................................................................... 05
Chinese ...................................................................... 06
Nung ........................................................................... 07
Hmong ........................................................................ 08
Other (specify) _____________________________ 96
Unspecifed ________________________________ 97
HC2. HOW MANY ROOMS IN THIS HOUSEHOLD ARE
USED FOR SLEEPING? Number of rooms ................................................... __ __
HC3. Main material of the dwelling foor.
Record observation.
Natural foor
Earth / Sand ........................................................... 11
Rudimentary foor
Wood planks .......................................................... 21
Palm / Bamboo ...................................................... 22
Finished foor
Parquet or polished wood ...................................... 31
Vinyl sheets ........................................................... 32
Ceramic tiles .......................................................... 33
Cement/ concrete .................................................. 34
Carpet .................................................................... 35
Enamelled tiles/ marble .......................................... 36
Other (specify) _____________________________ 96
HC4. Main material of the roof.
Record observation.
Natural roofng
No Roof ................................................................. 11
Thatch / Palm leaf/ Straw ...................................... 12
Rudimentary Roofng
Bamboo/ tree-trunk ................................................ 22
Wood planks/ shingles ........................................... 23
Cardboard .............................................................. 24
Finished roofng
Metal/ corrugated iron sheet .................................. 31
Calamine / Cement fbre ........................................ 33
Ceramic tiles .......................................................... 34
Cement/ reinforced concrete ................................. 35
Stone slates ........................................................... 37
Asphalt sheets ........................................................ 38
Other (specify) ______________________________ 96
A10
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
HC5. Main material of the exterior walls.
Record observation.
Natural walls
No walls ................................................................. 11
Bamboo/ Cane / Palm / Tree-Trunks ..................... 12
Dirt ......................................................................... 13
Reed ....................................................................... 14
Rudimentary walls
Bamboo with mud .................................................. 21
Stone with mud ...................................................... 22
Uncovered adobe .................................................. 23
Plywood ................................................................. 24
Cardboard .............................................................. 25
Reused wood (packing wood) ............................... 26
Finished walls
Reinforced concrete .............................................. 31
Stone/ Laterite ....................................................... 32
Bricks (covered or uncovered) ............................... 33
Cement blocks/ coal residue bricks ....................... 34
Covered adobe ...................................................... 35
Wood planks / shingles .......................................... 36
Other (specify) ______________________________ 96
HC6. WHAT TYPE OF FUEL DOES YOUR HOUSEHOLD
MAINLY USE FOR COOKING?
Electricity .................................................................... 01
Liquefed Petroleum Gas (LPG) ................................. 02
Natural gas ................................................................. 03
Biogas......................................................................... 04
Kerosene .................................................................... 05
Coal/ Pit-coal/ light coal .............................................. 06
Charcoal ..................................................................... 07
Wood .......................................................................... 08
Straw / Shrubs / Grass ............................................... 09
Animal dung................................................................ 10
Agricultural crop residue ............................................. 11
No food cooked in household ..................................... 95
Other (specify) ______________________________ 96
01HC8
02HC8
03HC8
04HC8
05HC8
95HC8
HC7. IS THE COOKING USUALLY DONE IN THE HOUSE, IN
A SEPARATE BUILDING, OR OUTDOORS?
If In the house, probe: IS IT DONE IN A
SEPARATE ROOM USED AS A KITCHEN?

In the house
In a separate room used as kitchen ........................ 1
Elsewhere in the house ........................................... 2
In a separate building ................................................... 3
Outdoors ....................................................................... 4
Other (specify) ______________________________ 6
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A11 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
HC8. DOES YOUR HOUSEHOLD HAVE:
[A] ELECTRICITY?
[B] A RADIO?
[C] A TELEVISION?
[D] A NON-MOBILE TELEPHONE?
[E] A REFRIGERATOR?
[F] A BED?
[G] A TABLE AND CHAIRS SET?
[H] A SOFA?
[I] A CUPBOARD FOR CLOTH?
[J] KITCHEN CABINETS?
[K] A FAN?
[L] CABLE/ DIGITAL TV?
[M] A COMPUTER?
[N] AIR CONDITIONER?
Yes No
Electricity ........................................................ 1 2
Radio .............................................................. 1 2
Television ........................................................ 1 2
Non-mobile telephone .................................... 1 2
Refrigerator..................................................... 1 2
Bed ................................................................. 1 2
Table and chairs set........................................ 1 2
Sofa ................................................................ 1 2
Cupboard ........................................................ 1 2
Kitchen cabinets ............................................. 1 2
Fan ................................................................. 1 2
Cable/ digital TV ............................................. 1 2
Computer ........................................................ 1 2
Air conditioner................................................. 1 2
HC9. DOES ANY MEMBER OF YOUR HOUSEHOLD OWN:
[A] A WRIST WATCH?
[B] A MOBILE TELEPHONE?
[C] A BICYCLE?
[D] A MOTORCYCLE OR SCOOTER?
[E] A POWER-TILLER OR TRACTOR?
[F] A CAR OR TRUCK?
[G] A SHIP OR BOAT WITH A MOTOR?
Yes No
Wrist watch ......................................................1 2
Mobile telephone .............................................1 2
Bicycle .............................................................1 2
Motorcycle / Scooter .......................................1 2
Power-tiller / Tractor ........................................1 2
Car / Truck .......................................................1 2
Ship/ Boat with motor ......................................1 2
HC10. DO YOU OR SOMEONE LIVING IN THIS
HOUSEHOLD OWN THIS DWELLING?
If No, then ask: DO YOU RENT THIS DWELLING
FROM SOMEONE NOT LIVING IN THIS HOUSEHOLD?
If Rented from someone else, circle 2.
For other responses, circle 6.
Own .............................................................................. 1
Rent .............................................................................. 2
Other (Not owned or rented)......................................... 6
HC11. DOES ANY MEMBER OF THIS HOUSEHOLD OWN
OR HAVE USER RIGHTS FOR ANY LAND THAT CAN
BE USED FOR AGRICULTURE?
Yes ................................................................................ 1
No 2 2HC12A
HC12. HOW MANY SQUARE METERS (M) OF
AGRICULTURAL LAND DO MEMBERS OF THIS
HOUSEHOLD OWN OR HAVE USER RIGHTS FOR?
If unknown, record 99998.
M ___ ___ ___ ___ ___
HC12A. DOES ANY MEMBER OF THIS HOUSEHOLD OWN
OR HAVE USER RIGHTS FOR ANY WATER SURFACE
AREA THAT CAN BE USED FOR AQUACULTURE?
Yes ................................................................................ 1
No 2 2HC13
HC12B. HOW MANY SQUARE METERS (M) OF WATER
SURFACE AREA DO MEMBERS OF THIS HOUSEHOLD
OWN OR HAVE USER RIGHTS FOR?
If unknown, record 99998.
M ___ ___ ___ ___ ___
HC13. DOES THIS HOUSEHOLD OWN ANY LIVESTOCK,
HERDS, OTHER FARM ANIMALS, OR POULTRY?
Yes ................................................................................ 1
No 2
2HC15
A12
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
HC14. HOW MANY OF THE FOLLOWING ANIMALS DOES
THIS HOUSEHOLD HAVE?
[A] BUFFALO, MILK COWS, OR BULLS?
[B] HORSES?
[C] GOATS?
[D] SHEEP?
[E] CHICKENS?
[F] PIGS?
[G] DUCKS, GEESE, OR SWANS?
If none, record 00.
If 95 or more, record 95.
If unknown, record 98.
Buffalo, milk cows, or bulls ................................ ___ ___
Horses ............................................................... ___ ___
Goats ................................................................. ___ ___
Sheep ................................................................ ___ ___
Chickens ............................................................ ___ ___
Pigs.................................................................... ___ ___
Ducks, geese, swans......................................... ___ ___
HC15. DOES ANY MEMBER OF THIS HOUSEHOLD HAVE A
BANK ACCOUNT?
Not including Deposit Certifcate.
Yes .............................................................................. 1
No ............................................................................ 2
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A13 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
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8
A14
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
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MONITORING THE SITUATION OF CHILDREN AND WOMEN
A15 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
INDOOR RESIDUAL SPRAYING IR
IR1. AT ANY TIME IN THE PAST 12 MONTHS, HAS
ANYONE COME INTO YOUR DWELLING TO SPRAY
THE INTERIOR WALLS AGAINST MOSQUITOES?
Yes ................................................................................ 1
No 2
DK................................................................................. 8
A16
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
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MONITORING THE SITUATION OF CHILDREN AND WOMEN
A17 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
CHILD DISCIPLINE CD
Table 1: Children Aged 2-14 Years Eligible for Child Discipline Questions
List each of the children aged 2-14 years below in the order they appear in the Household Listing Form. Do not o
include other household members outside of the age range 2-14 years.
Record the line number, name, sex, and age for each child. o
Then record the total number of children aged 2-14 in the box provided (CD6). o

CD1.
Rank
number
CD2.
Line
number
from HL1
CD3.
Name from HL2
CD4.
Sex from
HL4
CD5.
Age from
HL6
Rank Line Name M F Age
1 __ __ 1 2 ___ ___
2 __ __ 1 2 ___ ___
3 __ __ 1 2 ___ ___
4 __ __ 1 2 ___ ___
5 __ __ 1 2 ___ ___
6 __ __ 1 2 ___ ___
7 __ __ 1 2 ___ ___
8 __ __ 1 2 ___ ___
CD6. Total children age 2-14 years ___ ___
If there is only one child age 2-14 years in the household, then skip table 2 and go to CD8; write down1 and o
continue with CD9
Table 2: Selection of Random Child for Child Discipline Questions
Use Table 2 to select one child between the ages of 2 and 14 years, if there is more than one child in that age range o
in the household.
Check the last digit of the household number (HH2) from the cover page. This is the number of the row you should o
go to in the table below.
Check the total number of eligible children (2-14) in CD6 above. This is the number of the column you should go to. o
Find the box where the row and the column meet and circle the number that appears in the box. This is the rank o
number of the child (CD1) about whom the questions will be asked.
CD7. Total Number of Eligible Children in the Household (CD6)
Last digit of household
number (HH2)
1 2 3 4 5 6 7 8+
0 1 2 2 4 3 6 5 4
1 1 1 3 1 4 1 6 5
2 1 2 1 2 5 2 7 6
3 1 1 2 3 1 3 1 7
4 1 2 3 4 2 4 2 8
5 1 1 1 1 3 5 3 1
6 1 2 2 2 4 6 4 2
7 1 1 3 3 5 1 5 3
8 1 2 1 4 1 2 6 4
9 1 1 2 1 2 3 7 5
CD8. Record the rank number of the selected child ................................................................................................ ___
CD9. Write the name and line number of the child
selected for the module from CD3 and CD2,
based on the rank number in CD8.
Name ______________________________________
Line number .......................................................... __ __
A18
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
CD10. ADULTS USE CERTAIN WAYS TO TEACH CHILDREN
THE RIGHT BEHAVIOUR OR TO ADDRESS A BEHAVIOUR
PROBLEM. I WILL READ VARIOUS METHODS THAT ARE
USED AND I WANT YOU TO TELL ME IF YOU OR ANYONE
ELSE IN YOUR HOUSEHOLD HAS USED THIS METHOD
WITH (name) IN THE PAST MONTH.
CD11. TOOK AWAY PRIVILEGES, FORBADE SOMETHING
(name) LIKED OR DID NOT ALLOW HIM/HER TO LEAVE
HOUSE.
Yes ................................................................................ 1
No 2
CD12. EXPLAINED WHY (name)S BEHAVIOR WAS WRONG.
Yes ................................................................................ 1
No 2
CD13. SHOOK HIM/HER.
Yes ................................................................................ 1
No 2
CD14. SHOUTED, YELLED AT OR SCREAMED AT HIM/HER.
Yes ................................................................................ 1
No 2
CD15. GAVE HIM/HER SOMETHING ELSE TO DO.
Yes ................................................................................ 1
No 2
CD16. SPANKED, HIT OR SLAPPED HIM/HER ON THE
BOTTOM WITH BARE HAND.
Yes ................................................................................ 1
No 2
CD17. HIT HIM/HER ON THE BOTTOM OR ELSEWHERE ON
THE BODY WITH SOMETHING LIKE A BELT, HAIRBRUSH,
STICK OR OTHER HARD OBJECT.
Yes ................................................................................ 1
No 2
CD18. CALLED HIM/HER DUMB, LAZY, OR ANOTHER NAME
LIKE THAT.
Yes ................................................................................ 1
No 2
CD19. HIT OR SLAPPED HIM/HER ON THE FACE, HEAD OR
EARS.
Yes ................................................................................ 1
No 2
CD20. HIT OR SLAPPED HIM/HER ON THE HAND, ARM, OR
LEG.
Yes ................................................................................ 1
No 2
CD21. BEAT HIM/HER UP, THAT IS HIT HIM/HER OVER AND
OVER AS HARD AS ONE COULD.
Yes ................................................................................ 1
No 2
CD22. DO YOU BELIEVE THAT IN ORDER TO BRING UP,
RAISE, OR EDUCATE A CHILD PROPERLY, THE CHILD
NEEDS TO BE PHYSICALLY PUNISHED?
Yes ................................................................................ 1
No 2
Dont know / No opinion................................................ 8
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A19 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
HANDWASHING HW
HW1. PLEASE SHOW ME WHERE MEMBERS OF YOUR
HOUSEHOLD MOST OFTEN WASH THEIR HANDS.
Observed ...................................................................... 1
Not observed
Not in dwelling / plot / yard ...................................... 2
No permission to see ............................................... 3
Other reason ............................................................ 6

2 HW4
3 HW4
6 HW4
HW2. Observe presence of water at the specifc
place for handwashing.
Verify by checking the tap/pump, or basin,
bucket, water container or similar objects for
presence of water.
Water is available ......................................................... 1
Water is not available ................................................... 2
HW3. Record if soap or detergent is present at the
specifc place for handwashing.
Circle all that apply.
Skip to HH19 if any soap or detergent code
(A, B, C or D) is circled. If None (Y) is circled,
continue with HW4.
Bar soap ....................................................................... A
Detergent (Powder / Liquid / Paste) .............................B
Liquid soap ...................................................................C
Ash / Mud / Sand ..........................................................D
None .............................................................................Y
AHH19
BHH19
CHH19
DHH19
HW4. DO YOU HAVE ANY SOAP OR DETERGENT IN YOUR
HOUSEHOLD FOR WASHING HANDS?
Yes ................................................................................ 1
No 2
2HH19
HW5. CAN YOU PLEASE SHOW IT TO ME?
Record observation. Circle all that apply.
Bar soap ....................................................................... A
Detergent (Powder / Liquid / Paste) .............................B
Liquid soap ...................................................................C
Ash / Mud / Sand ..........................................................D
Not able / Does not want to show ................................. Y
HH19. Record the time. Hour and minutes ...................................... __ __ : __ __
SALT IODIZATION SI
SI1. WE WOULD LIKE TO CHECK WHETHER THE SALT USED IN YOUR
HOUSEHOLD IS IODIZED. MAY I HAVE A SAMPLE OF THE SALT USED
TO COOK MEALS IN YOUR HOUSEHOLD?
Once you have tested the salt, circle number that
corresponds to test outcome.
Not iodized 0 PPM ....................................................... 1
More than 0 PPM & less than 15 PPM ......................... 2
15 PPM or more ........................................................... 3
No salt in the house ...................................................... 6
Salt not tested............................................................... 7
A20
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
HH20. Does any eligible woman age 15-49 reside in the household?
Check Household Listing Form, column HL7 for any eligible woman.
You should have a questionnaire with the Information Panel flled in for each eligible woman.
Yes Go to QUESTIONNAIRE FOR INDIVIDUAL WOMEN
to administer the questionnaire to the frst eligible woman.
No Continue.
HH21. Does any child under the age of 5 reside in the household?
Check Household Listing Form, column HL9 for any eligible child under age 5.
You should have a questionnaire with the Information Panel flled in for each eligible child.
Yes Go to QUESTIONNAIRE FOR CHILDREN UNDER FIVE
to administer the questionnaire to mother or caretaker of the frst eligible child.
No End the interview by thanking the respondent for his/her cooperation.
Gather together all questionnaires for this household and complete HH8 to HH15 on
the cover page.
Interviewers Observations
Field Editors Observations
Team Leaders Observations
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A21 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
QUESTIONNAIRE FOR INDIVIDUAL WOMEN
VIET NAM
WOMANS INFORMATION PANEL WM
This questionnaire is to be administered to all women age 15 through 49 (see Household Listing Form, column HL7). A
separate questionnaire should be used for each eligible woman.
WMA. Province/ City name and number: WMB. District name and number:
Name ................................................................... ___ ___ Name ___________________________ ___ ___
WMC. Commune/ Ward name and number: ___________________________ ___ ___
WM1. EA name and number: WM2. Household number:
Name ............................................................ ___ ___ ___ ___ ___
WM3. Womans name: WM4. Womans line number:
Name ___ ___
WM5. Interviewer name and number: WM6. Day / Month / Year of interview:
Name ................................................................... ___ ___ ___ ___ / ___ ___ / ___ ___ ___ ___
Repeat greeting if not already read to this woman:
WE ARE FROM GENERAL STATISTICS OFFICE. WE ARE WORKING
ON A SURVEY CONCERNED WITH FAMILY HEALTH AND EDUCATION.
I WOULD LIKE TO TALK TO YOU ABOUT THESE SUBJECTS. THE
INTERVIEW WILL TAKE ABOUT 30 MINUTES. ALL THE INFORMATION
WE OBTAIN WILL REMAIN STRICTLY CONFIDENTIAL AND YOUR
ANSWERS WILL NEVER BE SHARED WITH ANYONE OTHER THAN OUR
PROJECT TEAM.
If greeting at the beginning of the household
questionnaire has already been read to this woman,
then read the following:
NOW I WOULD LIKE TO TALK TO YOU MORE ABOUT YOUR HEALTH
AND OTHER TOPICS. THIS INTERVIEW WILL TAKE ABOUT 30
MINUTES. AGAIN, ALL THE INFORMATION WE OBTAIN WILL
REMAIN STRICTLY CONFIDENTIAL AND YOUR ANSWERS WILL
NEVER BE SHARED WITH ANYONE OTHER THAN OUR PROJECT
TEAM.
MAY I START NOW?
Yes, permission is given Go to WM10 to record the time and then begin the interview.
No, permission is not given Complete WM7. Discuss this result with your team leader.
WM7. Result of womans interview
Completed ................................................................................. 01
Not at home ............................................................................... 02
Refused ..................................................................................... 03
Partly completed ........................................................................ 04
Incapacitated ............................................................................. 05
Other (specify) _____________________________________ 96
WM8. Field edited by (Name and number):
Name ................................................................... ___ ___
WM9. Data entry clerk (Name and number):
Name ................................................................... ___ ___
WM10. Record the time. Hour and minutes ...................................... __ __ : __ __
A22
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
WOMANS BACKGROUND WB
WB1. IN WHAT MONTH AND YEAR WERE YOU BORN?
Record response in Solar calendar only. If
needed use the Lunar-Solar conversion table.
Date of birth
Month ................................................................ __ __
DK month ............................................................... 98
Year ....................................................... __ __ __ __
DK year .............................................................. 9998
WB2. HOW OLD ARE YOU?
Probe: HOW OLD WERE YOU AT YOUR LAST
BIRTHDAY?
Compare and correct WB1 and/or WB2 if
inconsistent
Age (in completed years)....................................... __ __
WB3. HAVE YOU EVER ATTENDED SCHOOL OR PRESCHOOL? Yes ................................................................................ 1
No ................................................................................. 2 2WB7
WB4. WHAT IS THE HIGHEST LEVEL OF SCHOOL YOU
ATTENDED?
Preschool...................................................................... 0
Primary ......................................................................... 1
Lower Secondary.......................................................... 2
Upper Secondary.......................................................... 3
Professional School ...................................................... 4
College/ University & above ......................................... 5
0WB7
4Next
module
5Next
module
WB5. WHAT IS THE HIGHEST GRADE YOU COMPLETED AT
THAT LEVEL?
If less than 1 full grade at this level, enter 00
Grade..................................................................... __ __
WB6. Check WB4:

Lower Secondary or higher. Go to Next Module
Primary Continue with WB7
WB7. NOW I WOULD LIKE YOU TO READ THIS SENTENCE
TO ME.
Show sentence on the card to the respondent.
If respondent cannot read whole sentence,
probe:
CAN YOU READ PART OF THE SENTENCE TO ME?
Cannot read at all ......................................................... 1
Able to read only parts of sentence .............................. 2
Able to read whole sentence ........................................ 3
No sentence in
required language __________________________ 4
(specify language)
Blind / mute, visually / speech impaired ....................... 5
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A23 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
CHILD MORTALITY CM
All questions refer only to LIVE births.
CM1. NOW I WOULD LIKE TO ASK ABOUT ALL THE BIRTHS
YOU HAVE HAD DURING YOUR LIFE. HAVE YOU EVER
GIVEN BIRTH?
Yes ................................................................................ 1
No ................................................................................. 2
2CM8
CM2. WHAT WAS THE DATE OF YOUR FIRST BIRTH?
I MEAN THE VERY FIRST TIME YOU GAVE BIRTH, EVEN IF
THE CHILD IS NO LONGER LIVING, OR WHOSE FATHER IS
NOT YOUR CURRENT PARTNER.
Skip to CM4 only if year of frst birth is given.
Otherwise, continue with CM3.
Date of frst birth
Day .................................................................... __ __
DK day .................................................................... 98
Month................................................................ __ __
DK month................................................................ 98
Year ........................................................ __ __ __ __
DK year............................................................... 9998
CM4
CM3. HOW MANY YEARS AGO DID YOU HAVE
YOUR FIRST BIRTH?
Completed years since frst birth ........................... __ __
CM4. DO YOU HAVE ANY SONS OR DAUGHTERS TO WHOM
YOU HAVE GIVEN BIRTH WHO ARE NOW LIVING WITH
YOU?
Yes ................................................................................ 1
No ................................................................................. 2 2CM6
CM5. HOW MANY SONS LIVE WITH YOU?

HOW MANY DAUGHTERS LIVE WITH YOU?
If none, record 00.
Sons at home ........................................................ __ __
Daughters at home ................................................ __ __
CM6. DO YOU HAVE ANY SONS OR DAUGHTERS TO WHOM
YOU HAVE GIVEN BIRTH WHO ARE ALIVE BUT DO NOT
LIVE WITH YOU?
Yes ................................................................................ 1
No ................................................................................. 2
2CM8
CM7. HOW MANY SONS ARE ALIVE BUT DO NOT LIVE WITH
YOU?

HOW MANY DAUGHTERS ARE ALIVE BUT DO NOT LIVE
WITH YOU?
If none, record 00.
Sons elsewhere ..................................................... __ __
Daughters elsewhere............................................. __ __
CM8. HAVE YOU EVER GIVEN BIRTH TO A BOY OR GIRL WHO
WAS BORN ALIVE BUT LATER DIED?
If No probe by asking:
I MEAN, TO A CHILD WHO EVER BREATHED OR CRIED OR
SHOWED OTHER SIGNS OF LIFE EVEN IF HE OR SHE
LIVED ONLY A FEW MINUTES OR HOURS?
Yes ................................................................................ 1
No ................................................................................. 2 2CM10
CM9. HOW MANY BOYS HAVE DIED?

HOW MANY GIRLS HAVE DIED?
If none, record 00.
Boys dead.............................................................. __ __
Girls dead .............................................................. __ __
CM10. Sum answers to CM5, CM7, and CM9. Sum ....................................................................... __ __
CM11. JUST TO MAKE SURE THAT I HAVE THIS RIGHT, YOU HAVE HAD IN TOTAL (total number in CM10) LIVE BIRTHS DURING YOUR LIFE. IS
THIS CORRECT?
Yes. Check below:
No live births Go to ILLNESS SYMPTOMS Module
One or more live births Continue with CM12
No Check responses to CM1-CM10 and make corrections as necessary before proceeding to CM12
A24
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
CM12. OF THESE (total number in CM10) BIRTHS YOU
HAVE HAD, WHEN DID YOU DELIVER THE LAST ONE
(EVEN IF HE OR SHE HAS DIED)?
Month and year must be recorded.
Date of last birth
Day .................................................................... __ __
DK day .................................................................... 98
Month................................................................ __ __
Year ........................................................ __ __ __ __
CM13. Check CM12: Last birth occurred within the last 2 years, that is, since (day and month of interview) in 2008/2009
No live birth in last 2 years. Go to ILLNESS SYMPTOMS Module.
One or more live births in last 2 years. Ask for the name of the child
Name of child_______________________
If child has died, take special care when referring to this child by name in the following modules.
Continue with the next module.
DESIRE FOR LAST BIRTH DB
This module is to be administered to all women with a live birth in the 2 years preceding date of interview.
Check child mortality module CM13 and record name of last-born child here _____________________.
Use this childs name in the following questions, where indicated.
DB1. WHEN YOU GOT PREGNANT WITH (name), DID YOU
WANT TO GET PREGNANT AT THAT TIME?
Yes ................................................................................ 1
No ................................................................................. 2
1Next
Module
DB2. DID YOU WANT TO HAVE A BABY LATER ON, OR DID
YOU NOT WANT ANY (MORE) CHILDREN?
Later ............................................................................. 1
No more ........................................................................ 2
2Next
Module
DB3. HOW MUCH LONGER DID YOU WANT TO WAIT?
Months ................................................................ 1 __ __
Years .................................................................. 2 __ __
DK............................................................................. 998
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A25 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MATERNAL AND NEWBORN HEALTH MN
This module is to be administered to all women with a live birth in the 2 years preceding date of interview.
Check child mortality module CM13 and record name of last-born child here _____________________.
Use this childs name in the following questions, where indicated.
MN1. DID YOU SEE ANYONE FOR ANTENATAL CARE
DURING YOUR PREGNANCY WITH (name)?
Yes ................................................................................ 1
No ................................................................................. 2
2MN5
MN2. WHOM DID YOU SEE?
Probe:
ANYONE ELSE?
Probe for the type of person seen and circle
all answers given.
Health professional:
Doctor ...................................................................... A
Nurse / Midwife ........................................................B
Elementary midwife/nurse .......................................C
Other person
Traditional birth attendant ........................................ F
Village health worker .............................................. G

Other (specify) _______________________________X
MN3. HOW MANY TIMES DID YOU RECEIVE ANTENATAL
CARE DURING THIS PREGNANCY?
Number of times .................................................... __ __
DK............................................................................... 98
MN4. AS PART OF YOUR ANTENATAL CARE DURING THIS
PREGNANCY, WERE ANY OF THE FOLLOWING DONE AT
LEAST ONCE:
[A] WAS YOUR BLOOD PRESSURE MEASURED?
[B] DID YOU GIVE A URINE SAMPLE?
[C] DID YOU GIVE A BLOOD SAMPLE?
Yes No
Blood pressure ............................................... 1 2
Urine sample .................................................. 1 2
Blood sample .................................................. 1 2
MN5. DO YOU HAVE A CARD WITH YOUR OWN
IMMUNIZATIONS LISTED?
MAY I SEE IT PLEASE?
If a card is presented, use it to assist with
answers to the following questions.
Yes (card seen) ............................................................ 1
Yes (card not seen) ...................................................... 2
No ................................................................................. 3
DK................................................................................. 8
MN6. WHEN YOU WERE PREGNANT WITH (name),
DID YOU RECEIVE ANY INJECTION IN THE ARM OR
SHOULDER TO PREVENT THE BABY FROM GETTING
TETANUS TOXOID, THAT IS CONVULSIONS AFTER
BIRTH?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2MN9
8MN9
MN7. HOW MANY TIMES DID YOU RECEIVE THIS TETANUS
INJECTION DURING YOUR PREGNANCY WITH (name)?
If 7 or more times, record 7.
Number of times ......................................................... __
DK................................................................................. 8 8MN9
MN8. How many tetanus injections during last pregnancy were reported in MN7?
Two or more tetanus injections during last pregnancy. Go to MN17
One tetanus injection during last pregnancy. Continue with MN9
MN9. DID YOU RECEIVE ANY TETANUS INJECTION AT ANY
TIME BEFORE YOUR PREGNANCY WITH (name),
EITHER TO PROTECT YOURSELF OR ANOTHER BABY?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2MN17
8MN17
MN10. HOW MANY TIMES DID YOU RECEIVE A TETANUS
INJECTION BEFORE YOUR PREGNANCY WITH
(name)?
If 7 or more times, record 7.
Number of times ......................................................... __
DK................................................................................. 8
8MN17
MN11. HOW MANY YEARS AGO DID YOU RECEIVE THE
LAST TETANUS INJECTION BEFORE YOUR PREGNANCY
WITH (name)?
Years ago .............................................................. __ __
A26
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MN17. WHO ASSISTED WITH THE DELIVERY OF (name)?
Probe:
ANYONE ELSE?
Probe for the type of person assisting and
circle all answers given.
If respondent says no one assisted, probe to
determine whether any adults were present
at the delivery.
Health professional:
Doctor ...................................................................... A
Nurse / Midwife ........................................................B
Elementary midwife/ nurse ......................................C
Other person
Traditional birth attendant ........................................ F
Village health worker .............................................. G
Relative / Friend ......................................................H
Other (specify) _______________________________X
No one ..........................................................................Y
MN18. WHERE DID YOU GIVE BIRTH TO (name)?
Probe to identify the type of source.
If unable to determine whether public or
private, write the name of the place.

(Name of place)
Home
Your home ............................................................. 11
Other home ............................................................ 12
Public sector
Govt. hospital ......................................................... 21
Commune health centre ........................................ 22
Policlinic ................................................................ 25
Sectoral hospital (army, police) ............................ 24
Other public (specify) ______________________ 26
Private Medical Sector
Private hospital ...................................................... 31
Private clinic .......................................................... 32
Private maternal hospital ....................................... 33
Other private
medical (specify)_______________________ 36
Other (specify) ______________________________ 96
11MN20
12MN20
96MN20
MN19. WAS (name) DELIVERED BY CAESAREAN
SECTION? (THAT IS, DID THEY CUT YOUR BELLY OPEN
TO TAKE THE BABY OUT?)
Yes ................................................................................ 1
No ................................................................................. 2
MN20. WHEN (name) WAS BORN, WAS HE/SHE VERY
LARGE, LARGER THAN AVERAGE, AVERAGE, SMALLER
THAN AVERAGE, OR VERY SMALL?
Very large ..................................................................... 1
Larger than average ..................................................... 2
Average ........................................................................ 3
Smaller than average ................................................... 4
Very small ..................................................................... 5
DK................................................................................. 8
MN21. WAS (name) WEIGHED AT BIRTH?
Yes ................................................................................ 1
No 2
DK................................................................................. 8
2MN23
8MN23
MN22. HOW MUCH DID (name) WEIGH?
Record weight from immunization handbook
or Certifcate of Hospital Discharge after
Delivery, if available.
From handbook ............................... 1 (kg) __ . __ __ __
From recall ....................................... 2 (kg) __ . __ __ __
DK......................................................................... 99998
MN23. HAS YOUR MENSTRUAL PERIOD RETURNED SINCE
THE BIRTH OF (name)?
Yes ................................................................................ 1
No ................................................................................. 2
MN24. DID YOU EVER BREASTFEED (name)?
Yes ................................................................................ 1
No ................................................................................. 2
2Next
Module
MN25. HOW LONG AFTER BIRTH DID YOU FIRST PUT
(name) TO THE BREAST?
If less than 1 hour, record 00 hours.
If less than 24 hours, record hours.
Otherwise, record days.
Immediately .............................................................. 000
Hours ................................................................. 1 __ __
Days .................................................................. 2 __ __
Dont know / remember ............................................ 998
MN26. IN THE FIRST THREE DAYS AFTER DELIVERY, WAS
(name) GIVEN ANYTHING TO DRINK OTHER THAN
BREAST MILK?
Yes ................................................................................ 1
No ................................................................................. 2
2Next
Module
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A27 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
MN27. WHAT WAS (name) GIVEN TO DRINK?
Probe:
ANYTHING ELSE?
Milk (other than breast milk) ......................................... A
Plain water ....................................................................B
Sugar or glucose water.................................................C
Gripe water ...................................................................D
Sugar-salt-water solution ..............................................E
Fruit juice ...................................................................... F
Infant formula............................................................... G
Tea / Infusions ..............................................................H
Honey ............................................................................ I
Rice soup...................................................................... J
Other (specify) _______________________________X
ILLNESS SYMPTOMS IS
IS1. Check Household Listing, column HL9
Is the respondent the mother or caretaker of any child under age 5?
Yes Continue with IS2.
No Go to Next Module.
IS2. SOMETIMES CHILDREN HAVE SEVERE ILLNESSES AND SHOULD BE
TAKEN IMMEDIATELY TO A HEALTH FACILITY.
WHAT TYPES OF SYMPTOMS WOULD CAUSE YOU TO TAKE YOUR
CHILD TO A HEALTH FACILITY RIGHT AWAY?
Probe:
ANY OTHER SYMPTOMS?
Keep asking for more signs or symptoms until
the mother/caretaker cannot recall any additional
symptoms.
Circle all symptoms mentioned, but do NOT prompt with
any suggestions
Child not able to drink or breastfeed............................. A
Child becomes sicker ...................................................B
Child develops a fever ..................................................C
Child has fast breathing ................................................D
Child has diffcult breathing ..........................................E
Child has blood in stool ................................................ F
Child is drinking poorly ................................................ G
Child is vomiting ...........................................................H
Child choked .................................................................. I
Other (specify) _______________________________X
Other (specify) _______________________________Y
Other (specify) _______________________________Z
A28
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
CONTRACEPTION CP
CP1. I WOULD LIKE TO TALK WITH YOU ABOUT ANOTHER
SUBJECT FAMILY PLANNING.

ARE YOU PREGNANT NOW?
Yes, currently pregnant ................................................. 1
No ................................................................................. 2
Unsure or DK ................................................................ 8
1Next
Module
CP2. COUPLES USE VARIOUS WAYS OR METHODS TO
DELAY OR AVOID A PREGNANCY.

ARE YOU CURRENTLY DOING SOMETHING OR
USING ANY METHOD TO DELAY OR AVOID GETTING
PREGNANT?
Yes ................................................................................ 1
No ................................................................................. 2
2Next
Module
CP3. WHAT ARE YOU DOING TO DELAY OR AVOID A
PREGNANCY?
Do not prompt.
If more than one method is mentioned,
circle each one.
Female sterilization....................................................... A
Male sterilization ...........................................................B
IUD ...............................................................................C
Injectables ....................................................................D
Implants ........................................................................E
Pill F
Male condom ............................................................... G
Female condom ............................................................H
Diaphragm ..................................................................... I
Foam / Jelly .................................................................. J
Lactational amenorrhoea
method (LAM) ..........................................................K
Periodic abstinence / Rhythm ....................................... L
Withdrawal ................................................................... M
Other (specify) _______________________________X
UNMET NEED UN
UN1. Check CP1. Currently pregnant?
Yes, currently pregnant Continue with UN2
No, unsure or DK Go to UN5
UN2. NOW I WOULD LIKE TO TALK TO YOU ABOUT
YOUR CURRENT PREGNANCY. WHEN YOU GOT
PREGNANT, DID YOU WANT TO GET PREGNANT AT
THAT TIME?
Yes ................................................................................ 1
No ................................................................................. 2
1UN4
UN3. DID YOU WANT TO HAVE A BABY LATER ON OR DID
YOU NOT WANT ANY (MORE) CHILDREN?
Later ............................................................................. 1
No more ........................................................................ 2
UN4. NOW I WOULD LIKE TO ASK SOME QUESTIONS
ABOUT THE FUTURE. AFTER THE CHILD YOU ARE
NOW EXPECTING, WOULD YOU LIKE TO HAVE
ANOTHER CHILD, OR WOULD YOU PREFER NOT TO
HAVE ANY MORE CHILDREN?

Have another child........................................................ 1
No more / None ............................................................ 2
Undecided / Dont know................................................ 8
1UN7
2UN13
8UN13
UN5. Check CP3. Currently using Female sterilization?
Yes Go to UN13
No Continue with UN6
UN6. NOW I WOULD LIKE TO ASK YOU SOME QUESTIONS
ABOUT THE FUTURE. WOULD YOU LIKE TO HAVE (A/
ANOTHER) CHILD, OR WOULD YOU PREFER NOT TO
HAVE ANY (MORE) CHILDREN?
Have (a/another) child .................................................. 1
No more / None ............................................................ 2
Says she cannot get pregnant ...................................... 3
Undecided / Dont know................................................ 8
2UN9
3UN11
8UN9
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A29 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
UN7. HOW LONG WOULD YOU LIKE TO WAIT BEFORE THE
BIRTH OF (A/ANOTHER) CHILD?
Months ............................................................... 1 __ __
Years ................................................................. 2 __ __
Soon / Now ............................................................... 993
Says she cannot get pregnant .................................. 994
After marriage ........................................................... 995
Other......................................................................... 996
Dont know ................................................................ 998
994UN11
UN8. Check CP1. Currently pregnant?
Yes, currently pregnant Go to UN13
No, unsure or DK Continue with UN9
UN9. Check CP2. Currently using a method?
Yes Go to UN13
No Continue with UN10
UN10. DO YOU THINK YOU ARE PHYSICALLY ABLE TO
GET PREGNANT AT THIS TIME?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
1 UN13
8 UN13
UN11. WHY DO YOU THINK YOU ARE NOT PHYSICALLY
ABLE TO GET PREGNANT?
Circle all the codes if more than one
reason is given.
Infrequent sex / No sex................................................. A
Menopausal ..................................................................B
Never menstruated .......................................................C
Hysterectomy (surgical removal
of uterus) .................................................................D
Has been trying to get pregnant
for 2 years or more without result ............................E
Postpartum amenorrheic .............................................. F
Breastfeeding .............................................................. G
Too old ..........................................................................H
Fatalistic ........................................................................ I
Other (specify) _______________________________X
Dont know .................................................................... Z
UN12. Check UN11. Never menstruated mentioned?
Mentioned Go to Next Module
Not mentioned Continue with UN13
UN13. WHEN DID YOUR LAST MENSTRUAL PERIOD
START?
Days ago ........................................................... 1 __ __
Weeks ago ......................................................... 2 __ __
Months ago ........................................................ 3 __ __
Years ago .......................................................... 4 __ __
In menopause /
Has had hysterectomy ......................................... 994
Before last birth ........................................................ 995
Never menstruated ................................................... 996
A30
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
ATTITUDES TOWARD DOMESTIC VIOLENCE DV
DV1. SOMETIMES A HUSBAND IS ANNOYED OR ANGERED BY THINGS
THAT HIS WIFE DOES. IN YOUR OPINION, IS A HUSBAND JUSTIFIED
IN HITTING OR BEATING HIS WIFE IN THE FOLLOWING SITUATIONS:
[A] IF SHE GOES OUT WITHOUT TELLING HIM?
[B] IF SHE NEGLECTS THE CHILDREN?
[C] IF SHE ARGUES WITH HIM?
[D] IF SHE REFUSES TO HAVE SEX WITH HIM?
[E] IF SHE BURNS THE FOOD?
Yes No DK
Goes out without telling ......................... 1 2 8
Neglects children ................................... 1 2 8
Argues with him ..................................... 1 2 8
Refuses sex ........................................... 1 2 8
Burns food ............................................. 1 2 8
MARRIAGE/UNION MA
MA1. ARE YOU CURRENTLY MARRIED OR LIVING TOGETHER
WITH A MAN AS IF MARRIED?
Yes, currently married ................................................... 1
Yes, living with a man ................................................... 2
No, not in union ............................................................ 3 3MA5
MA2. HOW OLD IS YOUR HUSBAND/PARTNER?
Probe: HOW OLD WAS YOUR HUSBAND/PARTNER ON
HIS LAST BIRTHDAY?
Age in years........................................................... __ __
DK............................................................................... 98
MA3. BESIDES YOURSELF, DOES YOUR HUSBAND/PARTNER
HAVE ANY OTHER WIVES OR PARTNERS OR DOES HE
LIVE WITH OTHER WOMEN AS IF MARRIED?
Yes ................................................................................ 1
No ................................................................................. 2 2MA7
MA4. HOW MANY OTHER WIVES OR PARTNERS DOES HE
HAVE?
Number .................................................................. __ __
DK............................................................................... 98
MA7
98MA7
MA5. HAVE YOU EVER BEEN MARRIED OR LIVED TOGETHER
WITH A MAN AS IF MARRIED?
Yes, formerly married ................................................... 1
Yes, formerly lived with a man ...................................... 2
No 3
3 Next
Module
MA6. WHAT IS YOUR MARITAL STATUS NOW: ARE YOU
WIDOWED, DIVORCED OR SEPARATED?
Widowed ....................................................................... 1
Divorced ....................................................................... 2
Separated ..................................................................... 3
MA7. HAVE YOU BEEN MARRIED OR LIVED WITH A MAN
ONLY ONCE OR MORE THAN ONCE?
Only once ..................................................................... 1
More than once............................................................. 2
MA8. IN WHAT MONTH AND YEAR DID YOU FIRST MARRY OR
START LIVING WITH A MAN AS IF MARRIED?
Date of frst marriage
Month................................................................. __ __
DK month................................................................ 98
Year ......................................................... __ __ __ __
DK year............................................................... 9998
Next
Module
MA9. HOW OLD WERE YOU WHEN YOU STARTED LIVING
WITH YOUR FIRST HUSBAND/PARTNER?
Age in years........................................................... __ __
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A31 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
SEXUAL BEHAVIOUR SB
Check for the presence of others. Before continuing, ensure privacy.
SB1. NOW I WOULD LIKE TO ASK YOU SOME QUESTIONS
ABOUT SEXUAL ACTIVITY IN ORDER TO GAIN A BETTER
UNDERSTANDING OF SOME IMPORTANT LIFE ISSUES.

THE INFORMATION YOU SUPPLY WILL REMAIN STRICTLY
CONFIDENTIAL.
HOW OLD WERE YOU WHEN YOU HAD SEXUAL
INTERCOURSE FOR THE VERY FIRST TIME?
Never had intercourse ................................................ 00
Age in years........................................................... __ __
First time when started living with (frst)
husband/partner .................................................... 95
00Next
Module
SB2. THE FIRST TIME YOU HAD SEXUAL INTERCOURSE, WAS
A CONDOM USED?
Yes ................................................................................ 1
No ................................................................................. 2
DK / Dont remember .................................................... 8
SB3. WHEN WAS THE LAST TIME YOU HAD SEXUAL
INTERCOURSE?
Record years ago only if last intercourse was
one or more years ago. If 12 months or more
the answer must be recorded in years.
Days ago ........................................................... 1 __ __
Weeks ago ......................................................... 2 __ __
Months ago ........................................................ 3 __ __
Years ago .......................................................... 4 __ __
4SB15
SB4. THE LAST TIME YOU HAD SEXUAL INTERCOURSE, WAS
A CONDOM USED?
Yes ................................................................................ 1
No ................................................................................. 2
SB5. WHAT WAS YOUR RELATIONSHIP TO THIS PERSON
WITH WHOM YOU LAST HAD SEXUAL INTERCOURSE?
Probe to ensure that the response refers
to the relationship at the time of sexual
intercourse
If boyfriend, then ask:
WERE YOU LIVING TOGETHER AS IF MARRIED?
If yes, circle 2. If no, circle3.
Husband ....................................................................... 1
Cohabiting partner ........................................................ 2
Boyfriend ...................................................................... 3
Casual acquaintance .................................................... 4
Other (specify) _______________________________ 6
3SB7
4SB7
6SB7
SB6. Check MA1:
Currently married or living with a man (MA1 = 1 or 2) Go to SB8
Not married / Not in union (MA1 = 3) Continue with SB7
SB7. HOW OLD IS THIS PERSON?
If response is DK, probe:
ABOUT HOW OLD IS THIS PERSON?
Age of sexual partner ............................................ __ __
DK............................................................................... 98
SB8. HAVE YOU HAD SEXUAL INTERCOURSE WITH ANY
OTHER PERSON IN THE LAST 12 MONTHS?
Yes ................................................................................ 1
No ................................................................................. 2 2SB15
SB9. THE LAST TIME YOU HAD SEXUAL INTERCOURSE WITH
THIS OTHER PERSON, WAS A CONDOM USED?
Yes ................................................................................ 1
No ................................................................................. 2
SB10. WHAT WAS YOUR RELATIONSHIP TO THIS PERSON?
Probe to ensure that the response refers
to the relationship at the time of sexual
intercourse
If boyfriend then ask:
WERE YOU LIVING TOGETHER AS IF MARRIED?
If yes, circle 2. If no, circle 3.
Husband ....................................................................... 1
Cohabiting partner ........................................................ 2
Boyfriend ...................................................................... 3
Casual acquaintance .................................................... 4
Other (specify) _______________________________ 6
3SB12
4SB12
6SB12
A32
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
SB11. Check MA1 and MA7:
Currently married or living with a man (MA1 = 1 or 2)
AND
Married only once or lived with a man only once (MA7 = 1) Go to SB13
Else Continue with SB12
SB12. HOW OLD IS THIS PERSON?
If response is DK, probe:
ABOUT HOW OLD IS THIS PERSON?
Age of sexual partner ............................................ __ __
DK............................................................................... 98
SB13. OTHER THAN THESE TWO PERSONS, HAVE YOU HAD
SEXUAL INTERCOURSE WITH ANY OTHER PERSON IN
THE LAST 12 MONTHS?
Yes ................................................................................ 1
No ................................................................................. 2
2
tSB15
SB14. IN TOTAL, WITH HOW MANY DIFFERENT PEOPLE
HAVE YOU HAD SEXUAL INTERCOURSE IN THE LAST 12
MONTHS?
Number of partners................................................ __ __
SB15. IN TOTAL, WITH HOW MANY DIFFERENT PEOPLE HAVE
YOU HAD SEXUAL INTERCOURSE IN YOUR LIFETIME?
If a non-numeric answer is given, probe to get
an estimate.
If number of partners is 95 or more, write 95.
Number of lifetime partners ................................... __ __
DK............................................................................... 98
HIV/AIDS HA
HA1. NOW I WOULD LIKE TO TALK WITH YOU ABOUT
SOMETHING ELSE.

HAVE YOU EVER HEARD OF AN ILLNESS CALLED HIV/
AIDS?
Yes ................................................................................ 1
No ................................................................................. 2 2WM11
HA2. CAN PEOPLE REDUCE THEIR CHANCE OF GETTING THE
HIV/AIDS VIRUS BY HAVING JUST ONE UNINFECTED
SEX PARTNER WHO HAS NO OTHER SEX PARTNERS?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
HA3. CAN PEOPLE GET THE HIV/AIDS VIRUS BECAUSE OF
WITCHCRAFT OR OTHER SUPERNATURAL MEANS?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
HA4. CAN PEOPLE REDUCE THEIR CHANCE OF GETTING THE
HIV/AIDS VIRUS BY USING A CONDOM EVERY TIME
THEY HAVE SEX?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
HA5. CAN PEOPLE GET THE HIV/AIDS VIRUS FROM
MOSQUITO BITES?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
HA6. CAN PEOPLE GET THE HIV/AIDS VIRUS BY SHARING
FOOD WITH A PERSON WHO HAS THE AIDS VIRUS?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
HA7. IS IT POSSIBLE FOR A HEALTHY-LOOKING PERSON TO
HAVE THE HIV/AIDS VIRUS?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
HA8. CAN THE VIRUS THAT CAUSES HIV/AIDS BE
TRANSMITTED FROM A MOTHER TO HER BABY:
[A] DURING PREGNANCY?
[B] DURING DELIVERY?
[C] BY BREASTFEEDING?
Yes No
DK
During pregnancy .................................. 1 2 8
During delivery....................................... 1 2 8
By breastfeeding.................................... 1 2 8
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A33 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
HA9. IN YOUR OPINION, IF A FEMALE TEACHER HAS THE
HIV/AIDS VIRUS BUT IS NOT SICK, SHOULD SHE BE
ALLOWED TO CONTINUE TEACHING IN SCHOOL?
Yes ................................................................................ 1
No ................................................................................. 2
DK / Not sure / Depends............................................... 8
HA10. WOULD YOU BUY FRESH VEGETABLES FROM A
SHOPKEEPER OR VENDOR IF YOU KNEW THAT THIS
PERSON HAD THE HIV/AIDS VIRUS?
Yes ................................................................................ 1
No ................................................................................. 2
DK / Not sure / Depends............................................... 8
HA11. IF A MEMBER OF YOUR FAMILY GOT INFECTED WITH
THE HIV/AIDS VIRUS, WOULD YOU WANT IT TO REMAIN
A SECRET?
Yes ................................................................................ 1
No ................................................................................. 2
DK / Not sure / Depends............................................... 8
HA12. IF A MEMBER OF YOUR FAMILY BECAME SICK WITH
HIV/AIDS, WOULD YOU BE WILLING TO CARE FOR HER
OR HIM IN YOUR OWN HOUSEHOLD?
Yes ................................................................................ 1
No ................................................................................. 2
DK / Not sure / Depends............................................... 8
HA13. Check CM13: Any live birth in last 2 years?
No live birth in last 2 years Go to HA24
One or more live births in last 2 years Continue with HA14
HA14. Check MN1: Received antenatal care?
Received antenatal care Continue with HA15
Did not receive antenatal care Go to HA24
HA15. DURING ANY OF THE ANTENATAL VISITS FOR YOUR
PREGNANCY WITH (name),
WERE YOU GIVEN ANY INFORMATION ABOUT:
[A] BABIES GETTING THE HIV/AIDS VIRUS FROM
THEIR MOTHER?
[B] THINGS THAT YOU CAN DO TO PREVENT GETTING
THE HIV/AIDS VIRUS?
[C] GETTING TESTED FOR THE HIV/AIDS VIRUS?
WERE YOU:
[D] OFFERED A TEST FOR THE HIV/AIDS VIRUS?
Y N DK
AIDS from mother ........................................ 1 2 8
Things to do ................................................. 1 2 8
Tested for AIDS............................................ 1 2 8
Offered a test ............................................... 1 2 8
HA16. I DONT WANT TO KNOW THE RESULTS, BUT WERE YOU
TESTED FOR THE HIV/AIDS VIRUS AS PART OF YOUR
ANTENATAL CARE?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2HA19
8HA19
HA17. I DONT WANT TO KNOW THE RESULTS, BUT DID YOU
GET THE RESULTS OF THE TEST?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2HA22
8HA22
HA18. REGARDLESS OF THE RESULT, ALL WOMEN WHO ARE
TESTED ARE SUPPOSED TO RECEIVE COUNSELING AFTER
GETTING THE RESULT.
AFTER YOU WERE TESTED, DID YOU RECEIVE
COUNSELLING?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
1HA22
2HA22
8HA22
HA19. Check MN17: Birth delivered by health professional (A, B or C)?
Yes, birth delivered by health professional Continue with HA20
No, birth not delivered by health professional Go to HA24
HA20. I DONT WANT TO KNOW THE RESULTS, BUT WERE
YOU TESTED FOR THE HIV/AIDS VIRUS BETWEEN THE
TIME YOU WENT FOR DELIVERY BUT BEFORE THE BABY
WAS BORN?
Yes ................................................................................ 1
No ................................................................................. 2 2HA24
HA21. I DONT WANT TO KNOW THE RESULTS, BUT DID YOU
GET THE RESULTS OF THE TEST?
Yes ................................................................................ 1
No ................................................................................. 2
A34
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
HA22. HAVE YOU BEEN TESTED FOR THE HIV/AIDS VIRUS
SINCE THAT TIME YOU WERE TESTED DURING YOUR
PREGNANCY?
Yes ................................................................................ 1
No ................................................................................. 2
1HA25
HA23. When was the most recent time you were
tested for the HIV/AIDS virus?
Less than 12 months ago ............................................. 1
12-23 months ago......................................................... 2
2 or more years ago......................................................3
1WM11
2WM11
3WM11
HA24. I dont want to know the results, but have you
ever been tested to see if you have the HIV/AIDS
virus?
Yes ................................................................................ 1
No..................................................................................2
2HA27
HA25. When was the most recent time you were
tested?
Less than 12 months ago ............................................. 1
12-23 months ago......................................................... 2
2 or more years ago ......................................................3
HA26. I dont want to know the results, but did you
get the results of the test?
Yes ................................................................................ 1
No................................................. ................................ 2
DK..................................................................................8
1WM11
2WM11
8WM11
HA27. Do you know of a place where people can go
to get tested for the HIV/AIDS virus?
Yes ................................................................................ 1
No..................................................................................2
WM11. Record the time. Hour and minutes ...................................... __ __ : __ __
WM12. Check Household Listing Form, column HL9.
Is the respondent the mother or caretaker of any child age 0-4 living in this household?
Yes Go to QUESTIONNAIRE FOR CHILDREN UNDER FIVE for that child and start the interview
with this respondent.
No End the interview with this respondent by thanking her for her cooperation.
Check for the presence of any other eligible woman or children under-5 in the household.
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A35 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
Interviewers Observations
Field Editors Observations
Team Leaders Observations
A36
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A37 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
QUESTIONNAIRE FOR CHILDREN UNDERFIVE
VIET NAM
UNDER-FIVE CHILD INFORMATION PANEL UF
This questionnaire is to be administered to all mothers or caretakers (see Household Listing Form, column HL9) who care
for a child that lives with them and is under the age of 5 years (see Household Listing Form, column HL6).
A separate questionnaire should be used for each eligible child.
UFA. Province/ City name and number: UFB. District name and number:
Name ................................................................... ___ ___ Name ................................................................... ___ ___
UFC. Commune/ Ward name and number: ___________________________ ___ ___
UF1. EA name and number: UF2. Household number:
Name ............................................................ ___ ___ ___ ___ ___
UF3. Childs name: UF4. Childs line number:
Name ___ ___
UF5. Mothers / Caretakers name: UF6. Mothers / Caretakers line number:
Name ___ ___
UF7. Interviewer name and number: UF8. Day / Month / Year of interview:
Name ___ ___ ___ ___ ___ / ___ ___ / ___ ___ ___ ___
Repeat greeting if not already read to this respondent:
WE ARE FROM GENERAL STATISTICS OFFICE. WE ARE WORKING ON
A SURVEY CONCERNED WITH FAMILY HEALTH AND EDUCATION. I
WOULD LIKE TO TALK TO YOU ABOUT (name)S HEALTH AND WELL-
BEING. THE INTERVIEW WILL TAKE ABOUT 30 MINUTES. ALL THE
INFORMATION WE OBTAIN WILL REMAIN STRICTLY CONFIDENTIAL
AND YOUR ANSWERS WILL NEVER BE SHARED WITH ANYONE OTHER
THAN OUR PROJECT TEAM.
If greeting at the beginning of the household
questionnaire has already been read to this
woman, then read the following:
NOW I WOULD LIKE TO TALK TO YOU MORE ABOUT (childs
name from UF3)S HEALTH AND OTHER TOPICS. THIS
INTERVIEW WILL TAKE ABOUT 30 MINUTES. AGAIN, ALL
THE INFORMATION WE OBTAIN WILL REMAIN STRICTLY
CONFIDENTIAL AND YOUR ANSWERS WILL NEVER BE SHARED
WITH ANYONE OTHER THAN OUR PROJECT TEAM.

MAY I START NOW?
Yes, permission is given Go to UF12 to record the time and then begin the interview.
No, permission is not given Complete UF9. Discuss this result with your team leader.
UF9. Result of interview for children under 5
Codes refer to mother/caretaker.
Completed ................................................................................. 01
Not at home ............................................................................... 02
Refused ..................................................................................... 03
Partly completed ........................................................................ 04
Incapacitated ............................................................................. 05
Other (specify) _____________________________________ 96
UF10. Field edited by (Name and number):
Name ...........................................................................
___ ___
UF11. Data entry clerk (Name and number):
Name _____________________________________ ___ ___
UF12. RECORD THE TIME Hour and minutes __ __ : __ __
A38
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
AGE AG
AG1. NOW I WOULD LIKE TO ASK YOU SOME QUESTIONS ABOUT THE
HEALTH OF (name).
IN WHAT DAY, MONTH AND YEAR WAS (name) BORN?
Probe:
WHAT IS HIS / HER BIRTHDAY?
If the mother/caretaker knows the exact birth date, also
enter the day; otherwise, circle 98 for day
Month and year must be recorded.
Date of birth
Day .................................................................. __ __
DK day ................................................................... 98
Month ................................................................ __ __
Year ........................................................ __ __ __ __
AG2. HOW OLD IS (name)?
Probe:
HOW OLD WAS (name) AT HIS / HER LAST BIRTHDAY?
Record age in completed years.
Record 0 if less than 1 year.
Compare and correct AG1 and/or AG2 if inconsistent.
Age (in completed years)............................................ __
EARLY CHILDHOOD DEVELOPMENT EC
EC1. HOW MANY CHILDRENS BOOKS OR PICTURE BOOKS DO
YOU HAVE FOR (name)?
None ........................................................................... 00
Number of childrens books ..................................... 0 __
Ten or more books ..................................................... 10
EC2. I AM INTERESTED IN LEARNING ABOUT THE THINGS THAT
(name) PLAYS WITH WHEN HE/SHE IS AT HOME.
DOES HE/SHE PLAY WITH:
[A] HOMEMADE TOYS (SUCH AS DOLLS, CARS, OR
OTHER TOYS MADE AT HOME)?
[B] TOYS FROM A SHOP OR MANUFACTURED TOYS?
[C] HOUSEHOLD OBJECTS (SUCH AS BOWLS OR POTS)
OR OBJECTS FOUND OUTSIDE (SUCH AS STICKS,
ROCKS, ANIMAL SHELLS OR LEAVES)?

If the respondent says YES to the categories
above, then probe to learn specifcally what the
child plays with to ascertain the response
Y N DK
Homemade toys ............................................. 1 2 8
Toys from a shop ............................................ 1 2 8
Household objects
or outside objects .......................................... 1 2 8

EC3. SOMETIMES ADULTS TAKING CARE OF CHILDREN
HAVE TO LEAVE THE HOUSE TO GO SHOPPING, WASH
CLOTHES, OR FOR OTHER REASONS AND HAVE TO LEAVE
YOUNG CHILDREN.
ON HOW MANY DAYS IN THE PAST WEEK WAS (name):
[A] LEFT ALONE FOR MORE THAN AN HOUR?
[B] LEFT IN THE CARE OF ANOTHER CHILD, THAT IS,
SOMEONE LESS THAN 10 YEARS OLD, FOR MORE
THAN AN HOUR?
If none enter 0. If dont know enter8
Number of days left alone for
more than an hour ...................................................... __
Number of days left with other
child for more than an hour......................................... __
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A39 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
EC4. Check AG2: Age of child
Child age 3 or 4 Continue with EC5
Child age 0, 1 or 2 Go to Next Module
EC5. DOES (name) ATTEND ANY ORGANIZED LEARNING
OR EARLY CHILDHOOD EDUCATION PROGRAMME, SUCH
AS A PRIVATE OR GOVERNMENT FACILITY, INCLUDING
KINDERGARTEN OR COMMUNITY CHILD CARE?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2EC7
8EC7
EC6. WITHIN THE LAST SEVEN DAYS, ABOUT HOW MANY
HOURS DID (name) ATTEND? Number of hours .................................................... __ __
EC7. IN THE PAST 3 DAYS, DID YOU OR ANY HOUSEHOLD
MEMBER OVER 15 YEARS OF AGE ENGAGE IN ANY OF
THE FOLLOWING ACTIVITIES WITH (name):
If yes, ask:
WHO ENGAGED IN THIS ACTIVITY WITH (name)?
Circle all that apply.
Mother Father Other
No
one
[A] READ BOOKS TO OR LOOKED AT PICTURE
BOOKS WITH (name)?
Read books A B X Y
[B] TOLD STORIES TO (name)? Told stories A B X Y
[C] SANG SONGS TO (name) OR WITH (name),
INCLUDING LULLABIES?
Sang songs A B X Y
[D] TOOK (name) OUTSIDE THE HOME,
COMPOUND, YARD OR ENCLOSURE?
Took outside A B X Y
[E] PLAYED WITH (name)? Played with A B X Y
[F] NAMED, COUNTED, OR DREW THINGS
TO OR WITH (name)?
Named/counted A B X Y
EC8. I WOULD LIKE TO ASK YOU SOME QUESTIONS ABOUT
THE HEALTH AND DEVELOPMENT OF YOUR CHILD.
CHILDREN DO NOT ALL DEVELOP AND LEARN AT THE
SAME RATE. FOR EXAMPLE, SOME WALK EARLIER THAN
OTHERS. THESE QUESTIONS ARE RELATED TO SEVERAL
ASPECTS OF YOUR CHILDS DEVELOPMENT.
CAN (name) IDENTIFY OR NAME AT LEAST TEN
LETTERS OF THE ALPHABET?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
EC9. CAN (name) READ AT LEAST FOUR SIMPLE, POPULAR
WORDS?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
EC10. DOES (name) KNOW THE NAME AND RECOGNIZE THE
SYMBOL OF ALL NUMBERS FROM 1 TO 10?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
EC11. CAN (name) PICK UP A SMALL OBJECT WITH TWO
FINGERS, LIKE A STICK OR A ROCK FROM THE GROUND?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
EC12. IS (name) SOMETIMES TOO SICK TO PLAY?
Yes ................................................................................ 1
No ................................................................................ 2
DK................................................................................. 8
A40
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
EC13. DOES (name) FOLLOW SIMPLE DIRECTIONS ON HOW
TO DO SOMETHING CORRECTLY?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
EC14. WHEN GIVEN SOMETHING TO DO, IS (name) ABLE TO
DO IT INDEPENDENTLY?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
EC15. DOES (name) GET ALONG WELL WITH OTHER
CHILDREN?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
EC16. DOES (name) KICK, BITE, OR HIT OTHER CHILDREN
OR ADULTS?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
EC17. DOES (name) GET DISTRACTED EASILY?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
BREASTFEEDING BF
BF1. HAS (name) EVER BEEN BREASTFED?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2BF3
8BF3
BF2. IS HE/SHE STILL BEING BREASTFED?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
BF3. I WOULD LIKE TO ASK YOU ABOUT LIQUIDS THAT
(name) MAY HAVE HAD YESTERDAY DURING THE
DAY OR THE NIGHT. I AM INTERESTED IN WHETHER
(name) HAD THE ITEM EVEN IF IT WAS COMBINED
WITH OTHER FOODS.
DID (name) DRINK PLAIN WATER YESTERDAY,
DURING THE DAY OR NIGHT?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
BF4. DID (name) DRINK INFANT FORMULA (SIMILAC, MAMA
SUA NON, FRISO, NESTLE, OR OTHER) YESTERDAY,
DURING THE DAY OR NIGHT?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2BF6
8BF6
BF5. HOW MANY TIMES DID (name) DRINK INFANT
FORMULA?
Number of times .................................................... __ __
BF6. DID (name) DRINK MILK, SUCH AS CONDENSED,
POWDERED OR FRESH ANIMAL MILK YESTERDAY,
DURING THE DAY OR NIGHT?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2BF8
8BF8
BF7. HOW MANY TIMES DID (name) DRINK CONDENSED,
POWDERED OR FRESH ANIMAL MILK?
Number of times .................................................... __ __
BF8. DID (name) DRINK JUICE OR JUICE DRINKS
YESTERDAY, DURING THE DAY OR NIGHT?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A41 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
BF9. DID (name) DRINK CLEAR BROTH OR HERBAL/ MEAT
WATER YESTERDAY, DURING THE DAY OR NIGHT?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
BF10. DID (name) DRINK OR EAT VITAMIN OR MINERAL
SUPPLEMENTS OR ANY MEDICINES YESTERDAY,
DURING THE DAY OR NIGHT?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
BF11. DID (name) DRINK ORS (ORAL REHYDRATION
SOLUTION) YESTERDAY, DURING THE DAY OR NIGHT?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
BF12. DID (name) DRINK ANY OTHER LIQUIDS (TEA,
COFFEE, COKE, OR OTHER) YESTERDAY, DURING THE
DAY OR NIGHT?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
BF13. DID (name) DRINK OR EAT YOGURT YESTERDAY,
DURING THE DAY OR NIGHT?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2BF15
8BF15
BF14. HOW MANY TIMES DID (name) DRINK OR EAT
YOGURT YESTERDAY, DURING THE DAY OR NIGHT?
Number of times .................................................... __ __
BF15. DID (name) EAT THIN PORRIDGE (RICE PORRIDGE)
YESTERDAY, DURING THE DAY OR NIGHT?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
BF16. DID (name) EAT SOLID OR SEMI-SOLID (SOFT,
MUSHY) FOOD YESTERDAY, DURING THE DAY OR
NIGHT?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2BF18
8BF18
BF17. HOW MANY TIMES DID (name) EAT SOLID OR SEMI-
SOLID (SOFT, MUSHY) FOOD YESTERDAY, DURING THE
DAY OR NIGHT?
Number of times .................................................... __ __
BF18. YESTERDAY, DURING THE DAY OR NIGHT, DID
(name) DRINK ANYTHING FROM A BOTTLE WITH A
NIPPLE?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8

A42
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
CARE OF ILLNESS CA
CA1. IN THE LAST TWO WEEKS, HAS (name) HAD
DIARRHOEA?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2CA7
8CA7
CA2. I WOULD LIKE TO KNOW HOW MUCH (name) WAS
GIVEN TO DRINK DURING THE DIARRHOEA (INCLUDING
BREASTMILK).
DURING THE TIME (name) HAD DIARRHOEA, WAS HE/
SHE GIVEN LESS THAN USUAL TO DRINK, ABOUT THE
SAME AMOUNT, OR MORE THAN USUAL?
If less, probe:
WAS HE/SHE GIVEN MUCH LESS THAN USUAL TO
DRINK, OR SOMEWHAT LESS?
Much less ..................................................................... 1
Somewhat less ............................................................. 2
About the same ............................................................ 3
More ............................................................................. 4
Nothing to drink ............................................................ 5
DK................................................................................. 8
CA3. DURING THE TIME (name) HAD DIARRHOEA, WAS
HE/SHE GIVEN LESS THAN USUAL TO EAT, ABOUT THE
SAME AMOUNT, MORE THAN USUAL, OR NOTHING TO
EAT?
If less, probe:
WAS HE/SHE GIVEN MUCH LESS THAN USUAL TO EAT
OR SOMEWHAT LESS?
Much less ..................................................................... 1
Somewhat less ............................................................. 2
About the same ............................................................ 3
More ............................................................................. 4
Stopped food ................................................................ 5
Never gave food ........................................................... 6
DK................................................................................. 8
CA4. DURING THE EPISODE OF DIARRHOEA, WAS (name)
GIVEN TO DRINK ANY OF THE FOLLOWING:
Read each item aloud and record response
before proceeding to the next item.
[A] A FLUID MADE FROM A SPECIAL PACKET CALLED
ORAL REHYDRATION SOLUTION (ORS)?
[B] A PRE-PACKAGED ORS FLUID FOR DIARRHOEA?
[C] WATER FROM RICE PORRIDGE/ RICE SOUP (WITH
SALT)?
[D] LEMON-ORANGE/ COCONUT DRINK?
[E] SOUP WATER FROM BOILED VEGETABLES/ MEAT?

[F] WATER FROM FRIED-AND-BOILED RICE?
Y N DK
Fluid from ORS packet ....................................... 1 2 8
Pre-packaged ORS fuid ..................................... 1 2 8
Water from rice porridge/ rice soup .................... 1 2 8
Lemon-orange/ coconut drink ............................. 1 2 8
Soup water from boiled
vegetables/ meat ............................................... 1 2 8
Water from fried-and-boiled rice ......................... 1 2 8
CA5. WAS ANYTHING (ELSE) GIVEN TO TREAT THE
DIARRHOEA?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2CA7
8CA7
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A43 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
CA6. WHAT (ELSE) WAS GIVEN TO TREAT THE DIARRHOEA?
Probe:
ANYTHING ELSE?
Record all treatments given. Write brand
name(s) of all medicines mentioned.

(Name)
Pill or Syrup
Antibiotic .................................................................. A
Antimotility ...............................................................B
Zinc ..........................................................................C
Other (Not antibiotic, antimotility
or zinc) ............................................................. G
Unknown pill or syrup ..............................................H
Injection
Antibiotic .................................................................. L
Non-antibiotic .......................................................... M
Unknown injection ...................................................N
Intravenous .................................................................. O
Home remedy / Herbal medicine ................................. Q
Other (specify) _______________________________X
CA7. AT ANY TIME IN THE LAST TWO WEEKS, HAS (name)
HAD AN ILLNESS WITH A COUGH?
Yes ................................................................................ 1
No 2
DK................................................................................. 8
2CA14
8CA14
CA8. WHEN (name) HAD AN ILLNESS WITH A COUGH, DID
HE/SHE BREATHE FASTER THAN USUAL WITH SHORT,
RAPID BREATHS OR HAVE DIFFICULTY BREATHING?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2CA14
8CA14
CA9. WAS THE FAST OR DIFFICULT BREATHING DUE TO
A PROBLEM IN THE CHEST OR A BLOCKED / RUNNY
NOSE?
Problem in chest only ................................................... 1
Blocked or runny nose only .......................................... 2
Both .............................................................................. 3
Other (specify) _______________________________ 6
DK................................................................................. 8
2CA14
6CA14
CA10. DID YOU SEEK ANY ADVICE OR TREATMENT FOR THE
ILLNESS FROM ANY SOURCE?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2CA12
8CA12
CA11. FROM WHERE DID YOU SEEK ADVICE OR
TREATMENT?
Probe:
ANYWHERE ELSE?
Circle all providers mentioned,
but do NOT prompt with any suggestions.
Probe to identify each type of source.
If unable to determine if public or private
sector, write the name of the place.

(Name of place)
Public sector
Govt. hospital ........................................................... A
Commune health centre ..........................................B
Policlinic ...................................................................C
Village health worker ...............................................D
Mobile clinic (health service) ...................................E
Sectoral hospital (army, police) ............................... F
Govt. pharmacy ...................................................... G
Other public (specify) _______________________H
Private medical sector
Private hospital / clinic .............................................. I
Private doctor .......................................................... J
Private pharmacy ....................................................K
Other private medical (specify) _______________ O
Other source
Relative / Friend ...................................................... P
Shop ...................................................................... Q
Traditional healer ....................................................R
Other (specify) _______________________________X
CA12. WAS (name) GIVEN ANY MEDICINE TO TREAT THIS
ILLNESS?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2CA14
8CA14
A44
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
CA13. WHAT MEDICINE WAS (name) GIVEN?
Probe:
ANY OTHER MEDICINE?
Circle all medicines given. Write brand
name(s) of all medicines mentioned.

(Names of medicines)
Antibiotic
Pill / Syrup ............................................................... A
Injection ...................................................................B
Anti-malarials ............................................................... M
Paracetamol / Panadol / Acetaminophen ..................... P
Aspirin.......................................................................... Q
Ibuprofen ......................................................................R
Other (specify) _______________________________X
DK................................................................................. Z
CA14. Check AG2: Child aged under 3?
Yes Continue with CA15

No Go to Next Module
CA15. THE LAST TIME (name) PASSED STOOLS, WHAT
WAS DONE TO DISPOSE OF THE STOOLS?
Child used toilet / latrine ............................................. 01
Put / Rinsed into toilet or latrine.................................. 02
Put / Rinsed into drain or ditch ................................... 03
Thrown into garbage (solid waste) ............................. 04
Buried ......................................................................... 05
Left in the open ........................................................... 06
Other (specify) ______________________________ 96
DK............................................................................... 98
MALARIA ML
ML1. IN THE LAST TWO WEEKS, HAS (name) BEEN ILL
WITH A FEVER AT ANY TIME?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2Next

Module
8Next

Module
ML2. AT ANY TIME DURING THE ILLNESS, DID (name) HAVE
BLOOD TAKEN FROM HIS/HER FINGER OR HEEL FOR
TESTING?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
ML3. DID YOU SEEK ANY ADVICE OR TREATMENT FOR THE
ILLNESS FROM ANY SOURCE?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2ML8
8ML8
ML4. WAS (name) TAKEN TO A HEALTH FACILITY DURING
THIS ILLNESS?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2ML8
8ML8
ML5. WAS (name) GIVEN ANY MEDICINE FOR FEVER OR
MALARIA AT THE HEALTH FACILITY?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2ML7
8ML7
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A45 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
ML6. WHAT MEDICINE WAS (name) GIVEN?
Probe:
ANY OTHER MEDICINE?
Circle all medicines mentioned. Write brand
name(s) of all medicines, if given.

(Name)
Anti-malarials:
Chloroquine (tab.) ....................................................B
Quinine sulfate (tab.) ...............................................D
Artemisinin based Combination Therapy (ACT) ......E
Quinine dihydrochlorate (inj.)................................... F
Dihydroartemisinin-Piperaquine (tab.) .................... G
Artesunate (inj.) .......................................................K
Primaquine (tab.) ..................................................... L
Other anti-malarial
(specify) _______________________________H
Antibiotic drugs
Pill / Syrup ................................................................ I
Injection ................................................................... J
Other medications:
Paracetamol/ Panadol /Acetaminophen .................. P
Aspirin ..................................................................... Q
Ibuprofen .................................................................R
Other (specify) _______________________________X
DK................................................................................. Z
CH
QU
AR
QDI
DPH
ART
PRI
OA
ML7. WAS (name) GIVEN ANY MEDICINE FOR THE FEVER
OR MALARIA BEFORE BEING TAKEN TO THE HEALTH
FACILITY?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
1ML9
2ML10
8ML10
ML8. WAS (name) GIVEN ANY MEDICINE FOR FEVER OR
MALARIA DURING THIS ILLNESS?

Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2ML10
8ML10
ML9. WHAT MEDICINE WAS (name) GIVEN?
Probe:
ANY OTHER MEDICINE?
Circle all medicines mentioned. Write brand name(s) of
all medicines, if given.

(Name)
.
Anti-malarials:
Chloroquine (tab.) ....................................................B
Quinine sulfate (tab.) ...............................................D
Artemisinin based Combination Therapy (ACT) ......E
Quinine dihydrochlorate (inj.)................................... F
Dihydroartemisinin-Piperaquine (tab.) .................... G
Artesunate (inj.) .......................................................K
Primaquine (tab.) ..................................................... L
Other anti-malarial
(specify) _______________________________H
Antibiotic drugs
Pill / Syrup ................................................................ I
Injection ................................................................... J
Other medications:
Paracetamol/ Panadol/ Acetaminophen .................. P
Aspirin ..................................................................... Q
Ibuprofen .................................................................R
Other (specify) _______________________________X
DK................................................................................. Z
ML10. Check ML6 and ML9: Anti-malarial mentioned (codes B, D, E, F, G, K, L, H)?
Yes Continue with ML11
No Go to Next Module
ML11. HOW LONG AFTER THE FEVER STARTED DID (name) FIRST TAKE
(name of anti-malarial from ML6 or ML9)?
If multiple anti-malarials mentioned in ML6 or ML9,
name all anti-malarial medicines mentioned.
Same day ................................................................... 0
Next day ..................................................................... 1
2 days after the fever .................................................... 2
3 days after the fever .................................................... 3
4 or more days after the fever ...................................... 4
DK................................................................................. 8
A46
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
IMMUNIZATION IM
If an immunization card/ handbook is available, copy the dates in IM3 for each type of immunization recorded on the card/
handbook. IM6-IM16 are for registering vaccinations that are not recorded on the card/ handbook. IM6-IM16 will only be
asked when a card/handbook is not available.
IM1. DO YOU HAVE A CARD/ HANDBOOK WHERE (name)S
VACCINATIONS ARE WRITTEN DOWN?
(If yes) MAY I SEE IT PLEASE?
Yes, seen ...................................................................... 1
Yes, not seen ................................................................ 2
No card/ handbook ....................................................... 3
1IM3
2IM6
IM2. DID YOU EVER HAVE A VACCINATION CARD/ HANDBOOK
FOR (name)?
Yes ................................................................................ 1
No ................................................................................. 2
1IM6
2IM6
IM3.
Copy dates for each vaccination from the card/ (a)
handbook.
Write 44 in day column if card/ handbook (b)
shows that vaccination was given but no date
recorded.
Date of Immunization
Day Month Year
BCG BCG
POLIO 1 OPV1
POLIO 2 OPV2
POLIO 3 OPV3
PENTAVALENT1
DPT-VGB-
HIB1
DPT: Bach hau - Ho ga - UV
VGB: Viem phoi
HiB: Viem mang nao
Record this vaccine only from the new handbook
(page 6).
PENTAVALENT2
DPT-VGB-
HIB2
Record this vaccine only from the new handbook
(page 6).
PENTAVALENT3
DPT-VGB-
HIB3
Record this vaccine only from the new handbook
(page 6).
DPT1 DPT1
DPT2 DPT2
DPT3 DPT3
HEPB AT BIRTH H0
Available from the new handbook (page 5),
or record from the card if HepB1 vaccine was
administered on the date of birth.
HEPB1 H1
HEPB2 H2
HEPB3 H3
MEASLES (OR MMR) MEASLES
VITAMIN A (MOST RECENT) VITA
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A47 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
IM4. Check IM3. Are all vaccines (BCG to Measles) recorded?
Yes Go to IM18
No Continue with IM5
IM5. IN ADDITION TO WHAT IS RECORDED ON THIS CARD/
HANDBOOK, DID (name) RECEIVE ANY OTHER
VACCINATIONS INCLUDING VACCINATIONS RECEIVED
IN CAMPAIGNS OR IMMUNIZATION DAYS?
Record Yes only if respondent mentions
vaccines shown in the table above.
Yes ................................................................................ 1
(Probe for vaccinations and write 66 in the
corresponding day column for each vaccine mentioned.
Then skip to IM18)
No ................................................................................. 2
DK................................................................................. 8
2IM18
8IM18
IM6. HAS (name) EVER RECEIVED ANY VACCINATIONS
TO PREVENT HIM/HER FROM GETTING DISEASES,
INCLUDING VACCINATIONS RECEIVED IN A CAMPAIGN OR
IMMUNIZATION DAY?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2IM18
8IM18
IM7. HAS (name) EVER RECEIVED A BCG VACCINATION
AGAINST TUBERCULOSIS THAT IS, AN INJECTION IN
THE UPPER ARM THAT USUALLY CAUSES A SCAR?
Yes ................................................................................ 1
No ............................................................................... 12
DK................................................................................. 8
IM8. HAS (name) EVER RECEIVED ANY VACCINATION
DROPS IN THE MOUTH TO PROTECT HIM/HER FROM
GETTING DISEASES THAT IS, POLIO?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2IM10A
8IM10A
IM10. HOW MANY TIMES WAS THE POLIO VACCINE
RECEIVED? Number of times ......................................................... __
IM10A. HAS (name) EVER RECEIVED A PENTAVALENT
(DPT-VGB-HIB) VACCINATION THAT IS, AN
INJECTION IN THE THIGH OR BUTTOCKS TO PREVENT
HIM/HER FROM GETTING DPT, HEPATITIS B AND HIB?
Probe by indicating that Pentavalent vaccine
is sometimes called 5 in 1.
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2IM11
8IM11
IM10B. HOW MANY TIMES WAS A PENTAVALENT (DPT-
VGB-HIB) VACCINE RECEIVED? Number of times ......................................................... __
IM11. HAS (name) EVER RECEIVED A DPT VACCINATION
THAT IS, AN INJECTION IN THE THIGH OR BUTTOCKS
TO PREVENT HIM/HER FROM GETTING TETANUS,
WHOOPING COUGH, OR DIPHTHERIA?
Probe by indicating that DPT vaccination is
sometimes given at the same time as Polio.
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2IM13
8IM13
IM12. HOW MANY TIMES WAS A DPT VACCINE RECEIVED?
Number of times ......................................................... __
IM13. HAS (name) EVER BEEN GIVEN A HEPATITIS B
VACCINATION THAT IS, AN INJECTION IN THE THIGH
OR BUTTOCKS TO PREVENT HIM/HER FROM GETTING
HEPATITIS B?
Probe by indicating that the Hepatitis B
vaccine is sometimes given at the same time
as Polio and DPT vaccines.
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
2IM16
8IM16
IM14. WAS THE FIRST HEPATITIS B VACCINE RECEIVED
WITHIN 24 HOURS AFTER BIRTH, OR LATER?
Within 24 hours............................................................. 1
Later ............................................................................. 2
IM15. HOW MANY TIMES WAS A HEPATITIS B VACCINE
RECEIVED? Number of times ......................................................... __
IM16. HAS (name) EVER RECEIVED A MEASLES INJECTION
OR AN MMR INJECTION THAT IS, A SHOT IN THE
ARM AT THE AGE OF 9 MONTHS OR OLDER - TO
PREVENT HIM/HER FROM GETTING MEASLES?
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
A48
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
IM18. HAS (name) RECEIVED A VITAMIN A DOSE LIKE
(THIS/ANY OF THESE) WITHIN THE LAST 6 MONTHS?
Show common types of
ampules / capsules / syrups
Yes ................................................................................ 1
No ................................................................................. 2
DK................................................................................. 8
IM19. PLEASE TELL ME IF (name) HAS PARTICIPATED
IN ANY OF THE FOLLOWING CAMPAIGNS, NATIONAL
IMMUNIZATION DAYS AND/OR VITAMIN A OR CHILD
HEALTH DAYS:
[A] JUNE 2010, VITAMIN A CAMPAIGN
[B] DECEMBER 2010, VITAMIN A CAMPAIGN
[C] SEPTEMBER-NOVEMBER 2010, MEASLES
VACCINATION CAMPAIGN/ MEASLES SUPPLEMENTARY
IMMUNIZATION ACTIVITY (SIA)
Y N DK
June 2010, Vitamin A .......................................... 1 2 8
December 2010, Vitamin A ................................. 1 2 8
Sep-Nov 2010, Measles ..................................... 1 2 8
UF13. Record the time. Hour and minutes ...................................... __ __ : __ __
UF14. Is the respondent the mother or caretaker of another child age 0-4 living in this household?
Yes Indicate to the respondent that you will need to measure the weight and height of the child
later. Go to the next QUESTIONNAIRE FOR CHILDREN UNDER FIVE to be
administered to the same respondent
No End the interview with this respondent by thanking him/her for his/her cooperation and
tell her/him that you will need to measure the weight and height of the child
Check to see if there are other womans or under-5 questionnaires to be administered
in this household.
Move to another womans or under-5 questionnaire, or start making arrangements for
anthropometric measurements of all eligible children in the household.
ANTHROPOMETRY AN
After questionnaires for all children are complete, the measurer weighs and measures each child.
Record weight and length/height below, taking care to record the measurements on the correct questionnaire for each
child. Check the childs name and line number on the household listing before recording measurements.
AN1. Measurers name and number: Name ___ ___
AN2. Result of height / length and weight
measurement
Either or both measured ............................................... 1
Child not present .......................................................... 2
Child or caretaker refused ............................................ 3
Other (specify) _______________________________ 6
2AN6
3AN6
6AN6
AN3. Childs weight
Kilograms (kg) ................................................ __ __ . __
Weight not measured .............................................. 99.9
AN4. Childs length or height
Check age of child in AG2:
Child under 2 years old. Measure length
(lying down).
Child age 2 or more years. Measure height
(standing up).
Length (cm)
Lying down ......................................... 1 __ __ __ . __
Height (cm)
Standing up ....................................... 2 __ __ __ . __
Length / Height not measured ............................. 9999.9
MONITORING THE SITUATION OF CHILDREN AND WOMEN
A49 VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
AN5. Oedema
Observe and record
Checked
Oedema present ...................................................... 1
Oedema not present ................................................ 2
Unsure ..................................................................... 3
Not checked
(specify reason) ___________________________ 7
AN6. Is there another child in the household who is eligible for measurement?
Yes Record measurements for next child.
No End the interview with this household by thanking all participants for their cooperation.
Gather together all questionnaires for this household and check that all identifcation numbers
are inserted on each page. Tally on the Household Information Panel the number of interviews
completed.
A50
MONITORING THE SITUATION OF CHILDREN AND WOMEN
VIET NAM MULTIPLE INDICATOR CLUSTER SURVEY 20102011
Interviewers Observations
Field Editors Observations
Team Leaders Observations

Cluster Survey 20102011
Viet Nam Multiple Indicator
Website: mics.gso.gov.vn
United Nations
Childrens Fund
United Nations
Population Fund