Unique HH ID in wave 1
Unique HH ID in wave 2
Unique individual ID in wave 1
Unique individual ID in wave 2
Unique EA identifier in wave 1
Unique EA identifier in wave 2
EA rural urban indicator
Wave 2 sampling weight, Probability of selection - Household
Region Code
Zone Code
Woreda Code
Town Code
Subcity Code
Kebele/FA Code
EA
Household ID
HH Member ID Code
HH Member Name
Have you faced any health problems during the last 2 months?
What was the sickness/injury you faced?(1ST Sickness)
Other specify: What was the illness/injury you faced? (1st Sickness)
What was the sickness/injury you faced?(2ND Sickness)
Other specify: What was the illness/injury you faced? (2nd Sickness)
For how many days were you absent from your usual activity due to the health pro
Have you received medical assistance or consultation from a health institution o
Where do you receive or consult medial assistance primarily?
What was the main reason for you not consulting a health institution/traditional
Other specify: What was the main reason for you not consulting a health institut
Have you consulted any medical assistance during the last 12 months?
How many times have you consulted any medical  assistance during the last 12 mon
Have you been sick for at least 3 monsecutive months during the last 12 months?
Have you or the household received any assistance free of charge for the long-te
Do you get the assistance free of charge from (Government Institution)
Do you get the assistance free of charge from (NGO)
Do you get the assistance free of charge from (HIV/AIDS related associations)
Do you get the assistance free of charge from (Social/Community Association)
Do you get the assistance free of charge from (Traditional/Religious Providers)
Do you get the assistance free of charge from (Others)
IS THIS MEMBER AGE 0-5 YEARS OLD?
Do you have difficulty seeing, even if you are wearing glasses?
Do you have difficulty hearing, even if you are wearing a hearing aid?
Do you have difficulty walking or climbing steps?
Do you have difficulty remembering or concentrating?
Do you have difficulty (with self care) washing all over or dressing, feeding, t
Using your usual language, do you have difficulty communicating?
ENUMERATOR: Check questions 12 to 17. Did the respondent have any difficulties?
Does this difficulty reduce the amount of work you can do at home, work, or scho
ENUMERATOR: Is this member ages 6-83 months (less tha 7 years old)?
Has [NAME] had diarrhea in the last two weeks?
How much water was [NAME] offered to drink during the diarrhea?
Was [NAME] given any of the following to drink:ORAL REHYDRATION SALTS (ORS)
Was [NAME] given any of the following to drink:FLUID RECOMMENDED BY HEALTH WORKE
Was [NAME] ever breastfed?
Since the time of birth, for how many months was [NAME] breastfed?
Since the time of birth, for how many months was [NAME] exclusively breastfed (w
In what day, month, year was [Name] born? (Day)
In waht day, month, year was [Name] born? (Month)
In what day, month, year was [Name] born? (Year)
What is the source of information for [NAME] birth Day
Weight in Kilograms (KGS)
Length or Height (Centimeters)
ENUMERATOR: Result of Measurement